ATI RN
Introduction to Nursing Pdf Questions
Question 1 of 5
You are a nurse working in the college student health center. You receive a call that an athlete has been injured. The athlete's physiologic response would be:
Correct Answer: B
Rationale: The correct answer is B: an increased heart rate. When a person is injured, their body initiates the fight-or-flight response, leading to an increase in heart rate to pump more oxygen and nutrients to the injured area. This physiological response helps prepare the body to deal with the stressful situation. A: Increased appetite is not a typical physiologic response to injury. In fact, appetite may decrease due to stress or pain. C: A decrease in perspiration is unlikely in response to injury, as the body may sweat more due to increased heart rate and stress. D: A decrease in respiratory rate is not a common response to injury; typically, respiratory rate may increase to meet the body's oxygen demands during times of stress.
Question 2 of 5
The nurse is caring for a critically ill patient. What are the contraindications for administering medications by the oral route for this patient? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Vomiting. In a critically ill patient, vomiting can lead to aspiration of the medication, compromising respiratory function. Diarrhea (choice A) does not directly impact oral medication administration. Dysphagia (choice C) may require modifications in medication form, but it is not a contraindication for oral route. Family visitor (choice D) is irrelevant to the administration of medications.
Question 3 of 5
The new graduate RN needs to have a preceptor assigned to him as he begins working in the pediatric clinic. The BEST person for this assignment would be
Correct Answer: B
Rationale: The correct answer is B: The staff RN who has 3 years of experience and enjoys orienting new employees. This choice is the best because the staff RN has a moderate level of experience which makes them knowledgeable but not overly set in their ways. Additionally, their willingness to orient new employees shows they have a positive attitude towards teaching and mentoring. This combination of experience and willingness to teach makes them an ideal preceptor for a new graduate RN. A: The charge RN may be a natural leader and know the policies, but may not have the time or interest in orienting a new graduate. C: The LPN with 15 years of experience may know the doctor's preferences, but their scope of practice may not align with the RN's learning needs. D: The staff RN with 10 years of experience who refuses to work with students is not suitable as a preceptor due to their negative attitude towards teaching.
Question 4 of 5
The nurse cares for a dehydrated client who has diarrhea. Which is the following lab values reflect dehydration? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Cr 2.1. Creatinine (Cr) is a waste product that the kidneys normally filter out. In dehydration, kidney function may be impaired, leading to increased serum creatinine levels. Elevated creatinine is a common indicator of dehydration. Choice B: K+ 4.9 is not directly related to dehydration. Potassium levels are more affected by renal function and electrolyte balance. Choice C: BUN 45. Elevated BUN levels can indicate dehydration, but it is not as specific as creatinine in reflecting dehydration. Choice D: Na+ 150 is not a specific marker for dehydration. Sodium levels can be affected by various factors, including fluid intake and renal function.
Question 5 of 5
The nurse takes vital signs (VS) of a new hospital client admitted for severe abdominal pain. Which step of the nursing process is this nurse performing?
Correct Answer: A
Rationale: The correct answer is A: Assessment. In the nursing process, assessment is the first step, involving collecting data to identify the client's health status and needs. When the nurse takes vital signs for a new client with severe abdominal pain, they are gathering crucial data to understand the client's current physiological state. This data is essential for developing an appropriate care plan. Planning (B) involves setting goals and outcomes based on the assessment findings, Implementation (C) is the actual execution of the care plan, and Evaluation (D) is the ongoing process of assessing the client's response to interventions. In this scenario, the nurse is in the initial stage of data collection, aligning with the assessment phase.