ATI RN
Introduction to Nursing Chapter 1 Quizlet Questions
Question 1 of 5
A hospitalized client is in a private room. When outside the room, the client must wear a surgical mask. What type of isolation precaution is in use?
Correct Answer: C
Rationale: The correct answer is C: Droplet isolation precaution. This is because droplet precautions are used to prevent the spread of infectious agents that are transmitted through respiratory droplets. In this scenario, the client must wear a surgical mask when outside the room to prevent the spread of droplets containing pathogens to others. A: Airborne precautions are used for pathogens that can be transmitted through the air over long distances, such as tuberculosis. B: Contact precautions are used for direct contact with the client or their environment to prevent the spread of pathogens. D: Standard precautions are used for all clients to prevent the spread of infection through contact with blood, body fluids, or contaminated surfaces.
Question 2 of 5
Which method is the best for the nurse to evaluate the effectiveness of tracheal suctioning?
Correct Answer: D
Rationale: The correct answer is D: Auscultate the chest for change or clearing in adventitious breath sounds. This method is the best way to evaluate the effectiveness of tracheal suctioning because it directly assesses the patient's respiratory status. By auscultating the chest, the nurse can listen for any changes in breath sounds, such as clearing of adventitious sounds, indicating improved airway clearance. This objective assessment provides concrete evidence of the intervention's impact on the patient's respiratory function. Incorrect answers: A: Note subjective data such as "My breathing is much improved now." Subjective data rely on the patient's perception and may not always accurately reflect the actual physiological changes. C: Note objective findings such as decreased respiratory rate and pulse. While these are important vital signs, they may not directly indicate the effectiveness of tracheal suctioning in clearing the airway. B: This statement reflects subjective data and does not provide a direct assessment of the patient's respiratory status post-tracheal
Question 3 of 5
When assessing a child who complains of abdominal pain, what is the most appropriate nursing action?
Correct Answer: C
Rationale: The most appropriate nursing action when assessing a child complaining of abdominal pain is to avoid painful areas until the end of the assessment (Choice C). This approach helps prevent causing unnecessary discomfort or distress to the child. By starting with non-painful areas, the nurse can establish rapport, gather important information, and assess the child's overall condition before addressing the painful areas. This ensures a thorough and sensitive assessment process. Choice A is incorrect because palpating the most painful area first can cause distress and may not provide a comprehensive assessment. Choice B, palpating for rebound tenderness, is not appropriate as it is more specific to assessing for peritonitis in adults. Choice D, using deep palpation for abdominal tenderness, can be uncomfortable for the child and should be avoided until other assessments have been completed.
Question 4 of 5
The nurse understands that which of the following foods should be omitted from a patient’s diet before an electroencephalogram (EEG)?
Correct Answer: A
Rationale: Correct Answer: A - Coffee should be omitted from the patient's diet before an EEG because caffeine can interfere with the test results by affecting brain activity and creating false readings. Coffee is a stimulant that can alter brain waves and impact the accuracy of the EEG. Summary of Incorrect Choices: B: A glass of orange juice - Orange juice does not contain caffeine and is not known to interfere with EEG results. C: Cheese - Cheese does not contain caffeine and is not known to interfere with EEG results. D: Strawberry ice cream - Ice cream does not contain caffeine and is not known to interfere with EEG results.
Question 5 of 5
The nurse is caring for a patient with diabetes who had abdominal surgery 3 days ago. Which finding is most important for the nurse to report to the health care provider?
Correct Answer: C
Rationale: The correct answer is C: Oral temperature of 101° F (38.3° C). A postoperative fever could indicate infection, especially in a diabetic patient who is at higher risk. The nurse should report this finding promptly for further evaluation and treatment. Choice A is within the normal range for blood glucose in a patient with diabetes. Choice B, separation of wound edges, could indicate delayed wound healing but is not as urgent as a potential infection. Choice D, increased incisional pain, is expected postoperatively and may not necessarily indicate a complication unless accompanied by other symptoms.