ATI RN
Basic Nursing Care Needs of the Patient Questions
Question 1 of 5
The stage of dying in which a person believes “yes me
Correct Answer: D
Rationale: The correct answer is D: Acceptance. This stage, as per Kubler-Ross model, signifies the final phase of coming to terms with the impending death. The person has reached a state of peace and understanding, accepting their fate. The other choices are incorrect because: A: "but..." indicates resistance, not acceptance. B: Depression signifies a different stage characterized by overwhelming sadness. C: Denial is an earlier stage where the person refuses to accept the reality of their situation.
Question 2 of 5
The circulating nurse is caring for a patient intraoperatively. Which primary role of the circulating nurse will be implemented?
Correct Answer: B
Rationale: The correct answer is B: Managing patient care activities in the OR suite. The primary role of the circulating nurse is to coordinate and manage patient care activities during surgery. This includes ensuring patient safety, maintaining aseptic technique, documenting the procedure, and communicating with the surgical team. Suturing the incision (A) is the responsibility of the surgeon, not the circulating nurse. Assisting with applying sterile drapes (C) is part of the scrub nurse's role. Handing sterile instruments to the surgeon (D) is the responsibility of the scrub nurse as well. Therefore, managing patient care activities (B) is the most appropriate role for the circulating nurse in the OR suite.
Question 3 of 5
Your adult patient has an altered mental status, and a blood sugar reading of 35 mg/dL is obtained using a glucometer. He is unable to follow commands, and no IV access is available. Which medication and route should be considered?
Correct Answer: A
Rationale: The correct answer is A: Glucagon intramuscularly. Glucagon is the preferred treatment for severe hypoglycemia in patients with altered mental status and no IV access. When administered intramuscularly, it quickly raises blood sugar levels by stimulating glycogen breakdown in the liver. Oral glucose (choice B) is not suitable for patients who cannot follow commands. IV dextrose (choice C) requires IV access, which is not available in this scenario. Glucagon should not be given subcutaneously (choice D) as it may have delayed absorption and be less effective in this critical situation.
Question 4 of 5
Which of the following medication types are used to decrease the workload of the heart by blocking sympathetic stimulation of receptors that work on the SA node and myocardial cells, thus decreasing the force of myocardial contraction and directly reducing a patient's heart rate?
Correct Answer: B
Rationale: The correct answer is B: Beta-blockers. Beta-blockers decrease the workload of the heart by blocking the sympathetic stimulation of beta-adrenergic receptors in the heart. This action results in a decrease in heart rate and the force of myocardial contraction. By blocking these receptors, beta-blockers reduce the impact of adrenaline and other stress hormones on the heart, leading to a decrease in the heart's workload. A: Alpha-adrenergic agents primarily work on alpha-adrenergic receptors and do not have the same effect on decreasing the workload of the heart. C: Calcium-channel blockers work by blocking calcium channels in the heart and blood vessels, leading to vasodilation and decreased contractility of the heart. While they can reduce the heart's workload, they do not primarily target sympathetic stimulation of receptors working on the SA node and myocardial cells. D: Sodium-channel blockers primarily affect the conduction of electrical impulses in the heart and are used for different purposes, such as
Question 5 of 5
While conducting an EKG on your post-myocardial infarction patient, you note the presence of consistently wide QRS complexes greater than 120 ms in duration. What does this most likely indicate?
Correct Answer: A
Rationale: The correct answer is A: An intraventricular conduction delay or right/left bundle branch block. Wide QRS complexes greater than 120 ms duration typically indicate an intraventricular conduction delay, such as a bundle branch block. In the context of a post-myocardial infarction patient, this finding is common due to damage to the conduction system. Bundle branch blocks can lead to widened QRS complexes. Summary: B: A complete heart block is incorrect as it would typically present with a different EKG pattern. C: While a myocardial infarction can cause conduction abnormalities, the widened QRS complexes are not indicative of an acute infarction. D: Congenital heart defects are not typically associated with wide QRS complexes in a post-myocardial infarction patient.