ATI RN
A Review of Basic Patient Rights in Psychiatric Care Questions
Question 1 of 5
You are dispatched to the scene of a one-vehicle motor collision. Upon your arrival at the scene, you note that the vehicle struck a tree on the driver side. The driver is the only patient, and she is still sitting in the driver seat of the vehicle. The vehicle is stable and has moderate damage noted to the driver side, which prevents the driver side door from opening. Which of the following would be the most appropriate way to extricate the patient from the vehicle?
Correct Answer: D
Rationale: The correct answer is D: Open the passenger side door and extricate through the passenger side. This is the most appropriate way to safely extricate the patient because the driver side door is blocked due to the damage from the collision. By opening the passenger side door, you can safely remove the patient without causing further harm. It is important to avoid moving the patient through a window or using force to pry open the damaged driver side door, as this could potentially worsen any injuries the patient may have sustained. Opening the rear driver side door may not provide enough space or be as safe as using the undamaged passenger side door for extraction.
Question 2 of 5
You are called to assist a pregnant female in the 24th week gestation period according to her due date. The pale 26-year-old patient is found supine in bed, complaining of dizziness/weakness with extreme nausea. The patient denies vaginal bleeding, amniotic fluid leakage, or abdominal pain. There are no signs of imminent birth or active labor. She reports receiving normal prenatal care with no associated problems found during the pregnancy. Her heart rate is 126-130 beats per minute; her blood pressure is 80 mmHg systolic while her skin is cool and pale. Which of the following conditions is most likely to cause the patient's presentation?
Correct Answer: C
Rationale: The correct answer is C: Supine hypotension. The patient's symptoms of dizziness, weakness, extreme nausea, cool and pale skin, along with a low blood pressure of 80 mmHg systolic and high heart rate of 126-130 bpm, suggest a decrease in blood flow to the heart and brain. In pregnancy, lying supine can compress the vena cava, reducing venous return and cardiac output, leading to supine hypotension. The other choices are incorrect: A) Uterine rupture typically presents with severe abdominal pain and signs of shock, B) Spontaneous abortion would present with vaginal bleeding and abdominal pain, and D) Placenta previa usually presents with painless vaginal bleeding.
Question 3 of 5
Your adult status asthmaticus patient requires rapid sequence intubation due to rapidly increasing airway constriction. Which of the following would be most appropriate following tube placement confirmation?
Correct Answer: B
Rationale: The correct answer is B (2-5 mg of albuterol administered directly down the ET tube). After rapid sequence intubation in an adult with status asthmaticus, albuterol can be administered directly down the endotracheal tube to rapidly dilate the airways. The dose of 2-5 mg is appropriate for adult patients in this situation. Choice A (3 mg of levalbuterol administered directly down the ET tube) is incorrect because levalbuterol is not typically administered directly down the endotracheal tube, and the dose provided is not within the standard range for adult patients. Choice C (2.5 mg of albuterol in 3-mL solution, nebulized and delivered with ventilation) is incorrect because nebulized albuterol may not be as effective in rapidly dilating the airways compared to direct administration down the endotracheal tube in this critical situation. Choice D (
Question 4 of 5
You are called to assist an adult female with a possible allergic reaction. You arrive to find a 22-year-old patient who is just beginning to have difficulty breathing. She has itching, urticaria, and hives after a bee-sting. During the possible allergic reaction, what is occurring at the cellular level?
Correct Answer: D
Rationale: The correct answer is D because during an allergic reaction, mast cells degranulate, releasing histamines and other inflammatory mediators into the bloodstream. This leads to vasodilation, increased vascular permeability, and smooth muscle contraction, causing symptoms like itching, hives, and difficulty breathing. Choice A is incorrect because mast cells do not retain vasoactive amines; they release them. Choice B is incorrect as there is no hypermetabolic state associated with an allergic reaction. Choice C is incorrect because anaerobic metabolism is not a typical response to an allergic reaction.
Question 5 of 5
You are on-scene with a 55-year-old cardiac history patient who suddenly collapsed during dinner with his family. He is found to be pulseless and apneic with his family performing adequate CPR on arrival. His wife is distraught and hands you a legal DNR order signed by his physician. She states that he does not have a terminal illness and begs you to ignore the legal order and 'do everything in your capabilities to save him!' Which of the following would be most appropriate in this situation?
Correct Answer: D
Rationale: The correct answer is D: Initiate full resuscitation efforts including advanced cardiac life support, and contact medical control. Rationale: 1. Patient is pulseless and apneic, indicating cardiac arrest. 2. Legal DNR order does not apply in this scenario as patient's collapse is sudden and not anticipated. 3. The priority is to provide immediate life-saving measures. 4. Advanced cardiac life support increases chances of successful resuscitation. 5. Contacting medical control ensures appropriate guidance and documentation. Summary: A: Waiting for approval could delay critical interventions. B: Stopping resuscitation based solely on the legal DNR order is inappropriate in this emergency. C: Allowing the family to override the legal order puts the patient at risk and is not recommended.