ATI RN
Introduction to Professional Nursing Quizlet Questions
Question 1 of 5
Which first priority when inserting an indwelling urinary catheter?
Correct Answer: A
Rationale: Correct Answer: A (Aseptic technique) Rationale: Aseptic technique is crucial to prevent infections during catheter insertion. Steps include hand hygiene, using sterile gloves, cleaning the area, and maintaining sterility throughout. Taping the catheter is important but secondary. Instilling water into the balloon or inserting the catheter to the point where urine flows are incorrect as these steps come after ensuring aseptic technique.
Question 2 of 5
The nursing interventions before a bronchoscopy procedure include which of the following?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Giving information about the procedure (A) ensures the patient is well-informed. Obtaining informed consent (B) is crucial for patient autonomy and legal protection. Withholding fluid and food 6 hours before the test (C) reduces the risk of aspiration during the procedure. All these interventions are essential for ensuring patient safety, understanding, and compliance.
Question 3 of 5
A patient from a long-term care facility is admitted to the hospital with a sacral pressure injury. The base of the wound involves subcutaneous tissue. How should the nurse classify this pressure injury?
Correct Answer: C
Rationale: The correct answer is C: Stage 3. A stage 3 pressure injury involves full-thickness skin loss with damage or necrosis of subcutaneous tissue, but not extending to muscle or bone. In this case, the base of the wound involves subcutaneous tissue, indicating a stage 3 injury. Choice A (Stage 1) is incorrect as it involves non-blanchable erythema. Choice B (Stage 2) is incorrect as it involves partial-thickness skin loss with exposed dermis. Choice D (Stage 4) is incorrect as it involves full-thickness skin loss with extensive destruction, tissue necrosis, or damage to muscle, bone, or supporting structures.
Question 4 of 5
The nurse assesses a patient’s surgical wound on the first postoperative day and notes redness and warmth around the incision. Which action by the nurse is appropriate?
Correct Answer: B
Rationale: The correct answer is B: Document the assessment. This is appropriate because redness and warmth around the incision on the first postoperative day are common signs of normal inflammatory response. Documenting the assessment allows for accurate tracking of the wound's progression. Obtaining wound cultures (choice A) is not necessary at this stage as it's too early to indicate infection. Notifying the health care provider (choice C) may be premature and can cause unnecessary alarm. Assessing the wound every 2 hours (choice D) is excessive and not indicated unless there are other concerning symptoms.
Question 5 of 5
A preoperative nurse is reviewing morning laboratory values on four clients waiting for surgery. Which result warrants immediate communication with the surgical team?
Correct Answer: C
Rationale: The correct answer is C: Potassium: 2.9 mEq/L (2.9 mmol/L). A potassium level of 2.9 mEq/L is critically low (normal range is 3.5-5.0 mEq/L) and can lead to life-threatening cardiac arrhythmias. Immediate communication with the surgical team is necessary to address this abnormality before surgery. Explanation of other choices: A: Creatinine level of 1.2 mg/dL is within normal range (0.6-1.3 mg/dL), not requiring immediate communication. B: Hemoglobin level of 14.8 mg/dL is also within normal range for males (13.8-17.2 mg/dL) and females (12.1-15.1 mg/dL), not warranting immediate communication. D: Sodium level of 134 mEq/L is within the normal range (135-145 mEq/L), so immediate communication is