ATI RN
Introduction to Nursing Questions
Question 1 of 5
While caring for a client, the nurse notes a pulsating mass in the client's periumbilical area. Which of the following assessments is appropriate for the nurse to perform?
Correct Answer: B
Rationale: The correct answer is B: Auscultate the mass. Auscultation can help identify the nature of the pulsating mass, such as detecting bruits, which may indicate an underlying vascular issue. Measuring the length (A) is not relevant for assessing a pulsating mass. Percussion (C) is used to assess underlying structures, not the nature of a mass. Palpation (D) can provide information on the size, shape, and consistency of the mass but auscultation is essential to detect potential abnormalities like bruits.
Question 2 of 5
What statement by a nurse to a new nurse, orienting to the unit, is correct regarding seizure precautions?
Correct Answer: C
Rationale: Correct Answer: C Rationale: 1. Forcing a tongue depressor between the teeth can cause injury during a seizure. 2. It is important to maintain a patent airway during a seizure. 3. Placing an object in the mouth can increase the risk of aspiration or damage to the teeth. 4. The nurse should protect the client from harm by ensuring a safe environment during a seizure. Summary: A: Not all seizures lead to status epilepticus; it depends on the individual. B: Oxygen may be needed, but it is not the priority over maintaining a clear airway. D: Administering anticonvulsant drugs is beneficial for seizure management.
Question 3 of 5
Where should you put a wet adult diaper?
Correct Answer: D
Rationale: The correct answer is D: Yellow trashcan. Wet adult diapers should be disposed of in the yellow trashcan designated for general waste. This is because soiled diapers are considered non-recyclable and non-hazardous waste. The yellow trashcan is typically used for general waste that cannot be recycled or composted. Placing the wet adult diaper in the green, black, or orange trashcan would be incorrect as these bins are usually designated for specific types of waste like recyclables, organic waste, or hazardous materials respectively. Proper disposal in the yellow trashcan ensures efficient waste management and prevents contamination of other waste streams.
Question 4 of 5
Jenrick, a 2-year-old child, has been diagnosed with conjunctivitis. The nurse is to administer optic drops QID. The nurse should drop the medication into the:
Correct Answer: B
Rationale: The correct answer is B: Lower conjunctival sac. This is the correct site for administering eye drops in children. By placing the drops in the lower conjunctival sac, the medication can easily spread over the eye surface and be absorbed effectively. Placing the drops in the center of the cornea (choice A) can cause irritation and discomfort. Placing the drops on the sclera by the inner canthus (choice C) or outer canthus (choice D) may not allow proper absorption of the medication. Administering the drops in the lower conjunctival sac ensures maximum effectiveness and minimal discomfort for the child.
Question 5 of 5
Organize the following steps to suctioning in chronological order: 1) Put on sterile glove 2) Lubricate catheter with normal saline 3) Apply suction for 5-10 seconds 4) Explain procedure to client 5) Wash hands thoroughly
Correct Answer: A
Rationale: The correct order is 45123. 1. "Put on sterile glove" (Step 4) is the first step to maintain aseptic technique. 2. "Explain procedure to client" (Step 5) should be done before any intervention for informed consent. 3. "Lubricate catheter with normal saline" (Step 2) prepares the catheter for insertion. 4. "Apply suction for 5-10 seconds" (Step 1) is done after catheter insertion. 5. "Wash hands thoroughly" (Step 3) is the final step to prevent cross-contamination. Other choices are incorrect because they do not follow the correct sequence of aseptic technique and patient safety measures.