ATI RN
Introduction to Nursing Profession Quizlet Questions
Question 1 of 5
When obtaining the temperature rectally, the nurse should insert the thermometer:
Correct Answer: B
Rationale: The correct answer is B (1 inch into the rectum). This is the proper depth for rectal temperature measurement as it ensures accurate readings without causing discomfort or injury. Inserting the thermometer too shallow (A) may lead to inaccurate readings, while inserting it too deep (C and D) can cause rectal perforation or injury. Optimal insertion depth balances accurate measurement and patient safety.
Question 2 of 5
The nurse notes that a 2 year-old child recovering from a tonsillectomy has an temperature of 98.2 degrees Fahrenheit at 8:00 AM. At 10:00 AM the child's mother reports that the child feels very warm" to touch. The first action by the nurse should be to:"
Correct Answer: C
Rationale: The correct answer is C, reassess the child's temperature. The nurse should first verify the mother's observation by assessing the child's temperature to confirm if there is an actual fever. This step ensures accurate information before any intervention. Reassuring the mother without verifying the temperature could lead to overlooking a potential issue. Offering cold oral fluids may provide temporary relief but doesn't address the underlying cause. Administering paracetamol should only be done based on a confirmed fever, not solely on the mother's perception of warmth. Therefore, reassessing the child's temperature is the most appropriate initial action.
Question 3 of 5
While doing nasopharyngeal suctioning on the client, the nurse can avoid trauma to the area by:
Correct Answer: C
Rationale: Rationale for correct answer (C): Applying no suction while inserting the catheter prevents trauma to the nasopharyngeal area by reducing the risk of damaging the delicate tissues. Inserting the catheter without applying suction allows for gentle and safe placement without causing injury. Summary of why other choices are incorrect: A: Applying suction for at least 60 seconds is not recommended as it can lead to excessive pressure and trauma to the area. B: While using clean gloves is important for infection control, it does not directly prevent trauma during suctioning. D: Rotating the catheter with gentle suction may still pose a risk of trauma as the twisting motion can cause damage to the tissues.
Question 4 of 5
When bandaging a client's foot, the nurse will:
Correct Answer: B
Rationale: The correct answer is B: Work from proximal to distal. This approach ensures proper blood flow and prevents swelling. Starting from the farthest point (proximal) and moving towards the end (distal) helps maintain circulation and reduces the risk of constriction. Working from anterior to posterior (C) or covering the toes in a spiral (D) can impede circulation. Hyperextending the foot (A) is unnecessary and can cause discomfort. Thus, working from proximal to distal is the most appropriate method for bandaging a client's foot.
Question 5 of 5
The client is prescribed Potassium iodide (Lugol’s solution), the nurse should teach the client:
Correct Answer: B
Rationale: The correct answer is B: To drink the solution using a straw. This method helps minimize the risk of staining the teeth because Lugol's solution can cause discoloration. Using a straw also helps bypass the taste buds on the tongue, reducing the unpleasant taste. Choices A and C are incorrect as they do not address the potential side effects of staining or taste. Choice D is incorrect because Potassium iodide is typically administered orally, not via intramuscular injection.