ATI RN
Introduction to Professional Nursing Quizlet Questions
Question 1 of 5
The nurse is assessing the client who has edema. The skin remains indented or pitted at 8mm. The nurse describes the degree of edema as:
Correct Answer: D
Rationale: The correct answer is D (4+). This degree of edema indicates severe pitting edema where the skin remains indented or pitted at 8mm. This level of indentation signifies a significant accumulation of fluid in the tissues. Choices A (1+), B (2+), and C (3+) represent varying degrees of pitting edema with shallower indentations ranging from 2mm to 6mm, which are considered mild to moderate levels of edema. Therefore, the correct assessment of 4+ reflects the severity of the client's condition based on the depth of indentation and the amount of accumulated fluid in the tissues.
Question 2 of 5
The nurse must know that the most accurate oxygen delivery system available is:
Correct Answer: A
Rationale: The correct answer is A: The venturi mask. This is the most accurate oxygen delivery system because it allows for precise oxygen concentration adjustment. The venturi mask delivers a specific oxygen concentration by mixing oxygen with room air through a system of valves and ports. This ensures a consistent and accurate oxygen delivery to the patient. Nasal cannula (B) delivers low to medium oxygen concentrations and is less accurate. Partial non-rebreather mask (C) and simple face mask (D) deliver higher oxygen concentrations but are not as precise as the venturi mask.
Question 3 of 5
As the nurse is speaking with a group of teens which of these side effects of chemotherapy for cancer would the nurse expect this group to be more interested in during the discussion?
Correct Answer: D
Rationale: The correct answer is D: Hair loss. Teens are often very concerned about their appearance, so hair loss would likely be the side effect of chemotherapy that they are most interested in. The sudden change in physical appearance can have a significant impact on their self-esteem and body image. Additionally, hair loss is a visible side effect that can make the cancer treatment more real and tangible for them. Mouth sores (A), fatigue (B), and diarrhea (C) are also common side effects of chemotherapy, but they may not be as visually impactful or emotionally distressing for teenagers as hair loss.
Question 4 of 5
While suctioning the endotracheal tube, the nurse should:
Correct Answer: B
Rationale: The correct answer is B because hyperoxygenating the client with 100% oxygen before and after suctioning helps prevent hypoxemia by providing adequate oxygenation and minimizing the risk of hypoxia during the suctioning procedure. This step is crucial in maintaining oxygen levels and preventing complications. A: Applying suction while inserting the catheter can cause trauma to the airway and increase the risk of hypoxemia. C: Using short jabbing movements can also cause trauma to the airway and is not recommended as it can lead to mucosal damage. D: Suctioning two to three times in quick succession can be harmful as it can cause hypoxemia and should be avoided to prevent complications.
Question 5 of 5
Following the death of a child, one of the parents begins to falsely accuse other members of the family of blaming the child's death on the parent. This leads to family members avoiding the mentioned parent for fear of the false accusation. The parent takes this as proof that the family truly believes the accusation. This sets up a destructive cycle of family dysfunction. Which nursing diagnosis is most appropriate for this family?
Correct Answer: D
Rationale: The correct answer is D: Dysfunctional grieving related to loss of relationships. This nursing diagnosis is most appropriate because the parent's behavior following the child's death is indicative of dysfunctional grieving, as they are falsely accusing family members and experiencing a breakdown in relationships. This behavior is a maladaptive way of coping with the loss, leading to further dysfunction within the family. A: Impaired family processes related to impaired adjustment does not fully capture the specific issue of dysfunctional grieving and loss of relationships. B: Impaired adjustment related to loneliness focuses more on the individual's emotional state rather than the family dynamics and dysfunction. C: Loneliness related to fear does not address the core issue of dysfunctional grieving and the breakdown in family relationships. In summary, the parent's behavior and the resulting family dysfunction point towards dysfunctional grieving as the primary nursing diagnosis in this case.