ATI RN
Introduction to Nursing Profession Quizlet Questions
Question 1 of 5
Terlipressin was prescribed to Erlita due to bleeding esophageal varices. The nurse is preparing to administer the medication to the client. Which essential item is needed during the administration of this medication?
Correct Answer: B
Rationale: The correct answer is B: A suction setup. When administering Terlipressin for bleeding esophageal varices, the patient may experience vomiting due to the increased pressure in the portal venous system. A suction setup is essential to manage and prevent aspiration in case of vomiting. An airway (choice A) may be needed in case of airway obstruction but is not specific to Terlipressin administration. A cardiac monitor (choice C) may be used to monitor the patient's cardiac status but is not directly related to Terlipressin administration. A tracheotomy set (choice D) is unnecessary for administering Terlipressin and is used for emergency airway access, not for managing potential vomiting during medication administration.
Question 2 of 5
As a safety precaution in handling contaminated needles, the nurses are instructed to observe which of the following protective measures:
Correct Answer: D
Rationale: The correct answer is D: Throw the needle in a covered receptacle. This is the recommended safety measure because it ensures proper containment of the contaminated needle, reducing the risk of accidental needle sticks. Discarding the needle immediately (choice A) may lead to exposure. Covering the contaminated needle after injection (choice B) does not provide sufficient protection. Detaching the needle from the syringe and discarding it (choice C) increases the risk of needle stick injuries. Therefore, choice D is the most effective protective measure in handling contaminated needles.
Question 3 of 5
The nurse is revising a client's plan of care. During which step of the nursing process does such revision take place?
Correct Answer: D
Rationale: The correct answer is D: Evaluation. During the evaluation step of the nursing process, the nurse assesses the client's response to interventions, identifies if goals were met, and revises the care plan accordingly. This step ensures that the care provided is effective and individualized to the client's needs. A: Assessment is the step where data is collected about the client's condition, and it precedes the revision of the care plan. B: Planning involves setting goals and determining interventions, which is done before the revision of the care plan. C: Implementation is the step where the care plan is put into action, and it occurs before the evaluation and revision of the plan.
Question 4 of 5
When palpating a client's body to detect warmth, the nurse should use which part of the hand?
Correct Answer: C
Rationale: The correct answer is C: Back (dorsal surface) of the hand. This is because the back of the hand is less sensitive to temperature variations, providing a more accurate perception of warmth. The fingertips and finger pads have more sensory receptors, making it harder to differentiate subtle temperature changes. The ulnar surface is also more sensitive, causing potential inaccuracies in detecting warmth. Therefore, using the back of the hand minimizes the chances of misinterpreting temperature sensations.
Question 5 of 5
When obtaining the temperature rectally, the nurse should insert the thermometer:
Correct Answer: B
Rationale: The correct answer is B (1 inch into the rectum). This is the proper depth for rectal temperature measurement as it ensures accurate readings without causing discomfort or injury. Inserting the thermometer too shallow (A) may lead to inaccurate readings, while inserting it too deep (C and D) can cause rectal perforation or injury. Optimal insertion depth balances accurate measurement and patient safety.