ATI RN
Introduction to Nursing Profession Quizlet Questions
Question 1 of 5
A patient with elevated lipid levels has a new prescription for nicotinic acid (niacin). The nurse informs the patient that which adverse effects may occur with this medication?
Correct Answer: A
Rationale: The correct answer is A: Pruritus. Niacin commonly causes skin flushing and itching, known as pruritus, due to prostaglandin release. Flushing is a well-known side effect of niacin. Cutaneous flushing is a more common side effect than pruritus. Tinnitus (choice C) and urine with a burnt odor (choice D) are not typically associated with niacin use. Cutaneous flushing (choice B) is a common side effect of niacin, but pruritus is the specific adverse effect related to skin itching. Therefore, the correct answer is pruritus.
Question 2 of 5
A patient scheduled for a total laryngectomy and radical neck dissection for cancer of the larynx asks the nurse, “Will I be able to talk normally after surgery?” What is the most accurate response by the nurse?
Correct Answer: C
Rationale: Rationale: Correct Answer (C): The nurse should explain that the patient will have a permanent opening in the neck (stoma) post-surgery and will require voice restoration through rehabilitation. This is accurate as total laryngectomy removes the voice box, necessitating alternative methods for speech. Incorrect Choices: A: Incorrect as it implies the patient won't be able to communicate orally at all, which is not true with voice restoration options. B: Incorrect because speaking without a voice box is not possible even after the tracheostomy tube is removed. D: Incorrect as artificial voice devices can help with communication, but they do not fully restore the ability to speak normally.
Question 3 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 4 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 5 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.