ATI RN
Introduction to Nursing Questions
Question 1 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 2 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.
Question 3 of 5
A patient with a venous thromboembolism (VTE) is started on enoxaparin (Lovenox) and warfarin (Coumadin). The patient asks the nurse why two medications are necessary. Which response by the nurse is accurate?
Correct Answer: C
Rationale: The correct answer is C. Lovenox (enoxaparin) is a low molecular weight heparin that works immediately to prevent further clot formation. Warfarin (Coumadin) takes several days to reach therapeutic levels and inhibit clotting factors. Therefore, the combination of both medications ensures immediate anticoagulant effects from Lovenox while waiting for Coumadin to take full effect. Explanation of other choices: A: Incorrect. Using two anticoagulants does not necessarily reduce the risk for recurrent venous thrombosis. B: Incorrect. Lovenox and Coumadin have different mechanisms of action and do not function solely in clot dissolution and prevention. D: Incorrect. The presence of a VTE does not inherently indicate an increased risk for pulmonary embolism.
Question 4 of 5
A patient who has tuberculosis asks the nurse why three drugs are used to treat this disease. The nurse will explain that multi-drug therapy is used to reduce the likelihood of
Correct Answer: C
Rationale: Step 1: Tuberculosis is caused by Mycobacterium tuberculosis, which has the potential to develop resistance to single drugs. Step 2: Multi-drug therapy involves using multiple drugs simultaneously to target different stages of bacterial growth. Step 3: This approach reduces the likelihood of drug resistance by preventing the bacteria from developing resistance to any single drug. Step 4: Therefore, the correct answer is C: Drug resistance. This explanation highlights the importance of using multiple drugs in tuberculosis treatment to prevent the development of resistant strains.
Question 5 of 5
Which of the following is true of long-term care facilities?
Correct Answer: C
Rationale: The correct answer is C because long-term care facilities provide care to individuals of any age who require assistance with activities of daily living, such as bathing, dressing, and medication management. This choice is true as these facilities cater to individuals with various health conditions or disabilities, not just older adults. Choice A is incorrect because long-term care facilities serve individuals of all ages, not just older adults. Choice B is incorrect as these facilities do not specifically cater to homeless adults but rather to anyone in need of long-term care services. Choice D is incorrect because long-term care facilities provide care to individuals with a range of conditions, not limited to those with dementia.