ATI RN
Introduction to Nursing Final Exam Quizlet Questions
Question 1 of 5
A client is dehydrated and requires 0.5 L of dextrose 5% in water to infuse at 50 ml/hour. If the solution is hung at 1:00 pm, what time will the solution be completed?
Correct Answer: C
Rationale: The solution requires 0.5 L to be infused at 50 ml/hour. To determine the time it will be completed, first calculate the total infusion time: 0.5 L / 50 ml/hour = 10 hours. Since the solution is hung at 1:00 pm, add 10 hours to get the completion time, which is 11:00 pm (Choice C). Choice A (6:00 PM) is incorrect because it does not account for the full 10-hour infusion time. Choice B (9:00 PM) is incorrect as it also does not consider the complete infusion duration. Choice D (12:00 mn) is incorrect since it overlooks the 1-hour difference between 11:00 pm and midnight.
Question 2 of 5
The client has just had a liver biopsy. Which of the following nursing actions would be the priority after the biopsy?
Correct Answer: A
Rationale: The correct answer is A because after a liver biopsy, the priority is to position the patient on the right side to apply pressure and prevent bleeding from the biopsy site on the liver's right lobe. This position helps compress the liver against the diaphragm, reducing the risk of bleeding. Choice B is incorrect as monitoring vital signs is important, but positioning the patient takes precedence immediately post-biopsy. Choice C is incorrect as ambulation may increase the risk of bleeding and should be avoided initially. Choice D is incorrect as measuring urine specific gravity is not directly related to post-liver biopsy care.
Question 3 of 5
The barium enema should be done before the upper gastrointestinal series because of which of the following?
Correct Answer: A
Rationale: The correct answer is A because retained barium from the barium enema procedure may cloud the colon and interfere with the visualization of the upper gastrointestinal series. This can lead to inaccurate results and potential misdiagnosis. This sequence ensures a clear view of the upper gastrointestinal tract. Choices B, C, and D are incorrect because lower gastrointestinal bleeding is not a direct concern, physician orders can be adjusted based on medical necessity, and barium is not absorbed in the small intestine in significant amounts to impact the sequence of procedures.
Question 4 of 5
A nurse on the postoperative nursing unit provides care to reduce the incidence of surgical wound infection. What actions are best to achieve this goal? (Select the one that does not apply.)
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Administering antibiotics for 72 hours is not within the nurse's scope of practice but the physician's responsibility. 2. Disposing of dressings properly prevents contamination and infection. 3. Leaving draining wounds open to air can introduce pathogens and hinder healing. 4. Performing proper hand hygiene reduces the transfer of pathogens to the wound site.
Question 5 of 5
A nurse works on the postoperative floor and has four clients who are being discharged tomorrow. Which one has the greatest need for the nurse to consult other members of the health care team for postdischarge care?
Correct Answer: C
Rationale: The correct answer is C because the older adult living alone with memory loss may be at higher risk for safety concerns and medication management post-discharge. Consulting other healthcare team members can ensure appropriate support services are in place. Choice A: While being a primary caregiver is important, it does not necessarily indicate a greater need for consultation compared to the other choices. Choice B: Post-knee replacement and needing physical therapy are common needs post-discharge, and consultation with the healthcare team may not be as critical as in the case of the older adult with memory loss. Choice D: Having family and friends nearby suggests a support system, reducing the immediate need for consultation compared to the older adult living alone with memory loss.