ATI RN
ATI RN Fundamentals 2019 with NGN - Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client with a new colostomy. Which of the following actions should the nurse teach the client to perform to care for the stoma?
Correct Answer: C
Rationale: Petroleum jelly can interfere with the adhesion of the ostomy appliance. Hydrogen peroxide is too harsh and can damage the stoma tissue. Emptying the ostomy pouch when it is one-third to one-half full prevents leakage and maintains skin integrity. Changing the appliance every 12 hours is too frequent; typically, it is changed every 3–7 days.
Question 2 of 5
A nurse at a long-term care facility is providing change-of-shift report to an oncoming nurse about a client who has shingles. Which of the following information should the nurse include in the report?
Correct Answer: A
Rationale: Including the type of transmission-based precautions (e.g., contact precautions for shingles) is critical to prevent infection spread. Routine vital sign times, health history, and visitor numbers are less specific to shingles management.
Question 3 of 5
A nurse is caring for a client with a pressure ulcer. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Keeping the ulcer moist with a hydrogel dressing promotes healing. Dry gauze can adhere to the wound, hydrogen peroxide can damage tissue, and positioning on the ulcer increases pressure and delays healing.
Question 4 of 5
A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Pulling the lower eyelid down creates a pocket for the drops, ensuring proper administration. Drops should not be instilled on the cornea, the client should look upward, and the dropper tip should remain sterile without needing alcohol wiping.
Question 5 of 5
A nurse is caring for a group of clients whose primary languages are different from the nurse's. For which of the following clients should the nurse provide written materials in the client's primary language?
Correct Answer: A
Rationale: Written materials in the client's primary language are essential for discharge teaching to ensure understanding and compliance. A video in the client's language may suffice for meal services. An interpreter can assist with incentive spirometer teaching. Pain medication administration does not typically require written materials.