ATI RN
Introduction to Nursing Pdf Questions
Question 1 of 5
When admitting a patient with stage 3 pressure injuries on both heels, which information obtained by the nurse will have the most impact on wound healing?
Correct Answer: B
Rationale: The correct answer is B because oral hypoglycemic agents are important in managing blood sugar levels. High blood sugar can impair wound healing and increase the risk of infection. Controlling blood sugar levels is crucial for optimal wound healing. A: The duration of injury does not directly impact wound healing compared to managing underlying conditions. C: Pain management is important but does not directly affect wound healing. D: Keloids are unrelated to pressure injuries and do not impact wound healing.
Question 2 of 5
A nurse assesses clients at a family practice clinic for risk factors that could lead to dehydration. Which client is at greatest risk for dehydration?
Correct Answer: C
Rationale: The correct answer is C, the 76-year-old who is cognitively impaired, is at the greatest risk for dehydration. Cognitive impairment can impact one's ability to recognize thirst cues or communicate their need for fluids. This client may forget to drink water or be unable to express their thirst, leading to dehydration. The other choices are less likely at risk for dehydration because: A) Long-term steroid therapy can increase thirst and fluid intake, B) Recent IV fluids indicate recent hydration, D) Congestive heart failure may lead to fluid retention rather than dehydration.
Question 3 of 5
A patient is receiving thrombolytic therapy, and the nurse monitors the patient for adverse effects. What is the most common undesirable effect of thrombolytic therapy?
Correct Answer: D
Rationale: The correct answer is D: Internal and superficial bleeding. Thrombolytic therapy works by breaking down blood clots, which can lead to bleeding as a side effect. This is the most common undesirable effect because it is directly related to the mechanism of action of thrombolytic agents. Dysrhythmias (choice A), although possible, are less common and not directly related to the drug's action. Nausea and vomiting (choice B) are general side effects that are not specific to thrombolytic therapy. Anaphylactic reactions (choice C) are rare but serious adverse effects that can occur with any medication, not just thrombolytics.
Question 4 of 5
What finding should the nurse expect during the assessment of a young adult with infective endocarditis (IE)?
Correct Answer: B
Rationale: The correct answer is B: A new regurgitant murmur. In infective endocarditis, vegetation on heart valves can cause valve dysfunction, leading to new regurgitant murmurs. This is a classic finding in IE assessment. Substernal chest pressure (A) is more common in conditions like angina or myocardial infarction. Pruritic rash on the chest (C) is not typically associated with IE. Involuntary muscle movement (D) is not a common finding in IE and is more suggestive of neurological conditions.
Question 5 of 5
Which action will the nurse take to evaluate the effectiveness of IV nitroglycerin for a patient with a myocardial infarction (MI)?
Correct Answer: B
Rationale: The correct answer is B: Ask about chest pain. This is because assessing the presence or absence of chest pain is a critical indicator of the effectiveness of IV nitroglycerin in managing myocardial infarction. Chest pain is a cardinal symptom of MI, and the relief or reduction of chest pain indicates that the nitroglycerin is working to improve blood flow to the heart muscle. Monitoring heart rate, checking blood pressure, and observing for dysrhythmias are important assessments in managing MI, but they do not directly reflect the effectiveness of nitroglycerin therapy.