ATI RN
Introduction to Nursing Questions
Question 1 of 5
The best position for a client for thoracentesis is:
Correct Answer: A
Rationale: The correct answer is A: Upright leaning sideward. This position allows for better access to the pleural space between the ribs, minimizing the risk of injury to surrounding structures. The upright position helps to expand the lung and diaphragm, making it easier to locate the fluid pocket for thoracentesis. Leaning sideways helps to ensure gravity assists in pooling the fluid away from the needle insertion site. Choice B: Orthopneic is not the best position for thoracentesis as the patient is sitting upright and leaning forward, which may not be as effective in accessing the fluid pocket. Choice C: Prone position is incorrect because the patient is lying face down, making it difficult to access the pleural space in the back. Choice D: Supine position is also incorrect as the patient is lying flat on their back, making it challenging to access the pleural space effectively.
Question 2 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 3 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 4 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.
Question 5 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.