ATI RN
Introduction to Nursing Questions
Question 1 of 5
A nurse cares for a client who has packing inserted for posterior nasal bleeding. What action would the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Assess the client's airway. This is the priority action because airway patency is always the top priority in any emergency situation. In this case, the packing for posterior nasal bleeding could potentially obstruct the client's airway, leading to respiratory distress or compromise. By assessing the client's airway first, the nurse can ensure that the client is able to breathe effectively. Choice A: Assessing the client's pain level is important but not the first priority in this situation. Choice B: Keeping the client's head elevated may be beneficial, but it is not the immediate priority over assessing the airway. Choice C: Teaching the client about the causes of nasal bleeding is important for education but not urgent in this situation.
Question 2 of 5
The nurse is assessing the client who presented to the emergency department with a serum sodium level of 114 mEg/L. Which findings would the nurse relate to the serum sodium level? Select all that do not apply.
Correct Answer: D
Rationale: The correct answer is D: Warm, flushed skin. A serum sodium level of 114 mEg/L indicates hyponatremia. Hyponatremia causes water to move into cells, leading to cellular swelling and potential neurological symptoms. Muscle weakness, headache, and confusion are all associated with hyponatremia due to neurological effects. However, warm, flushed skin is not typically related to hyponatremia; instead, it may be seen in conditions like hyperthermia or vasodilation. Therefore, the nurse would not relate warm, flushed skin to the low serum sodium level in this case.
Question 3 of 5
A patient has administered regular insulin 30 minutes prior but has not received a breakfast tray. The patient is experiencing nervousness and tremors. What is the nurse's first action?
Correct Answer: D
Rationale: The correct answer is D: Perform bedside glucose testing. The patient is likely experiencing hypoglycemia due to insulin administration without food intake. Performing bedside glucose testing will confirm hypoglycemia and guide appropriate interventions. Administering glucagon (choice A) is not the first-line action for mild hypoglycemia. Giving orange juice (choice B) could be considered, but confirming hypoglycemia first is crucial. Notifying the kitchen to deliver the tray (choice C) delays immediate assessment and intervention.
Question 4 of 5
The nurse is performing an assessment on a patient who will begin taking propranolol (Inderal) to treat hypertension. The nurse learns that the patient has a history of asthma and diabetes. The nurse will take which action?
Correct Answer: B
Rationale: Step 1: Identify contraindications - Propranolol is contraindicated in patients with asthma due to its potential to exacerbate bronchospasm. Step 2: Recognize patient history - The patient has a history of asthma. Step 3: Assess for comorbidities - The patient also has diabetes, which is another consideration in selecting appropriate antihypertensive medication. Step 4: Consider safer alternatives - Given the contraindications and comorbidities, contacting the provider to discuss an alternative antihypertensive medication is the best course of action. Step 5: Monitor for adverse effects - Administering the medication without addressing the contraindications could lead to serious complications. Summary: Option B is correct as it addresses the contraindications and comorbidities, ensuring patient safety. Options A, C, and D are incorrect as they do not address the potential risks associated with propranolol in this specific
Question 5 of 5
The nurse teaches a patient about the transmission of pulmonary tuberculosis (TB). Which statement, if made by the patient, indicates that teaching was effective?
Correct Answer: C
Rationale: The correct answer is C because having the spouse sleep in another room reduces the risk of transmitting TB through close contact. This step indicates understanding of the need to prevent close contact with others to prevent the spread of TB. A, B, and D are incorrect: A: Taking the bus instead of driving does not relate to TB transmission. B: Staying indoors whenever possible does not address the issue of close contact with others. D: Keeping windows closed at home does not directly impact the transmission of TB through close contact with an infected individual.