ATI RN
Introduction to Nursing Chapter 1 Quizlet Questions
Question 1 of 5
All of the following are correct methods in the assessment of blood pressure except:
Correct Answer: D
Rationale: The correct answer is D because pumping the cuff to around 50 mmHg above the point where the pulse is obliterated is incorrect. The correct method is to pump the cuff to about 30 mmHg above the point where the pulse disappears. Pumping too high can lead to inaccurate readings. Observing procedures for infection control (A), taking BP on both arms for comparison (B), and listening to identify Korotkoff sounds (C) are all correct methods in the assessment of blood pressure, ensuring accuracy and reliability.
Question 2 of 5
After a lumbar puncture, the nurse should place the client in:
Correct Answer: A
Rationale: The correct answer is A: Supine position with a pillow. Placing the client in a supine position with a pillow helps prevent post-lumbar puncture headache by aiding in the restoration of normal cerebrospinal fluid pressure. The pillow supports the head and neck, reducing strain on the puncture site. Choice B: Supine with neck hyperextended is incorrect as it can increase the risk of complications and discomfort for the client. Choice C: Prone for 24 hours is incorrect as it can lead to increased pressure on the puncture site and hinder the recovery process. Choice D: Orthopneic is incorrect as this position is typically used for respiratory distress and not indicated post-lumbar puncture.
Question 3 of 5
You have safely inserted an indwelling catheter to Mr. Edward Cullen. To secure the catheter in place and prevent its dislodgment you should tape the catheter tubing in the client’s:
Correct Answer: B
Rationale: The correct answer is B, lower abdomen. Securing the catheter tubing in the lower abdomen helps prevent dislodgment by reducing movement and tension on the catheter. This area allows for easy monitoring of the catheter site and minimizes the risk of accidental removal. Taping the catheter tubing on the inner thigh or lower thigh may lead to increased friction and movement, increasing the risk of dislodgment. Choosing "All of these" is incorrect because taping the catheter tubing in multiple areas can cause unnecessary discomfort and potential complications for the client.
Question 4 of 5
A hospitalized client is in a private room. When outside the room, the client must wear a surgical mask. What type of isolation precaution is in use?
Correct Answer: C
Rationale: The correct answer is C: Droplet isolation precaution. This is because droplet precautions are used to prevent the spread of infectious agents that are transmitted through respiratory droplets. In this scenario, the client must wear a surgical mask when outside the room to prevent the spread of droplets containing pathogens to others. A: Airborne precautions are used for pathogens that can be transmitted through the air over long distances, such as tuberculosis. B: Contact precautions are used for direct contact with the client or their environment to prevent the spread of pathogens. D: Standard precautions are used for all clients to prevent the spread of infection through contact with blood, body fluids, or contaminated surfaces.
Question 5 of 5
The nurse is preparing the client for an abdominal paracentesis. The nurse should place the client in which of the following positions?
Correct Answer: C
Rationale: The correct answer is C: Sitting position. Placing the client in a sitting position during an abdominal paracentesis allows for easier access to the abdomen and minimizes the risk of complications such as lightheadedness or hypotension. This position also promotes optimal drainage of ascitic fluid. A: Supine position is not ideal as it may not provide optimal access to the abdomen for the procedure. B: Left lateral position with legs flexed may not be appropriate as it can hinder access to the abdomen and fluid drainage. D: Right side-lying position is not recommended as it may obstruct access to the abdomen and make the procedure more challenging.