ATI RN
Introduction to Nursing Profession Quizlet Questions
Question 1 of 5
Chronic Obstructive Pulmonary Disease (COPD) is one of the leading causes of death worldwide and is a preventable disease. The primary cause of COPD is:
Correct Answer: D
Rationale: The correct answer is D: Cigarette smoking. Cigarette smoking is the primary cause of COPD as it leads to chronic inflammation and damage to the airways and alveoli in the lungs. This damage results in airflow limitation and breathing difficulties characteristic of COPD. High cholesterol diet (A) is not a direct cause of COPD. Bronchitis (B) is a type of COPD but not the primary cause. Asthma (C) is a separate respiratory condition with different underlying mechanisms than COPD.
Question 2 of 5
The nurse is revising a client's plan of care. During which step of the nursing process does such revision take place?
Correct Answer: D
Rationale: The correct answer is D: Evaluation. During the evaluation step of the nursing process, the nurse assesses the client's response to interventions, identifies if goals were met, and revises the care plan accordingly. This step ensures that the care provided is effective and individualized to the client's needs. A: Assessment is the step where data is collected about the client's condition, and it precedes the revision of the care plan. B: Planning involves setting goals and determining interventions, which is done before the revision of the care plan. C: Implementation is the step where the care plan is put into action, and it occurs before the evaluation and revision of the plan.
Question 3 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 4 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 5 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