ATI RN
Introduction to Critical Care Nursing 8th Edition Questions
Question 1 of 5
What medication should be given immediately to a client with acute asthma and decreased forced expiratory volume?
Correct Answer: B
Rationale: The correct answer is B: Bronchodilators. In acute asthma, bronchodilators are the first-line treatment to rapidly dilate airways and improve forced expiratory volume. Beta-adrenergic blockers (A) can worsen asthma symptoms. Inhaled steroids (C) are used for long-term control, not immediate relief. Oral steroids (D) are often used in acute exacerbations but are not the immediate first choice to improve forced expiratory volume.
Question 2 of 5
What is the most appropriate nursing diagnosis for a client expressing sadness about losing her breast?
Correct Answer: B
Rationale: The correct answer is B: Anticipatory Grieving. This nursing diagnosis is appropriate because the client is expressing sadness about a potential loss (her breast). Anticipatory Grieving involves experiencing the feelings and behaviors associated with the normal process of grieving before an actual loss occurs. In this case, the client is already grieving the potential loss of her breast, which aligns with the definition of anticipatory grieving. Incorrect options: A: Ineffective Individual Coping - This diagnosis is more about the client's ability to cope with stressors or life events, rather than specifically related to grief. C: Knowledge Deficit - This diagnosis is about a lack of understanding or information, which is not the primary issue in this scenario. D: Fear - While fear may be a component of the client's emotional response, it does not fully capture the anticipatory grieving process that the client is going through.
Question 3 of 5
Why is air drawn into the syringe for a Z-track injection?
Correct Answer: B
Rationale: The correct answer is B because adding air into the syringe creates a barrier that prevents the drug from flowing back into the needle track after injection, ensuring that the medication stays in the intended tissue site. This technique helps minimize tissue irritation and potential leakage of the medication. The other choices are incorrect because: A) Adding air does not decrease pain; C) The Z-track technique itself ensures the solution stays in the muscle, not air; D) Adding air does not ensure the client receives the entire dose, as the focus is on preventing backflow of the drug.
Question 4 of 5
What item is used to test cranial nerve II?
Correct Answer: D
Rationale: The correct answer is D: Snellen's chart. Cranial nerve II is the optic nerve responsible for vision. Snellen's chart is specifically designed to test visual acuity. It measures how well a person can see at various distances. Lateral gaze (A) is tested by cranial nerves III, IV, and VI. Coffee (B) and reflex hammer (C) are not used to test cranial nerve II.
Question 5 of 5
Raymond is a 5-year-old with chronic disease. He had just undergone insertion of central venous catheter via ultrasound. Which of the assessment data should you look first prior to administration of IV fluids?
Correct Answer: D
Rationale: The correct answer is D: Chest radiology results. This is the most critical assessment data to look at first before administering IV fluids to Raymond. By checking the chest radiology results, we can ensure that the central venous catheter is properly placed without any complications such as pneumothorax or malposition. This step is crucial for safe IV fluid administration. A: Serum osmolality and B: Serum electrolyte levels are important assessments but are not as immediate as checking the catheter placement. C: Intake and output record is important for monitoring fluid balance but does not take precedence over confirming the catheter placement.