ATI RN
Chapter 1 Introduction to Nursing Quizlet Questions
Question 1 of 5
How should the external ear be pulled during otoscope inspection in a 5-year-old child?
Correct Answer: B
Rationale: The correct answer is B: Down and back. Pulling the external ear down and back in a 5-year-old child straightens the ear canal, allowing for better visualization during otoscope inspection. This technique also helps prevent injury to the ear canal and eardrum. Pulling the ear up and front (choice A) can cause the ear canal to close off, obstructing the view. Pulling the ear down and front (choice C) may not provide adequate visualization and can also lead to injury. Pulling the ear up and back (choice D) can cause the ear canal to fold, making it difficult to see inside.
Question 2 of 5
Prior to explaining the procedure to the client, which of the following responses is the most important cue prior to the health teaching?
Correct Answer: B
Rationale: The correct answer is B: "I am allergic to eggs." This response is the most important cue because some blood products are derived from human plasma, which may contain traces of egg proteins. This can trigger an allergic reaction in individuals with egg allergies. Choice A is not directly relevant to the procedure. Choice C, while indicating some understanding, does not address potential complications related to allergies. Choice D is incorrect as the client's allergy status is crucial for a safe transfusion process.
Question 3 of 5
You are preparing to hang fat emulsion and observes that fat globules are visible at the top of the solution. Which of the following actions should you take?
Correct Answer: B
Rationale: The correct answer is B because visible fat globules at the top of a fat emulsion solution indicate separation or instability. Obtaining a different bottle of solution ensures proper emulsion consistency for safe administration. Rolling the bottle gently (A) may not fully address the issue. Shaking vigorously (C) can further destabilize the emulsion. Running under warm water (D) could alter the emulsion's composition.
Question 4 of 5
A physician orders 1L of normal saline solution to infuse over 8 hours. The drop factor is 15 drops per 1 ml. Nurse Corazon prepares to set the flow rate at how many drops per minute?
Correct Answer: C
Rationale: To calculate the flow rate in drops per minute, we first find the total drops needed for 1L over 8 hours: 1L = 1000 ml 1000 ml * 15 drops/ml = 15000 drops 15000 drops / 8 hours = 1875 drops/hour 1875 drops / 60 minutes = 31.25 drops/minute, rounded to 31 drops/minute. Therefore, Choice C (31 gtts/minute) is correct. Choices A, B, and D are incorrect as they do not accurately calculate the correct flow rate based on the given drop factor and infusion parameters.
Question 5 of 5
A pediatric client with ventricular septal defect repair is placed on a maintenance dosage of digoxin. The dosage is 8 mcg/kg/day, and the client’s weight is 7.2 kg. The pediatrician prescribes the digoxin to be given twice daily. The nurse prepares how many mcg of digoxin to administer to the child at each dose?
Correct Answer: C
Rationale: To calculate the correct dosage, first, multiply the child's weight (7.2 kg) by the maintenance dosage (8 mcg/kg/day) to get the total daily dose: 7.2 kg x 8 mcg/kg/day = 57.6 mcg/day. Since the medication is given twice daily, divide the total daily dose by 2 to get the dosage for each administration: 57.6 mcg/day / 2 = 28.8 mcg. Therefore, the correct answer is C (28.8 mcg). Explanation for incorrect choices: A: 12.6 mcg - Incorrect, as it does not account for the correct calculation based on the child's weight and maintenance dosage. B: 21.4 mcg - Incorrect, as it is not the correct dosage obtained from the calculation. D: 32.2 mcg - Incorrect, as it is not the correct dosage based on the calculation provided.