ATI RN
Introduction to Community Health Nursing Questions
Question 1 of 5
In performing enemas, the indicated height for adults should be:
Correct Answer: D
Rationale: The correct answer is D: 12-18 inches above the rectum. This height range ensures proper flow of the enema solution through gravity. If the enema bag is positioned too low (A), gravity may not assist in the flow. Placing it 10-16 inches above the bed (B) is not specific to the rectum. Option C (12-18 inches above the bed) does not guarantee proper flow into the rectum. Therefore, option D is the most appropriate height range for successful administration of the enema solution.
Question 2 of 5
To obtain a specimen for a stool culture, the nurse should:
Correct Answer: C
Rationale: The correct answer is C because using tongue blades to transfer the stool into the container minimizes the risk of contamination. Placing a large stool directly into the container (A) may introduce contaminants. Using a dry container (B) may not preserve the specimen adequately. Dipping a rectal swab into the stool and placing it into a sterile test tube (D) may not provide enough sample for culture.
Question 3 of 5
The medication order of a client indicates: hs. This means that the nurse should administer the medication:
Correct Answer: D
Rationale: The correct answer is D: At bedtime. Rationale: 1. "hs" stands for "hora somni," Latin for bedtime. 2. Administering medication at bedtime ensures it is effective during nighttime. 3. Other choices are incorrect: A is subjective, B is immediate, and C is before meals which contradicts the meaning of "hs."
Question 4 of 5
The nurse is to administer an IV infusion of a medication at 10 units/kg/hour. The patient weighs 50 kilograms. The medication concentration is 50,000 units per 1000 ml. The nurse should set the infusion rate at:
Correct Answer: A
Rationale: The correct answer is A (10 ml/hr). To calculate the infusion rate, first, determine the total dose required per hour (10 units/kg/hour x 50 kg = 500 units/hour). Then, convert the medication concentration to units per ml (50,000 units/1000 ml = 50 units/ml). Finally, divide the total dose required per hour by the medication concentration (500 units/hour ÷ 50 units/ml = 10 ml/hr). This ensures the patient receives the correct dosage per hour based on their weight and the medication concentration. Choices B, C, and D are incorrect as they do not follow the correct calculation method or do not take into account the patient's weight and medication concentration.
Question 5 of 5
For a client who has a chest tube connected to a closed water-seal drainage system, the nurse should include which action in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Measuring and documenting the drainage in the collection chamber. This is essential to monitor the client's condition and assess for any changes in drainage, which can indicate complications. Maintaining continuous bubbling in the water-seal chamber (B) is incorrect because it may indicate an air leak, which should be addressed. Keeping the collection chamber at chest level (C) is incorrect because it is not a critical action for the care of the chest tube. Removing the chest tube every hour (D) is incorrect and can lead to complications and is not a standard practice in chest tube management.