ATI RN
Introduction to Nursing Pdf Questions
Question 1 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.
Question 2 of 5
All of the following but one are nursing considerations for bronchoscopy:
Correct Answer: D
Rationale: The correct answer is D because sedation post-procedure is not a nursing consideration for bronchoscopy. A: NPO is important to prevent aspiration. B: Removing dentures and eyeglasses prevents obstruction and damage. C: Suction equipment is crucial for clearing secretions. In contrast, sedation post-procedure is typically managed by the physician, not the nurse.
Question 3 of 5
Bathing a client provides an excellent opportunity to assess the client's integument. Which finding indicates the need for referral to another health care professional?
Correct Answer: D
Rationale: The correct answer is D: Cheilosis. Cheilosis refers to inflammation and fissuring at the corners of the mouth, which can indicate a vitamin deficiency or fungal infection. This finding may require referral to a healthcare professional for further evaluation and treatment. A, B, and C are incorrect choices because flaky skin, rough skin in exposed areas, and hirsutism of the chin, and pitting edema of the ankles and feet are common skin conditions that can be addressed by a nurse during bathing without the need for immediate referral to another healthcare professional.
Question 4 of 5
Which safeguard should the nurse take to ensure accuracy with a telephone order?
Correct Answer: A
Rationale: The correct answer is A because repeating the order to the prescriber ensures accurate communication and allows for verification of the order. This step helps prevent errors due to misinterpretation. Option B is incorrect as the nursing supervisor is not the prescriber. Option C is incorrect as waiting for the physician's signature delays timely administration. Option D is incorrect as the nursing supervisor's role is not to monitor telephone orders.
Question 5 of 5
A patient is ordered to receive an intravenous infusion of 3,000 cc 0.8% NaCl over 24 hours. The nurse observes that the rate is 150 cc/hr. If the infusion runs continuously at this rate, the nurse would expect the infusion to be completed in:
Correct Answer: B
Rationale: To calculate the total time for the infusion, you divide the total volume (3,000 cc) by the infusion rate (150 cc/hr). 3000 cc ÷ 150 cc/hr = 20 hours. Therefore, the correct answer is B: 20 hours. Choice A (12 hours) is incorrect as it underestimates the time needed. Choice C (24 hours) is incorrect as it is the total duration of the infusion, not the time to complete it. Choice D (50 hours) is incorrect as it overestimates the time required.