ATI RN
Basic Nursing Care of the Patient Questions
Question 1 of 5
What organ works as a type of storage shed for the blood?
Correct Answer: C
Rationale: The correct answer is C: Spleen. The spleen acts as a storage shed for blood by storing and releasing blood cells, particularly red blood cells and platelets. It also filters the blood, removing old or damaged blood cells. The other choices are incorrect because: A: Gallbladder stores bile, not blood. B: Thymus is responsible for immune system function, not blood storage. D: Appendix is a small pouch-like organ with no storage function related to blood.
Question 2 of 5
Signs of approaching death include
Correct Answer: D
Rationale: The correct answer is D: Increased urinary output. This is a sign of approaching death due to the body's organs shutting down, leading to decreased functioning of the kidneys and an inability to concentrate urine. Increased urinary output is commonly seen in the final stages of life. Choice A: Dry skin is not a specific sign of approaching death. It can be caused by various factors such as dehydration or skin conditions. Choice B: Rashy skin is also not a definitive sign of approaching death. Skin rashes can be caused by allergies, infections, or other skin conditions. Choice C: High blood pressure is not typically a sign of approaching death. In fact, blood pressure may decrease as the body weakens in the final stages of life. Therefore, the correct answer is D as it is a more specific and relevant sign of the body's decline in the final stages of life.
Question 3 of 5
The nurse is caring for a patient in the postanesthesia care unit. The patient has developed profuse bleeding from the surgical site, and the surgeon has determined the need to return to the operative area. How will the nurse classify this procedure?
Correct Answer: D
Rationale: The correct answer is D: Emergency. This classification is appropriate because the situation involves unexpected, life-threatening bleeding requiring immediate intervention to prevent serious harm or death. In an emergency, prompt action is crucial. The other options are not as fitting: A (Major) refers to a significant but planned procedure, B (Urgent) implies a serious but non-life-threatening situation that requires prompt attention, and C (Elective) indicates a non-urgent, planned surgery.
Question 4 of 5
The nurse is caring for a patient in the operating suite. Which outcome will be most appropriate for this patient at the end of the intraoperative phase?
Correct Answer: A
Rationale: The correct answer is A: The patient will be free of burns at the grounding pad. This outcome is crucial in the intraoperative phase to ensure the patient's safety. Burns at the grounding pad can occur due to improper equipment setup or malfunction, potentially leading to serious complications. Ensuring the patient is free of burns at the grounding pad indicates that proper safety measures were taken during the surgery. Summary: - Choice B (The patient will be free of nausea and vomiting) is related to postoperative care, not intraoperative phase. - Choice C (The patient will be free of infection) is important but not specific to the intraoperative phase. - Choice D (The patient will be free of pain) is also important but not as critical as preventing burns at the grounding pad during the intraoperative phase.
Question 5 of 5
A patient in cardiac arrest is being resuscitated. You identify ventricular fibrillation on the cardiac monitor. CPR is ongoing. What is the next immediate intervention?
Correct Answer: B
Rationale: The correct immediate intervention is to perform a defibrillation shock (Choice B). Ventricular fibrillation is a shockable rhythm, meaning it requires immediate defibrillation to restore normal heart rhythm. Defibrillation is the first-line treatment for ventricular fibrillation during cardiac arrest, as it aims to depolarize the heart and allow the normal pacemaker cells to resume control. Administering epinephrine (Choice A) is important but should follow defibrillation. Establishing an advanced airway (Choice C) and administering amiodarone (Choice D) are secondary interventions after achieving successful defibrillation.