ATI RN
Basic Nursing Care of the Patient Questions
Question 1 of 5
The primary indication for transferring a patient to a higher level trauma center is:
Correct Answer: C
Rationale: The correct answer is C because the transferring doctor is in the best position to assess the patient's needs and resources available. This ensures appropriate care and resources are available for the patient's condition. Choice A is incorrect as it focuses on staff availability rather than patient needs. Choice B is incorrect as it only addresses specific injuries, not overall care needs. Choice D is incorrect as hospital administration may not have the medical expertise to determine appropriate care for the patient.
Question 2 of 5
Regarding shock in the child, which of the following is FALSE?
Correct Answer: D
Rationale: The correct answer is D because the statement is false. Children have a smaller blood volume than adults, so the absolute volume of blood loss required to produce shock in children is lower than in adults. A: Vital signs are age-related as children have different normal ranges compared to adults. B: Children actually have lesser physiologic reserves than adults. C: Tachycardia is a common response to hypovolemia, not hypervolemia.
Question 3 of 5
The principle of balanced resuscitation is:
Correct Answer: A
Rationale: The correct answer is A: "Permissive hypotension and early plasma infusion" for balanced resuscitation. Permissive hypotension helps prevent exacerbating bleeding by maintaining lower blood pressures. Early plasma infusion provides essential clotting factors for coagulopathy correction. Choice B is incorrect as equal crystalloid and colloid amounts are not recommended due to colloid-related complications. Choice C is incorrect as balanced resuscitation focuses on fluid and blood product administration, not breathing management. Choice D is incorrect as maintaining a normal acid-base balance is essential but not the sole focus of balanced resuscitation.
Question 4 of 5
A 23 year old construction worker is brought to the ED after falling more than 9 meters from scaffolding. He is complaining bitterly of lower abdominal and lower limb pain, and has obvious deformity of both lower legs with bilateral open tibial fractures. Which one of the following statements concerning this patient is true?
Correct Answer: D
Rationale: The correct answer is D. X-ray of the chest and pelvis are important adjuncts in his assessment. This patient's mechanism of injury is indicative of high energy trauma. X-ray of the chest can help identify potential thoracic injuries such as rib fractures or pneumothorax. Pelvic x-ray is crucial to assess for pelvic fractures, which can lead to significant blood loss and hypotension. This patient's hypotension is more likely due to hemorrhagic shock from his open tibial fractures rather than spinal cord injury. Pelvic injury cannot be ruled out solely based on the mechanism of injury as pelvic fractures are common in falls from height. Blood loss from the lower limb alone is not the most likely cause of hypotension in this case.
Question 5 of 5
Residents in _____ are usually more independent and do not need skilled care.
Correct Answer: B
Rationale: The correct answer is B: Assisted living facilities. These facilities are designed for individuals who require minimal assistance with daily activities and typically provide a more independent living environment. Residents in assisted living facilities are generally more self-sufficient compared to those in acute care facilities, subacute care facilities, or hospice facilities. Acute care facilities are for patients requiring intensive medical care, subacute care facilities provide short-term specialized care, and hospice facilities offer end-of-life care. Therefore, the correct choice is B as residents in assisted living facilities are more independent and do not need skilled care compared to the other options.