ATI RN
Basic Care of Dying Patient Questions
Question 1 of 5
Under what circumstance should an applicant leave something blank in a job application?
Correct Answer: C
Rationale: The correct answer is C: Never. Leaving a blank on a job application is generally not recommended as it may give the impression of being careless or unprepared. Providing as much information as possible is crucial for potential employers to assess your qualifications thoroughly. Leaving blanks can also result in your application being disqualified. Therefore, it is best to strive to complete all sections of a job application to the best of your ability. Choices A, B, and D are incorrect because in each of those scenarios, applicants should make an effort to provide alternative information or explanations instead of leaving the fields blank.
Question 2 of 5
The nurse is caring for a postoperative patient who has had a minimally invasive carpel tunnel repair. The patient has a temperature of 97° F and is shivering. Which reason will the nurse most likely consider as the primary cause when planning care?
Correct Answer: A
Rationale: The correct answer is A: Anesthesia lowers metabolism. Anesthesia can disrupt the body's ability to regulate temperature by suppressing the body's natural thermoregulation mechanisms, leading to hypothermia and shivering. Shivering is a common response to anesthesia-induced hypothermia as the body tries to generate heat. Choices B, C, and D are incorrect because surgical suites having air currents, the patient being dressed only in a gown, and the large open body cavity contributing to heat loss are not the primary causes of the patient's shivering in this context.
Question 3 of 5
Which of the following findings is most concerning in a patient with chest pain?
Correct Answer: C
Rationale: The correct answer is C. Shortness of breath and diaphoresis are concerning symptoms in a patient with chest pain as they may indicate a serious cardiac event like a heart attack. Shortness of breath suggests possible heart or lung involvement, while diaphoresis (excessive sweating) can be a sign of significant stress on the body. These symptoms warrant immediate medical attention to rule out life-threatening conditions. Choice A, a burning sensation after eating, is more suggestive of acid reflux or indigestion and is not typically associated with acute cardiac issues. Choice B, pain that improves with rest, is more indicative of musculoskeletal or non-cardiac causes of chest pain. Choice D, pain that worsens with palpation, is more likely related to musculoskeletal or chest wall issues rather than a cardiac emergency.
Question 4 of 5
You are transporting a 20-year-old pregnant female from a local hospital to a medical facility that specializes in high-risk pregnancies when you note the patient is experiencing unexplained hypotension and bradycardia. The patient has a patent IV and is being administered magnesium that was initiated by hospital staff. On the cardiac monitor, the patient presents with a lengthening PR interval and signs of an impending high-degree nodal block. Which of the following interventions would be most appropriate in this case?
Correct Answer: B
Rationale: The correct answer is B: Stop the magnesium sulfate infusion immediately, and administer the appropriate dose of calcium chloride to correct the adverse effects of magnesium toxicity. Rationale: 1. Magnesium toxicity can lead to hypotension, bradycardia, and cardiac conduction abnormalities. 2. Stopping the magnesium infusion is crucial to prevent further adverse effects. 3. Calcium chloride is the antidote for magnesium toxicity as it competes with magnesium for binding sites on cardiac cells, restoring normal cardiac function. 4. Administering a normal saline bolus (choice A) would not address the underlying cause of magnesium toxicity. 5. Administering potassium chloride (choice C) is not appropriate as it can exacerbate the cardiac effects of magnesium toxicity. 6. Reducing the magnesium infusion and administering dextrose 50% (choice D) would not address the magnesium toxicity and may not reverse the cardiac effects.
Question 5 of 5
Your adult female postpartum patient delivered her newborn with the assistance of her husband five minutes prior to your arrival on the scene. The infant's Apgar score is 10, and the baby seems to be fine. However, the mother continues to bleed heavily after an adequate fundal massage and encouraging the infant to breastfeed. Her current heart rate is 125 bpm; her blood pressure is 108/60, and she is breathing 22 times a minute with an SpO2 of 97. After ensuring a second infant is not present, which of the following interventions would medical command most likely recommend?
Correct Answer: D
Rationale: The correct answer is D because administering oxytocin infusion is the most appropriate intervention for postpartum hemorrhage due to uterine atony, which is a common cause of excessive bleeding after delivery. Oxytocin helps to stimulate uterine contractions, which will help control the bleeding by reducing the size of the blood vessels at the placental site. This intervention is evidence-based and recommended in postpartum hemorrhage management protocols. Other choices are incorrect because: A: Packing the vagina is not indicated unless there is active vaginal bleeding that cannot be controlled by other methods. B: Administering lactated Ringer's solution at a rapid rate is not the first-line treatment for postpartum hemorrhage. C: Trendelenburg position and a fluid bolus of normal saline are not recommended as they can increase the risk of fluid overload and do not address the underlying cause of the bleeding. In summary, administering oxytocin infusion is the most appropriate intervention to manage post