ATI RN
Introduction to Nursing Pdf Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A nurse working in an outpatient surgery center is responsible for taking a health history and performing a physical assessment on each patient scheduled for surgery. Why is establishing this database so important for nursing care?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Ensuring medical and surgical safety is crucial to prevent complications during surgery. 2. Health history and physical assessment help identify potential risks and tailor care plans accordingly. 3. It allows the nurse to assess the patient's readiness for surgery and identify any contraindications. 4. This data informs decision-making, ensures appropriate interventions, and enhances patient outcomes. Summary: - Option A is incorrect because nurse-patient relationships are important but not the primary focus in this context. - Option C is incorrect as the importance of the assessment goes beyond routine procedure. - Option D is incorrect as the main goal is to ensure safety and address potential issues.
Question 5 of 5
Which one of the following methods of documentation is organized around patient diagnoses rather than around patient information?
Correct Answer: A
Rationale: The correct answer is A: problem-oriented medical record (POMR). In POMR, patient information is organized around patient diagnoses, facilitating a systematic approach to patient care. This method focuses on identifying and managing patient problems, promoting continuity and efficiency in healthcare delivery. Incorrect choices: B: Source-oriented record - Organizes information based on the source of the data, not patient diagnoses. C: PIE charting system - Focuses on problem, intervention, and evaluation, but not solely on patient diagnoses. D: Focus charting - Centers on specific patient concerns and focuses on addressing them, but does not primarily organize information around diagnoses.