ATI RN
Introduction to Nursing Quizlet Questions
Question 1 of 5
The nurse is caring for a patient with critical limb ischemia who has just arrived on the nursing unit after having percutaneous transluminal balloon angioplasty. Which action should the nurse perform first?
Correct Answer: A
Rationale: The correct answer is A: Obtain vital signs. This is the first action the nurse should perform because it helps assess the patient's immediate status post-procedure. Vital signs can indicate any complications or changes in the patient's condition that may require immediate intervention. Assessing vital signs is crucial in monitoring the patient's stability and response to the procedure. Summary: - B: Teaching wound care can be important but is not the priority immediately post-procedure. - C: Assessing pedal pulses is important but obtaining vital signs takes precedence to assess the overall status. - D: Checking the wound site is important, but vital signs should be assessed first to ensure the patient's immediate well-being.
Question 2 of 5
The nurse is caring for a patient who has just had a thoracentesis. Which assessment information obtained by the nurse is a priority to communicate to the health care provider?
Correct Answer: A
Rationale: The correct answer is A because a low O2 saturation level of 88% indicates hypoxemia, which is a critical condition that requires immediate intervention to prevent further complications. Hypoxemia can occur after thoracentesis due to a pneumothorax or other respiratory issues. Choice B is not the priority because the blood pressure is slightly elevated but not immediately life-threatening. Choice C may indicate respiratory distress but is not as urgent as hypoxemia. Choice D is important for pain management but not as urgent as addressing hypoxemia. In summary, O2 saturation is the priority because hypoxemia can lead to serious complications if not promptly addressed.
Question 3 of 5
The nurse observes that a patient with respiratory disease experiences a decrease in SpO2 from 93% to 88% while ambulating. What is the priority action of the nurse?
Correct Answer: B
Rationale: The correct answer is B: Administer PRN supplemental O2. A decrease in SpO2 from 93% to 88% indicates hypoxemia during ambulation, requiring immediate intervention to improve oxygenation. Administering supplemental O2 is crucial to prevent further complications. Notifying the healthcare provider (A) can cause delays in addressing the hypoxemia. Documenting the response to exercise (C) is important but not the immediate priority. Encouraging the patient to pace activity (D) is not sufficient to address the acute hypoxemia.
Question 4 of 5
A patient has just been admitted with probable bacterial pneumonia and sepsis. Which order should the nurse implement first?
Correct Answer: B
Rationale: The correct answer is B: Blood cultures from two sites. This should be implemented first to identify the specific bacteria causing the infection and guide appropriate antibiotic therapy. Cultures help determine the most effective treatment and prevent antibiotic resistance. Chest x-ray (A) can wait as it does not provide immediate treatment. Administering antibiotics like Cipro (C) should be based on culture results. Acetaminophen (D) can help with fever but is not the priority in this case.
Question 5 of 5
After teaching a client how to perform diaphragmatic breathing, the nurse assesses the client’s understanding. Which action demonstrates that the client correctly understands the teaching?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Placing hands on the abdomen is key for feeling the rise and fall of the diaphragm during breathing. 2. This action indicates the client is focusing on belly breathing, which is characteristic of diaphragmatic breathing. 3. By placing hands on the abdomen, the client shows an understanding of the technique taught, ensuring proper execution. Summary: A: Lying on the side with knees bent does not directly relate to diaphragmatic breathing. C: Lying in a prone position with straight doesn't specify the focus on abdominal breathing. D: Placing hands above the head is unrelated to diaphragmatic breathing technique.