ATI RN
Introduction to Nursing Final Exam Quizlet Questions
Question 1 of 5
A patient is hospitalized with active tuberculosis (TB). Which assessment finding indicates to the nurse that prescribed airborne precautions are likely to be discontinued?
Correct Answer: D
Rationale: The correct answer is D because negative sputum smears for acid-fast bacilli indicate reduced infectivity and lower risk of transmission. This means the patient is likely non-infectious and can discontinue airborne precautions. Choice A is incorrect because upper lobe infiltrates are common in TB. Choice B is incorrect as TB treatment usually lasts 6-9 months. Choice C is incorrect because an induration of 10 mm on Mantoux testing indicates exposure to TB, not readiness to discontinue precautions.
Question 2 of 5
A nurse is teaching a client who has cystic fibrosis (CF). Which statement would the nurse include in this client’s teaching?
Correct Answer: C
Rationale: Rationale: Choice C is correct because individuals with CF require a well-balanced, nutritious diet to support their overall health and manage their condition. This includes adequate intake of calories, protein, vitamins, and minerals. A balanced diet can help improve lung function, maintain a healthy weight, and support the body's immune system. Choices A, B, and D are incorrect. Taking antibiotics daily may not be necessary for all CF patients, genetic screening is important but not directly related to dietary needs, and exercise recommendations should be individualized based on the client's health status.
Question 3 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 4 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 5 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.