ATI RN
Falls Introduction to Nursing Quizlet Questions
Question 1 of 5
A nurse reviews a client’s laboratory results. Which findings would alert the nurse to the possibility of atherosclerosis? (Select all that apply.)
Correct Answer: B
Rationale: Step-by-step rationale: 1. High-density lipoprotein (HDL) cholesterol is known as "good" cholesterol and lower levels are associated with increased risk of atherosclerosis. 2. HDL cholesterol of 50 mg/dL (1.3 mmol/L) is considered low and indicates a potential risk for atherosclerosis. 3. Atherosclerosis is characterized by the buildup of plaque in arteries, which can be influenced by cholesterol levels. 4. Total cholesterol and triglyceride levels are also important in assessing cardiovascular risk, but HDL cholesterol specifically is more indicative of atherosclerosis. 5. Serum albumin is not directly related to atherosclerosis. Summary: Choice B is correct as low HDL cholesterol levels are a key indicator of potential atherosclerosis risk. Choices A, C, and D are incorrect because they do not specifically relate to the risk of atherosclerosis.
Question 2 of 5
The nurse has just auscultated coarse crackles bilaterally on a patient with a tracheostomy tube in place. If the patient is unsuccessful in coughing up secretions, what action should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Put on sterile gloves and use a sterile catheter to suction. When coarse crackles are heard in a patient with a tracheostomy tube and they are unable to clear secretions, suctioning is necessary to maintain airway patency and prevent complications like respiratory distress. Using a sterile catheter ensures aseptic technique to prevent infection. Choices A and B are not appropriate as they do not address the immediate need for airway clearance. Choice D is incorrect because preoxygenation before suctioning is not indicated in this scenario and may delay necessary intervention.
Question 3 of 5
The nurse teaches a patient who has asthma about peak flowmeter use. Which action by the patient indicates that teaching was successful?
Correct Answer: C
Rationale: The correct answer is C. When the patient uses albuterol for peak flows in the yellow zone, it indicates successful teaching because the yellow zone signifies caution, where the patient should take action to prevent worsening asthma symptoms. Using albuterol at this stage helps to manage symptoms before they escalate. Choice A is incorrect because inhaling rapidly through the peak flowmeter mouthpiece is not a correct technique and may lead to inaccurate results. Choice B is incorrect because montelukast is a controller medication and not used for immediate relief during asthma exacerbations. Choice D is incorrect because calling the healthcare provider when the peak flow is in the green zone is unnecessary as it indicates good lung function.
Question 4 of 5
A nurse teaches a client who has chronic obstructive pulmonary disease. Which statements related to nutrition would the nurse include in this client’s teaching? (Select all that do not apply.)
Correct Answer: D
Rationale: The correct answer is D because consuming high-fiber foods can actually slow down gastric emptying and exacerbate symptoms of bloating and gas in individuals with COPD. The other choices are relevant to nutrition in COPD management. A: Fluid restriction before meals helps prevent feeling too full and can aid in breathing efficiency. B: Resting before meals can reduce dyspnea during eating. C: Having smaller, more frequent meals can help maintain energy levels and prevent feeling too full, which can improve breathing.
Question 5 of 5
The emergency department nurse is evaluating the outcomes for a patient who has received treatment during an asthma attack. Which assessment finding is the best indicator that the therapy has been effective?
Correct Answer: A
Rationale: The correct answer is A: 02 saturation is >90%. This is the best indicator because it directly measures the amount of oxygen in the blood, reflecting the effectiveness of the treatment in improving ventilation and oxygenation. - Choice B: No wheezes are audible. Wheezes can persist even after treatment, so absence of wheezes does not always indicate effectiveness. - Choice C: Respiratory rate is 16 breaths/min. While a normal respiratory rate is a good sign, it may not necessarily indicate the full effectiveness of the treatment. - Choice D: Accessory muscle use has decreased. Although a decrease in accessory muscle use is positive, it may not always correlate directly with improved oxygenation and ventilation.