ATI RN
Chapter 1 Introduction to Nursing Quizlet Questions
Question 1 of 5
You are preparing to hang fat emulsion and observes that fat globules are visible at the top of the solution. Which of the following actions should you take?
Correct Answer: B
Rationale: The correct answer is B because visible fat globules at the top of a fat emulsion solution indicate separation or instability. Obtaining a different bottle of solution ensures proper emulsion consistency for safe administration. Rolling the bottle gently (A) may not fully address the issue. Shaking vigorously (C) can further destabilize the emulsion. Running under warm water (D) could alter the emulsion's composition.
Question 2 of 5
A pediatric client with ventricular septal defect repair is placed on a maintenance dosage of digoxin. The dosage is 8 mcg/kg/day, and the client’s weight is 7.2 kg. The pediatrician prescribes the digoxin to be given twice daily. The nurse prepares how many mcg of digoxin to administer to the child at each dose?
Correct Answer: C
Rationale: To calculate the correct dosage, first, multiply the child's weight (7.2 kg) by the maintenance dosage (8 mcg/kg/day) to get the total daily dose: 7.2 kg x 8 mcg/kg/day = 57.6 mcg/day. Since the medication is given twice daily, divide the total daily dose by 2 to get the dosage for each administration: 57.6 mcg/day / 2 = 28.8 mcg. Therefore, the correct answer is C (28.8 mcg). Explanation for incorrect choices: A: 12.6 mcg - Incorrect, as it does not account for the correct calculation based on the child's weight and maintenance dosage. B: 21.4 mcg - Incorrect, as it is not the correct dosage obtained from the calculation. D: 32.2 mcg - Incorrect, as it is not the correct dosage based on the calculation provided.
Question 3 of 5
Which statement reflects appropriate documentation in the medical record of a hospitalized client?
Correct Answer: A
Rationale: The correct answer is A because it provides specific, objective information about a medical condition - a small pressure ulcer on the left leg. This type of documentation is crucial for accurate assessment, diagnosis, and treatment planning. Choice B is incorrect as it reflects subjective interpretation rather than a factual observation. Choice C is also incorrect as it lacks relevant medical information. Choice D is incorrect as it describes a physical symptom without a specific location or context. In medical documentation, clarity and precision are essential for communication among healthcare providers and ensuring quality patient care.
Question 4 of 5
In a client with long-term emphysema, the nurse might expect to see which condition when inspecting the nails?
Correct Answer: B
Rationale: The correct answer is B: Clubbing. In a client with long-term emphysema, clubbing of the nails may be present due to chronic hypoxia. Clubbing is characterized by an enlargement of the fingertips and a loss of the normal angle between the nail and the nail bed. This occurs as a result of chronic oxygen deprivation. The other choices are incorrect because: A) A rapid blanch test is not relevant to nail inspection in emphysema; C) Koilonychia is associated with iron deficiency anemia, not emphysema; D) Paronychia is an infection of the nail fold, which is not directly related to emphysema.
Question 5 of 5
A pulse is normally palpated by applying moderate pressure using:
Correct Answer: D
Rationale: The correct answer is D: The middle three fingertips. This is because using the middle three fingertips allows for more precise palpation and better detection of the pulse rhythm and rate. The thumb and index finger have larger surface areas and may not provide accurate results. The palm is too broad and may not be sensitive enough to detect subtle pulse variations. Therefore, using the middle three fingertips is the most appropriate method for palpating a pulse accurately.