ATI RN
Introduction to Nursing Questions
Question 1 of 5
A client's wound is draining thick yellow material. The nurse correctly describes the drainage as:
Correct Answer: D
Rationale: The correct answer is D: Purulent. This is because thick yellow drainage indicates the presence of pus, which is characteristic of purulent drainage. Pus consists of dead white blood cells, tissue debris, and bacteria, signifying infection. Sanguineous drainage is fresh red blood, serous-sanguineous is a mix of clear and red drainage, and serous is clear and watery. Therefore, in this case, purulent is the most appropriate description of the drainage.
Question 2 of 5
While caring for a client, the nurse notes a pulsating mass in the client's periumbilical area. Which of the following assessments is appropriate for the nurse to perform?
Correct Answer: B
Rationale: The correct answer is B: Auscultate the mass. Auscultation can help identify the nature of the pulsating mass, such as detecting bruits, which may indicate an underlying vascular issue. Measuring the length (A) is not relevant for assessing a pulsating mass. Percussion (C) is used to assess underlying structures, not the nature of a mass. Palpation (D) can provide information on the size, shape, and consistency of the mass but auscultation is essential to detect potential abnormalities like bruits.
Question 3 of 5
The best position for a client for thoracentesis is:
Correct Answer: A
Rationale: The correct answer is A: Upright leaning sideward. This position allows for better access to the pleural space between the ribs, minimizing the risk of injury to surrounding structures. The upright position helps to expand the lung and diaphragm, making it easier to locate the fluid pocket for thoracentesis. Leaning sideways helps to ensure gravity assists in pooling the fluid away from the needle insertion site. Choice B: Orthopneic is not the best position for thoracentesis as the patient is sitting upright and leaning forward, which may not be as effective in accessing the fluid pocket. Choice C: Prone position is incorrect because the patient is lying face down, making it difficult to access the pleural space in the back. Choice D: Supine position is also incorrect as the patient is lying flat on their back, making it challenging to access the pleural space effectively.
Question 4 of 5
What statement by a nurse to a new nurse, orienting to the unit, is correct regarding seizure precautions?
Correct Answer: C
Rationale: Correct Answer: C Rationale: 1. Forcing a tongue depressor between the teeth can cause injury during a seizure. 2. It is important to maintain a patent airway during a seizure. 3. Placing an object in the mouth can increase the risk of aspiration or damage to the teeth. 4. The nurse should protect the client from harm by ensuring a safe environment during a seizure. Summary: A: Not all seizures lead to status epilepticus; it depends on the individual. B: Oxygen may be needed, but it is not the priority over maintaining a clear airway. D: Administering anticonvulsant drugs is beneficial for seizure management.
Question 5 of 5
Where should you put a wet adult diaper?
Correct Answer: D
Rationale: The correct answer is D: Yellow trashcan. Wet adult diapers should be disposed of in the yellow trashcan designated for general waste. This is because soiled diapers are considered non-recyclable and non-hazardous waste. The yellow trashcan is typically used for general waste that cannot be recycled or composted. Placing the wet adult diaper in the green, black, or orange trashcan would be incorrect as these bins are usually designated for specific types of waste like recyclables, organic waste, or hazardous materials respectively. Proper disposal in the yellow trashcan ensures efficient waste management and prevents contamination of other waste streams.