ATI RN
Introduction to Nursing Questions
Question 1 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 2 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 3 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 4 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 5 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.