ATI RN
Basic Nursing Care of a Neurosurgery Patient Questions
Question 1 of 5
Which of the following statements regarding patients with thoracic spine injuries is TRUE?
Correct Answer: A
Rationale: The correct answer is A: Log-rolling may be destabilizing to fractures from T12 to L1. Log-rolling involves moving a patient as a unit to prevent further spinal cord injury. In patients with thoracic spine injuries at T12 to L1, log-rolling can cause disruption or misalignment of the fractured vertebrae, leading to potential neurological damage or increased spinal instability. Therefore, avoiding log-rolling in these cases is crucial to prevent further harm. Choice B is incorrect because the scoop stretcher may not provide adequate immobilization for thoracic spine injuries due to its limitations in maintaining proper spinal alignment. Choice C is incorrect as spinal cord injuries below T10 can affect bowel and bladder function due to the involvement of the sacral segments. Choice D is incorrect because hyperflexion fractures in the upper thoracic spine are generally considered stable, not inherently unstable.
Question 2 of 5
Which one of the following brain stem reflexes is not assessed when assessing for brain death?
Correct Answer: D
Rationale: The correct answer is D, Argyll Robertson pupil, because it is a sign of neurosyphilis and not directly related to brain stem reflexes. "Dolls eyes" (A), oculovestibular reflex (B), and gag reflex (C) are all brain stem reflexes commonly assessed in evaluating brain death. "Dolls eyes" assesses the oculocephalic reflex, oculovestibular reflex evaluates the response to ice water irrigation in the ear, and gag reflex assesses the glossopharyngeal and vagus nerves' function.
Question 3 of 5
A 15 year old male is brought to the ED after being involved in a motor vehicle crash. He is unconscious and was intubated at the scene by emergency personnel. Upon arrival at the ED, the patient's oxygen saturation is 92%, HR is 96 bpm and BP is 150/85. Breath sounds are decreased on the left side of the thorax. The next step is:
Correct Answer: B
Rationale: The correct answer is B: Reassess the position of the endotracheal tube. In this scenario, the patient is showing signs of tension pneumothorax with decreased breath sounds on the left side and hypoxemia. Reassessing the position of the endotracheal tube is crucial to ensure proper ventilation and oxygenation. Immediate needle cricothyroidotomy is not indicated as the patient is already intubated. Chest tube insertion would be the definitive treatment for tension pneumothorax, but reassessing the endotracheal tube should be the initial step. Immediate needle thoracentesis is not indicated in this case as tension pneumothorax is more likely.
Question 4 of 5
The amount that Medicare and Medicaid will pay long-term care facilities for services is based on
Correct Answer: B
Rationale: The correct answer is B because Medicare and Medicaid payments to long-term care facilities are determined by the resident's need for services, as assessed upon admission and throughout their stay. This is based on the level of care required by the resident, such as medical needs, assistance with activities of daily living, and specialized care. The payments are not influenced by the resident's background (A), the size of the facility (C), or the financial contributions from the resident's family (D). These factors do not dictate the reimbursement rates set by Medicare and Medicaid, which are primarily focused on the level of care needed by the resident.
Question 5 of 5
Which of the following is an example of unprofessional behavior by a nursing assistant?
Correct Answer: A
Rationale: The correct answer is A because accepting gifts from residents can create a conflict of interest, blur professional boundaries, and compromise the nursing assistant's objectivity. Accepting gifts may also be against the facility's policies and ethical guidelines. Incorrect choices: B: Reporting abuse is a professional duty. C: Being punctual is a professional behavior. D: Maintaining a positive attitude and being pleasant are attributes of professionalism.