ATI RN
Introduction to Nursing Pdf Questions
Question 1 of 5
The nurse selects which of the following materials to be used as the first layer of the dressing at the chest tube insertion site?
Correct Answer: C
Rationale: The correct answer is C: Petrolatum jelly gauze. This material helps create a seal around the chest tube insertion site to prevent air leaks and infections. Step-by-step rationale: 1. Petrolatum jelly gauze provides an occlusive barrier to protect the site. 2. It helps maintain a moist environment for wound healing. 3. It reduces the risk of skin irritation. Summary: A dry sterile gauze (choice A) does not provide a proper seal or moisture needed for healing. Absorbent kelix dressing (choice B) may not create a sufficient barrier. Gauze with betadine (choice D) can be irritating and delay wound healing.
Question 2 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 3 of 5
The nurse determines that a client has 20/40 vision. Which statement about this client's vision is true?
Correct Answer: B
Rationale: The correct answer is B because 20/40 vision means the client can read at 20 feet what a person with normal vision can read at 40 feet. This indicates that the client's visual acuity is reduced compared to someone with normal vision. Choice A is incorrect because it assumes the client can see the entire chart at 40 feet, which is not true for 20/40 vision. Choice C is incorrect because it suggests the client has different visual acuity in each eye, which is not the definition of 20/40 vision. Choice D is incorrect because it incorrectly states that the client can read at 30 feet what a person with normal vision can read at 40 feet, which is not the correct interpretation of 20/40 vision.
Question 4 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 5 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.