ATI RN
Introduction to Nursing Profession Quizlet Questions
Question 1 of 5
As a safety precaution in handling contaminated needles, the nurses are instructed to observe which of the following protective measures:
Correct Answer: D
Rationale: The correct answer is D: Throw the needle in a covered receptacle. This is the recommended safety measure because it ensures proper containment of the contaminated needle, reducing the risk of accidental needle sticks. Discarding the needle immediately (choice A) may lead to exposure. Covering the contaminated needle after injection (choice B) does not provide sufficient protection. Detaching the needle from the syringe and discarding it (choice C) increases the risk of needle stick injuries. Therefore, choice D is the most effective protective measure in handling contaminated needles.
Question 2 of 5
When palpating a client's body to detect warmth, the nurse should use which part of the hand?
Correct Answer: C
Rationale: The correct answer is C: Back (dorsal surface) of the hand. This is because the back of the hand is less sensitive to temperature variations, providing a more accurate perception of warmth. The fingertips and finger pads have more sensory receptors, making it harder to differentiate subtle temperature changes. The ulnar surface is also more sensitive, causing potential inaccuracies in detecting warmth. Therefore, using the back of the hand minimizes the chances of misinterpreting temperature sensations.
Question 3 of 5
When obtaining the temperature rectally, the nurse should insert the thermometer:
Correct Answer: B
Rationale: The correct answer is B (1 inch into the rectum). This is the proper depth for rectal temperature measurement as it ensures accurate readings without causing discomfort or injury. Inserting the thermometer too shallow (A) may lead to inaccurate readings, while inserting it too deep (C and D) can cause rectal perforation or injury. Optimal insertion depth balances accurate measurement and patient safety.
Question 4 of 5
A client who is NPO, comatose, and receiving oxygen has cracked lips, dry mucus membranes, swollen gums, and caked mucus on the tongue and teeth. The best intervention is to:
Correct Answer: A
Rationale: The correct answer is A: Swab the oral cavity with a normal saline solution as needed. This intervention is the best choice as it helps to keep the oral cavity moist, clean, and free from infection. Normal saline is gentle, non-irritating, and helps to maintain hydration. Cracked lips, dry mucus membranes, and caked mucus can lead to discomfort and potential infection in a comatose client. Summary: - Choice B (Swab the mouth every half-hour with lemon-glycerin swabs) is incorrect as lemon-glycerin swabs may irritate the oral mucosa and are not suitable for continuous use. - Choice C (Swab lips and mucus membranes with mineral oil) is incorrect as mineral oil can be harmful if aspirated and does not provide hydration. - Choice D (Swab the oral cavity with hydrogen peroxide followed with water) is incorrect as hydrogen peroxide can be harsh on delicate oral tissues and is not recommended for
Question 5 of 5
The nurse notes that a 2 year-old child recovering from a tonsillectomy has an temperature of 98.2 degrees Fahrenheit at 8:00 AM. At 10:00 AM the child's mother reports that the child feels very warm" to touch. The first action by the nurse should be to:"
Correct Answer: C
Rationale: The correct answer is C, reassess the child's temperature. The nurse should first verify the mother's observation by assessing the child's temperature to confirm if there is an actual fever. This step ensures accurate information before any intervention. Reassuring the mother without verifying the temperature could lead to overlooking a potential issue. Offering cold oral fluids may provide temporary relief but doesn't address the underlying cause. Administering paracetamol should only be done based on a confirmed fever, not solely on the mother's perception of warmth. Therefore, reassessing the child's temperature is the most appropriate initial action.