ATI RN
Introduction to Nursing Pdf Questions
Question 1 of 5
A patient who had a total laryngectomy has previously expressed hopelessness about the loss of control over personal care. Which information obtained by the nurse indicates that this identified problem is resolving?
Correct Answer: C
Rationale: The correct answer is C because the patient asking to learn how to clean the tracheostomy stoma shows an active interest in regaining control over personal care. This indicates a shift towards empowerment and increased sense of control. Choice A does not necessarily indicate a resolution of hopelessness as the patient allowing the nurse to suction could be due to compliance rather than empowerment. Choice B may show dependency on the spouse for care. Choice D, using a communication board to request no visitors, does not directly address regaining control over personal care.
Question 2 of 5
A patient with bacterial pneumonia has rhonchi and thick sputum. What is the nurse's most appropriate action to promote airway clearance?
Correct Answer: B
Rationale: The correct answer is B: Assist the patient to splint the chest when coughing. This action helps the patient generate more force during coughing, aiding in sputum clearance. Pursed lip breathing (choice A) is used for patients with COPD, not for bacterial pneumonia. Fluid restrictions (choice C) are not indicated unless there are specific medical reasons. Nasal oxygen cannula (choice D) does not directly address airway clearance.
Question 3 of 5
A nurse is assessing clients who have intravenous therapy prescribed. Which assessment finding for a client with a peripherally inserted central catheter (PICC) requires immediate attention?
Correct Answer: D
Rationale: The correct answer is D because upper extremity swelling in a client with a PICC can indicate a potential complication such as a blood clot or infection, which requires immediate attention to prevent serious complications. Swelling can impede blood flow and cause further issues. A: The initial site dressing being 3 days old may indicate a need for dressing change but does not require immediate attention. B: The PICC being inserted 4 weeks ago is relevant for assessing infection risk but does not require immediate attention. C: Absence of a securement device is important for preventing catheter dislodgement but does not require immediate attention compared to potential complications like swelling.
Question 4 of 5
An elderly woman has total care of her husband with Alzheimers disease. What type of care might the nurse suggest to give her some much-needed time of her own?
Correct Answer: B
Rationale: The correct answer is B: respite care. Respite care provides temporary relief to caregivers, allowing them to have some time off to rest and take care of themselves. This is important for the elderly woman to prevent burnout and maintain her own well-being. Primary care (A) refers to routine healthcare services, not specifically for caregivers. Bereavement care (C) is support provided after the death of a loved one, not appropriate in this scenario. Palliative care (D) focuses on providing relief from symptoms and stress for patients with serious illnesses, not specifically for caregivers. Respite care is the most suitable option to support the elderly woman in this situation.
Question 5 of 5
Regardless of the type of ambulatory care facility, what need is common to all patients cared for?
Correct Answer: B
Rationale: The correct answer is B: teaching. Teaching is a common need for all patients in ambulatory care facilities to ensure they understand their conditions, treatments, and self-care. This empowers patients to make informed decisions and manage their health effectively. Referrals (A) are not always needed for every patient, and advocacy (C) may be necessary but not a universal need. Surgery (D) is a specific intervention that only applies to a subset of patients, not a common need for all patients in ambulatory care.