ATI RN
Introduction to Nursing 203 Quizlet Questions
Question 1 of 5
The nurse documents the client’s pulse as weak and thready. This pulse characteristic refers to:
Correct Answer: C
Rationale: Step-by-step rationale: 1. Weak and thready pulse refers to the volume of the pulse. 2. Pulse volume indicates the strength or force of the heartbeat. 3. A weak and thready pulse suggests a low volume of blood being ejected with each heartbeat. 4. This characteristic is important in assessing the client's perfusion status. Summary: A. Pulse rhythm: Refers to the regularity of the pulse pattern, not the strength. B. Pulse deficit: Refers to a difference between the apical and radial pulse rates, not the strength. C. Pulse volume: Correct answer. Reflects the strength or force of the heartbeat. D. Pulse rate: Refers to the number of heartbeats per minute, not the strength.
Question 2 of 5
The client has developed liver failure. Which of the following laboratory values would Nurse Irene expect to have alterations?
Correct Answer: B
Rationale: The correct answer is B: Clotting factors. Liver failure can lead to impaired synthesis of clotting factors, resulting in abnormal coagulation tests. A: Blood urea nitrogen and creatinine are more related to kidney function. C: Creatinine kinase is an enzyme related to muscle breakdown. D: C-reactive protein is a marker of inflammation and infection, not specific to liver function. In liver failure, alterations in clotting factors are commonly seen due to the liver's role in synthesizing these proteins.
Question 3 of 5
You are to insert an indwelling catheter for a female client, after the insertion of the catheter still the urine does not flow. You made a conclusion that you might have inserted the catheter into the vagina. In response to this, you should:
Correct Answer: C
Rationale: Rationale for Correct Answer (C - Leave the catheter in place and insert another one): If urine does not flow after catheter insertion, it indicates the catheter may be in the vagina. Leaving the catheter in place prevents further complications. Inserting another catheter correctly ensures urine drainage. Removing the catheter and reinserting it (choice A) risks causing trauma. Irrigating the catheter with saline (choice B) is unnecessary and may worsen the situation. Inserting the catheter further (choice D) can cause harm.
Question 4 of 5
The minimum time in washing each hand should never be below:
Correct Answer: C
Rationale: The correct answer is C (15 seconds) as recommended by health authorities. Washing hands thoroughly for at least 15 seconds ensures proper removal of dirt, germs, and viruses. This duration allows for adequate friction and coverage of all areas of the hands, including between fingers and under nails. Option A (5 seconds) is too short and insufficient for effective cleaning. Option B (10 seconds) may not provide thorough cleaning, especially in challenging situations. Option D (30 seconds) is longer than necessary and may not offer additional benefits compared to 15 seconds. Therefore, option C is the most appropriate choice for proper hand hygiene.
Question 5 of 5
The physician orders a blood transfusion for a client. The nurse should anticipate using an I.V. access device of which size?
Correct Answer: C
Rationale: The correct answer is C (18G) because a blood transfusion requires a larger gauge size to allow for the rapid flow of blood products without causing hemolysis. 18G provides a larger diameter for quick transfusion. Option A (23G) and D (25G) are too small for efficient blood flow. Option B (21G) is slightly larger but may still impede the flow rate compared to 18G, making it less optimal for blood transfusion.