ATI RN
Introduction to Nursing Final Exam Quizlet Questions
Question 1 of 5
What condition does a 56-year-old client with a chronic cough, peripheral edema, and cyanotic nail beds likely have?
Correct Answer: C
Rationale: The correct answer is C: Chronic obstructive bronchitis. A 56-year-old client with chronic cough, peripheral edema, and cyanotic nail beds likely has chronic obstructive bronchitis due to the presence of chronic cough and cyanosis, which are common symptoms. Peripheral edema can be seen in advanced stages. ARDS (choice A) is typically seen in acute conditions, not chronic. Asthma (choice B) usually presents with wheezing and shortness of breath, not peripheral edema. Emphysema (choice D) is characterized by shortness of breath and barrel chest, not peripheral edema or cyanosis.
Question 2 of 5
Which nursing diagnosis is in PES format?
Correct Answer: D
Rationale: The correct answer is D because it follows the PES format, which stands for Problem (nursing diagnosis), Etiology (related factor), and Signs/Symptoms (defining characteristics). In this case, the Problem is "Self-esteem disturbance," the Etiology is "related to rejection by the husband," and the Signs/Symptoms are "manifested by crying and isolation." The other options do not follow the PES format correctly. A lacks defining characteristics, B does not have a clear related factor, and C does not have a problem clearly identified. Thus, D is the correct choice as it adheres to the PES structure for nursing diagnosis formulation.
Question 3 of 5
What is not a part of a needle in a syringe?
Correct Answer: C
Rationale: The correct answer is C: Gauge. The gauge refers to the thickness of the needle itself and is not a part of the needle. The hub is where the needle attaches to the syringe, the shaft is the long portion of the needle, and the bevel is the slanted tip for easier insertion. Gauge is a measurement of the needle's thickness and is not a physical component of the needle itself. Therefore, option C is the correct answer.
Question 4 of 5
What does a lab report showing RBC 5M/mm3, WBC 12,000/mm3, Platelet 200,000/mm3, and prothrombin time of 11 seconds suggest?
Correct Answer: D
Rationale: The lab values indicate a high WBC count (12,000/mm3) suggesting an elevated immune response, typical in infections. The RBC count (5M/mm3) and platelet count (200,000/mm3) are within normal range ruling out dehydration and polycythemia. The prothrombin time of 11 seconds is also normal. Therefore, the most likely interpretation is an infection. Dehydration would show high RBC count and high platelet count, polycythemia would show high RBC count, and leukopenia would show low WBC count.
Question 5 of 5
0.9 normal saline solution had been infusing at 100 mL/hour via a central line catheter in the right internal jugular for approximately 12 hours to increase urine output and maintain the client's blood pressure. Upon entering the Justine’s room, the you noted that the client is breathing rapidly and coughing. For which additional signs of a complication should the nurse assess based on the previously known data?
Correct Answer: B
Rationale: The correct answer is B: Crackles in the lungs. Rapid breathing and coughing can indicate fluid overload, a potential complication of infusing 0.9% saline solution. Crackles in the lungs suggest pulmonary edema, a serious consequence of fluid overload. Assessing for crackles in the lungs is crucial for early detection and intervention. Incorrect Choices: A: Excessive bleeding is not directly related to infusing saline solution. C: Incompatibility of the infusion is unlikely as 0.9% saline is a standard solution. D: Chest pain radiating to the left arm is more indicative of cardiac issues like a heart attack, not fluid overload.