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. Hepatitis and tuberculosis are infectious diseases that can be transmitted through respiratory droplets or bodily fluids. By reporting these diseases to the transporting crew members, proper precautions can be taken to prevent transmission to others. Shingles, pneumonia, ARDS, sepsis, syphilis, and gonorrhea are not typically transmitted through casual contact during patient transport, so they do not require specific preventive measures by the crew members.
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. A loss of gag reflex in a patient with a closed-head and spinal injury indicates damage to the vagus nerve. The other choices are incorrect because: B (oculomotor) is responsible for eye movement, C (hypoglossal) is responsible for tongue movement, and D (glossopharyngeal) is responsible for swallowing and taste sensation. None of these cranial nerves are directly related to the gag reflex.
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: The correct answer is C: Lidocaine. Lidocaine is a Class IB antiarrhythmic drug commonly used for ventricular arrhythmias. In cardiac arrest due to ventricular fibrillation, lidocaine can be a suitable alternative to amiodarone. It works by stabilizing the cardiac cell membrane and reducing electrical activity. Epinephrine (A) is used for its vasopressor effects, not as a first-line antiarrhythmic. Cardizem (B) is a calcium channel blocker used for rate control in certain arrhythmias, not for ventricular fibrillation. Procainamide (D) is a Class IA antiarrhythmic, also used for certain arrhythmias but not typically a first-line choice for ventricular fibrillation in cardiac arrest.
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 failed to increase heart rate, indicating the need for immediate intervention. 2. Transcutaneous pacing is the next step to externally pace the heart and increase heart rate. 3. Synchronized cardioversion (B) is for unstable patients with specific arrhythmias, not for bradycardia. 4. Repeating atropine (C) may not be effective and delays necessary intervention. 5. Epinephrine (D) is typically used in cardiac arrest, not first-line 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 because in a trauma situation involving a bicycle rider hit by a truck, airway management is crucial. Endotracheal intubation and ventilation ensure adequate oxygenation and ventilation, which is essential for the patient's survival. This step takes priority over other interventions like obtaining a cervical spine x-ray (A), inserting a central venous pressure line (B), or administering crystalloid solution (C). These interventions may be necessary later in the management of the patient but ensuring a secure airway and adequate breathing is the immediate priority to prevent further deterioration and improve outcomes.