ATI RN
Fundamentals Patient Safety and Wound Care Practice Questions Questions
Question 1 of 5
When a resident is using crutches where should her weight be concentrated?
Correct Answer: C
Rationale: The correct answer is C: On her hands and arms. When using crutches, weight should be concentrated on the hands and arms to provide support and stability. Placing weight on the underarms (choice B) can lead to nerve damage. Thighs (choice A) are not capable of bearing weight effectively. Shoulders (choice D) are not designed to bear weight in this way and can lead to strain and discomfort. Overall, placing weight on the hands and arms allows for proper weight distribution and minimizes the risk of injury.
Question 2 of 5
The nurse is providing preoperative teaching for the ambulatory surgery patient who will be having a cyst removed from the right arm. Which will be the best explanation for diet progression after surgery?
Correct Answer: A
Rationale: The correct answer is A because starting with clear liquids, soup, and crackers helps prevent postoperative nausea and vomiting, while also providing hydration and easy digestion. Advancing to a normal diet as tolerated ensures the patient's nutritional needs are met. Choice B is incorrect because ice chips alone do not provide adequate nutrition. Choice C is incorrect as clear liquids for 24 hours may delay nutritional intake. Choice D is incorrect because the progression from clear liquids to full liquids to a normal diet is too restrictive and may not be necessary for this type of surgery.
Question 3 of 5
Your cardiac patient has an unstable angina history and is suspected of experiencing an ischemic event. He presents with chest pain, cool and clammy skin, and diaphoresis. If the event is being caused by unstable angina pectoris, which medication may be used to prevent an increase in the size of a thrombus if one is present?
Correct Answer: C
Rationale: The correct answer is C: Aspirin. Aspirin is used in the management of unstable angina to prevent platelet aggregation, which can lead to the formation of a thrombus. By inhibiting platelet aggregation, aspirin helps prevent the thrombus from increasing in size. Nitroglycerin (A) is used for symptomatic relief of angina but does not prevent thrombus formation. Morphine (B) is used for pain relief but does not address thrombus prevention. Streptokinase (D) is a thrombolytic agent used to dissolve existing thrombi, not prevent their growth.
Question 4 of 5
Your pediatric patient has been ill for several days leading you to suspect he may be dehydrated. Once on the electrocardiogram, it is evident the patient has an accelerated heart rate and abnormally flattened T waves. What is the most likely cause of this finding?
Correct Answer: D
Rationale: The correct answer is D: Hypokalemia. Hypokalemia, or low potassium levels, can lead to an accelerated heart rate and flattened T waves on an ECG. Potassium plays a crucial role in maintaining the electrical activity of the heart. Low potassium levels can disrupt the balance of ions in cardiac cells, leading to abnormal heart rhythms and ECG changes. Hyperglycemia (choice A) and hypoglycemia (choice C) typically do not cause ECG changes like flattened T waves. Hyperkalemia (choice B) would lead to peaked T waves rather than flattened T waves on an ECG.
Question 5 of 5
You are preparing to intubate an unconscious closed head injury patient with an increased intracranial pressure due to respiratory insufficiency and inability to control his airway. Concern at an additional increase in intracranial pressure prompts you to consider the intravenous administration of which of the following prior to an intubation attempt?
Correct Answer: C
Rationale: The correct answer is C: Lidocaine. Lidocaine is administered prior to intubation in closed head injury patients with increased intracranial pressure to prevent further increase in ICP caused by laryngoscopy and intubation-induced sympathetic response. Lidocaine inhibits the intracranial hypertension response by blocking the sympathetic surge associated with laryngoscopy. Diazepam and Lorazepam are sedatives and do not directly address the concern of increased ICP. Procainamide is an antiarrhythmic drug and not indicated in this scenario.