ATI RN
Introduction to Nursing Questions
Question 1 of 5
When preparing for a subcutaneous injection, the proper size of syringe and needle would be:
Correct Answer: D
Rationale: The correct answer is D because for subcutaneous injections, a syringe volume of 1-3ml is sufficient for most medications. The needle gauge of 25-27 is appropriate for subcutaneous injections as it is thin enough to minimize discomfort but thick enough to allow for proper medication flow. Tuberculin syringes are typically used for intradermal injections, not subcutaneous. Syringe sizes in choices A and C are larger than necessary for subcutaneous injections, which can lead to unnecessary wastage of medication. Needle gauges in choices A and C are also thicker than needed for subcutaneous injections, potentially causing more pain and tissue damage.
Question 2 of 5
A client has a nursing diagnosis of Risk for injury related to adverse effects of potassium-wasting diuretics. What is a correctly written client outcome for this nursing diagnosis?
Correct Answer: A
Rationale: The correct answer is A because it directly addresses the nursing diagnosis by focusing on the client's ability to identify potassium-rich food sources, which is crucial in managing the risk for injury related to potassium-wasting diuretics. The outcome is specific, measurable, and achievable, aligning with the SMART criteria for goal setting. Choice B is incorrect as it does not specify a measurable action related to potassium-rich foods. Choice C lacks the specificity of identifying the number of potassium-rich food sources. Choice D is incorrect as it does not directly address the nursing diagnosis and focuses on a different aspect of the client's understanding.
Question 3 of 5
Which nursing diagnosis would comply with guidelines set forth by NANDA?
Correct Answer: D
Rationale: The correct answer is D: Risk for injury related to generalized weakness. This diagnosis complies with NANDA guidelines as it is specific, measurable, and based on clinical judgment. It focuses on the potential harm a patient may experience due to their weakness, aligning with NANDA's criteria for nursing diagnoses. The other choices lack specificity and do not directly address the patient's actual health problem. Choice A assumes the cause of ineffective airway clearance without assessment data. Choice B involves psychological factors not directly related to a physiological condition. Choice C implies a behavioral issue rather than a potential health risk.
Question 4 of 5
A client's wound is draining thick yellow material. The nurse correctly describes the drainage as:
Correct Answer: D
Rationale: The correct answer is D: Purulent. This is because thick yellow drainage indicates the presence of pus, which is characteristic of purulent drainage. Pus consists of dead white blood cells, tissue debris, and bacteria, signifying infection. Sanguineous drainage is fresh red blood, serous-sanguineous is a mix of clear and red drainage, and serous is clear and watery. Therefore, in this case, purulent is the most appropriate description of the drainage.
Question 5 of 5
After a few hours in the emergency room, the client is admitted to the ward with an order of hourly monitoring of BP. The nurse finds that the cuff is too narrow and this will cause the BP reading to be:
Correct Answer: B
Rationale: The correct answer is B: Higher than what the reading should be. A narrow cuff will result in inaccurate BP readings because it can cause increased pressure on the artery, leading to artificially elevated readings. When the cuff is too narrow, it can compress the artery more than necessary, resulting in a higher BP reading. This is why it is important to use the correct cuff size based on the client's arm circumference to obtain an accurate reading. Choices A and C are incorrect because a narrow cuff would not result in a lower or the same BP reading, respectively. Choice D, inconsistent, is also incorrect because the incorrect cuff size will consistently produce higher readings due to increased pressure on the artery.