ATI RN
Introduction to Nursing Questions
Question 1 of 5
What statement by a nurse to a new nurse, orienting to the unit, is correct regarding seizure precautions?
Correct Answer: C
Rationale: Correct Answer: C Rationale: 1. Forcing a tongue depressor between the teeth can cause injury during a seizure. 2. It is important to maintain a patent airway during a seizure. 3. Placing an object in the mouth can increase the risk of aspiration or damage to the teeth. 4. The nurse should protect the client from harm by ensuring a safe environment during a seizure. Summary: A: Not all seizures lead to status epilepticus; it depends on the individual. B: Oxygen may be needed, but it is not the priority over maintaining a clear airway. D: Administering anticonvulsant drugs is beneficial for seizure management.
Question 2 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 3 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 4 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 5 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.