ATI RN
Introduction to Nursing Pdf Questions
Question 1 of 5
What sign should be reported immediately after a bronchoscopy?
Correct Answer: D
Rationale: The correct answer is D: Stridor. Stridor is a high-pitched, noisy breathing sound that indicates airway obstruction, a potential complication of bronchoscopy. Immediate reporting is crucial for prompt intervention. A: Blood-streaked sputum may occur post-bronchoscopy but does not require immediate reporting unless excessive or persistent. B: Dry cough is a common post-procedure symptom and does not necessitate immediate reporting. C: Hematuria (blood in urine) is not a typical complication of bronchoscopy and would not be directly related to the procedure.
Question 2 of 5
What should the nurse check first before giving oral care to a comatose client?
Correct Answer: C
Rationale: The correct answer is C: Gag reflex. This is crucial to prevent aspiration during oral care for a comatose client. Checking the gag reflex helps ensure that the client can protect their airway and swallow safely. It is the top priority before providing any oral care to prevent potential choking or aspiration. The other choices are incorrect because: A: Presence of pain is important, but ensuring the client's safety and preventing aspiration takes precedence. B: Condition of the integumentary is not directly related to oral care and safety during the procedure. D: Joint mobility is also not directly related to oral care in a comatose client.
Question 3 of 5
You need to hang a 1000-mL intravenous (IV) bag of 5% dextrose in water with 20 mEq of potassium chloride. However, since the patient also has infection, she is also prescribed with piperacillin/tazobactam and it also needs to be administered now. The client has one IV site. Which action should you do first?
Correct Answer: B
Rationale: The correct answer is B: Check compatibility of the medication and IV fluids. Before administering the medications, it is crucial to ensure compatibility to prevent any adverse reactions or inactivation of the drugs. Checking compatibility involves verifying if the medications can be safely mixed and administered through the same IV line. This step helps in maintaining the effectiveness of the medications and ensuring patient safety. Summary: - Starting a second IV site (Choice A) is not necessary unless compatibility issues arise. - Mixing the prepackaged piperacillin/tazobactam per agency policy (Choice C) should only be done after verifying compatibility. - Priming the tubing with the IV solution and back-priming the medication (Choice D) should be done after confirming compatibility to avoid wastage.
Question 4 of 5
Nurse Mario knows he can perform chest physiotherapy:
Correct Answer: B
Rationale: Answer B is correct because performing chest physiotherapy one hour after meals helps prevent aspiration during the procedure. After meals, the risk of regurgitation and aspiration is higher, so waiting one hour allows for digestion and reduces these risks. Choices A, C, and D are incorrect because performing chest physiotherapy immediately before meals, during meals, or before bedtime can increase the risk of aspiration due to the timing in relation to eating.
Question 5 of 5
The nurse selects which of the following materials to be used as the first layer of the dressing at the chest tube insertion site?
Correct Answer: C
Rationale: The correct answer is C: Petrolatum jelly gauze. This material helps create a seal around the chest tube insertion site to prevent air leaks and infections. Step-by-step rationale: 1. Petrolatum jelly gauze provides an occlusive barrier to protect the site. 2. It helps maintain a moist environment for wound healing. 3. It reduces the risk of skin irritation. Summary: A dry sterile gauze (choice A) does not provide a proper seal or moisture needed for healing. Absorbent kelix dressing (choice B) may not create a sufficient barrier. Gauze with betadine (choice D) can be irritating and delay wound healing.