ATI RN
ARRT Practice Questions for Patient Care Questions
Question 1 of 5
When involved in transporting a patient from the hospital (regardless of the destination), which of the following disease processes, along with HIV/AIDS, must be reported to the transporting crew members to prevent the accidental transmission of the disease?
Correct Answer: B
Rationale: The correct answer is B: Hepatitis and tuberculosis. Both diseases can be transmitted through respiratory droplets and blood, posing a risk to the transporting crew members. Hepatitis can be transmitted through blood or body fluids, while tuberculosis is an airborne disease. Reporting these diseases to the crew members will ensure appropriate precautions are taken to prevent transmission. A: Shingles and pneumonia are not transmitted through casual contact and do not pose a risk to the transporting crew members. C: ARDS (Acute Respiratory Distress Syndrome) and sepsis are not communicable diseases and do not require special precautions during transportation. D: Syphilis and gonorrhea are sexually transmitted infections and do not pose a risk of accidental transmission during patient transport.
Question 2 of 5
An adult patient who experiences the loss of his/her gag reflex following a closed-head and suspected spinal injury may have suffered an injury to which of the following cranial nerves?
Correct Answer: A
Rationale: The correct answer is A: Cranial nerve X (vagus). The vagus nerve is responsible for the gag reflex, which is a protective mechanism in response to stimuli in the back of the throat. In a closed-head and suspected spinal injury, damage to the vagus nerve can result in the loss of the gag reflex. Choice B: Cranial nerve III (oculomotor) is involved in eye movements. Choice C: Cranial nerve XII (hypoglossal) is responsible for tongue movement. Choice D: Cranial nerve IX (glossopharyngeal) is related to taste sensation and swallowing.
Question 3 of 5
You are working a 55-year-old patient in cardiac arrest. When it comes time to push amiodarone for ventricular fibrillation, you note that your stock of the preferred medication has been depleted on a previous call. What medication can be safely used in place of amiodarone in this situation?
Correct Answer: C
Rationale: Rationale: In the absence of amiodarone, lidocaine is the preferred alternative for ventricular fibrillation. Lidocaine is a Class Ib antiarrhythmic agent that can be used to stabilize cardiac rhythms in cardiac arrest situations. It works by blocking sodium channels in the heart, helping to restore a normal heart rhythm. Epinephrine (A) is primarily used for its effects on increasing heart rate and blood pressure during cardiac arrest. Cardizem (B) is a calcium channel blocker and not typically used for ventricular fibrillation. Procainamide (D) is a Class Ia antiarrhythmic drug that is less commonly used for ventricular arrhythmias and is not the preferred alternative in this scenario.
Question 4 of 5
Which of the following would be your most appropriate action after the administration of 1mg of atropine fails to increase the heart rate of your symptomatic bradycardic patient's heart rate and cardiac output?
Correct Answer: A
Rationale: Correct Answer: A - Transcutaneous pacing (TCP) Rationale: 1. Atropine blocks parasympathetic response, so lack of heart rate increase indicates a severe bradycardia. 2. TCP provides immediate pacing to increase heart rate and cardiac output. 3. It is the most appropriate action when medications like atropine fail. 4. Synchronized cardioversion (choice B) is used for unstable tachyarrhythmias, not bradycardia. 5. Repeating atropine (choice C) may not be effective if the initial dose failed. 6. Epinephrine (choice D) is used in cardiac arrest, not as the first-line treatment for symptomatic bradycardia.
Question 5 of 5
A teenage bicycle rider is hit by a truck. The first step in managing this patient is:
Correct Answer: D
Rationale: The correct answer is D: Perform endotracheal intubation and ventilation. This step is crucial in ensuring adequate oxygenation and ventilation in a trauma patient with potential airway compromise. By securing the airway and providing ventilation, we can prevent hypoxia and further injury. Obtaining a lateral cervical spine x-ray (A) is important in evaluating for potential spinal cord injury but should not delay airway management. Inserting a central venous pressure line (B) is not a priority in the initial management of a trauma patient. Administering crystalloid solution (C) may be necessary later, but airway management takes precedence in this critical situation.