ATI RN
Basic Post-Operative Care of a Patient Questions
Question 1 of 5
What is one type of autoimmune disease?
Correct Answer: B
Rationale: The correct answer is B: Rheumatoid arthritis. This is an autoimmune disease where the immune system mistakenly attacks the joints, leading to inflammation and joint damage. Hypothyroidism (choice A) is a thyroid disorder, not an autoimmune disease. Hepatitis (choice C) is a viral infection affecting the liver. Gonorrhea (choice D) is a sexually transmitted infection caused by bacteria. Rheumatoid arthritis is the only option that fits the criteria of an autoimmune disease where the immune system targets the body's own tissues.
Question 2 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 3 of 5
The nurse is prescreening a surgical patient in the preadmission testing unit. The medication history indicates that the patient is currently taking an anticoagulant. Which action should the nurse take when consulting with the health care provider?
Correct Answer: B
Rationale: The correct answer is B: Ask for an international normalized ratio (INR). This is important to monitor the patient's blood clotting ability while on anticoagulants. INR measures the effectiveness of anticoagulant therapy and helps determine the risk of bleeding or clotting. Asking for a radiological examination of the chest (A) is unrelated to the patient's anticoagulant therapy. Asking for a blood urea nitrogen (BUN) (C) or serum sodium (Na) (D) would not be relevant in monitoring anticoagulant therapy. Therefore, option B is the most appropriate action in this scenario.
Question 4 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 5 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.