ATI RN
Introduction to Nursing Final Exam Quizlet Questions
Question 1 of 5
An emergency department nurse assesses a female client. Which assessment findings would alert the nurse to request a prescription for an electrocardiogram? (Select the one that does not apply.)
Correct Answer: D
Rationale: The correct answer is D. Abdominal pain does not typically prompt a need for an electrocardiogram (ECG) as it is not a common symptom associated with cardiac issues. Hypertension (A), fatigue despite adequate rest (B), and indigestion (C) are all potential signs of underlying cardiac problems that could necessitate an ECG to assess the heart's electrical activity. Abdominal pain is more likely related to gastrointestinal issues rather than cardiac concerns.
Question 2 of 5
A patient is hospitalized with active tuberculosis (TB). Which assessment finding indicates to the nurse that prescribed airborne precautions are likely to be discontinued?
Correct Answer: D
Rationale: The correct answer is D because negative sputum smears for acid-fast bacilli indicate reduced infectivity and lower risk of transmission. This means the patient is likely non-infectious and can discontinue airborne precautions. Choice A is incorrect because upper lobe infiltrates are common in TB. Choice B is incorrect as TB treatment usually lasts 6-9 months. Choice C is incorrect because an induration of 10 mm on Mantoux testing indicates exposure to TB, not readiness to discontinue precautions.
Question 3 of 5
A nurse cares for a client who is scheduled for a total laryngectomy. What action would the nurse take prior to surgery?
Correct Answer: C
Rationale: The correct answer is C. Prior to total laryngectomy, the nurse should assist the client to choose a communication method as the client will lose their ability to speak post-surgery. This step is crucial for the client's psychosocial well-being and quality of life. Assessing airway patency, breathing, and circulation (A) is important but is typically done as part of routine preoperative assessment and not specific to laryngectomy. Administering pain medication (B) is important but is not the priority before surgery, as the client may not be in pain at that moment. Ambulating the client (D) is not necessary before laryngectomy and does not address the client's communication needs.
Question 4 of 5
A nurse is teaching a client who has cystic fibrosis (CF). Which statement would the nurse include in this client’s teaching?
Correct Answer: C
Rationale: Rationale: Choice C is correct because individuals with CF require a well-balanced, nutritious diet to support their overall health and manage their condition. This includes adequate intake of calories, protein, vitamins, and minerals. A balanced diet can help improve lung function, maintain a healthy weight, and support the body's immune system. Choices A, B, and D are incorrect. Taking antibiotics daily may not be necessary for all CF patients, genetic screening is important but not directly related to dietary needs, and exercise recommendations should be individualized based on the client's health status.
Question 5 of 5
An active 28-year-old male with type 1 diabetes is being seen in the endocrine clinic. Which finding may indicate the need for a change in therapy?
Correct Answer: B
Rationale: The correct answer is B because a blood pressure reading of 146/88 mmHg indicates hypertension, which is a common comorbidity with type 1 diabetes. Hypertension increases the risk of cardiovascular complications in diabetic patients. Choices A, C, and D are within normal ranges and do not directly indicate the need for a change in therapy for a 28-year-old active male with type 1 diabetes.