ATI RN
Practice Questions for Patient-Centered Care Questions
Question 1 of 5
Which classification of personal protective clothing offers the highest respiratory system protection but a lower level of skin protection?
Correct Answer: C
Rationale: The correct answer is C: Level B. Level B protective clothing provides the highest respiratory system protection by using a self-contained breathing apparatus (SCBA) but offers lower skin protection compared to Level A. Level D offers no respiratory or skin protection. Level C provides chemical splash protection but less respiratory protection than Level B. Level A offers the highest level of both respiratory and skin protection. In this scenario, Level B is the best choice as it prioritizes respiratory protection while still providing some level of skin protection.
Question 2 of 5
Which of the following statements concerning intraosseous infusion is TRUE?
Correct Answer: B
Rationale: Rationale for Correct Answer (B): 1. Aspiration of bone marrow confirms appropriate positioning of the needle: This statement is true because when the needle is correctly placed within the bone marrow cavity, aspiration of bone marrow confirms proper positioning and ensures that the infusion will be successful. Summary of Incorrect Choices: A: Only crystalloid solutions may be safely infused through the needle - Incorrect, as both crystalloid and colloid solutions can be infused through the intraosseous route. C: Intraosseous infusion is the preferred route for volume resuscitation in small children - Incorrect, as while it is commonly used in pediatric emergencies, it may not always be the preferred route depending on the situation. D: Intraosseous infusion may be utilized indefinitely - Incorrect, as intraosseous infusion is typically considered a temporary measure and is not meant for long-term use.
Question 3 of 5
Which one of the following is recommended method for treating frostbite?
Correct Answer: A
Rationale: The correct answer is A: "Moist heat" for treating frostbite. Moist heat helps to slowly rewarm the affected area, promoting blood flow and preventing further tissue damage. It is recommended to soak the frostbitten area in warm water (not hot) for about 20-30 minutes until normal color and sensation return. Choice B: Early amputation is incorrect as it is an extreme measure and should only be considered as a last resort when there is no other option to save the limb. Choice C: Padding and elevation can help reduce swelling and pain, but it is not the primary treatment for frostbite. Choice D: Vasodilators and heparin are not recommended for treating frostbite as they may increase the risk of complications. It is crucial to prioritize rewarming the affected area with moist heat for proper treatment.
Question 4 of 5
A 35 year old female sustains multiple injuries in a motor vehicle crash and is transported to a small hospital in full spinal protection. She has a GCS of 4 and is being mechanically ventilate I.v access is established and warmed crystalloid is infuse She remains hemodynamically normal and full spinal protection is maintaine Preparations are made to transfer her to another facility for definitive neurosurgical care. Prior to transport, which of the following tests or treatments is mandatory?
Correct Answer: C
Rationale: The correct answer is C: Chest x-ray. In this scenario, the patient is at risk for thoracic injuries due to the motor vehicle crash and the need for mechanical ventilation. A chest x-ray is essential to assess for potential life-threatening conditions such as pneumothorax, hemothorax, or pulmonary contusions. This information is crucial for the safe transfer of the patient to another facility. A: FAST exam is typically used to assess for intra-abdominal bleeding and is not mandatory in this case. B: Lateral cervical spine x-ray is not necessary as the patient is already in full spinal protection and needs definitive neurosurgical care, not initial evaluation. D: Administration of methylprednisolone is not mandatory at this stage and should be based on specific guidelines for spinal cord injury management.
Question 5 of 5
A 30 year old male presents with a stab wound to the abdomen. BP is 85/60, HR 130, RR 26 and GCS 14. Neck veins are flat and chest examination is clear with bilateral breath sounds. Optimal resuscitation should include:
Correct Answer: B
Rationale: The correct answer is B: "Preparation for laparotomy while initiating fluid resuscitation". In a trauma scenario with hemodynamic instability like this, the priority is to address potential intra-abdominal bleeding with a laparotomy. Fluid resuscitation is crucial to maintain perfusion and stabilize the patient before surgery. The other choices are incorrect because: A: "Transfusion of FFP and platelets" is not the immediate priority in this scenario as it does not address the source of bleeding. C: "Resuscitation with crystalloid and pRBC until base excess is normal" is not ideal as it delays definitive treatment and may worsen the patient's condition. D: "Fluid resuscitation and angioembolization" may be considered in stable patients, but in this case, the patient is hemodynamically unstable and needs immediate surgical intervention.