ATI RN
Introduction to Critical Care Nursing 8th Edition Questions
Question 1 of 5
When the nurse is administering furosemide 40 mg IV push to a client in congestive heart failure (CHF), what phase of the nursing process does this represent?
Correct Answer: C
Rationale: The correct answer is C: Implementation. This is because administering furosemide 40 mg IV push to a client in CHF is an action that falls under the Implementation phase of the nursing process, where the nurse carries out the planned interventions to help achieve the client's goals. Assessment (A) is the data collection phase, Planning (B) involves setting goals and determining interventions, and Evaluation (D) is the phase where the nurse assesses the effectiveness of the interventions. In this case, actually administering the medication is executing the planned intervention, thus categorizing it under Implementation.
Question 2 of 5
Before administering a prescribed electrolyte supplement, the nurse reviews a client's electrolyte panel: What should the nurse do next?
Correct Answer: D
Rationale: The correct answer is D. Holding potassium chloride (KCl) and calling the healthcare provider (HCP) is crucial because administering electrolytes without proper assessment can be dangerous. If the electrolyte panel shows abnormal levels, especially for potassium, the nurse must seek guidance from the healthcare provider to prevent potential harm. Re-checking the client's basic metabolic panel (BMP) (choice A) may not provide specific information about the electrolyte imbalance. Administering calcium carbonate (choice B) may not address the specific electrolyte imbalance revealed in the panel. Administering potassium chloride (KCl) (choice C) without further assessment and guidance could worsen the imbalance.
Question 3 of 5
When auscultating a client9s abdomen, how long should the nurse listen before concluding the bowel sounds are absent?
Correct Answer: B
Rationale: The correct answer is B: 5 minutes. This is because the nurse should listen for a minimum of 5 minutes to accurately determine if bowel sounds are absent. Bowel sounds may be irregular and taking the time to listen for a longer period increases the chances of detecting any sounds. Listening for only 1 minute (choice A) may not provide a comprehensive assessment. Listening for 10 minutes (choice C) or 15 minutes (choice D) is unnecessary and may lead to unnecessary delays in patient care.
Question 4 of 5
The proper use of the principles of body mechanics:
Correct Answer: C
Rationale: Step 1: Body mechanics involve using proper posture and movements to prevent injury. Step 2: By applying body mechanics, both the client and nurse can avoid strains and injuries. Step 3: The primary goal of using body mechanics is to prevent harm to both parties involved. Step 4: Choice C correctly states that body mechanics aim to prevent injury to both the client and nurse. Summary: Choice A is incorrect as it only focuses on protecting the client. Choice B is incorrect as it only focuses on protecting the nurse. Choice D is incorrect as the main goal of body mechanics is not related to legal action but rather injury prevention for both parties.
Question 5 of 5
What nursing program is designed to prepare individuals for entry-level positions in health care and requires graduates to pass the NCLEX-PN for licensure?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.