ATI RN
A Review of Basic Patient Rights in Psychiatric Care Questions
Question 1 of 5
The nurse has administered a preoperative medication to the patient going to surgery. Which action will the nurse take next?
Correct Answer: B
Rationale: The correct answer is B because the nurse's priority post-administration of preoperative medication is to ensure patient safety. Instructing the patient to call for help to go to the restroom is important to prevent falls or other adverse events due to the medication's effects. A: Notifying the operating suite is not the immediate next step after medication administration. C: Wasting unused medication is important but not the immediate priority post-administration. D: Asking the patient to sign the consent for surgery can wait until the patient is stable and oriented.
Question 2 of 5
You are cleaning the back of the truck after transporting a trauma patient to the emergency department. Which of the following contaminated items should not be placed in a plastic biohazard bag?
Correct Answer: A
Rationale: The correct answer is A: Plastic IV catheter. This should not be placed in a plastic biohazard bag because it is a sharp item that can puncture the bag and potentially harm someone handling it. It should be disposed of in a sharps container to ensure safe handling and disposal. Choices B, C, and D are all items that can be safely placed in a plastic biohazard bag as they do not pose a risk of puncturing the bag or causing harm during disposal.
Question 3 of 5
You are called to assist a pregnant female in the 24th week gestation period according to her due date. The pale 26-year-old patient is found supine in bed, complaining of dizziness/weakness with extreme nausea. The patient denies vaginal bleeding, amniotic fluid leakage, or abdominal pain. There are no signs of imminent birth or active labor. She reports receiving normal prenatal care with no associated problems found during the pregnancy. Her heart rate is 126-130 beats per minute; her blood pressure is 80 mmHg systolic while her skin is cool and pale. Which of the following conditions is most likely to cause the patient's presentation?
Correct Answer: C
Rationale: The correct answer is C: Supine hypotension. The patient's symptoms of dizziness, weakness, extreme nausea, cool and pale skin, along with a low blood pressure of 80 mmHg systolic and high heart rate of 126-130 bpm, suggest a decrease in blood flow to the heart and brain. In pregnancy, lying supine can compress the vena cava, reducing venous return and cardiac output, leading to supine hypotension. The other choices are incorrect: A) Uterine rupture typically presents with severe abdominal pain and signs of shock, B) Spontaneous abortion would present with vaginal bleeding and abdominal pain, and D) Placenta previa usually presents with painless vaginal bleeding.
Question 4 of 5
Your adult status asthmaticus patient requires rapid sequence intubation due to rapidly increasing airway constriction. Which of the following would be most appropriate following tube placement confirmation?
Correct Answer: B
Rationale: The correct answer is B (2-5 mg of albuterol administered directly down the ET tube). After rapid sequence intubation in an adult with status asthmaticus, albuterol can be administered directly down the endotracheal tube to rapidly dilate the airways. The dose of 2-5 mg is appropriate for adult patients in this situation. Choice A (3 mg of levalbuterol administered directly down the ET tube) is incorrect because levalbuterol is not typically administered directly down the endotracheal tube, and the dose provided is not within the standard range for adult patients. Choice C (2.5 mg of albuterol in 3-mL solution, nebulized and delivered with ventilation) is incorrect because nebulized albuterol may not be as effective in rapidly dilating the airways compared to direct administration down the endotracheal tube in this critical situation. Choice D (
Question 5 of 5
You are called to assist an adult female with a possible allergic reaction. You arrive to find a 22-year-old patient who is just beginning to have difficulty breathing. She has itching, urticaria, and hives after a bee-sting. During the possible allergic reaction, what is occurring at the cellular level?
Correct Answer: D
Rationale: The correct answer is D because during an allergic reaction, mast cells degranulate, releasing histamines and other inflammatory mediators into the bloodstream. This leads to vasodilation, increased vascular permeability, and smooth muscle contraction, causing symptoms like itching, hives, and difficulty breathing. Choice A is incorrect because mast cells do not retain vasoactive amines; they release them. Choice B is incorrect as there is no hypermetabolic state associated with an allergic reaction. Choice C is incorrect because anaerobic metabolism is not a typical response to an allergic reaction.