ATI RN
Introduction to Nursing Profession Quizlet Questions
Question 1 of 5
A patient recovering from a myocardial infarction (MI) develops chest pain on day 3 that increases when taking a deep breath and is relieved by leaning forward. Which action should the nurse take as focused follow-up on this symptom?
Correct Answer: C
Rationale: The correct answer is C: Auscultate for a pericardial friction rub. Chest pain increasing with deep breaths and relieved by leaning forward is indicative of pericarditis, a common complication post-MI. Auscultating for a pericardial friction rub can help confirm this diagnosis. Assessing pedal edema (A) is unrelated to the presenting symptom. Palpating radial pulses (B) is not relevant to pericarditis. Checking the heart monitor for dysrhythmias (D) may be important but does not address the specific symptom of pericarditis in this case.
Question 2 of 5
A patient with a chronic cough is scheduled to have a bronchoscopy with biopsy. Which intervention will the nurse implement directly after the procedure?
Correct Answer: C
Rationale: After a bronchoscopy with biopsy, the patient may have a suppressed gag reflex due to local anesthesia used during the procedure. Keeping the patient NPO until the gag reflex returns is crucial to prevent aspiration and ensure safety. Encouraging clear liquids (choice A) immediately after may lead to aspiration. Bed rest (choice B) is not necessary post-procedure. Maintaining the head of the bed elevated (choice D) is important for respiratory status but not the immediate priority.
Question 3 of 5
A patient who is taking rifampin (Rifadin) for tuberculosis calls the clinic and reports having orange discolored urine and tears. Which response by the nurse reflects accurate knowledge about the medication and the patient’s illness?
Correct Answer: C
Rationale: The correct answer is C because orange discoloration of urine and tears is a known side effect of rifampin. This is due to the drug's ability to color bodily fluids. It is important for the nurse to reassure the patient that this is a normal and expected reaction to the medication. Option A is incorrect as it pertains to visual changes in red-green color discrimination, which is not a common side effect of rifampin. Option B is also incorrect as it relates to symptoms such as shortness of breath, hives, or itching, which are not typically associated with rifampin use. Option D is incorrect because stopping the medication without consulting the healthcare provider can lead to treatment failure and potential drug resistance. It is important for the patient to continue taking the medication as prescribed and to report any concerns or side effects to the healthcare provider for proper management.
Question 4 of 5
After teaching a client who is prescribed a long-acting beta2 agonist medication, a nurse assesses the client’s understanding. Which statement indicates that the client comprehends the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will take this medication every morning to help prevent an acute attack." Rationale: 1. Long-acting beta2 agonists are used for long-term control and prevention of asthma symptoms. 2. Taking the medication every morning ensures consistent protection against asthma attacks. 3. The statement shows understanding of the purpose of the medication as a preventive measure. 4. It aligns with best practice guidelines for using long-acting beta2 agonists regularly. Summary: A: Carrying medication at all times is not necessary for a long-acting medication meant for prevention. B: Taking medication during an asthma attack indicates a misunderstanding of the medication's purpose. D: Being weaned off the medication is not typically the goal for long-acting beta2 agonists used for prevention.
Question 5 of 5
A patient with pneumonia has a fever of 101.4° F (38.6° C), a nonproductive cough, and an O2 saturation of 88%. The patient is weak and needs assistance to get out of bed. Which patient problem should the nurse assign as the priority?
Correct Answer: D
Rationale: The correct answer is D: Impaired gas exchange. This is the priority patient problem because the patient's low O2 saturation of 88% indicates inadequate exchange of oxygen and carbon dioxide in the lungs, which can lead to hypoxia and further complications. The patient's symptoms of pneumonia, fever, and weakness also support this priority as they contribute to impaired gas exchange. A: Fatigue is a common symptom in pneumonia but is secondary to impaired gas exchange in this case. B: Hyperthermia is important to address but is not the priority over impaired gas exchange affecting oxygenation. C: Impaired mobility is a concern, but it is not as critical as addressing impaired gas exchange to ensure adequate oxygenation for the patient's recovery.