ATI RN
Provide Basic Patient Care Following Direction of Nursing Staff Questions
Question 1 of 5
What is one way a nursing assistant can help a family respond to the death of a loved one?
Correct Answer: B
Rationale: The correct answer is B: Promptly reporting a request for a clergy visit. This is the best choice because it shows empathy and support for the family's spiritual and emotional needs during a difficult time. It respects the family's beliefs and values, providing them with the necessary support from a clergy member. It helps the family cope with their grief and find comfort in their faith. Choice A is incorrect as imposing personal religious beliefs on the family may not align with their own beliefs, causing discomfort. Choice C is incorrect as isolating the family and friends can lead to further emotional distress and hinder the grieving process. Choice D is incorrect as judging past behavior is not helpful and may cause additional emotional pain for the family.
Question 2 of 5
You are called to assist a pregnant female in the 24th week gestation period according to her due date. The pale 26-year-old patient is found supine in bed, complaining of dizziness/weakness with extreme nausea. The patient denies vaginal bleeding, amniotic fluid leakage, or abdominal pain. There are no signs of imminent birth or active labor. She reports receiving normal prenatal care with no associated problems found during the pregnancy. Her heart rate is 126-130 beats per minute; her blood pressure is 80 mmHg systolic while her skin is cool and pale. Which of the following conditions is most likely to cause the patient's presentation?
Correct Answer: C
Rationale: The correct answer is C: Supine hypotension. The patient's presentation indicates a drop in blood pressure due to the supine position, leading to decreased blood flow returning to the heart, causing dizziness, weakness, and nausea. This is common in late pregnancy due to the enlarged uterus compressing the vena cava. Choice A, uterine rupture, is unlikely as there are no signs of acute abdominal pain or bleeding. Choice B, spontaneous abortion, is unlikely as there is no vaginal bleeding. Choice D, placenta previa, is less likely as there is no vaginal bleeding or abdominal pain associated with this condition. Therefore, the most likely cause of the patient's presentation is supine hypotension.
Question 3 of 5
You are ordered to administer 3 mg/min of lidocaine via intravenous infusion to your cardiac patient who presents with a heart rate greater than 130 beats per minute as well as greater than 10 multifocal PVCs every minute. Therefore, you quickly but carefully mix 2 grams of the medication in 500 mL of normal saline and attach micro-drip tubing to the solution bag. Which of the following drip rates would effectively deliver the ordered dose of lidocaine?
Correct Answer: B
Rationale: The correct answer is B: 30 gtts/min. To determine the drip rate, we need to calculate the following: 1. Calculate the total volume to be infused per minute: 3 mg/min = 3000 mcg/min (1 mg = 1000 mcg) 2. Calculate the concentration of lidocaine in the solution: 2 grams in 500 mL = 4 mg/mL 3. Calculate the total volume of lidocaine in one minute: 3000 mcg/min ÷ 4 mg/mL = 750 mL/min 4. Calculate the drip rate: 750 mL/min x 60 gtts/mL (for micro-drip tubing) = 45000 gtts/min 5. Finally, divide the total drip rate by the drop factor of the micro-drip tubing (60 gtts/mL): 45000 gtts/min ÷ 1500 gtts/mL = 30 gtts/min. Therefore, the correct answer is
Question 4 of 5
Which of the following is not a cause of shock?
Correct Answer: C
Rationale: The correct answer is C: Increased systemic vascular resistance. Shock is a state of inadequate tissue perfusion and oxygen delivery. Increased systemic vascular resistance would actually contribute to worsening shock by impeding blood flow to tissues. Choice A is related to oxygen delivery, which is a cause of shock. Choice B, decreased systemic vascular resistance, would lead to inadequate tissue perfusion, contributing to shock. Choice D, inadequate cardiac output, is a common cause of shock as it results in decreased blood flow to tissues.
Question 5 of 5
Which abnormal respiratory pattern is associated with structural or compressive lesions in the medullary respiratory center characterized by an irregular, cluster-type respiratory pattern?
Correct Answer: D
Rationale: The correct answer is D: Ataxic respiratory pattern. This pattern is associated with structural lesions in the medullary respiratory center, leading to irregular, cluster-type breathing. Ataxic breathing is characterized by unpredictable, uncoordinated breaths with irregular pauses. A: Agonal respiratory pattern is seen in severe conditions like cardiac arrest, not specific to medullary lesions. B: Cheyne-Stokes respiratory pattern is characterized by cyclic crescendo-decrescendo breathing and is related to brainstem dysfunction, not medullary lesions. C: Biot's respiratory pattern is marked by irregular breathing with clusters of breaths followed by apnea, but it is typically associated with increased intracranial pressure or central nervous system issues, not medullary lesions.