ATI RN
Chapter 1 Introduction to Nursing Quizlet Questions
Question 1 of 5
What diagnostic finding is unlikely in a client with chronic lymphocytic leukemia?
Correct Answer: D
Rationale: The correct answer is D because chronic lymphocytic leukemia is characterized by low platelet counts, not elevated thrombocyte counts. A: Predominance of lymphoblasts is incorrect because CLL involves mature lymphocytes, not lymphoblasts. B: Leukocytosis is incorrect because CLL typically presents with elevated lymphocyte counts. C: Abnormal blast cells in the bone marrow is incorrect as CLL is characterized by mature lymphocytes, not blast cells.
Question 2 of 5
How should the external ear be pulled during otoscope inspection in a 5-year-old child?
Correct Answer: B
Rationale: The correct answer is B: Down and back. Pulling the external ear down and back in a 5-year-old child straightens the ear canal, allowing for better visualization during otoscope inspection. This technique also helps prevent injury to the ear canal and eardrum. Pulling the ear up and front (choice A) can cause the ear canal to close off, obstructing the view. Pulling the ear down and front (choice C) may not provide adequate visualization and can also lead to injury. Pulling the ear up and back (choice D) can cause the ear canal to fold, making it difficult to see inside.
Question 3 of 5
What should the nurse instill first before administering intravenous medication through a medication lock?
Correct Answer: B
Rationale: The correct answer is B: Sterile normal saline. Before administering intravenous medication through a medication lock, the nurse should first instill sterile normal saline to ensure patency of the line and prevent clot formation. Normal saline is isotonic and compatible with most medications, helping to maintain hydration and prevent damage to the vein. Sterile bacteriostatic water (choice A) is not appropriate for this purpose. Sterile isopropyl alcohol (choice C) is used for skin preparation, not line maintenance. Sterile hydrogen peroxide (choice D) is too harsh and can cause tissue damage.
Question 4 of 5
Prior to explaining the procedure to the client, which of the following responses is the most important cue prior to the health teaching?
Correct Answer: B
Rationale: The correct answer is B: "I am allergic to eggs." This response is the most important cue because some blood products are derived from human plasma, which may contain traces of egg proteins. This can trigger an allergic reaction in individuals with egg allergies. Choice A is not directly relevant to the procedure. Choice C, while indicating some understanding, does not address potential complications related to allergies. Choice D is incorrect as the client's allergy status is crucial for a safe transfusion process.
Question 5 of 5
You are preparing to hang fat emulsion and observes that fat globules are visible at the top of the solution. Which of the following actions should you take?
Correct Answer: B
Rationale: The correct answer is B because visible fat globules at the top of a fat emulsion solution indicate separation or instability. Obtaining a different bottle of solution ensures proper emulsion consistency for safe administration. Rolling the bottle gently (A) may not fully address the issue. Shaking vigorously (C) can further destabilize the emulsion. Running under warm water (D) could alter the emulsion's composition.