ATI RN
Introduction to Nursing Questions
Question 1 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 2 of 5
After securing the catheter to the client, the nurse should also secure the catheter to the bed linens and hang the urine drainage bag:
Correct Answer: C
Rationale: The correct answer is C: Below the level of the bladder. Securing the drainage bag below the level of the bladder helps maintain a continuous flow of urine by using gravity. Placing it above the bladder can lead to urinary stasis and potential backflow of urine. Securing it at the level of the bladder could cause pressure on the catheter, leading to discomfort and obstruction. Hanging the bag at any level the nurse prefers is not recommended as it doesn't follow best practice guidelines for urinary drainage.
Question 3 of 5
Which is the correct procedure for collecting a sputum specimen for culture and sensitivity testing?
Correct Answer: C
Rationale: The correct answer is C: Have the client expectorate the sputum into a sterile container. This is the correct procedure because using a sterile container ensures that the specimen remains uncontaminated for accurate culture and sensitivity testing. Choice A is incorrect as placing the specimen in a non-sterile container and enclosing it in a plastic bag can introduce contaminants. Choice B is incorrect as the nurse should not hold the container with bare hands to prevent contamination. Choice D is incorrect as offering an antiseptic mouthwash can alter the microbial flora in the sputum, affecting test results.
Question 4 of 5
A postoperative patient has not voided for 8 hours after return to the clinical unit. Which action should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Perform a bladder scan. The first step is to assess the patient's bladder volume non-invasively before considering invasive procedures like catheterization. A bladder scan will provide information about the patient's bladder volume and guide further interventions. Choice B (Insert a straight catheter) is incorrect as this is an invasive procedure and should not be the first action without assessing the bladder volume. Choice C (Encourage increased oral fluid intake) is incorrect as it does not address the immediate need to assess the patient's bladder status. Choice D (Assist the patient to ambulate to the bathroom) is incorrect as this may not resolve the issue if the patient has bladder retention.
Question 5 of 5
A clinic nurse is teaching a client prior to surgery. The client does not seem to comprehend the teaching, forgets a lot of what is said, and asks the same questions again and again. What action by the nurse is best?
Correct Answer: A
Rationale: The correct answer is A: Assess the client for anxiety. The client's lack of comprehension, forgetfulness, and repetitive questioning are indicative of potential anxiety affecting their ability to process information. By assessing for anxiety, the nurse can address the underlying issue and provide appropriate support. Breaking information into smaller bits (B) may help but doesn't address the root cause. Giving written information (C) may not be effective if the client is experiencing anxiety. Simply reviewing the information again (D) without addressing the anxiety may not improve the client's understanding.