ATI RN
Introduction to Nursing Final Exam Quizlet Questions
Question 1 of 5
To reduce risk of airborne disease transmission from a client with infectious status in a private room, the nurse should do which of the following control measures?
Correct Answer: D
Rationale: The correct answer is D: Provide special ventilation. Special ventilation systems help to control and reduce the concentration of airborne pathogens in the room, decreasing the risk of disease transmission. This measure is necessary for infection control in private rooms. A: Using a face mask when entering the room may provide some protection, but it is not as effective as special ventilation in reducing airborne pathogen concentration. B: Keeping the door closed can help contain the pathogens within the room but does not address the need for proper ventilation. C: Limiting visitors can help reduce the spread of infection, but it does not directly address airborne transmission control like special ventilation does.
Question 2 of 5
When auscultating a client's chest, the nurse assesses a second heart sound (S2). This sound results from:
Correct Answer: D
Rationale: The second heart sound (S2) occurs during the closing of the aortic and pulmonic valves. This closure marks the end of systole and the beginning of diastole. The closure of these valves produces a characteristic "dub" sound. The opening of the mitral and tricuspid valves occurs during diastole, while the opening of the aortic and pulmonic valves happens during systole. Therefore, the correct answer is D, as it accurately reflects the physiological basis of S2. The other choices (A, B, C) are incorrect as they do not align with the specific cardiac events associated with the second heart sound.
Question 3 of 5
Taking the temperature rectally is contraindicated with which of the following clients?
Correct Answer: B
Rationale: The correct answer is B: A client with significant hemorrhoids. Rectal temperature measurement is contraindicated in clients with significant hemorrhoids due to the risk of causing discomfort, pain, and potential bleeding. It can worsen the condition and lead to complications. A: A client who had adenoidectomy - This does not directly affect the rectal temperature measurement process. C: A client who smokes - Smoking does not specifically contraindicate rectal temperature measurement. D: A client with wired jaws - This does not impact the rectal temperature measurement process.
Question 4 of 5
Which of the following is a priority nursing action when administering oral care to a dependent client?
Correct Answer: B
Rationale: The correct answer is B: Wear disposable gloves. This is a priority nursing action to prevent the spread of infection and protect both the client and the caregiver. By wearing disposable gloves, the nurse maintains proper infection control practices and reduces the risk of transmitting pathogens during oral care procedures. A: Assisting the client to a dorsal recumbent position is not specifically related to oral care and is not a priority action. C: Using a firm toothbrush may cause injury to the client's gums and oral tissues, so it is not the best choice for oral care. D: Irrigating the mouth with hydrogen peroxide is not a recommended practice for routine oral care, as it can be harmful if ingested and may cause irritation to the oral mucosa.
Question 5 of 5
Which of the following manifestations observed by the school nurse confirms the presence of pediculosis capitis in students?
Correct Answer: D
Rationale: The correct answer is D because whitish oval specks sticking to the hair are nits, which are eggs of head lice, confirming pediculosis capitis. Nits are firmly attached to the hair shaft close to the scalp. A: Scratching the head more than usual can be a symptom but not confirmatory. B: Flakes on shoulders could be dandruff. C: Oval pattern occipital hair loss is not specific to head lice.