ATI RN
Introduction to Nursing Profession Quizlet Questions
Question 1 of 5
A postoperative client has an abdominal drain. What assessment by the nurse indicates that goals for the priority client problems related to the drain are being met?
Correct Answer: B
Rationale: Step-by-step rationale for why Choice B is correct: 1. No redness, warmth, or drainage at the insertion site indicates absence of infection or complications related to the drain. 2. This assessment signifies that the drain is functioning properly and there is no leakage or signs of infection. 3. It shows that the surgical wound and the drain site are healing well. 4. Monitoring for signs of infection or complications at the insertion site is crucial in postoperative care. 5. Therefore, Choice B is the correct answer as it indicates successful management of the client's abdominal drain.
Question 2 of 5
A patient recovering from a myocardial infarction (MI) develops chest pain on day 3 that increases when taking a deep breath and is relieved by leaning forward. Which action should the nurse take as focused follow-up on this symptom?
Correct Answer: C
Rationale: The correct answer is C: Auscultate for a pericardial friction rub. Chest pain increasing with deep breaths and relieved by leaning forward is indicative of pericarditis, a common complication post-MI. Auscultating for a pericardial friction rub can help confirm this diagnosis. Assessing pedal edema (A) is unrelated to the presenting symptom. Palpating radial pulses (B) is not relevant to pericarditis. Checking the heart monitor for dysrhythmias (D) may be important but does not address the specific symptom of pericarditis in this case.
Question 3 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 4 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 5 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.