ATI RN
Introduction to Nursing Pdf Questions
Question 1 of 5
How should a nurse hyperventilate a patient before suctioning?
Correct Answer: D
Rationale: The correct answer is D: Give 3 hyperinflations. Hyperventilating a patient before suctioning helps increase oxygen levels and reduce the risk of hypoxemia during the procedure. Hyperinflations involve delivering 3 deep breaths to the patient, which helps improve oxygenation and prepare the patient for suctioning. Choices A, B, and C are incorrect because simply giving inflations, adjusting oxygen flow rate, or providing 100% oxygen without hyperinflations may not adequately prepare the patient for suctioning and prevent hypoxemia.
Question 2 of 5
You need to hang a 1000-mL intravenous (IV) bag of 5% dextrose in water with 20 mEq of potassium chloride. However, since the patient also has infection, she is also prescribed with piperacillin/tazobactam and it also needs to be administered now. The client has one IV site. Which action should you do first?
Correct Answer: B
Rationale: The correct answer is B: Check compatibility of the medication and IV fluids. Before administering the medications, it is crucial to ensure compatibility to prevent any adverse reactions or inactivation of the drugs. Checking compatibility involves verifying if the medications can be safely mixed and administered through the same IV line. This step helps in maintaining the effectiveness of the medications and ensuring patient safety. Summary: - Starting a second IV site (Choice A) is not necessary unless compatibility issues arise. - Mixing the prepackaged piperacillin/tazobactam per agency policy (Choice C) should only be done after verifying compatibility. - Priming the tubing with the IV solution and back-priming the medication (Choice D) should be done after confirming compatibility to avoid wastage.
Question 3 of 5
Nurse Mario knows he can perform chest physiotherapy:
Correct Answer: B
Rationale: Answer B is correct because performing chest physiotherapy one hour after meals helps prevent aspiration during the procedure. After meals, the risk of regurgitation and aspiration is higher, so waiting one hour allows for digestion and reduces these risks. Choices A, C, and D are incorrect because performing chest physiotherapy immediately before meals, during meals, or before bedtime can increase the risk of aspiration due to the timing in relation to eating.
Question 4 of 5
The nurse selects which of the following materials to be used as the first layer of the dressing at the chest tube insertion site?
Correct Answer: C
Rationale: The correct answer is C: Petrolatum jelly gauze. This material helps create a seal around the chest tube insertion site to prevent air leaks and infections. Step-by-step rationale: 1. Petrolatum jelly gauze provides an occlusive barrier to protect the site. 2. It helps maintain a moist environment for wound healing. 3. It reduces the risk of skin irritation. Summary: A dry sterile gauze (choice A) does not provide a proper seal or moisture needed for healing. Absorbent kelix dressing (choice B) may not create a sufficient barrier. Gauze with betadine (choice D) can be irritating and delay wound healing.
Question 5 of 5
A client complains of severe abdominal pain. To elicit as much information as possible about the pain, the nurse should ask:
Correct Answer: B
Rationale: Step 1: Asking the client to describe the pain allows for a detailed account, aiding in identifying the cause. Step 2: Descriptions like sharp, dull, stabbing, or burning help determine the nature of the pain. Step 3: Location (choice C) and timing (choice A) are important but secondary to understanding the quality of pain. Step 4: Describing pain as stabbing (choice D) limits the client's response to a specific characteristic. Summary: Choice B is correct as it elicits comprehensive information about the pain quality, while the other choices focus on specific aspects that may not provide as much insight.