ATI RN
Chapter 1 Introduction to Nursing Quizlet Questions
Question 1 of 5
A nurse prepares a client for a pharmacologic stress echocardiogram. What actions would the nurse take when preparing this client for the procedure? (Select the one that does not apply.)
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. A central venous access device is not needed for a pharmacologic stress echocardiogram. 2. Continuous blood pressure and pulse monitoring are essential during the procedure. 3. Beta blockers may be administered to the client as part of the preparation. 4. NPO status is required to ensure accurate test results and to prevent aspiration. Summary: Choice A is incorrect because a central venous access device is not necessary for a pharmacologic stress echocardiogram. Choices B, C, and D are correct as they are essential steps in preparing a client for the procedure.
Question 2 of 5
The nurse plans to teach a patient how to manage allergic rhinitis. Which information should the nurse include in the teaching plan?
Correct Answer: B
Rationale: Step 1: Identifying and avoiding environmental triggers directly addresses the root cause of allergic rhinitis by minimizing exposure to allergens. Step 2: By avoiding triggers, the patient can prevent or reduce symptoms without relying solely on medications. Step 3: This approach is holistic and empowers the patient to take control of their condition. Summary: Choice A focuses on treatment rather than prevention. Choice C addresses hygiene but not the cause of allergic rhinitis. Choice D highlights limitations of corticosteroids but doesn't emphasize prevention. Choice B is correct as it targets prevention through trigger avoidance.
Question 3 of 5
A patient seen in the asthma clinic has recorded daily peak flowrates that are 75% of the baseline. Which action will the nurse plan to take next?
Correct Answer: B
Rationale: The correct answer is B. Administer a bronchodilator and recheck the spirometry. This action is appropriate because the patient's peak flowrates are only 75% of baseline, indicating possible bronchoconstriction. Administering a bronchodilator can help alleviate the bronchoconstriction and rechecking spirometry can assess the response to the treatment. Choice A (Teaching about oral corticosteroids) is incorrect as it is not the first-line intervention for a peak flowrate decrease. Choice C (Increasing leukotriene inhibitor dose) is incorrect because there is no indication that the current dose is ineffective. Choice D (Keeping the follow-up appointment) is important but not the immediate action needed for a patient with decreased peak flowrates.
Question 4 of 5
While assessing a client who is 12 hours postoperative after a thoracotomy for lung cancer, a nurse notices that the chest tube is dislodged. Which action by the nurse is best?
Correct Answer: B
Rationale: The correct action is to cover the insertion site with sterile gauze. This helps prevent air from entering the pleural space and causing a pneumothorax. Reinserting the tube should only be done by a healthcare provider to prevent complications. Assessing for drainage is not the priority since the tube is dislodged. Contacting the primary healthcare provider can cause a delay in managing the situation promptly.
Question 5 of 5
The nurse discusses management of upper respiratory infections (URIs) with a patient who has acute sinusitis. Which statement by the patient indicates that additional teaching is needed?
Correct Answer: B
Rationale: The correct answer is B because using nasal decongestant spray for an extended period can lead to rebound congestion and worsening of symptoms. Choice A is correct as hydration helps thin mucus. Choice C is correct as acetaminophen can help alleviate sinus discomfort. Choice D is correct as changes in nasal secretions or sputum can indicate worsening infection.