ATI RN
Chapter 1 Introduction to Nursing Quizlet Questions
Question 1 of 5
A pediatric client with ventricular septal defect repair is placed on a maintenance dosage of digoxin. The dosage is 8 mcg/kg/day, and the client’s weight is 7.2 kg. The pediatrician prescribes the digoxin to be given twice daily. The nurse prepares how many mcg of digoxin to administer to the child at each dose?
Correct Answer: C
Rationale: To calculate the correct dosage, first, multiply the child's weight (7.2 kg) by the maintenance dosage (8 mcg/kg/day) to get the total daily dose: 7.2 kg x 8 mcg/kg/day = 57.6 mcg/day. Since the medication is given twice daily, divide the total daily dose by 2 to get the dosage for each administration: 57.6 mcg/day / 2 = 28.8 mcg. Therefore, the correct answer is C (28.8 mcg). Explanation for incorrect choices: A: 12.6 mcg - Incorrect, as it does not account for the correct calculation based on the child's weight and maintenance dosage. B: 21.4 mcg - Incorrect, as it is not the correct dosage obtained from the calculation. D: 32.2 mcg - Incorrect, as it is not the correct dosage based on the calculation provided.
Question 2 of 5
In a client with long-term emphysema, the nurse might expect to see which condition when inspecting the nails?
Correct Answer: B
Rationale: The correct answer is B: Clubbing. In a client with long-term emphysema, clubbing of the nails may be present due to chronic hypoxia. Clubbing is characterized by an enlargement of the fingertips and a loss of the normal angle between the nail and the nail bed. This occurs as a result of chronic oxygen deprivation. The other choices are incorrect because: A) A rapid blanch test is not relevant to nail inspection in emphysema; C) Koilonychia is associated with iron deficiency anemia, not emphysema; D) Paronychia is an infection of the nail fold, which is not directly related to emphysema.
Question 3 of 5
A pulse is normally palpated by applying moderate pressure using:
Correct Answer: D
Rationale: The correct answer is D: The middle three fingertips. This is because using the middle three fingertips allows for more precise palpation and better detection of the pulse rhythm and rate. The thumb and index finger have larger surface areas and may not provide accurate results. The palm is too broad and may not be sensitive enough to detect subtle pulse variations. Therefore, using the middle three fingertips is the most appropriate method for palpating a pulse accurately.
Question 4 of 5
Constipation is one of the most frequent complaints of elders. When assessing this problem, which action should be the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B: Obtain a health and dietary history. This is the priority action because it helps identify potential causes of constipation such as inadequate fiber intake, dehydration, medications, or underlying health conditions. It guides appropriate interventions. Choice A (Obtain a complete blood count) is not the priority as it does not directly address the cause of constipation. Choice C (Refer to a provider for a physical examination) may be necessary but not the initial priority. Choice D (Measure height and weight) is not relevant to assessing constipation in elders.
Question 5 of 5
A negative peripheral pulse post cardiac catheterization indicates:
Correct Answer: A
Rationale: The correct answer is A: Clot formation on the femoral artery. A negative peripheral pulse post cardiac catheterization suggests impaired blood flow due to a clot in the femoral artery, affecting pulse palpation. Decreased oxygen on the foot (B) would not directly cause a negative pulse. Blood clots on the heart (C) would not be detected through a peripheral pulse assessment. Impending hemorrhage (D) would typically present with different signs such as hypotension or tachycardia, not a negative peripheral pulse.