ATI RN
Introduction to Nursing Profession Quizlet Questions
Question 1 of 5
The nurse assesses clients for the cardinal signs of inflammation. Which signs/symptoms does this include? (Select the one that does not apply.)
Correct Answer: B
Rationale: The correct answer is B: Pulselessness. The cardinal signs of inflammation are redness, swelling (edema), warmth, and pain. Pulselessness is not considered a cardinal sign of inflammation. Inflammation does not typically affect blood flow to the extent of causing pulselessness. Edema, pallor, and redness are all commonly associated with the inflammatory response due to increased blood flow and vascular permeability. Pulselessness is more indicative of a vascular issue or severe ischemia rather than inflammation.
Question 2 of 5
A postoperative client has an abdominal drain. What assessment by the nurse indicates that goals for the priority client problems related to the drain are being met?
Correct Answer: B
Rationale: Step-by-step rationale for why Choice B is correct: 1. No redness, warmth, or drainage at the insertion site indicates absence of infection or complications related to the drain. 2. This assessment signifies that the drain is functioning properly and there is no leakage or signs of infection. 3. It shows that the surgical wound and the drain site are healing well. 4. Monitoring for signs of infection or complications at the insertion site is crucial in postoperative care. 5. Therefore, Choice B is the correct answer as it indicates successful management of the client's abdominal drain.
Question 3 of 5
A patient with elevated lipid levels has a new prescription for nicotinic acid (niacin). The nurse informs the patient that which adverse effects may occur with this medication?
Correct Answer: A
Rationale: The correct answer is A: Pruritus. Niacin commonly causes skin flushing and itching, known as pruritus, due to prostaglandin release. Flushing is a well-known side effect of niacin. Cutaneous flushing is a more common side effect than pruritus. Tinnitus (choice C) and urine with a burnt odor (choice D) are not typically associated with niacin use. Cutaneous flushing (choice B) is a common side effect of niacin, but pruritus is the specific adverse effect related to skin itching. Therefore, the correct answer is pruritus.
Question 4 of 5
A patient recovering from a myocardial infarction (MI) develops chest pain on day 3 that increases when taking a deep breath and is relieved by leaning forward. Which action should the nurse take as focused follow-up on this symptom?
Correct Answer: C
Rationale: The correct answer is C: Auscultate for a pericardial friction rub. Chest pain increasing with deep breaths and relieved by leaning forward is indicative of pericarditis, a common complication post-MI. Auscultating for a pericardial friction rub can help confirm this diagnosis. Assessing pedal edema (A) is unrelated to the presenting symptom. Palpating radial pulses (B) is not relevant to pericarditis. Checking the heart monitor for dysrhythmias (D) may be important but does not address the specific symptom of pericarditis in this case.
Question 5 of 5
A patient scheduled for a total laryngectomy and radical neck dissection for cancer of the larynx asks the nurse, “Will I be able to talk normally after surgery?” What is the most accurate response by the nurse?
Correct Answer: C
Rationale: Rationale: Correct Answer (C): The nurse should explain that the patient will have a permanent opening in the neck (stoma) post-surgery and will require voice restoration through rehabilitation. This is accurate as total laryngectomy removes the voice box, necessitating alternative methods for speech. Incorrect Choices: A: Incorrect as it implies the patient won't be able to communicate orally at all, which is not true with voice restoration options. B: Incorrect because speaking without a voice box is not possible even after the tracheostomy tube is removed. D: Incorrect as artificial voice devices can help with communication, but they do not fully restore the ability to speak normally.