ATI RN
Introduction to Nursing 203 Quizlet Questions
Question 1 of 5
A patient who comes to the clinic reports frequent, watery stools for 2 days. Which action should the nurse take first?
Correct Answer: A
Rationale: The correct action for the nurse to take first is to obtain the baseline weight. This is important to assess the degree of fluid loss due to diarrhea. By comparing the baseline weight with subsequent weights, the nurse can determine the severity of dehydration and guide the appropriate treatment. Checking blood pressure (B), drawing blood for serum electrolyte levels (C), and asking about extremity numbness or tingling (D) are important assessments but should come after obtaining the baseline weight to prioritize immediate management of dehydration.
Question 2 of 5
The perioperative nurse manager and the postoperative unit manager are concerned about the increasing number of surgical infections in their hospital. What action by the managers is best?
Correct Answer: A
Rationale: The correct answer is A: Audit charts to see if the Surgical Care Improvement Project (SCIP) outcomes were met. This is the best action as auditing charts will provide concrete data on adherence to infection prevention protocols, identify areas of improvement, and help measure the effectiveness of current practices. Choice B is incorrect as peer pressure may not be an effective long-term solution and could create a negative work environment. Choice C, while important, may not directly address the root cause of the infections. Choice D is also important but lacks the specificity of measuring the SCIP outcomes. Thus, auditing charts aligns with evidence-based practice and allows for targeted interventions based on data analysis.
Question 3 of 5
A primary health care provider notifies the nurse that a client has a “bandemia.” What action does the nurse anticipate?
Correct Answer: A
Rationale: The correct answer is A: Administer antibiotics. A "bandemia" refers to an elevated level of band neutrophils, which indicates a bacterial infection. Therefore, administering antibiotics would be the appropriate action to treat the underlying infection. Placing the client in isolation (B) is not necessary unless there are specific isolation precautions for the type of infection. Administering IV leukocytes (C) is not a common practice and may not be indicated. Obtaining an immunization history (D) is not relevant to addressing the immediate concern of treating the bacterial infection indicated by bandemia.
Question 4 of 5
A patient has chronic peripheral artery disease (PAD) of the legs and an ulcer on the right second toe. What should the nurse expect to find on assessment?
Correct Answer: C
Rationale: The correct answer is C: dry. In chronic PAD, decreased blood flow to the legs can lead to dry, shiny, and cool skin due to decreased moisture and oxygenation. This can result in impaired wound healing. Dilated superficial veins (A) are more commonly seen in venous insufficiency. Swollen (B) and scaly ankles (D) are not typically associated with chronic PAD but may be seen in conditions such as heart failure or dermatitis.
Question 5 of 5
The nurse has received the laboratory results for a patient who developed chest pain 4 hours ago and may be having a myocardial infarction. Which laboratory test result should be most helpful in indicating myocardial damage? (FILL IN THE BLANKS)
Correct Answer: A
Rationale: The correct answer is A: Troponins. Troponins are specific markers released into the bloodstream when there is damage to the heart muscle, such as in a myocardial infarction. Elevated troponin levels indicate myocardial damage. Choices B, C, and D (Indigestion, Constipation, Anxiety) are incorrect as they do not directly measure myocardial damage or indicate a heart attack. Troponins are the gold standard for diagnosing myocardial infarction due to their high specificity and sensitivity.