ATI RN
Introduction to Nursing Final Exam Quizlet Questions
Question 1 of 5
To give a Z-track injection, the nurse measures the correct medication dose and then draws a small amount of air into the syringe. What is the rationale for this action?
Correct Answer: B
Rationale: The correct answer is B: Adding air prevents the drug from flowing back into the needle track. When giving a Z-track injection, the nurse pulls the skin to the side before inserting the needle. By adding air into the syringe after drawing up the medication, a small air bubble is created above the medication in the syringe. This air bubble creates a seal when the needle is withdrawn, preventing the medication from leaking back into the needle track and causing irritation or staining. Incorrect choices: A: Adding air does not decrease pain caused by the injection. C: Adding air does not prevent the solution from entering a blood vessel. D: Adding air does not ensure that the client receives the entire dose.
Question 2 of 5
A client with diarrhea is for low residue diet. Which among the following is not included in the low fiber diet for diarrhea?
Correct Answer: A
Rationale: The correct answer is A: Bread. Low residue diet for diarrhea aims to reduce fiber intake to ease digestion. Bread, especially whole grain, contains high fiber which can worsen diarrhea. Chicken without skin, rice, and tea are low in fiber and suitable for a low residue diet. Bread is the only option that is high in fiber among the choices.
Question 3 of 5
The client has just had a liver biopsy. Which of the following nursing actions would be the priority after the biopsy?
Correct Answer: A
Rationale: The correct answer is A because after a liver biopsy, the priority is to position the patient on the right side to apply pressure and prevent bleeding from the biopsy site on the liver's right lobe. This position helps compress the liver against the diaphragm, reducing the risk of bleeding. Choice B is incorrect as monitoring vital signs is important, but positioning the patient takes precedence immediately post-biopsy. Choice C is incorrect as ambulation may increase the risk of bleeding and should be avoided initially. Choice D is incorrect as measuring urine specific gravity is not directly related to post-liver biopsy care.
Question 4 of 5
The barium enema should be done before the upper gastrointestinal series because of which of the following?
Correct Answer: A
Rationale: The correct answer is A because retained barium from the barium enema procedure may cloud the colon and interfere with the visualization of the upper gastrointestinal series. This can lead to inaccurate results and potential misdiagnosis. This sequence ensures a clear view of the upper gastrointestinal tract. Choices B, C, and D are incorrect because lower gastrointestinal bleeding is not a direct concern, physician orders can be adjusted based on medical necessity, and barium is not absorbed in the small intestine in significant amounts to impact the sequence of procedures.
Question 5 of 5
A nurse on the postoperative nursing unit provides care to reduce the incidence of surgical wound infection. What actions are best to achieve this goal? (Select the one that does not apply.)
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Administering antibiotics for 72 hours is not within the nurse's scope of practice but the physician's responsibility. 2. Disposing of dressings properly prevents contamination and infection. 3. Leaving draining wounds open to air can introduce pathogens and hinder healing. 4. Performing proper hand hygiene reduces the transfer of pathogens to the wound site.