ATI RN
Quizlet Patient-Centered Care UNMC Addiction Practice Questions Questions
Question 1 of 5
To establish a diagnosis of shock, which is true?
Correct Answer: C
Rationale: The correct answer is C. Clinical evidence of inadequate organ perfusion must be present to establish a diagnosis of shock. This is because shock is characterized by inadequate tissue perfusion leading to organ dysfunction. It is a state of systemic hypoperfusion resulting in cellular and metabolic imbalances. A is incorrect because a specific systolic blood pressure cutoff alone is not sufficient to diagnose shock. B is incorrect as the presence of a closed head injury is not a requirement for diagnosing shock. D is incorrect because a lack of response to intravenous fluid infusion is not the sole criteria for diagnosing shock.
Question 2 of 5
A 32-year-old man’s right leg is trapped beneath his overturned car for nearly two hours. Which of the following is most likely to improve chances for limb salvage?
Correct Answer: D
Rationale: Performing lower extremity fasciotomies is the correct choice in this scenario because the prolonged entrapment of the leg can lead to compartment syndrome, a condition where increased pressure within the muscles compromises blood flow, risking limb loss. Fasciotomies involve making incisions to release the pressure and restore circulation, thus improving chances of limb salvage. Applying skeletal traction (A) may help stabilize the leg but won't address the underlying issue of compromised blood flow. Administering anticoagulant drugs (B) is not directly relevant to the treatment of compartment syndrome. Administering thrombolytic therapy (C) is used for dissolving blood clots and is not indicated in this case.
Question 3 of 5
A 22 year old male is assaulted in a bar. A semi-rigid cervical collar is applied and he is immobilized on a spine boar On initial examination, his vital signs are normal, and his GCS is 15. Which of the following is an indication for CT in this patient with possible minor traumatic brain injury?
Correct Answer: D
Rationale: The correct answer is D: Presence of hemotympanum. Hemotympanum is a significant finding that suggests a basilar skull fracture, which can lead to intracranial injury. CT is indicated to assess for potential brain injury in this case, despite the patient's initial normal vital signs and GCS score. A: Blood alcohol concentration is not an indication for CT in this scenario unless it affects the patient's mental status. B: An isolated scalp laceration does not necessarily indicate a need for CT unless there is suspicion of underlying skull fracture. C: A mandibular fracture is not directly related to the need for CT in this case, as it primarily affects the facial bones.
Question 4 of 5
Initial resuscitation in adult patients should:
Correct Answer: A
Rationale: The correct answer is A because initial resuscitation in adult patients should start with 1-2L of crystalloid to restore intravascular volume. This helps improve tissue perfusion and oxygen delivery. Monitoring the patient's response (B) is important but not the initial step. Using crystalloid to normalize BP (C) may lead to fluid overload. Permissive hypotension in patients with head injury (D) is contraindicated as it can worsen cerebral perfusion.
Question 5 of 5
Which member of the care team assesses residents, monitors progress, and gives treatments and medication?
Correct Answer: A
Rationale: The correct answer is A: The nurse. Nurses have the education and training to assess residents, monitor progress, administer treatments, and medication. They play a crucial role in coordinating care and ensuring the well-being of residents. Nursing assistants provide hands-on care but do not assess or administer medications. Medical social workers focus on psychosocial needs, not direct medical care. Registered dietitians specialize in nutrition and dietary needs, not direct patient assessment or medication administration.