ATI RN
Chapter 1 Introduction to Nursing Quizlet Questions
Question 1 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 2 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 3 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.
Question 4 of 5
Which statement reflects appropriate documentation in the medical record of a hospitalized client?
Correct Answer: A
Rationale: The correct answer is A because it provides specific, objective information about a medical condition - a small pressure ulcer on the left leg. This type of documentation is crucial for accurate assessment, diagnosis, and treatment planning. Choice B is incorrect as it reflects subjective interpretation rather than a factual observation. Choice C is also incorrect as it lacks relevant medical information. Choice D is incorrect as it describes a physical symptom without a specific location or context. In medical documentation, clarity and precision are essential for communication among healthcare providers and ensuring quality patient care.
Question 5 of 5
In a client with long-term emphysema, the nurse might expect to see which condition when inspecting the nails?
Correct Answer: B
Rationale: The correct answer is B: Clubbing. In a client with long-term emphysema, clubbing of the nails may be present due to chronic hypoxia. Clubbing is characterized by an enlargement of the fingertips and a loss of the normal angle between the nail and the nail bed. This occurs as a result of chronic oxygen deprivation. The other choices are incorrect because: A) A rapid blanch test is not relevant to nail inspection in emphysema; C) Koilonychia is associated with iron deficiency anemia, not emphysema; D) Paronychia is an infection of the nail fold, which is not directly related to emphysema.