ATI RN
Introduction to Professional Nursing Quizlet Questions
Question 1 of 5
Nurse Corazon has just received a unit of packed red blood cells from the blood bank to transfuse into a client as ordered. Before preparing the blood for transfusion, Nurse Corazon noticed the presence of bubbles in the bag. She should take which of the following actions?
Correct Answer: C
Rationale: Rationale: 1. Bubbles in blood bag indicate possible contamination or improper handling. 2. Returning the bag to the blood bank ensures safety and quality control. 3. Adding saline or heparin can compromise the integrity of the blood product. 4. Double-checking by another nurse does not address the issue of bubbles. Summary: - Choice A: Does not address the potential issue with the blood bag. - Choice B: Adding saline can affect the blood product's composition. - Choice C: Correct - ensures proper handling and safety. - Choice D: Adding heparin can alter the blood product's function.
Question 2 of 5
During the planning step of the nursing process, the nurse performs which activity?
Correct Answer: B
Rationale: During the planning step of the nursing process, the nurse develops goals of care to address the patient's needs identified during data collection and analysis. This step involves setting specific, measurable, achievable, relevant, and time-bound objectives to guide the care provided. Developing goals of care ensures that the care plan is individualized, patient-centered, and focused on achieving positive outcomes for the patient. Recording data (A) is part of the assessment phase, collecting data (C) is part of the assessment phase, and carrying out interventions (D) is part of the implementation phase of the nursing process, not the planning phase.
Question 3 of 5
The nurse is assessing the client who has edema. The skin remains indented or pitted at 8mm. The nurse describes the degree of edema as:
Correct Answer: D
Rationale: The correct answer is D (4+). This degree of edema indicates severe pitting edema where the skin remains indented or pitted at 8mm. This level of indentation signifies a significant accumulation of fluid in the tissues. Choices A (1+), B (2+), and C (3+) represent varying degrees of pitting edema with shallower indentations ranging from 2mm to 6mm, which are considered mild to moderate levels of edema. Therefore, the correct assessment of 4+ reflects the severity of the client's condition based on the depth of indentation and the amount of accumulated fluid in the tissues.
Question 4 of 5
The nurse measures a client's temperature at 102° F. What is the equivalent Centigrade temperature?
Correct Answer: C
Rationale: The correct answer is C (38.9° C) because to convert Fahrenheit to Celsius, you subtract 32 from the Fahrenheit temperature and then multiply by 5/9. So, 102°F - 32 = 70, and 70 x 5/9 = 38.9°C. Choice A (39°C) is close but not exact. Choice B (47°C) and D (40.1°C) are significantly off and do not follow the correct conversion formula.
Question 5 of 5
The nurse must know that the most accurate oxygen delivery system available is:
Correct Answer: A
Rationale: The correct answer is A: The venturi mask. This is the most accurate oxygen delivery system because it allows for precise oxygen concentration adjustment. The venturi mask delivers a specific oxygen concentration by mixing oxygen with room air through a system of valves and ports. This ensures a consistent and accurate oxygen delivery to the patient. Nasal cannula (B) delivers low to medium oxygen concentrations and is less accurate. Partial non-rebreather mask (C) and simple face mask (D) deliver higher oxygen concentrations but are not as precise as the venturi mask.