ATI RN
Chapter 70 Care of Patients with Breast Disorders Practice Questions Questions
Question 1 of 5
What is the period of time following a loss in which mourning occurs?
Correct Answer: C
Rationale: The correct answer is C: Bereavement. Bereavement refers to the period of time following a loss during which mourning occurs. It is a natural process of grieving and adjusting to the loss. Breakthrough (A) refers to a sudden significant development or discovery, unrelated to mourning. Burnout (B) is a state of emotional, physical, and mental exhaustion due to prolonged stress or overwork. Blackout (D) refers to a loss of consciousness or memory, not related to mourning. Therefore, C is the correct answer as it specifically relates to the period of mourning following a loss.
Question 2 of 5
You are called to assist an adult diabetic who was found unconscious in bed. On arrival, your patient is unresponsive with snoring respirations and cool, clammy skin. Your glucometer will not power up, so blood glucose analysis is impossible at the present time. Which of the following would be most appropriate after controlling the patient's airway and delivering high-flow oxygen therapy?
Correct Answer: B
Rationale: The correct answer is B because administering one amp of dextrose 50% (D50) intravenously is the most appropriate action for an unconscious diabetic patient with hypoglycemia. Here's the rationale: 1. Glucagon (Choice A) requires an intact liver glycogen store to be effective, which may not be the case in some diabetic patients. 2. Administering a glucose-containing IV fluid bolus (Choice C) may delay the delivery of glucose to the brain, which is critical in this emergency situation. 3. Transporting the patient to the hospital for blood glucose analysis (Choice D) would waste valuable time, as immediate glucose administration is crucial. Administering D50 intravenously provides a rapid source of glucose directly into the bloodstream, ensuring a quick increase in blood sugar levels to reverse hypoglycemia and improve the patient's condition.
Question 3 of 5
You are on-scene assisting another crew with a childbirth call that quickly turned into a neonatal resuscitation. The newborn does not have a palpable brachial pulse, but muffled heart tones and the monitor confirm a sluggish heart rate of 55 beats per minute. After reassessing him after a few minutes of high-quality chest compressions and effective ventilations with 100% oxygen concentration, the patient's heart rate fails to respond. Which of the following would be considered a class IIa intervention for this patient?
Correct Answer: A
Rationale: The correct answer is A: 0.1 mg/mL of a 1:10,000 concentration of epinephrine delivered via the intraosseous route. In neonatal resuscitation, when chest compressions and ventilation do not improve the heart rate, administering epinephrine is crucial. In this scenario, the intraosseous route is preferred due to the difficulty in obtaining IV access in neonates. Intraosseous administration provides rapid access to the circulatory system, ensuring timely delivery of medication. Choice B is incorrect because intramuscular administration may lead to delayed absorption and inconsistent drug levels. Choice C is incorrect as endotracheal administration of epinephrine is less effective and associated with higher doses needed. Choice D is incorrect as intravenous access may be challenging in neonates and intraosseous route is preferred for rapid drug delivery.
Question 4 of 5
You are intubating a 26-year-old who is apneic. Once the endotracheal tube passes through the vocal cords, how much farther should the endotracheal tube be advanced before inflating the cuff and confirming proper placement?
Correct Answer: A
Rationale: The correct answer is A: 0.5 to 1 inch. After the endotracheal tube passes through the vocal cords, it should be advanced approximately 0.5 to 1 inch into the trachea before inflating the cuff. This ensures the cuff is positioned below the cords to prevent aspiration and secure ventilation. Choices B and C are too short of a distance, risking dislodgment or improper placement. Choice D is excessively far, potentially leading to endobronchial intubation. The recommended range of 0.5 to 1 inch provides a balance between securing the tube and minimizing complications.
Question 5 of 5
During a detailed physical exam of your dyspneic 73-year-old female patient, you palpate small pockets of air in the subcutaneous tissue of the skin in the upper right region of her chest, just below her clavicle. Which of the following medical conditions is most likely to cause this abnormal finding?
Correct Answer: B
Rationale: The correct answer is B: Spontaneous pneumothorax. In this scenario, the presence of small pockets of air in the subcutaneous tissue of the chest indicates air escaping from the lung into the chest cavity, leading to pneumothorax. Spontaneous pneumothorax commonly presents with sudden chest pain and dyspnea, more prevalent in older individuals, like the patient described. Bacterial pneumonia (A) typically presents with fever, productive cough, and consolidation on lung auscultation. Dry pleurisy (C) refers to inflammation of the pleura without significant fluid accumulation, unlikely to cause subcutaneous emphysema. Chronic obstructive pulmonary disease (D) is characterized by progressive airflow limitation and is not directly associated with subcutaneous emphysema.