ATI RN
Introduction to Nursing Pdf Questions
Question 1 of 5
All of the following but one are nursing considerations for bronchoscopy:
Correct Answer: D
Rationale: The correct answer is D because sedation post-procedure is not a nursing consideration for bronchoscopy. A: NPO is important to prevent aspiration. B: Removing dentures and eyeglasses prevents obstruction and damage. C: Suction equipment is crucial for clearing secretions. In contrast, sedation post-procedure is typically managed by the physician, not the nurse.
Question 2 of 5
Which safeguard should the nurse take to ensure accuracy with a telephone order?
Correct Answer: A
Rationale: The correct answer is A because repeating the order to the prescriber ensures accurate communication and allows for verification of the order. This step helps prevent errors due to misinterpretation. Option B is incorrect as the nursing supervisor is not the prescriber. Option C is incorrect as waiting for the physician's signature delays timely administration. Option D is incorrect as the nursing supervisor's role is not to monitor telephone orders.
Question 3 of 5
A patient is ordered to receive an intravenous infusion of 3,000 cc 0.8% NaCl over 24 hours. The nurse observes that the rate is 150 cc/hr. If the infusion runs continuously at this rate, the nurse would expect the infusion to be completed in:
Correct Answer: B
Rationale: To calculate the total time for the infusion, you divide the total volume (3,000 cc) by the infusion rate (150 cc/hr). 3000 cc ÷ 150 cc/hr = 20 hours. Therefore, the correct answer is B: 20 hours. Choice A (12 hours) is incorrect as it underestimates the time needed. Choice C (24 hours) is incorrect as it is the total duration of the infusion, not the time to complete it. Choice D (50 hours) is incorrect as it overestimates the time required.
Question 4 of 5
A nurse in the ICU is caring for a patient with PEEP. The patient suddenly called the nurse, and said: “Nurse, my leg is severely aching!” What is your priority nursing action?
Correct Answer: C
Rationale: The correct answer is C: Check the balloon of the ET tube. This is the priority nursing action because PEEP (Positive End-Expiratory Pressure) is a mechanical ventilation setting that can lead to accidental migration of the endotracheal (ET) tube, causing pressure on surrounding structures like the vocal cords or trachea, leading to referred pain in the leg. Checking the balloon of the ET tube ensures proper placement and prevents complications. Choice A: Checking the condition of the leg is not the priority as the patient's complaint is likely related to the mechanical ventilation. Choice B: Checking for pain scale is not the priority as addressing the source of the pain is more critical. Choice D: Giving analgesic is not appropriate until the cause of the leg pain is identified.
Question 5 of 5
What is the priority of care after the urinary catheter is removed?
Correct Answer: C
Rationale: The correct answer is C because after urinary catheter removal, priority is to evaluate the client for normal voiding to ensure proper bladder function. Encouraging fluid intake (A) is important for hydration. Documenting catheter size and client tolerance (B) is relevant but not a priority post-catheter removal. Documenting client teaching (D) is important but not the immediate priority.