ATI RN
Chapter 1 Introduction to Nursing Quizlet Questions
Question 1 of 5
A physician orders 1L of normal saline solution to infuse over 8 hours. The drop factor is 15 drops per 1 ml. Nurse Corazon prepares to set the flow rate at how many drops per minute?
Correct Answer: C
Rationale: To calculate the flow rate in drops per minute, we first find the total drops needed for 1L over 8 hours: 1L = 1000 ml 1000 ml * 15 drops/ml = 15000 drops 15000 drops / 8 hours = 1875 drops/hour 1875 drops / 60 minutes = 31.25 drops/minute, rounded to 31 drops/minute. Therefore, Choice C (31 gtts/minute) is correct. Choices A, B, and D are incorrect as they do not accurately calculate the correct flow rate based on the given drop factor and infusion parameters.
Question 2 of 5
Which statement reflects appropriate documentation in the medical record of a hospitalized client?
Correct Answer: A
Rationale: The correct answer is A because it provides specific, objective information about a medical condition - a small pressure ulcer on the left leg. This type of documentation is crucial for accurate assessment, diagnosis, and treatment planning. Choice B is incorrect as it reflects subjective interpretation rather than a factual observation. Choice C is also incorrect as it lacks relevant medical information. Choice D is incorrect as it describes a physical symptom without a specific location or context. In medical documentation, clarity and precision are essential for communication among healthcare providers and ensuring quality patient care.
Question 3 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 4 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 5 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.