ATI RN
Introduction to Critical Care Nursing 8th Edition Questions
Question 1 of 5
When should George be taught about testicular examinations?
Correct Answer: D
Rationale: The correct answer is D: Before age 20. Testicular examinations are important for early detection of testicular cancer, which is most common in young and middle-aged men. Teaching George before age 20 ensures he understands the importance of self-examinations and can detect any abnormalities early. Choice A is incorrect because sexual activity is not directly related to testicular health. Choice B is incorrect as waiting until after age 10 may miss the crucial window for early detection. Choice C is incorrect as waiting until after age 40 may miss the opportunity to detect testicular cancer early.
Question 2 of 5
What should the nurse do when a client has a retention catheter?
Correct Answer: A
Rationale: The correct answer is A because cleaning the urinary meatus and adjacent skin periodically helps prevent infection and irritation. It maintains hygiene and reduces the risk of complications. Choice B is incorrect because fluid intake should be appropriate, not excessive. Choice C is incorrect because flushing the catheter without proper indication can introduce infection. Choice D is incorrect as perineal flushing is not recommended for clients with a retention catheter.
Question 3 of 5
What is the most appropriate nursing diagnosis for a client expressing sadness about losing her breast?
Correct Answer: B
Rationale: The correct answer is B: Anticipatory Grieving. This nursing diagnosis is appropriate because the client is expressing sadness about a potential loss (her breast). Anticipatory Grieving involves experiencing the feelings and behaviors associated with the normal process of grieving before an actual loss occurs. In this case, the client is already grieving the potential loss of her breast, which aligns with the definition of anticipatory grieving. Incorrect options: A: Ineffective Individual Coping - This diagnosis is more about the client's ability to cope with stressors or life events, rather than specifically related to grief. C: Knowledge Deficit - This diagnosis is about a lack of understanding or information, which is not the primary issue in this scenario. D: Fear - While fear may be a component of the client's emotional response, it does not fully capture the anticipatory grieving process that the client is going through.
Question 4 of 5
Why is air drawn into the syringe for a Z-track injection?
Correct Answer: B
Rationale: The correct answer is B because adding air into the syringe creates a barrier that prevents the drug from flowing back into the needle track after injection, ensuring that the medication stays in the intended tissue site. This technique helps minimize tissue irritation and potential leakage of the medication. The other choices are incorrect because: A) Adding air does not decrease pain; C) The Z-track technique itself ensures the solution stays in the muscle, not air; D) Adding air does not ensure the client receives the entire dose, as the focus is on preventing backflow of the drug.
Question 5 of 5
What item is used to test cranial nerve II?
Correct Answer: D
Rationale: The correct answer is D: Snellen's chart. Cranial nerve II is the optic nerve responsible for vision. Snellen's chart is specifically designed to test visual acuity. It measures how well a person can see at various distances. Lateral gaze (A) is tested by cranial nerves III, IV, and VI. Coffee (B) and reflex hammer (C) are not used to test cranial nerve II.