ATI RN
Introduction to Nursing Final Exam Quizlet Questions
Question 1 of 5
A nurse works on the postoperative floor and has four clients who are being discharged tomorrow. Which one has the greatest need for the nurse to consult other members of the health care team for postdischarge care?
Correct Answer: C
Rationale: The correct answer is C because the older adult living alone with memory loss may be at higher risk for safety concerns and medication management post-discharge. Consulting other healthcare team members can ensure appropriate support services are in place. Choice A: While being a primary caregiver is important, it does not necessarily indicate a greater need for consultation compared to the other choices. Choice B: Post-knee replacement and needing physical therapy are common needs post-discharge, and consultation with the healthcare team may not be as critical as in the case of the older adult with memory loss. Choice D: Having family and friends nearby suggests a support system, reducing the immediate need for consultation compared to the older adult living alone with memory loss.
Question 2 of 5
A patient has had recent mechanical heart valve surgery and is receiving anticoagulant therapy. While monitoring the patient‘s laboratory work, the nurse interprets that the patient‘s international normalized ratio (INR) level of 3 indicates that:
Correct Answer: B
Rationale: The correct answer is B: the patient's warfarin dose is at therapeutic levels. An INR level of 3 indicates the patient's blood is anticoagulated within the therapeutic range for mechanical heart valve surgery. This level helps prevent blood clots while minimizing the risk of bleeding. Choices A, C, and D are incorrect because an INR of 3 is not too low for warfarin therapy, not indicative of dangerously high heparin dose, and not related to heparin therapy. Overall, an INR of 3 is within the desired range for anticoagulation therapy post mechanical heart valve surgery.
Question 3 of 5
A patient who has recently started taking pravastatin (Pravachol) and niacin reports several symptoms to the nurse. Which information is most important to communicate to the health care provider?
Correct Answer: A
Rationale: The correct answer is A: Generalized muscle aches and pains. This is important to communicate as it could indicate rhabdomyolysis, a serious side effect of statin therapy like pravastatin. Rhabdomyolysis can lead to muscle breakdown and kidney damage, requiring immediate medical attention. Choice B is less urgent and can be managed by advising the patient to change positions slowly. Choice C is a common side effect of niacin but is not as serious as potential muscle issues. Choice D, flushing and pruritus, are common side effects of niacin and are generally not as concerning as muscle symptoms.
Question 4 of 5
An emergency department nurse assesses a female client. Which assessment findings would alert the nurse to request a prescription for an electrocardiogram? (Select the one that does not apply.)
Correct Answer: D
Rationale: The correct answer is D. Abdominal pain does not typically prompt a need for an electrocardiogram (ECG) as it is not a common symptom associated with cardiac issues. Hypertension (A), fatigue despite adequate rest (B), and indigestion (C) are all potential signs of underlying cardiac problems that could necessitate an ECG to assess the heart's electrical activity. Abdominal pain is more likely related to gastrointestinal issues rather than cardiac concerns.
Question 5 of 5
On auscultation of a patient’s lungs, the nurse hears low-pitched, bubbling sounds during inhalation in the lower third bilaterally. How should the nurse document this finding?
Correct Answer: A
Rationale: The correct answer is A: Inspiratory crackles at the bases. Crackles are abnormal lung sounds caused by air passing through fluid in the alveoli or small airways. In this case, the low-pitched bubbling sounds heard during inhalation in the lower third bilaterally indicate the presence of inspiratory crackles at the bases. This finding suggests fluid accumulation in the lungs, commonly seen in conditions such as pneumonia or heart failure affecting the bases. The other choices are incorrect because expiratory wheezes typically indicate asthma or COPD, abnormal lung sounds in the apices suggest conditions like tuberculosis, and pleural friction rub is characterized by a grating sound heard during both inspiration and expiration, commonly associated with pleurisy or pleural inflammation, not fluid-filled alveoli.