ATI RN
Introduction to Nursing Profession Quizlet Questions
Question 1 of 5
Mr. Lang is receiving continuous tube feedings through a nasogastric tube. The nurse should check the tube placement once per shift because:
Correct Answer: D
Rationale: The correct answer is D because checking tube placement is essential to prevent aspiration into the trachea. Tube dislodgement can lead to respiratory complications. Option A is incorrect as it's not solely based on physician's order. Option B is incorrect as tube placement in the ileum would cause malabsorption. Option C is incorrect as the tube should be in the stomach, not the esophagus, for feeding.
Question 2 of 5
Which laboratory test is the most accurate indicator of a client's renal function?
Correct Answer: B
Rationale: The correct answer is B: Creatinine clearance. Creatinine clearance is the most accurate indicator of renal function because it measures the rate at which the kidneys filter creatinine from the blood. This test provides a direct assessment of the glomerular filtration rate, which reflects overall kidney function. A: Blood urea nitrogen is influenced by factors other than renal function, such as protein intake and liver function, making it less specific for assessing renal function. C: Serum creatinine is commonly used to estimate renal function, but it can be affected by factors like muscle mass and hydration status, leading to potential inaccuracies. D: Urinalysis provides valuable information about kidney health but does not directly measure the filtration capacity of the kidneys like creatinine clearance does.
Question 3 of 5
The nurse assesses clients for the cardinal signs of inflammation. Which signs/symptoms does this include? (Select the one that does not apply.)
Correct Answer: B
Rationale: The correct answer is B: Pulselessness. The cardinal signs of inflammation are redness, swelling (edema), warmth, and pain. Pulselessness is not considered a cardinal sign of inflammation. Inflammation does not typically affect blood flow to the extent of causing pulselessness. Edema, pallor, and redness are all commonly associated with the inflammatory response due to increased blood flow and vascular permeability. Pulselessness is more indicative of a vascular issue or severe ischemia rather than inflammation.
Question 4 of 5
A client has a great deal of pain when coughing and deep breathing after abdominal surgery despite having pain medication. What action by the nurse is best?
Correct Answer: B
Rationale: The correct answer is B: Demonstrate how to splint the incision. Splinting the incision while coughing or deep breathing can help reduce pain by providing support to the surgical site and minimizing strain on the incision. This technique promotes healing and prevents complications such as wound dehiscence. Calling the primary health care provider for more analgesia (A) should be a last resort after non-pharmacological interventions have been tried. Having the client take shallower breaths (C) may lead to respiratory complications. Telling the client that a little pain is expected (D) does not address the issue or provide a solution to alleviate the discomfort.
Question 5 of 5
A postoperative client has an abdominal drain. What assessment by the nurse indicates that goals for the priority client problems related to the drain are being met?
Correct Answer: B
Rationale: Step-by-step rationale for why Choice B is correct: 1. No redness, warmth, or drainage at the insertion site indicates absence of infection or complications related to the drain. 2. This assessment signifies that the drain is functioning properly and there is no leakage or signs of infection. 3. It shows that the surgical wound and the drain site are healing well. 4. Monitoring for signs of infection or complications at the insertion site is crucial in postoperative care. 5. Therefore, Choice B is the correct answer as it indicates successful management of the client's abdominal drain.