ATI RN
Introduction to Nursing Pdf Questions
Question 1 of 5
The nurse is planning care for a client with type I insulin dependent diabetes mellitus (IDDM). Which statement best reflects a short-term goals for this client?
Correct Answer: D
Rationale: The correct answer is D because identifying elements of the basic diabetic diet is a short-term goal that is specific, measurable, achievable, relevant, and time-bound (SMART). This goal directly addresses the immediate need to manage blood glucose levels through proper nutrition. By the end of the week, the client should be able to apply this knowledge to their daily routine. A: While coping with anxiety is important, it is not directly related to the short-term management of diabetes. B: Understanding how to prevent complications is essential but may be a more long-term goal. C: Teaching about signs and symptoms of hypoglycemia and hyperglycemia is crucial, but it is more of an immediate educational need rather than a goal for the client to achieve.
Question 2 of 5
Since the nurse is taking the initial BP of the client, the nurse should repeat the procedure on the client’s other arm. The nurse knows that there should not be a difference of _____ on the other arm of the client.
Correct Answer: A
Rationale: The correct answer is A: 10 mmHg. When taking blood pressure, there should ideally be less than a 10 mmHg difference between the two arms. A significant difference could indicate an underlying health issue such as arterial blockage or peripheral vascular disease. A difference of 20, 30, or 40 mmHg would be considered abnormal and warrant further investigation. It is important to check both arms to ensure accuracy and detect any potential issues early on.
Question 3 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 4 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 5 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.