ATI RN
Basic Nursing Care of a Neurosurgery Patient Questions
Question 1 of 5
Which of the following is an example of objective information?
Correct Answer: B
Rationale: The correct answer is B because stating Mrs. Lin Ho's respiratory rate of 23 breaths per minute is a factual, measurable, and observable piece of information. It is objective as it can be confirmed through direct observation or measurement. In contrast, choices A, C, and D involve subjective interpretations or feelings that cannot be independently verified. Choice A is based on a subjective assessment of Mrs. Lin Ho's back condition, choice C is about her desires, and choice D relates to her emotional state, all of which are subjective and influenced by personal perceptions or biases. Therefore, choice B stands out as the only option that provides concrete and verifiable information, making it the example of objective information in this scenario.
Question 2 of 5
Indirect contact is a way to transmit infection in which
Correct Answer: B
Rationale: Step-by-step rationale for why choice B is correct: 1. Indirect contact involves transmission via contaminated objects. 2. Option B states that a person touches an object contaminated by an infected person. 3. This aligns with the definition of indirect contact transmission. 4. Touching contaminated objects can transfer pathogens to individuals. Summary: A, C, D are incorrect as they involve direct contact or specific body parts not mentioned in the definition of indirect contact transmission. Option B correctly identifies the mode of transmission involving contaminated objects, making it the correct answer.
Question 3 of 5
A resident has just been informed that his wife has died. The nursing assistant notes that he is staring and his skin is pale. She suspects the resident is experiencing shock. What should she do next?
Correct Answer: C
Rationale: The correct answer is C: The NA should elevate the resident's legs. Elevating the legs can help improve blood flow to vital organs and prevent the resident from going into shock. When a person experiences emotional shock, blood flow can be redirected away from the brain and extremities, leading to symptoms like paleness and staring. Elevating the legs can help counteract this physiological response and stabilize the resident's condition. Summary: A: Placing the resident on his side is not the appropriate action for someone suspected of experiencing shock. B: Offering food or water is not relevant in this situation and may not address the underlying issue of shock. D: Asking the resident's friend to cheer him up is not a medical intervention for shock and may not address the physical symptoms observed by the nursing assistant.
Question 4 of 5
When making a closed bed
Correct Answer: D
Rationale: The correct answer is D because placing the bed in its highest position makes it easier to tuck in the sheets and blankets neatly. This ensures the bed looks tidy and well-made. Choice A is vague and does not specify a particular step for making a closed bed. Choice B is incorrect as the bedspread should be smoothed over the bed, not just covering the pillow. Choice C is also incorrect as folding the linen to one side does not complete the process of making a closed bed.
Question 5 of 5
In what direction should a nursing assistant shave a resident's face when using a disposable razor?
Correct Answer: C
Rationale: The correct answer is C: In the direction of hair growth. Shaving in the direction of hair growth helps prevent skin irritation, cuts, and ingrown hairs. It ensures a smoother and closer shave without causing discomfort to the resident. Shaving against the hair growth can lead to razor burns and ingrown hairs. Shaving away from the chin or toward the chin may result in uneven shaving and potential skin injuries.