ATI RN
Introduction to Nursing Quizlet Questions
Question 1 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 2 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.
Question 3 of 5
A client has been admitted with left-sided heart failure. When planning care for the client, interventions should be focused around reduction of which specific problem associated with this type of heart failure?
Correct Answer: C
Rationale: The correct answer is C: Bilateral lung crackles. Left-sided heart failure causes fluid buildup in the lungs, leading to crackles on auscultation. Interventions should focus on reducing pulmonary congestion to improve breathing. Ascites (A) is associated with right-sided heart failure. Pedal edema (B) is a symptom of right-sided heart failure due to fluid retention in the lower extremities. Jugular vein distention (D) is a sign of right-sided heart failure. Focusing on reducing bilateral lung crackles is crucial in managing left-sided heart failure.
Question 4 of 5
While bathing a patient with cancer, the nurse assessed several large new bruises on the patient's upper arms and thighs. An understanding of the possible causes and the correct nurse's actions for these findings are that
Correct Answer: B
Rationale: The correct answer is B because new large bruises in a cancer patient could indicate disseminated intravascular coagulation (DIC), a serious condition where blood clots form throughout the body. Reporting and recording the bruises fully is crucial for monitoring changes. Choice A is incorrect as assuming the bruises are from a fall without proper assessment can lead to overlooking a serious medical condition like DIC. Choice C is incorrect as intravascular fluid overload does not typically cause large bruises and placing the patient on strict I/O status may not address the underlying issue. Choice D is incorrect as attributing the bruises to a drug-induced seizure without proper assessment and reporting of DIC symptoms can delay necessary treatment.
Question 5 of 5
Which group of drugs will the nurse plan to include when teaching a patient who has a new diagnosis of peripheral artery disease (PAD)?
Correct Answer: A
Rationale: The correct answer is A: Statins. Statins are used to lower cholesterol levels and reduce the risk of cardiovascular events in patients with PAD. They help prevent further progression of atherosclerosis and improve blood flow. Antibiotics (B) are not typically indicated for PAD unless there is an infection present. Thrombolytics (C) are used to dissolve blood clots and are not a primary treatment for PAD. Anticoagulants (D) are used to prevent blood clots but are not the first-line treatment for PAD. Overall, statins are the most appropriate choice for managing PAD due to their proven benefits in reducing cardiovascular risk factors associated with the disease.