ATI RN
Introduction to Critical Care Nursing 8th Edition Questions
Question 1 of 5
What type of fever would the nurse document if the client had a wide range of temperature fluctuations over normal for a period of 24 hours?
Correct Answer: B
Rationale: The correct answer is B: Remittent fever. Remittent fever is characterized by wide temperature fluctuations over normal within a 24-hour period, without returning to normal in between. Intermittent fever has periods of normal temperature between spikes. Relapsing fever has recurring episodes of fevers with symptom-free intervals. Constant fever remains consistently elevated without fluctuations. Therefore, the correct choice is B as it aligns with the described temperature pattern.
Question 2 of 5
The nurse further asked the client to move her tongue side to side & up and down. The nurse is checking what cranial nerve with this process?
Correct Answer: B
Rationale: The correct answer is B: Glossopharyngeal nerve. Moving the tongue side to side & up and down tests the function of the glossopharyngeal nerve (cranial nerve IX), responsible for controlling the muscles of the tongue and throat. The other choices are incorrect because: A: Facial nerve (VII) controls facial expressions, not tongue movements. C: Trigeminal nerve (V) controls chewing and sensation in the face, not tongue movement. D: Abducens nerve (VI) controls eye movement, not tongue movements.
Question 3 of 5
When performing oral care to an unconscious client, which of the following is a special consideration to prevent aspiration of fluids into the lungs?
Correct Answer: D
Rationale: The correct answer is D: Put the client in a side-lying position with the head of the bed lowered. This position helps prevent aspiration of fluids into the lungs by allowing gravity to assist in draining fluids out of the mouth and reducing the risk of them entering the airway. It also helps in preventing choking and aspiration pneumonia. A: Washing hands and observing infection control are important but do not directly address the risk of aspiration. B: Keeping the client dry with a towel does not specifically prevent aspiration and may not be effective in managing oral care for an unconscious client. C: Cleaning the mouth with oral swabs is important, but the technique does not directly address the risk of aspiration compared to positioning the client correctly.
Question 4 of 5
A nurse must verify the client's identity before administering medication. The safest way to verify identity is to:
Correct Answer: B
Rationale: The correct answer is B: Check the client's identification band. This method is the safest way to verify the client's identity because it directly links the client to a unique identification band that is specifically assigned to them. This ensures accuracy and minimizes the risk of error. A: Asking the client his name may not be reliable as the client could provide incorrect information. C: Stating the client's name aloud and having them repeat it relies on the client's memory and verbal confirmation, which may not be foolproof. D: Checking the room number and the client's name on the bed is not as direct and specific as checking the client's identification band, which could lead to confusion if there are multiple clients in the same room.
Question 5 of 5
The medication order is chlorate hydrate 400mg. The bottle reads chlorate hydrate 0.1 g / capsules. How many capsules should be given?
Correct Answer: D
Rationale: To find the number of capsules needed, convert 400mg to grams (400mg = 0.4g). Then divide the total amount required (0.4g) by the strength of each capsule (0.1g/capsule). This results in 4 capsules needed (0.4g / 0.1g/capsule = 4 capsules). Choice D is correct as it aligns with the calculation. Choices A, B, and C are incorrect as they do not match the calculated amount required based on the medication strength and dosage.