ATI RN
Practice Questions for Patient-Centered Care Questions
Question 1 of 5
The nurse is making a preoperative education appointment with a patient. The patient asks if a family member should come to the appointment. Which is the best response by the nurse?
Correct Answer: C
Rationale: The correct answer is C: "We recommend including family members at this appointment." It is important for family members to be involved in the preoperative education process as they can provide support, gather important information, and better understand the patient's care needs. Involving family members can also improve communication and ensure that everyone is on the same page regarding the upcoming procedure. Choice A is incorrect because having a family member present can be beneficial. Choice B is not the best response as it only allows family members to wait in the waiting room, missing out on the opportunity to actively participate in the appointment. Choice D is incorrect as it is not required by the hospital or healthcare provider to have a family member present at the appointment.
Question 2 of 5
You are responding to a possible assault call. You choose to park down the block from the house, as police have not yet made the scene safe. However, you see what looks to be a patient in distress in the upper story window. What would be the safest approach in this situation?
Correct Answer: A
Rationale: The correct approach is A: Wait for responding police to control the situation and say that it is safe for EMS. This is the safest option because the scene has not been secured by law enforcement, and your safety is paramount. By waiting for the police to arrive and ensure the scene is safe, you are minimizing the risk of potential harm to yourself and allowing for a coordinated and controlled response. It is crucial to prioritize personal safety and follow established protocols in such high-risk situations. Summary of other choices: B: Waiting for police to arrive before entering is important, but going in with them could still expose you to unnecessary risk. C: Driving up to the driveway without police presence could put you in harm's way and compromise scene safety. D: Heading into the house without police clearance is extremely dangerous and could escalate the situation further.
Question 3 of 5
If an adult patient is experiencing the signs and symptoms of a myocardial infarction with perfusing arrhythmias, which of the following pre-hospital interventions will help to reduce the patient's cardiac preload and afterload?
Correct Answer: A
Rationale: The correct answer is A: The intravenous administration of 2-4 mg of morphine per a medical-control physician's order. Morphine is commonly used in myocardial infarction to reduce cardiac preload and afterload by dilating blood vessels, reducing workload on the heart. This helps improve blood flow to the heart muscle. Choice B is incorrect because medications like procainamide, atropine, and verapamil are used to control specific dysrhythmias, not specifically to reduce preload and afterload. Choice C is incorrect as sublingual nitroglycerin therapy primarily works by dilating coronary arteries to improve blood flow to the heart, rather than specifically reducing preload and afterload. Choice D is incorrect as high-flow oxygen therapy helps to increase oxygen delivery to tissues but does not directly reduce preload and afterload.
Question 4 of 5
Which of the following medications may be effective in reversing the signs and symptoms of dystonia?
Correct Answer: D
Rationale: The correct answer is D: Diphenhydramine. Diphenhydramine is an anticholinergic medication that can effectively reverse the signs and symptoms of dystonia by blocking acetylcholine receptors. This helps reduce muscle spasms and involuntary movements associated with dystonia. Promethazine (A) and morphine sulfate (B) are not typically used to treat dystonia. Lidocaine (C) is a local anesthetic and is not effective in treating dystonia. Diphenhydramine is the most appropriate choice due to its mechanism of action in blocking acetylcholine receptors, making it effective in reversing dystonia symptoms.
Question 5 of 5
Your adult patient is experiencing lightheadedness and shortness of breath. He is found to be bradycardic with a second-degree type II AV heart block on the electrocardiogram. His heart rate is 44, he is breathing 20 times per minute, and has a blood pressure of 90 systolic. He is cool and pale but denies chest pain. Which of the following would be most appropriate if the patient fails to respond to atropine?
Correct Answer: C
Rationale: The correct answer is C: Transcutaneous pacing. In this scenario of a patient with bradycardia and a second-degree type II AV block, transcutaneous pacing is the most appropriate next step if the patient fails to respond to atropine. Transcutaneous pacing involves placing external electrodes on the patient's chest to deliver electrical impulses to stimulate the heart, effectively pacing the heart and maintaining an adequate heart rate. This is crucial in a patient with symptomatic bradycardia and heart blocks as it can quickly and effectively increase the heart rate and improve cardiac output. The other choices are incorrect: A: Administering 1 milligram of epinephrine may be too aggressive and can further worsen the heart block in this case. B: Synchronized cardioversion at 10 joules is not indicated for bradycardia and can be harmful in this scenario. D: Administering a 500-milliliter IV bolus of normal