ATI RN
Introduction to Nursing Final Exam Quizlet Questions
Question 1 of 5
Nurse De Silva knows he can perform chest physiotherapy:
Correct Answer: B
Rationale: Correct Answer: B (One hour after meals) Rationale: Performing chest physiotherapy one hour after meals helps prevent aspiration during the procedure. Waiting allows food to move from the stomach to the small intestine, reducing the risk of aspiration. Performing chest physiotherapy immediately before meals (A) or during meals (C) could increase the risk of aspiration. Similarly, performing it before bedtime (D) may also increase the risk of aspiration as the patient lies down after the procedure.
Question 2 of 5
To give a Z-track injection, the nurse measures the correct medication dose and then draws a small amount of air into the syringe. What is the rationale for this action?
Correct Answer: B
Rationale: The correct answer is B: Adding air prevents the drug from flowing back into the needle track. When giving a Z-track injection, the nurse pulls the skin to the side before inserting the needle. By adding air into the syringe after drawing up the medication, a small air bubble is created above the medication in the syringe. This air bubble creates a seal when the needle is withdrawn, preventing the medication from leaking back into the needle track and causing irritation or staining. Incorrect choices: A: Adding air does not decrease pain caused by the injection. C: Adding air does not prevent the solution from entering a blood vessel. D: Adding air does not ensure that the client receives the entire dose.
Question 3 of 5
A client is dehydrated and requires 0.5 L of dextrose 5% in water to infuse at 50 ml/hour. If the solution is hung at 1:00 pm, what time will the solution be completed?
Correct Answer: C
Rationale: The solution requires 0.5 L to be infused at 50 ml/hour. To determine the time it will be completed, first calculate the total infusion time: 0.5 L / 50 ml/hour = 10 hours. Since the solution is hung at 1:00 pm, add 10 hours to get the completion time, which is 11:00 pm (Choice C). Choice A (6:00 PM) is incorrect because it does not account for the full 10-hour infusion time. Choice B (9:00 PM) is incorrect as it also does not consider the complete infusion duration. Choice D (12:00 mn) is incorrect since it overlooks the 1-hour difference between 11:00 pm and midnight.
Question 4 of 5
A client with diarrhea is for low residue diet. Which among the following is not included in the low fiber diet for diarrhea?
Correct Answer: A
Rationale: The correct answer is A: Bread. Low residue diet for diarrhea aims to reduce fiber intake to ease digestion. Bread, especially whole grain, contains high fiber which can worsen diarrhea. Chicken without skin, rice, and tea are low in fiber and suitable for a low residue diet. Bread is the only option that is high in fiber among the choices.
Question 5 of 5
The client has just had a liver biopsy. Which of the following nursing actions would be the priority after the biopsy?
Correct Answer: A
Rationale: The correct answer is A because after a liver biopsy, the priority is to position the patient on the right side to apply pressure and prevent bleeding from the biopsy site on the liver's right lobe. This position helps compress the liver against the diaphragm, reducing the risk of bleeding. Choice B is incorrect as monitoring vital signs is important, but positioning the patient takes precedence immediately post-biopsy. Choice C is incorrect as ambulation may increase the risk of bleeding and should be avoided initially. Choice D is incorrect as measuring urine specific gravity is not directly related to post-liver biopsy care.