ATI RN
Introduction to Nursing Pdf Questions
Question 1 of 5
The nurse determines that a client has 20/40 vision. Which statement about this client's vision is true?
Correct Answer: B
Rationale: The correct answer is B because 20/40 vision means the client can read at 20 feet what a person with normal vision can read at 40 feet. This indicates that the client's visual acuity is reduced compared to someone with normal vision. Choice A is incorrect because it assumes the client can see the entire chart at 40 feet, which is not true for 20/40 vision. Choice C is incorrect because it suggests the client has different visual acuity in each eye, which is not the definition of 20/40 vision. Choice D is incorrect because it incorrectly states that the client can read at 30 feet what a person with normal vision can read at 40 feet, which is not the correct interpretation of 20/40 vision.
Question 2 of 5
A client being treated for hypertension returns to the community clinic for follow up. The client says, I know these pills are important
Correct Answer: A
Rationale: The correct answer is A because the client's statement indicates a potential barrier to medication adherence due to their occupation. Selling fish requires being away from a bathroom, which conflicts with the need for frequent urination caused by water pills. This scenario aligns with the nursing diagnosis of Noncompliance related to medication side effects. Choice B is incorrect as it focuses on the inconvenience of bathroom breaks rather than the underlying issue of noncompliance. Choice D is incorrect as the client's statement does not suggest a lack of understanding about their disease state.
Question 3 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 4 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 5 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.