ATI RN
Introduction to Nursing Profession Quizlet Questions
Question 1 of 5
When palpating a client's body to detect warmth, the nurse should use which part of the hand?
Correct Answer: C
Rationale: The correct answer is C: Back (dorsal surface) of the hand. This is because the back of the hand is less sensitive to temperature variations, providing a more accurate perception of warmth. The fingertips and finger pads have more sensory receptors, making it harder to differentiate subtle temperature changes. The ulnar surface is also more sensitive, causing potential inaccuracies in detecting warmth. Therefore, using the back of the hand minimizes the chances of misinterpreting temperature sensations.
Question 2 of 5
A client who is NPO, comatose, and receiving oxygen has cracked lips, dry mucus membranes, swollen gums, and caked mucus on the tongue and teeth. The best intervention is to:
Correct Answer: A
Rationale: The correct answer is A: Swab the oral cavity with a normal saline solution as needed. This intervention is the best choice as it helps to keep the oral cavity moist, clean, and free from infection. Normal saline is gentle, non-irritating, and helps to maintain hydration. Cracked lips, dry mucus membranes, and caked mucus can lead to discomfort and potential infection in a comatose client. Summary: - Choice B (Swab the mouth every half-hour with lemon-glycerin swabs) is incorrect as lemon-glycerin swabs may irritate the oral mucosa and are not suitable for continuous use. - Choice C (Swab lips and mucus membranes with mineral oil) is incorrect as mineral oil can be harmful if aspirated and does not provide hydration. - Choice D (Swab the oral cavity with hydrogen peroxide followed with water) is incorrect as hydrogen peroxide can be harsh on delicate oral tissues and is not recommended for
Question 3 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 4 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 5 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.