ATI RN
Introduction to Nursing Quizlet Questions
Question 1 of 5
The client is scheduled for an intravenous pyelograph (IVP) to determine the location of the renal calculi. Which of the following measures would be most important for the nurse to include in pretest preparation?
Correct Answer: C
Rationale: The correct answer is C: Checking the client's history for allergy to iodine. This is crucial for IVP as iodine contrast dye is used, and an allergic reaction can occur. It is important to identify any potential allergies beforehand to prevent a serious reaction during the test. A: Ensuring adequate fluid intake on the day of the test - While hydration is important, it is not the most critical factor in pretest preparation for IVP. B: Preparing the client for the possibility of bladder spasms during the test - While informing the client about possible discomfort is important, it is not as essential as identifying allergies to iodine. D: Determining when the client last had a bowel movement - Bowel movement history is not directly related to the IVP procedure and is not as critical as checking for iodine allergy.
Question 2 of 5
A preoperative nurse is assessing a client prior to surgery. Which information would be most important for the nurse to relay to the surgical team?
Correct Answer: D
Rationale: The correct answer is D because the use of multiple herbs and supplements can interact with anesthesia and other medications during surgery, potentially causing adverse effects. It is crucial for the surgical team to be aware of this information to ensure the client's safety. A: Allergy to bee and wasp stings - Although allergies are important, this information may not directly impact the surgical procedure and can be managed with standard protocols. B: History of lactose intolerance - Lactose intolerance typically does not have a significant impact on surgery unless specific dietary restrictions are necessary, which can be easily managed. C: No previous experience with surgery - While this information is relevant for emotional support, it does not directly affect the surgical procedure itself.
Question 3 of 5
A nurse assesses a client who is admitted for treatment of fluid overload. Which signs and symptoms does the nurse expect to find? (Select the one that does not apply..)
Correct Answer: C
Rationale: The correct answer is C: Decreased blood pressure. Fluid overload typically presents with increased pulse rate (A) due to increased blood volume, distended neck veins (B) from increased venous pressure, and warm and pink skin (D) due to increased cardiac output. However, decreased blood pressure (C) is not a common sign of fluid overload as the body compensates by maintaining or even increasing blood pressure to accommodate the excess fluid.
Question 4 of 5
The nurse is caring for a patient with critical limb ischemia who has just arrived on the nursing unit after having percutaneous transluminal balloon angioplasty. Which action should the nurse perform first?
Correct Answer: A
Rationale: The correct answer is A: Obtain vital signs. This is the first action the nurse should perform because it helps assess the patient's immediate status post-procedure. Vital signs can indicate any complications or changes in the patient's condition that may require immediate intervention. Assessing vital signs is crucial in monitoring the patient's stability and response to the procedure. Summary: - B: Teaching wound care can be important but is not the priority immediately post-procedure. - C: Assessing pedal pulses is important but obtaining vital signs takes precedence to assess the overall status. - D: Checking the wound site is important, but vital signs should be assessed first to ensure the patient's immediate well-being.
Question 5 of 5
The nurse is administering a thrombolytic agent to a patient with an acute myocardial infarction. What patient data indicates that the nurse should stop the drug infusion?
Correct Answer: C
Rationale: The correct answer is C: Decreased level of consciousness. This indicates a potential complication such as intracranial bleeding, a serious adverse effect of thrombolytic therapy. Stopping the drug infusion is crucial to prevent further harm. Bleeding from the gums (A) is a common side effect of thrombolytic therapy but does not necessarily warrant stopping the infusion. An increase in blood pressure (B) may be expected due to the patient's condition and should be managed but does not indicate stopping the infusion. A nonsustained episode of ventricular tachycardia (D) may require treatment but does not mandate stopping the drug infusion unless it progresses to sustained ventricular tachycardia.