ATI RN
Introduction to Nursing Pdf Questions
Question 1 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 2 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.
Question 3 of 5
The nurse is planning care for a client with type I insulin dependent diabetes mellitus (IDDM). Which statement best reflects a short-term goals for this client?
Correct Answer: D
Rationale: The correct answer is D because identifying elements of the basic diabetic diet is a short-term goal that is specific, measurable, achievable, relevant, and time-bound (SMART). This goal directly addresses the immediate need to manage blood glucose levels through proper nutrition. By the end of the week, the client should be able to apply this knowledge to their daily routine. A: While coping with anxiety is important, it is not directly related to the short-term management of diabetes. B: Understanding how to prevent complications is essential but may be a more long-term goal. C: Teaching about signs and symptoms of hypoglycemia and hyperglycemia is crucial, but it is more of an immediate educational need rather than a goal for the client to achieve.
Question 4 of 5
The nurse determines that a client has 20/40 vision. Which statement about this client's vision is true?
Correct Answer: B
Rationale: The correct answer is B because 20/40 vision means the client can read at 20 feet what a person with normal vision can read at 40 feet. This indicates that the client's visual acuity is reduced compared to someone with normal vision. Choice A is incorrect because it assumes the client can see the entire chart at 40 feet, which is not true for 20/40 vision. Choice C is incorrect because it suggests the client has different visual acuity in each eye, which is not the definition of 20/40 vision. Choice D is incorrect because it incorrectly states that the client can read at 30 feet what a person with normal vision can read at 40 feet, which is not the correct interpretation of 20/40 vision.
Question 5 of 5
Since the nurse is taking the initial BP of the client, the nurse should repeat the procedure on the client’s other arm. The nurse knows that there should not be a difference of _____ on the other arm of the client.
Correct Answer: A
Rationale: The correct answer is A: 10 mmHg. When taking blood pressure, there should ideally be less than a 10 mmHg difference between the two arms. A significant difference could indicate an underlying health issue such as arterial blockage or peripheral vascular disease. A difference of 20, 30, or 40 mmHg would be considered abnormal and warrant further investigation. It is important to check both arms to ensure accuracy and detect any potential issues early on.