ATI RN
Falls Introduction to Nursing Quizlet Questions
Question 1 of 5
The family of a client who has just received surgery involving the intestines asks when oral fluids and food can be given. You should tell the family that the physician will most likely start fluids at which of the following times?
Correct Answer: A
Rationale: Oral intake is typically resumed after intestinal surgery when peristalsis (bowel sounds) returns, indicating the digestive system is functioning again.
Question 2 of 5
Which of the following factors positively affect self-concept? Select one that doesn't apply
Correct Answer: A
Rationale: Parental approval, success at school, and receiving a promotion at work will have a positive impact on the individual's self-concept, as these situations promote good feelings about self-concept. A chronic illness usually has a negative impact on self-concept, as the client is related to the changes. Excessive use of alcohol is a symptom of a poor self-concept.
Question 3 of 5
During an assessment, the client reports pain in the internal rotation of her right shoulder. This will most likely affect which of the following activities?
Correct Answer: B
Rationale: Internal rotation of the shoulder is required to fasten a bra behind the back, so pain in this movement would most likely affect that activity. The other activities involve different shoulder motions less dependent on internal rotation.
Question 4 of 5
What is the most appropriate way to auscultate breath sounds?
Correct Answer: B
Rationale: Comparing side to side breath sounds is the correct technique to use. This allows the nurse to make comparisons between right and left lungs in a systematic way. The nurse should listen to the anterior and posterior aspects of the chest in a consistent manner.
Question 5 of 5
A nurse is checking the vital signs of a newly admitted patient who has a femur fracture. The patient's blood pressure is 140 / 94 mmHg. The client denies any history of hypertension. What should the nurse do next?
Correct Answer: A
Rationale: The patient has a broken femur and her blood pressure is elevated due to pain. The nurse should ask if she is having pain and continue a full pain assessment.