ATI RN
Introduction to Nursing 203 Quizlet Questions
Question 1 of 5
When preparing the epinephrine injection from an ampule, Nurse Andrae initially:
Correct Answer: A
Rationale: The correct answer is A because tapping the ampule at the top helps ensure that all the medication flows to the base, making it easier to withdraw the correct dose. Tapping prevents medication from getting stuck at the top. Checking the expiration date (B) is important but not the initial step. Removing the needle cap and expelling air (C) is done after drawing up the medication. Breaking the ampule neck (D) is the final step after ensuring the medication is properly prepared.
Question 2 of 5
A pediatrician’s prescription reads “ampicillin sodium 125 mg IV every 6 hours.” The medication label reads “when reconstituted with 7.4 mL of bacteriostatic water, the final concentration is 1 g/7.4 mL.” The nurse prepares to draw up how many milliliters to administer 1 dose?
Correct Answer: D
Rationale: The correct answer is D (0.925 mL). To calculate the volume needed for 125 mg of ampicillin sodium at a concentration of 1 g/7.4 mL, we use the formula: Volume = (Desired dose * Volume of final concentration) / Concentration of final solution. Substituting the values gives Volume = (125 mg * 7.4 mL) / 1 g = 925 mg / 1000 mg = 0.925 mL. Therefore, the nurse should draw up 0.925 mL to administer one dose. Choice A (1.1 mL) is incorrect as it is not the correct calculation based on the given data. Choice B (0.54 mL) is incorrect as it does not match the calculated volume needed for the desired dose. Choice C (7.425 mL) is incorrect as it miscalculates the volume needed and does not align with the correct answer.
Question 3 of 5
The nurse is providing care for a client who underwent mitral valve replacement. The best example of a measurable client outcome goal is to:
Correct Answer: C
Rationale: The correct answer is C because it is a specific, measurable, achievable, relevant, and time-bound (SMART) goal. Walking from his room to the end of the hall and back before discharge is specific in distance, measurable in terms of achievement, achievable based on the client's condition, relevant to his recovery, and time-bound before discharge. Choice A is not measurable in terms of progress. Choice B is vague and not specific. Choice D is not directly related to the client's recovery from mitral valve replacement. Therefore, choice C is the best example of a measurable client outcome goal.
Question 4 of 5
When assessing a client's skin, the nurse notes a deep, irregular-shaped area of skin loss that extends below the dermis. What term would the nurse use when documenting this?
Correct Answer: A
Rationale: The correct term for a deep, irregular-shaped area of skin loss that extends below the dermis is an ulcer. Ulcers are characterized by tissue loss extending beyond the epidermis and dermis. A fissure is a linear crack in the skin, not a deep irregular shape. Keloid is an overgrowth of scar tissue, not skin loss. Erosion is superficial loss of the epidermis, not extending below the dermis. Therefore, the correct term in this scenario would be an ulcer.
Question 5 of 5
The nurse documents the client’s pulse as weak and thready. This pulse characteristic refers to:
Correct Answer: C
Rationale: Step-by-step rationale: 1. Weak and thready pulse refers to the volume of the pulse. 2. Pulse volume indicates the strength or force of the heartbeat. 3. A weak and thready pulse suggests a low volume of blood being ejected with each heartbeat. 4. This characteristic is important in assessing the client's perfusion status. Summary: A. Pulse rhythm: Refers to the regularity of the pulse pattern, not the strength. B. Pulse deficit: Refers to a difference between the apical and radial pulse rates, not the strength. C. Pulse volume: Correct answer. Reflects the strength or force of the heartbeat. D. Pulse rate: Refers to the number of heartbeats per minute, not the strength.