ATI RN
Introduction to Nursing Profession Quizlet Questions
Question 1 of 5
A client has a great deal of pain when coughing and deep breathing after abdominal surgery despite having pain medication. What action by the nurse is best?
Correct Answer: B
Rationale: The correct answer is B: Demonstrate how to splint the incision. Splinting the incision while coughing or deep breathing can help reduce pain by providing support to the surgical site and minimizing strain on the incision. This technique promotes healing and prevents complications such as wound dehiscence. Calling the primary health care provider for more analgesia (A) should be a last resort after non-pharmacological interventions have been tried. Having the client take shallower breaths (C) may lead to respiratory complications. Telling the client that a little pain is expected (D) does not address the issue or provide a solution to alleviate the discomfort.
Question 2 of 5
A patient with elevated lipid levels has a new prescription for nicotinic acid (niacin). The nurse informs the patient that which adverse effects may occur with this medication?
Correct Answer: A
Rationale: The correct answer is A: Pruritus. Niacin commonly causes skin flushing and itching, known as pruritus, due to prostaglandin release. Flushing is a well-known side effect of niacin. Cutaneous flushing is a more common side effect than pruritus. Tinnitus (choice C) and urine with a burnt odor (choice D) are not typically associated with niacin use. Cutaneous flushing (choice B) is a common side effect of niacin, but pruritus is the specific adverse effect related to skin itching. Therefore, the correct answer is pruritus.
Question 3 of 5
A patient recovering from a myocardial infarction (MI) develops chest pain on day 3 that increases when taking a deep breath and is relieved by leaning forward. Which action should the nurse take as focused follow-up on this symptom?
Correct Answer: C
Rationale: The correct answer is C: Auscultate for a pericardial friction rub. Chest pain increasing with deep breaths and relieved by leaning forward is indicative of pericarditis, a common complication post-MI. Auscultating for a pericardial friction rub can help confirm this diagnosis. Assessing pedal edema (A) is unrelated to the presenting symptom. Palpating radial pulses (B) is not relevant to pericarditis. Checking the heart monitor for dysrhythmias (D) may be important but does not address the specific symptom of pericarditis in this case.
Question 4 of 5
A patient scheduled for a total laryngectomy and radical neck dissection for cancer of the larynx asks the nurse, “Will I be able to talk normally after surgery?” What is the most accurate response by the nurse?
Correct Answer: C
Rationale: Rationale: Correct Answer (C): The nurse should explain that the patient will have a permanent opening in the neck (stoma) post-surgery and will require voice restoration through rehabilitation. This is accurate as total laryngectomy removes the voice box, necessitating alternative methods for speech. Incorrect Choices: A: Incorrect as it implies the patient won't be able to communicate orally at all, which is not true with voice restoration options. B: Incorrect because speaking without a voice box is not possible even after the tracheostomy tube is removed. D: Incorrect as artificial voice devices can help with communication, but they do not fully restore the ability to speak normally.
Question 5 of 5
A patient with a chronic cough is scheduled to have a bronchoscopy with biopsy. Which intervention will the nurse implement directly after the procedure?
Correct Answer: C
Rationale: After a bronchoscopy with biopsy, the patient may have a suppressed gag reflex due to local anesthesia used during the procedure. Keeping the patient NPO until the gag reflex returns is crucial to prevent aspiration and ensure safety. Encouraging clear liquids (choice A) immediately after may lead to aspiration. Bed rest (choice B) is not necessary post-procedure. Maintaining the head of the bed elevated (choice D) is important for respiratory status but not the immediate priority.