ATI RN
Introduction to Nursing 203 Quizlet Questions
Question 1 of 5
An inpatient nurse brings an informed consent form to a client for an operation scheduled for tomorrow. The client asks about possible complications from the operation. What response by the nurse is best?
Correct Answer: B
Rationale: The correct answer is B because if the client asks about possible complications from the operation, the nurse should not have the client sign the consent until their questions are addressed by the primary health care provider. This ensures that the client fully understands the risks involved before giving consent. Answer A is incorrect because simply answering the questions and documenting teaching may not ensure that the client's concerns are adequately addressed. Answer C is incorrect because having the client sign the consent without addressing their concerns first is not in the client's best interest. Answer D is incorrect because reminding the client of previous teaching does not address the client's current concerns about possible complications.
Question 2 of 5
A primary health care provider notifies the nurse that a client has a “bandemia.” What action does the nurse anticipate?
Correct Answer: A
Rationale: The correct answer is A: Administer antibiotics. A "bandemia" refers to an elevated level of band neutrophils, which indicates a bacterial infection. Therefore, administering antibiotics would be the appropriate action to treat the underlying infection. Placing the client in isolation (B) is not necessary unless there are specific isolation precautions for the type of infection. Administering IV leukocytes (C) is not a common practice and may not be indicated. Obtaining an immunization history (D) is not relevant to addressing the immediate concern of treating the bacterial infection indicated by bandemia.
Question 3 of 5
A patient has chronic peripheral artery disease (PAD) of the legs and an ulcer on the right second toe. What should the nurse expect to find on assessment?
Correct Answer: C
Rationale: The correct answer is C: dry. In chronic PAD, decreased blood flow to the legs can lead to dry, shiny, and cool skin due to decreased moisture and oxygenation. This can result in impaired wound healing. Dilated superficial veins (A) are more commonly seen in venous insufficiency. Swollen (B) and scaly ankles (D) are not typically associated with chronic PAD but may be seen in conditions such as heart failure or dermatitis.
Question 4 of 5
The nurse has received the laboratory results for a patient who developed chest pain 4 hours ago and may be having a myocardial infarction. Which laboratory test result should be most helpful in indicating myocardial damage? (FILL IN THE BLANKS)
Correct Answer: A
Rationale: The correct answer is A: Troponins. Troponins are specific markers released into the bloodstream when there is damage to the heart muscle, such as in a myocardial infarction. Elevated troponin levels indicate myocardial damage. Choices B, C, and D (Indigestion, Constipation, Anxiety) are incorrect as they do not directly measure myocardial damage or indicate a heart attack. Troponins are the gold standard for diagnosing myocardial infarction due to their high specificity and sensitivity.
Question 5 of 5
The nurse provides preoperative instruction for a patient scheduled for a left pneumonectomy. Which information should the nurse include about the patient’s postoperative care?
Correct Answer: C
Rationale: The correct answer is C: Frequent use of an incentive spirometer. This is essential post-pneumonectomy to prevent atelectasis and promote optimal lung expansion. Incentive spirometry helps the patient take deep breaths, improving lung function and preventing complications. Option A is incorrect because early mobilization is encouraged postoperatively to prevent complications. Option B is incorrect as positioning should vary to promote lung expansion. Option D is incorrect as chest tubes are usually placed to water seal, not continuous suction, to prevent complications.