ATI RN
Falls Introduction to Nursing Quizlet Questions
Question 1 of 5
What is normal verbalization of a toddler whose brother died?
Correct Answer: B
Rationale: The correct answer is B because toddlers often have a limited understanding of death and may express longing for the deceased through familiar activities like having pizza. Choice A may indicate an advanced understanding of death unlikely for a toddler. Choice C is a more definitive statement than a toddler might make. Choice D expresses sadness but doesn't capture the toddler's limited comprehension and focus on reunion.
Question 2 of 5
After circulation has ceased, discoloration appears in the lowermost or dependent areas of the body of the deceased. This is known as:
Correct Answer: C
Rationale: The correct answer is C: Livor mortis. Livor mortis is the pooling of blood in the lowermost areas of the body post-mortem due to gravity. This occurs after circulation stops, causing discoloration in dependent areas. Algor mortis (choice A) refers to the cooling of the body after death, Rigor mortis (choice B) is the stiffening of muscles post-mortem, and Manor mortis (choice D) is not a recognized term in forensic science.
Question 3 of 5
The nurse is preparing to administer a blood transfusion. Which action should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B. Comparing the client's identification wristband with the tag on the unit of blood is crucial to ensure proper patient identification and prevent errors in blood transfusion. This step helps verify patient identity and blood compatibility before administration. Incorrect Choices: A: Typing and crossmatching can be done after patient identification to confirm compatibility. C: Starting an IV infusion of normal saline is important but not the first step in blood transfusion. D: Measuring vital signs is important but should not be the first action before verifying patient identity for blood transfusion.
Question 4 of 5
In changing tracheostomy ties, the nurse should:
Correct Answer: C
Rationale: Rationale: Choice C is correct because it involves removing one side of the old tie before threading the clean tape through the eye of the flange. This method ensures that the tracheostomy remains secure while changing ties, reducing the risk of accidental decannulation or displacement. Removing both ties (Choice D) can compromise the patient's airway, while tying the new tie to the eye of the flange with old ties in place (Choice B) can lead to inadequate support. Choice A is incorrect because threading the clean tape through the eye of the flange before removing the old ties can result in instability and potential harm to the patient.
Question 5 of 5
The physician has ordered an indwelling catheter inserted in a hospitalized male patient. The nurse is aware that:
Correct Answer: A
Rationale: The correct answer is A because the male urethra is indeed vulnerable to injury during catheter insertion due to its narrow and curved structure. Step 1: Understanding male anatomy - the male urethra is longer and more prone to injury compared to the female urethra. Step 2: Recognizing the importance of gentle and careful insertion to prevent damage. Step 3: Emphasizing the need for proper technique and training to minimize the risk of harm. Summary: Choice B is vague and not relevant to catheter insertion. Choice C is incorrect as a sterile technique is typically used for catheter insertion. Choice D is incorrect as the catheter should be inserted 6-7 inches into the male urethra, not 2-3 inches.