ATI RN
Introduction to Nursing 203 Quizlet Questions
Question 1 of 5
A patient with chronic obstructive pulmonary disease (COPD) has poor gas exchange. Which action by the nurse would support the patient’s ventilation?
Correct Answer: A
Rationale: The correct answer is A: Encourage the patient to sit in a chair and lean forward. This position helps improve ventilation by expanding the chest cavity, allowing for better lung expansion and increased air exchange. Leaning forward also reduces pressure on the diaphragm, making it easier for the patient to breathe. Choice B (head elevated 15 degrees) does not provide as much chest expansion as leaning forward. Choice C (Trendelenburg position) places the patient with their head lower than the feet, which can worsen breathing difficulties. Choice D (high-Fowler’s position with knees flexed) does not promote optimal lung expansion compared to leaning forward. In summary, choice A is the best option as it maximizes chest expansion and supports ventilation in a patient with poor gas exchange due to COPD.
Question 2 of 5
A patient who has just undergone a colon resection complains to a nurse that he felt something pop under his dressing while trying to get out of bed.the nurse removes the dressing and finds that dehiscence of the wound has occurred.what nursing action should be implemented first?
Correct Answer: A
Rationale: The correct answer is A: Cover the wound with sterile dressings saturated with normal saline. This action helps to maintain a moist environment for wound healing and prevent further contamination. The step-by-step rationale is: 1) Covering the wound with sterile dressings helps protect the wound from infection and further trauma. 2) Saturating the dressings with normal saline helps keep the wound moist, promoting healing. 3) This immediate action is crucial in preventing complications such as infection and further wound dehiscence. Summary of other choices: B: Notifying the surgeon immediately is important, but covering the wound to protect it should be done first. C: Applying pressure to the wound can further damage the tissue and should not be done. D: Placing the patient in Trendelenburg position is not necessary for wound dehiscence and does not address the immediate need to protect the wound.
Question 3 of 5
A nurse in a walk-in healthcare setting provides technical services, such as, administering medications, determines the priority of care needs, and provides patient teaching on all aspects of care. Which of the following terms best describes this type of healthcare setting?
Correct Answer: C
Rationale: The correct answer is C: ambulatory center. This setting is best described as an ambulatory center because it provides same-day medical services without the need for an overnight stay. Ambulatory centers offer a wide range of medical services, including administering medications, determining care priorities, and patient education. Hospitals (choice A) typically provide more acute care services requiring overnight stays. Physicians' offices (choice B) usually offer routine check-ups and consultations but may not provide the same level of technical services as an ambulatory center. Long-term care facilities (choice D) focus on providing extended care for individuals who require ongoing assistance with daily activities, which is not the primary function of the described healthcare setting.
Question 4 of 5
A nurse is admitting a patient to the hospital for surgery. Which of the following pieces of information must be obtained from the patient? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: date of birth. It is essential to obtain the patient's date of birth for accurate identification and to ensure the correct patient receives the appropriate care. This information is crucial for confirming the patient's identity and preventing medical errors. Explanation for Incorrect Choices: A: Address - While obtaining the patient's address is important for communication and follow-up purposes, it is not a critical piece of information that must be obtained during the admission process. C: Admitting physician - Knowing the admitting physician is important for coordination of care, but it is not crucial information that must be obtained directly from the patient. D: Symptoms experienced - While knowing the symptoms experienced by the patient is important for medical history and assessment, it is not a piece of information that must be obtained directly from the patient during the admission process.
Question 5 of 5
A home health nurse reviews the nursing care with the patient and family and then mutually discusses the expected outcomes of the nursing care to be provided. Which step of the nursing process is the nurse illustrating?
Correct Answer: B
Rationale: The correct answer is B: planning. Planning in the nursing process involves setting goals and outcomes, which the nurse is doing by discussing expected outcomes with the patient and family. This step helps establish a direction for the care to be provided. Diagnosing (A) involves analyzing data to identify health problems. Implementing (C) is the actual carrying out of the planned interventions. Evaluating (D) involves determining if the goals were met. In this scenario, the nurse is focusing on setting goals, making B the most appropriate answer.