ATI RN
Introduction to Nursing Final Exam Quizlet Questions
Question 1 of 5
A nurse cares for a client who is scheduled for a total laryngectomy. What action would the nurse take prior to surgery?
Correct Answer: C
Rationale: The correct answer is C. Prior to total laryngectomy, the nurse should assist the client to choose a communication method as the client will lose their ability to speak post-surgery. This step is crucial for the client's psychosocial well-being and quality of life. Assessing airway patency, breathing, and circulation (A) is important but is typically done as part of routine preoperative assessment and not specific to laryngectomy. Administering pain medication (B) is important but is not the priority before surgery, as the client may not be in pain at that moment. Ambulating the client (D) is not necessary before laryngectomy and does not address the client's communication needs.
Question 2 of 5
An active 28-year-old male with type 1 diabetes is being seen in the endocrine clinic. Which finding may indicate the need for a change in therapy?
Correct Answer: B
Rationale: The correct answer is B because a blood pressure reading of 146/88 mmHg indicates hypertension, which is a common comorbidity with type 1 diabetes. Hypertension increases the risk of cardiovascular complications in diabetic patients. Choices A, C, and D are within normal ranges and do not directly indicate the need for a change in therapy for a 28-year-old active male with type 1 diabetes.
Question 3 of 5
A patient who has had chest pain for several hours is admitted with a diagnosis of rule out acute myocardial infarction (AMI). Which laboratory test is most specific for the nurse to monitor in determining whether the patient has had an AMI?
Correct Answer: D
Rationale: The correct answer is D: Cardiac-specific troponin. Troponin is a highly specific marker for myocardial injury, especially in diagnosing acute myocardial infarction (AMI). It is released into the bloodstream when there is damage to the heart muscle. Monitoring troponin levels helps in confirming the diagnosis of AMI. A: Myoglobin is less specific and can also be elevated in skeletal muscle injury. B: Homocysteine is a marker for cardiovascular risk but not specific to AMI. C: C-reactive protein is a marker for inflammation and not specific to AMI. In summary, monitoring cardiac-specific troponin levels is crucial in diagnosing AMI due to its high specificity for myocardial injury compared to the other options.
Question 4 of 5
A nurse cares for a client with arthritis who reports frequent asthma attacks. What action would the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Ask about medications the client is currently taking. This is the first action the nurse should take because asthma attacks can be triggered or exacerbated by certain medications. By inquiring about the client's current medications, the nurse can identify any potential triggers and make necessary adjustments. Reviewing pulmonary function test results (A) can provide valuable information but should not be the first step. Assessing bronchodilator use (C) is important but does not address potential medication triggers. Consulting the primary health care provider and requesting arterial blood gases (D) may be necessary but is not the initial action to take in this scenario.
Question 5 of 5
A nurse is caring for a client with a peripheral vascular access device who is experiencing pain, redness, and swelling at the site. After removing the device, what action will the nurse take to relieve pain?
Correct Answer: B
Rationale: The correct answer is B: Place warm compresses on the site. Warm compresses help to increase blood flow, promote healing, and reduce pain and swelling in the affected area. By applying warm compresses to the site, the nurse can help to alleviate the client's pain and discomfort. Rationale for other choices: A: Administer topical lidocaine to the site - Topical lidocaine may help with numbing the area but may not address the underlying issue of pain, redness, and swelling. C: Administer prescribed oral pain medication - Oral pain medication may take time to take effect and may not provide immediate relief for the client's symptoms. D: Massage the site with scented oils - Massaging the site with scented oils can potentially irritate the skin further and does not address the client's symptoms effectively.