ATI RN
Basic Principles of Patient Care Questions
Question 1 of 5
What is one problem associated with chest tubes that should be reported by the nursing assistant?
Correct Answer: C
Rationale: The correct answer is C because clots in the drainage tubing can obstruct fluid drainage, leading to potential complications such as pneumothorax or hemothorax. Clots need to be reported as they can impede the effectiveness of the chest tube. Choices A, B, and D are incorrect because they do not directly relate to a critical issue with chest tubes like clots do. A - The drainage system being below chest level can affect drainage but is not as critical as clots. B - The resident's nap schedule is not relevant to chest tube care. D - The orientation of drainage containers being upright does not pose a direct problem unless it impacts drainage flow.
Question 2 of 5
The nurse is caring for a postoperative patient on the medical-surgical floor. Which activity will the nurse encourage to prevent venous stasis and the formation of thrombus?
Correct Answer: C
Rationale: The correct answer is C: Leg exercises. Leg exercises promote circulation, preventing venous stasis and thrombus formation postoperatively. Contracting leg muscles helps push blood back to the heart, reducing the risk of blood clots. Diaphragmatic breathing (A) and incentive spirometry (B) aid in lung expansion, not in preventing venous stasis. Coughing (D) helps clear secretions but does not directly prevent thrombus formation.
Question 3 of 5
The nurse is caring for a patient who will undergo a removal of a lung lobe. Which level of care will the patient require immediately post procedure?
Correct Answer: B
Rationale: The correct answer is B: Acute care"”intensive care unit. Immediately post-procedure, the patient undergoing a lung lobe removal will require intensive monitoring and care due to the potential for complications such as respiratory distress, bleeding, or infection. The intensive care unit provides the necessary level of care with specialized equipment and staff to manage these risks effectively. Choice A: Acute care"”medical-surgical unit may not provide the level of monitoring and intervention needed for a patient post lung lobe removal. Choice C: Ambulatory surgery is not suitable as this procedure requires more intensive monitoring and care. Choice D: Ambulatory surgery"”extended stay is not appropriate as an extended stay in an ambulatory setting may not have the resources to manage potential complications effectively.
Question 4 of 5
Your adult patient sustained a right index finger amputation at work. On arrival, first responders have the bleeding controlled with sterile dressings, and the patient is conscious, alert, and oriented. What is the best way to manage the patient's amputated finger during transport to the hospital?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Wrapping the finger in moistened gauze helps maintain tissue hydration and minimizes desiccation. 2. Sealing the finger in a plastic bag prevents contamination and keeps the amputated part secure. 3. Placing the finger on ice helps preserve the amputated part by reducing metabolic activity and delaying tissue death. 4. Moistened gauze with normal saline is preferred over dry gauze to prevent further tissue damage. Summary: A: Incorrect - Not wrapping the finger increases the risk of contamination and desiccation. C: Incorrect - Rinsing the finger can further damage the tissues and is unnecessary. D: Incorrect - Placing the finger close to the patient's core does not provide adequate preservation as ice does.
Question 5 of 5
Which of the following operational modes used in EMS communication can transmit voice as well as telemetry simultaneously?
Correct Answer: B
Rationale: The correct answer is B: Multiplex mode. In multiplex mode, multiple signals are combined into a single signal for transmission, allowing voice and telemetry data to be sent simultaneously. This is achieved through time-division multiplexing or frequency-division multiplexing. Trunk system mode (A) involves sharing a pool of communication channels among multiple users, but does not specifically enable voice and telemetry transmission simultaneously. Duplex mode (C) allows for two-way communication but may not necessarily support both voice and telemetry simultaneously. Simplex mode (D) only allows communication in one direction, making it unsuitable for transmitting voice and telemetry simultaneously.