ATI RN
Introduction to Nursing Quizlet Questions
Question 1 of 5
The nurse is about to obtain the temperature of a four-year-old child through the tympanic route. The nurse should:
Correct Answer: D
Rationale: The correct answer is D: Pull the pinna of the ear backwards and upwards. This direction allows for proper alignment of the ear canal with the tympanic membrane, ensuring accurate temperature measurement. Pulling the pinna backwards and upwards straightens the ear canal for better contact with the thermometer, leading to a more precise reading. Choices A, B, and C would not facilitate optimal alignment for accurate tympanic temperature measurement and could potentially result in an incorrect reading.
Question 2 of 5
When teaching suicide prevention to the parents of a 15 year-old who recently attempted suicide, the nurse describes the following behavioral cue:
Correct Answer: C
Rationale: The correct answer is C: Giving away valued personal items. This is a critical behavioral cue for suicide risk as it indicates a potential desire to say goodbye or tie up loose ends before attempting suicide. It is a warning sign that should be taken seriously and addressed promptly. Choices A, B, and D are not directly related to suicide risk assessment and do not specifically indicate imminent danger. Angry outbursts, fear of being alone, and experiencing a loss are important considerations in mental health but do not directly signal an immediate risk of suicide.
Question 3 of 5
When administering oxygen with a partial rebreather mask, which of the following observations is most important to report to the respiratory therapy departments?
Correct Answer: B
Rationale: The correct answer is B: The reservoir bag collapses during inspiration. This is important to report because it indicates inadequate oxygen delivery to the patient, potentially leading to hypoxemia. The reservoir bag should remain inflated to ensure a sufficient oxygen supply. A: Moisture accumulation inside the mask is common and not a cause for concern unless excessive. C: The mask covering the mouth and nose is expected and does not impact oxygen delivery. D: The strap being snug ensures a proper fit but does not directly impact oxygen delivery. In summary, choice B is the correct answer as it directly relates to the effectiveness of oxygen delivery, while the other choices are not as critical in this context.
Question 4 of 5
The ability of an individual to cope with death is dependent upon a number of factors. Which person likely has the most difficulty coping with a death?
Correct Answer: A
Rationale: The correct answer is A because losing a child is considered one of the most devastating experiences a person can face, regardless of the circumstances. The sudden death of a young person on the brink of adulthood adds layers of complexity and emotional pain. The loss of potential, unfulfilled dreams, and the traumatic nature of the accident all contribute to the intense grief and difficulty in coping. Choice B is incorrect because while the child may experience grief and confusion, the emotional impact is typically less compared to losing a child. Choice C is incorrect as the relationship with the alcoholic spouse may have been strained due to addiction, potentially lessening the emotional attachment. Choice D is incorrect as the grandparent may experience grief over the loss of their grandchild, but the intensity is generally lower than losing a child directly.
Question 5 of 5
Mr. King is receiving heparin subcutaneously. Which of the following demonstrates correct technique for this procedure?
Correct Answer: C
Rationale: Correct Answer: C Rationale: 1. Heparin is administered subcutaneously, not intramuscularly, so aspirating is not necessary. 2. Aspirating can cause bruising or bleeding due to the fragility of subcutaneous blood vessels. 3. Massaging after the injection can lead to hematoma formation. 4. By not aspirating before or massaging after the injection, the risk of complications is minimized. Summary: A: Incorrect - Aspirating can lead to complications, and massaging may cause hematoma. B: Incorrect - Massaging for one minute is excessive and can increase the risk of hematoma formation. D: Incorrect - Massaging the site can lead to bruising, and aspiration is unnecessary and potentially harmful.