ATI RN
Falls Introduction to Nursing Quizlet Questions
Question 1 of 5
Pulse site routinely used for infants is:
Correct Answer: B
Rationale: The correct answer is B: Apical. The apical pulse site, located at the apex of the heart, is the most accurate for infants due to their small size and rapid heart rate. It is accessed by placing the stethoscope at the left fifth intercostal space midclavicular line. The radial pulse (A) is commonly used for adults, not infants. The brachial pulse (C) is typically used for blood pressure measurements in infants. The carotid pulse (D) is not recommended for routine assessment in infants due to potential risk of injury. In summary, the apical pulse site is preferred for infants due to its accuracy and ease of access compared to the other choices.
Question 2 of 5
What is normal verbalization of a toddler whose brother died?
Correct Answer: B
Rationale: The correct answer is B because toddlers often have a limited understanding of death and may express longing for the deceased through familiar activities like having pizza. Choice A may indicate an advanced understanding of death unlikely for a toddler. Choice C is a more definitive statement than a toddler might make. Choice D expresses sadness but doesn't capture the toddler's limited comprehension and focus on reunion.
Question 3 of 5
When suctioning, which of the following techniques is correct?
Correct Answer: C
Rationale: The correct technique for suctioning is using intermittent suction while withdrawing the catheter (Choice C) because it helps prevent injury to the airway and reduce the risk of hypoxia. Intermittent suctioning allows for effective removal of secretions without causing trauma to the airway tissues. Advancing the catheter while suctioning can stimulate the gag reflex and cause injury, while continuous suctioning can lead to hypoxia and damage to the airway mucosa. Therefore, using intermittent suction while withdrawing the catheter ensures safe and effective suctioning without compromising patient safety.
Question 4 of 5
After circulation has ceased, discoloration appears in the lowermost or dependent areas of the body of the deceased. This is known as:
Correct Answer: C
Rationale: The correct answer is C: Livor mortis. Livor mortis is the pooling of blood in the lowermost areas of the body post-mortem due to gravity. This occurs after circulation stops, causing discoloration in dependent areas. Algor mortis (choice A) refers to the cooling of the body after death, Rigor mortis (choice B) is the stiffening of muscles post-mortem, and Manor mortis (choice D) is not a recognized term in forensic science.
Question 5 of 5
The nurse is preparing to administer a blood transfusion. Which action should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B. Comparing the client's identification wristband with the tag on the unit of blood is crucial to ensure proper patient identification and prevent errors in blood transfusion. This step helps verify patient identity and blood compatibility before administration. Incorrect Choices: A: Typing and crossmatching can be done after patient identification to confirm compatibility. C: Starting an IV infusion of normal saline is important but not the first step in blood transfusion. D: Measuring vital signs is important but should not be the first action before verifying patient identity for blood transfusion.