ATI RN
Care of Patients with Shock Practice Questions Questions
Question 1 of 5
Weakness of muscles in the feet and ankles is
Correct Answer: C
Rationale: Weakness of muscles in the feet and ankles causing difficulty lifting the foot is known as foot drop. This leads to a characteristic dragging of the foot while walking. Pronation (A) and supination (B) refer to the inward and outward rolling of the foot, respectively, and are not related to muscle weakness. Phlebitis (D) is inflammation of a vein and not associated with muscle weakness in the feet and ankles. Therefore, the correct answer is C: Foot drop, as it directly addresses the muscle weakness symptom described in the question.
Question 2 of 5
At what point in an NA's employment would a probationary performance review be completed?
Correct Answer: D
Rationale: The correct answer is D: At 3 months. Probationary performance reviews are typically conducted early in an employee's tenure, usually around 3 months, to assess their performance, provide feedback, and address any concerns. This timeframe allows employers to identify any issues early on and provide support or corrective action if needed. Options A, B, and C are incorrect as they are too late in the employment period to effectively evaluate and address any performance issues that may arise within the probationary period.
Question 3 of 5
The nurse and the nursing assistive personnel are assisting a postoperative patient to turn in bed. To assist in minimizing discomfort, which instruction should the nurse provide to the patient?
Correct Answer: D
Rationale: The correct answer is D because placing the hand over the incision provides support and stability, reducing discomfort during the turning process. This action helps prevent unnecessary strain on the incision site and promotes healing. A, B, and C are incorrect because closing eyes or thinking about something pleasant, holding breath, and grabbing shoulders do not provide physical support or address the specific discomfort related to postoperative turning in bed.
Question 4 of 5
Which of the following conditions is most likely to cause a patient to present with potentially reversible pulseless electrical activity on the monitor?
Correct Answer: D
Rationale: The correct answer is D: Tension pneumothorax. This condition can lead to decreased venous return to the heart, causing decreased cardiac output and ultimately pulseless electrical activity. Tension pneumothorax is a life-threatening emergency that requires immediate intervention to relieve pressure on the heart and lungs. A: Traumatic asphyxia can cause compression of the chest and airway obstruction, leading to respiratory distress but not necessarily pulseless electrical activity. B: Wolf Parkinson White syndrome is a cardiac condition characterized by an accessory pathway for electrical conduction in the heart, which can cause arrhythmias but not typically pulseless electrical activity. C: The R-on-T phenomenon refers to a specific ECG finding where a premature ventricular contraction occurs on the T wave of the preceding beat, which can lead to ventricular fibrillation but is less likely to result in pulseless electrical activity compared to tension pneumothorax.
Question 5 of 5
You suspect your unconscious adult trauma patient may have increased intracranial pressure from a closed head injury. Due to the compression forces of increased intracranial pressure, at what level of brain injury would be expected if the patient is exhibiting Cheyne-Stokes respirations and is presenting with increasing blood pressure readings and a decreasing, reactive pulse rate?
Correct Answer: A
Rationale: Step 1: Cheyne-Stokes respirations suggest dysfunction in the cerebral cortex and upper brainstem. Step 2: Increasing blood pressure and decreasing, reactive pulse rate indicate a raised intracranial pressure affecting the cortex and upper brainstem. Step 3: Compression in the cortex and upper brainstem can lead to autonomic dysregulation causing the observed symptoms. Step 4: Midbrain, medulla oblongata, and lower brainstem are not directly associated with the symptoms described. Summary: The correct answer is A because the symptoms presented are indicative of dysfunction in the cortex and upper brainstem, while the other choices do not align with the specific symptoms observed in the patient.