ATI RN
Practice Questions for Patient-Centered Care Questions
Question 1 of 5
You are responding to a possible assault call. You choose to park down the block from the house, as police have not yet made the scene safe. However, you see what looks to be a patient in distress in the upper story window. What would be the safest approach in this situation?
Correct Answer: A
Rationale: The correct approach is A: Wait for responding police to control the situation and say that it is safe for EMS. This is the safest option because the scene has not been secured by law enforcement, and your safety is paramount. By waiting for the police to arrive and ensure the scene is safe, you are minimizing the risk of potential harm to yourself and allowing for a coordinated and controlled response. It is crucial to prioritize personal safety and follow established protocols in such high-risk situations. Summary of other choices: B: Waiting for police to arrive before entering is important, but going in with them could still expose you to unnecessary risk. C: Driving up to the driveway without police presence could put you in harm's way and compromise scene safety. D: Heading into the house without police clearance is extremely dangerous and could escalate the situation further.
Question 2 of 5
Which of the following medications may be effective in reversing the signs and symptoms of dystonia?
Correct Answer: D
Rationale: The correct answer is D: Diphenhydramine. Diphenhydramine is an anticholinergic medication that can effectively reverse the signs and symptoms of dystonia by blocking acetylcholine receptors. This helps reduce muscle spasms and involuntary movements associated with dystonia. Promethazine (A) and morphine sulfate (B) are not typically used to treat dystonia. Lidocaine (C) is a local anesthetic and is not effective in treating dystonia. Diphenhydramine is the most appropriate choice due to its mechanism of action in blocking acetylcholine receptors, making it effective in reversing dystonia symptoms.
Question 3 of 5
Your adult patient is experiencing lightheadedness and shortness of breath. He is found to be bradycardic with a second-degree type II AV heart block on the electrocardiogram. His heart rate is 44, he is breathing 20 times per minute, and has a blood pressure of 90 systolic. He is cool and pale but denies chest pain. Which of the following would be most appropriate if the patient fails to respond to atropine?
Correct Answer: C
Rationale: The correct answer is C: Transcutaneous pacing. In this scenario of a patient with bradycardia and a second-degree type II AV block, transcutaneous pacing is the most appropriate next step if the patient fails to respond to atropine. Transcutaneous pacing involves placing external electrodes on the patient's chest to deliver electrical impulses to stimulate the heart, effectively pacing the heart and maintaining an adequate heart rate. This is crucial in a patient with symptomatic bradycardia and heart blocks as it can quickly and effectively increase the heart rate and improve cardiac output. The other choices are incorrect: A: Administering 1 milligram of epinephrine may be too aggressive and can further worsen the heart block in this case. B: Synchronized cardioversion at 10 joules is not indicated for bradycardia and can be harmful in this scenario. D: Administering a 500-milliliter IV bolus of normal
Question 4 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 personal protective clothing provides the highest respiratory system protection with a supplied-air respirator or self-contained breathing apparatus. This level offers a lower level of skin protection compared to Level A, which provides the highest level of both respiratory and skin protection. Level D does not provide any respiratory or skin protection, making it the least protective option. Level C offers a balance of respiratory and skin protection, but it is not as high as Level B for respiratory protection. Therefore, Level B is the best choice for high respiratory protection while sacrificing some level of skin protection.
Question 5 of 5
Management of severe head injury with GCS 6, BP 140/90 mmHg, intubated:
Correct Answer: B
Rationale: The correct answer is B: "Prevent secondary brain injury." In managing severe head injury with a GCS of 6, preventing secondary brain injury is crucial. Lowering intracranial pressure and optimizing cerebral perfusion are essential to prevent further damage. Administering an osmotic diuretic (A) may be considered but is not the priority in this scenario. Aggressively treating systemic hypertension (C) can potentially worsen cerebral perfusion. Reducing metabolic requirements of the brain (D) is important but not as immediate as preventing secondary brain injury.