ATI RN
Basic Care Needs of Patients Questions
Question 1 of 5
What are the services that are available at the Community Health Centre in Singapore?
Correct Answer: D
Rationale: Community Health Centres in Singapore offer Diabetic Retinal Photography and Foot Screening for chronic disease management. CT scans are not typically subsidized there, and lab services/health screenings are broader offerings.
Question 2 of 5
Which of the following anesthetic drugs is MOST likely to be associated with longer seizure duration when used for electroconvulsive therapy?
Correct Answer: A
Rationale: Etomidate enhances seizure duration during ECT due to its minimal anticonvulsant properties, unlike propofol or methohexital.
Question 3 of 5
The patient has presented to the ambulatory surgery center to have a colonoscopy. The patient is scheduled to receive moderate sedation (conscious sedation) during the procedure. How will the nurse interpret this information?
Correct Answer: B
Rationale: The correct interpretation of moderate sedation is that it requires a depressed level of consciousness. During moderate sedation, the patient is in a state where they can respond to verbal commands and tactile stimulation, but their level of consciousness is decreased. This allows the patient to be comfortable and cooperative during the procedure. Choice A is incorrect because moderate sedation does not result in loss of sensation in a specific area of the body. Choice C is incorrect because the fact that the procedure is performed on an outpatient basis is not directly related to the type of sedation used. Choice D is incorrect as moderate sedation does not necessarily require the patient to be immobile; they may still be able to move and reposition themselves to some extent.
Question 4 of 5
The nurse is assessing a postoperative patient with a history of obstructive sleep apnea for airway obstruction. Which assessment finding will best alert the nurse to this complication?
Correct Answer: A
Rationale: The correct answer is A: Drop in pulse oximetry readings. In a postoperative patient with a history of obstructive sleep apnea, airway obstruction can lead to decreased oxygen levels, indicated by a drop in pulse oximetry readings. This is the best assessment finding to alert the nurse to this complication because it directly reflects the patient's oxygenation status. Moaning with reports of pain (B) and shallow respirations (C) may indicate pain or respiratory distress but do not specifically point towards airway obstruction. Disorientation (D) can be a sign of various issues, not specifically related to airway obstruction.
Question 5 of 5
An elderly patient is found unconscious and unresponsive. His heart rate is 30 beats per minute, blood pressure is 70/40 mmHg, and his skin is pale and cool. Which intervention should be performed first?
Correct Answer: B
Rationale: The correct answer is B: Establish transcutaneous pacing. This intervention is vital to address the patient's symptomatic bradycardia and hemodynamic instability. Transcutaneous pacing will quickly increase the heart rate and improve perfusion. Atropine may be used if pacing is not immediately available. Administering dopamine or a fluid bolus are not the first-line interventions in this scenario. Dopamine would take time to titrate and may not be as effective as pacing in rapidly stabilizing the patient. Providing a fluid bolus may worsen the situation by increasing the intravascular volume without addressing the underlying bradycardia.