ATI RN
Falls Introduction to Nursing Quizlet Questions
Question 1 of 5
The nurse is preparing to administer a blood transfusion. Which action should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B. Comparing the client's identification wristband with the tag on the unit of blood is crucial to ensure proper patient identification and prevent errors in blood transfusion. This step helps verify patient identity and blood compatibility before administration. Incorrect Choices: A: Typing and crossmatching can be done after patient identification to confirm compatibility. C: Starting an IV infusion of normal saline is important but not the first step in blood transfusion. D: Measuring vital signs is important but should not be the first action before verifying patient identity for blood transfusion.
Question 2 of 5
The physician has ordered an indwelling catheter inserted in a hospitalized male patient. The nurse is aware that:
Correct Answer: A
Rationale: The correct answer is A because the male urethra is indeed vulnerable to injury during catheter insertion due to its narrow and curved structure. Step 1: Understanding male anatomy - the male urethra is longer and more prone to injury compared to the female urethra. Step 2: Recognizing the importance of gentle and careful insertion to prevent damage. Step 3: Emphasizing the need for proper technique and training to minimize the risk of harm. Summary: Choice B is vague and not relevant to catheter insertion. Choice C is incorrect as a sterile technique is typically used for catheter insertion. Choice D is incorrect as the catheter should be inserted 6-7 inches into the male urethra, not 2-3 inches.
Question 3 of 5
A client who is scheduled for a bone marrow aspiration asks the nurse about the site that will be used for the procedure. The nurse tells the client that in addition to the iliac crest, the____ may be used.
Correct Answer: C
Rationale: The correct answer is C: Sternum. The sternum is another common site for bone marrow aspiration, along with the iliac crest. The sternum is easily accessible, especially in emergency situations. Aspiration from the sternum is less painful compared to the iliac crest. The femur (choice A) is not typically used for bone marrow aspiration due to the risk of injury to major blood vessels. The ribs (choice B) are not ideal due to the risk of pneumothorax. The scapula (choice D) is not commonly used due to limited accessibility and risk of injury to surrounding structures.
Question 4 of 5
For a person to be immunocompetent, which processes need to be functional and interact appropriately with each other? (Select the one that does not apply.)
Correct Answer: D
Rationale: The correct answer is D: Red blood cells. Immunocompetence refers to the ability of the immune system to effectively respond to pathogens. Red blood cells are not directly involved in immune responses. Antibody-mediated immunity involves the production of antibodies by B cells to target pathogens. Cell-mediated immunity involves the activation of T cells to directly attack infected cells. Inflammation is a non-specific immune response that helps to eliminate pathogens. Red blood cells primarily function in oxygen transport and do not play a direct role in immune responses. Therefore, the correct answer is D as red blood cells do not need to be functional for a person to be immunocompetent.
Question 5 of 5
A postoperative patient has ineffective airway clearance. Which data would indicate to the nurse that interventions for this patient problem have been successful?
Correct Answer: C
Rationale: The correct answer is C because clear breath sounds indicate effective airway clearance. Clear breath sounds suggest that air is flowing freely through the airways, indicating successful interventions. A: Fluid intake does not directly reflect airway clearance. B: Using a spirometer may improve lung function but does not necessarily indicate effective airway clearance. D: Temperature is not directly related to airway clearance.