ATI RN
Introduction to Nursing Final Exam Quizlet Questions
Question 1 of 5
The nurse should plan to use a wet-to-dry dressing for which patient?
Correct Answer: D
Rationale: Correct Answer: D Rationale: Wet-to-dry dressing is used for wounds with purulent drainage to promote healing by mechanical debridement. Purulent drainage indicates infection, making it necessary to remove dead tissue. Dry brown areas suggest necrosis, which requires removal to allow healthy tissue regeneration. Wet-to-dry dressing helps in this process by moistening the wound, facilitating the removal of necrotic tissue with each dressing change. This promotes a clean wound bed conducive to healing. Summary of Other Choices: A: Pink granulation tissue indicates healing, not requiring mechanical debridement. B: Surgical incision with pink, approximated edges indicates a well-healing wound, not requiring wet-to-dry dressing. C: Full-thickness burn with dry, black material suggests eschar formation, which requires specialized burn care, not wet-to-dry dressing.
Question 2 of 5
A patient who has recently started taking pravastatin (Pravachol) and niacin reports several symptoms to the nurse. Which information is most important to communicate to the health care provider?
Correct Answer: A
Rationale: The correct answer is A: Generalized muscle aches and pains. This is important to communicate as it could indicate rhabdomyolysis, a serious side effect of statin therapy like pravastatin. Rhabdomyolysis can lead to muscle breakdown and kidney damage, requiring immediate medical attention. Choice B is less urgent and can be managed by advising the patient to change positions slowly. Choice C is a common side effect of niacin but is not as serious as potential muscle issues. Choice D, flushing and pruritus, are common side effects of niacin and are generally not as concerning as muscle symptoms.
Question 3 of 5
An emergency department nurse assesses a female client. Which assessment findings would alert the nurse to request a prescription for an electrocardiogram? (Select the one that does not apply.)
Correct Answer: D
Rationale: The correct answer is D. Abdominal pain does not typically prompt a need for an electrocardiogram (ECG) as it is not a common symptom associated with cardiac issues. Hypertension (A), fatigue despite adequate rest (B), and indigestion (C) are all potential signs of underlying cardiac problems that could necessitate an ECG to assess the heart's electrical activity. Abdominal pain is more likely related to gastrointestinal issues rather than cardiac concerns.
Question 4 of 5
On auscultation of a patient’s lungs, the nurse hears low-pitched, bubbling sounds during inhalation in the lower third bilaterally. How should the nurse document this finding?
Correct Answer: A
Rationale: The correct answer is A: Inspiratory crackles at the bases. Crackles are abnormal lung sounds caused by air passing through fluid in the alveoli or small airways. In this case, the low-pitched bubbling sounds heard during inhalation in the lower third bilaterally indicate the presence of inspiratory crackles at the bases. This finding suggests fluid accumulation in the lungs, commonly seen in conditions such as pneumonia or heart failure affecting the bases. The other choices are incorrect because expiratory wheezes typically indicate asthma or COPD, abnormal lung sounds in the apices suggest conditions like tuberculosis, and pleural friction rub is characterized by a grating sound heard during both inspiration and expiration, commonly associated with pleurisy or pleural inflammation, not fluid-filled alveoli.
Question 5 of 5
A patient is hospitalized with active tuberculosis (TB). Which assessment finding indicates to the nurse that prescribed airborne precautions are likely to be discontinued?
Correct Answer: D
Rationale: The correct answer is D because negative sputum smears for acid-fast bacilli indicate reduced infectivity and lower risk of transmission. This means the patient is likely non-infectious and can discontinue airborne precautions. Choice A is incorrect because upper lobe infiltrates are common in TB. Choice B is incorrect as TB treatment usually lasts 6-9 months. Choice C is incorrect because an induration of 10 mm on Mantoux testing indicates exposure to TB, not readiness to discontinue precautions.