ATI RN
Introduction to Professional Nursing Quizlet Questions
Question 1 of 5
The nursing interventions before a bronchoscopy procedure include which of the following?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Giving information about the procedure (A) ensures the patient is well-informed. Obtaining informed consent (B) is crucial for patient autonomy and legal protection. Withholding fluid and food 6 hours before the test (C) reduces the risk of aspiration during the procedure. All these interventions are essential for ensuring patient safety, understanding, and compliance.
Question 2 of 5
The nurse assesses a patient’s surgical wound on the first postoperative day and notes redness and warmth around the incision. Which action by the nurse is appropriate?
Correct Answer: B
Rationale: The correct answer is B: Document the assessment. This is appropriate because redness and warmth around the incision on the first postoperative day are common signs of normal inflammatory response. Documenting the assessment allows for accurate tracking of the wound's progression. Obtaining wound cultures (choice A) is not necessary at this stage as it's too early to indicate infection. Notifying the health care provider (choice C) may be premature and can cause unnecessary alarm. Assessing the wound every 2 hours (choice D) is excessive and not indicated unless there are other concerning symptoms.
Question 3 of 5
A preoperative nurse is reviewing morning laboratory values on four clients waiting for surgery. Which result warrants immediate communication with the surgical team?
Correct Answer: C
Rationale: The correct answer is C: Potassium: 2.9 mEq/L (2.9 mmol/L). A potassium level of 2.9 mEq/L is critically low (normal range is 3.5-5.0 mEq/L) and can lead to life-threatening cardiac arrhythmias. Immediate communication with the surgical team is necessary to address this abnormality before surgery. Explanation of other choices: A: Creatinine level of 1.2 mg/dL is within normal range (0.6-1.3 mg/dL), not requiring immediate communication. B: Hemoglobin level of 14.8 mg/dL is also within normal range for males (13.8-17.2 mg/dL) and females (12.1-15.1 mg/dL), not warranting immediate communication. D: Sodium level of 134 mEq/L is within the normal range (135-145 mEq/L), so immediate communication is
Question 4 of 5
The health care provider prescribes an infusion of heparin and daily partial thromboplastin time (PTT) testing for a patient with venous thromboembolism (VTE). Which action should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Avoid giving IM medications to prevent localized bleeding. When a patient is on heparin therapy with PTT monitoring, it is crucial to avoid IM injections to prevent localized bleeding due to the anticoagulant effects of heparin. IM injections can lead to hematomas and increased bleeding risk. Monitoring for bilateral pedal pulses (A) is important for assessing circulation but not directly related to heparin therapy. Decreasing the infusion when PTT is 65 seconds (B) is not appropriate as the therapeutic range for PTT varies depending on the patient's condition. Having vitamin K available (D) is not necessary for heparin reversal as vitamin K does not reverse the effects of heparin.
Question 5 of 5
Heparin is ordered for a patient with a non–ST-segment- elevation myocardial infarction (NSTEMI). How should the nurse explain the purpose of the heparin to the patient?
Correct Answer: C
Rationale: Step 1: Heparin is an anticoagulant medication that works by preventing the formation of new blood clots. Step 2: In NSTEMI, there is a risk of developing new clots in the coronary arteries, which can worsen the condition. Step 3: By explaining that heparin prevents the development of new clots, the nurse helps the patient understand the purpose of the medication in preventing further complications. Step 4: Option C is correct as it directly addresses the mechanism of action of heparin in NSTEMI. Step 5: Incorrect choices: A: Incorrect, as heparin does not enhance platelet aggregation but rather inhibits clot formation. B: Incorrect, as heparin does not decrease the size of coronary artery plaque. D: Incorrect, as heparin does not dissolve existing clots but prevents new clot formation.