ATI RN
Basic Post-Operative Care of a Patient Questions
Question 1 of 5
What is one helpful way for a nursing assistant to reduce and manage stress?
Correct Answer: B
Rationale: The correct answer is B because seeking help from a supervisor is a proactive approach to managing stress. Supervisors can provide support, guidance, and resources to help the nursing assistant cope with stress effectively. Talking to a resident (choice A) may not always be appropriate as it can blur professional boundaries. Multi-tasking (choice C) can actually increase stress and decrease efficiency. Increasing caffeine intake (choice D) can lead to negative health outcomes and worsen stress levels. Seeking help from a supervisor is the best choice as it involves professional support and guidance.
Question 2 of 5
The nurse is caring for a patient in the postanesthesia care unit. The patient asks for a bedpan and states to the nurse, " feel like I need to go to the bathroom, but I can't." Which nursing intervention will be most appropriate initially?
Correct Answer: A
Rationale: The correct answer is A: Assess the patient for bladder distention. This is the most appropriate initial nursing intervention because the patient is expressing a need to urinate but is unable to. Assessing for bladder distention will help determine if the patient's inability to void is due to a full bladder, which may require intervention such as catheterization. Choice B is incorrect because encouraging the patient to wait may lead to discomfort or potential complications if the bladder is distended. Choice C is incorrect as it dismisses the patient's concern without addressing the underlying issue. Choice D is also incorrect as catheterization should not be the first intervention without assessing for bladder distention first.
Question 3 of 5
While assisting a full-term pregnant female in delivering her newborn, at what point should the paramedic consider suctioning the infant's nose and mouth?
Correct Answer: B
Rationale: The correct answer is B: When the newborn's head is delivered. Suctioning at this point helps clear any amniotic fluid or mucus from the infant's airway, preventing potential breathing difficulties. Suctioning after the head is delivered but before the body helps ensure a clear passage for the baby's first breath. Choice A is incorrect because meconium staining alone is not a definitive indication for suctioning, and it is more crucial to maintain a clear airway during delivery. Choice C is incorrect as waiting until the entire delivery is complete may delay clearing the airway, posing risks to the newborn's breathing. Choice D is incorrect as drying and stimulating the newborn are important steps but should not delay airway clearance, which is crucial for the baby's first breath.
Question 4 of 5
Your 23-year-old diabetic patient was found unresponsive with increased respirations, hypotension, and bradycardia. Family members state he recently had a tooth pulled and was prescribed Vicodin. Which of the following is most likely to cause the patient's presentation?
Correct Answer: D
Rationale: The correct answer is D: Narcotic overdose. The patient's presentation of increased respirations, hypotension, and bradycardia is consistent with narcotic overdose, specifically from Vicodin, which contains hydrocodone. Narcotics can cause respiratory depression leading to increased respirations as a compensatory mechanism, hypotension due to vasodilation, and bradycardia. Myasthenia gravis (A) would present with muscle weakness, not the symptoms described. Metabolic alkalosis (B) would not typically present with the combination of symptoms described. Ketoacidosis (C) is more commonly associated with uncontrolled diabetes and would present with different symptoms such as fruity breath, dehydration, and altered mental status.
Question 5 of 5
You are on-scene with a 40-year-old patient with an extensive cardiac history for his age. Today, he is complaining of chest pain that radiates to his jaw and left arm. His vital signs are stable; however, once on the cardiac monitor, he exhibits ST elevation in leads II, III, and aVf. With the EKG finding, which of the following should you suspect?
Correct Answer: B
Rationale: The correct answer is B: An inferior wall myocardial infarction. The EKG findings of ST elevation in leads II, III, and aVf indicate an inferior wall MI. Leads II, III, and aVf correspond to the inferior wall of the heart supplied by the right coronary artery. This pattern of ST elevation is indicative of myocardial ischemia or infarction in this region. The symptoms of chest pain radiating to the jaw and left arm are also classic for a heart attack. A: A possible aortic dissection is unlikely in this case as the EKG findings specifically point towards a myocardial infarction rather than aortic pathology. C: A possible pulmonary embolus is less likely as the EKG findings are more consistent with a myocardial infarction, and pulmonary embolism typically presents with symptoms such as shortness of breath and chest pain. D: A septal wall myocardial infarction is not supported by the