ATI RN
Introduction to Nursing Quizlet Questions
Question 1 of 5
A preoperative nurse is assessing a client prior to surgery. Which information would be most important for the nurse to relay to the surgical team?
Correct Answer: D
Rationale: The correct answer is D because the use of multiple herbs and supplements can interact with anesthesia and other medications during surgery, potentially causing adverse effects. It is crucial for the surgical team to be aware of this information to ensure the client's safety. A: Allergy to bee and wasp stings - Although allergies are important, this information may not directly impact the surgical procedure and can be managed with standard protocols. B: History of lactose intolerance - Lactose intolerance typically does not have a significant impact on surgery unless specific dietary restrictions are necessary, which can be easily managed. C: No previous experience with surgery - While this information is relevant for emotional support, it does not directly affect the surgical procedure itself.
Question 2 of 5
The nurse is caring for a patient with critical limb ischemia who has just arrived on the nursing unit after having percutaneous transluminal balloon angioplasty. Which action should the nurse perform first?
Correct Answer: A
Rationale: The correct answer is A: Obtain vital signs. This is the first action the nurse should perform because it helps assess the patient's immediate status post-procedure. Vital signs can indicate any complications or changes in the patient's condition that may require immediate intervention. Assessing vital signs is crucial in monitoring the patient's stability and response to the procedure. Summary: - B: Teaching wound care can be important but is not the priority immediately post-procedure. - C: Assessing pedal pulses is important but obtaining vital signs takes precedence to assess the overall status. - D: Checking the wound site is important, but vital signs should be assessed first to ensure the patient's immediate well-being.
Question 3 of 5
The nurse is administering a thrombolytic agent to a patient with an acute myocardial infarction. What patient data indicates that the nurse should stop the drug infusion?
Correct Answer: C
Rationale: The correct answer is C: Decreased level of consciousness. This indicates a potential complication such as intracranial bleeding, a serious adverse effect of thrombolytic therapy. Stopping the drug infusion is crucial to prevent further harm. Bleeding from the gums (A) is a common side effect of thrombolytic therapy but does not necessarily warrant stopping the infusion. An increase in blood pressure (B) may be expected due to the patient's condition and should be managed but does not indicate stopping the infusion. A nonsustained episode of ventricular tachycardia (D) may require treatment but does not mandate stopping the drug infusion unless it progresses to sustained ventricular tachycardia.
Question 4 of 5
The nurse is caring for a patient who has just had a thoracentesis. Which assessment information obtained by the nurse is a priority to communicate to the health care provider?
Correct Answer: A
Rationale: The correct answer is A because a low O2 saturation level of 88% indicates hypoxemia, which is a critical condition that requires immediate intervention to prevent further complications. Hypoxemia can occur after thoracentesis due to a pneumothorax or other respiratory issues. Choice B is not the priority because the blood pressure is slightly elevated but not immediately life-threatening. Choice C may indicate respiratory distress but is not as urgent as hypoxemia. Choice D is important for pain management but not as urgent as addressing hypoxemia. In summary, O2 saturation is the priority because hypoxemia can lead to serious complications if not promptly addressed.
Question 5 of 5
The nurse observes that a patient with respiratory disease experiences a decrease in SpO2 from 93% to 88% while ambulating. What is the priority action of the nurse?
Correct Answer: B
Rationale: The correct answer is B: Administer PRN supplemental O2. A decrease in SpO2 from 93% to 88% indicates hypoxemia during ambulation, requiring immediate intervention to improve oxygenation. Administering supplemental O2 is crucial to prevent further complications. Notifying the healthcare provider (A) can cause delays in addressing the hypoxemia. Documenting the response to exercise (C) is important but not the immediate priority. Encouraging the patient to pace activity (D) is not sufficient to address the acute hypoxemia.