Questions 67

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RN ATI Fundamentals of Nursing Questions

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Question 1 of 5

A nurse is preparing a client's evening dose of risperidone when the tablet falls on the countertop. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Discarding the tablet (
C) ensures no contamination. Other choices risk administering a contaminated dose.

Question 2 of 5

A nurse is caring for a client who has a wound infection. Which of the following actions should the nurse take when obtaining a wound-drainage specimen for culture?

Correct Answer: D

Rationale: Cleansing with 0.9% sodium chloride saline removes debris ensuring an accurate culture from the wound site.
Choice A may interfere with results
Choice B contaminates the sample and
Choice C is irrelevant for wound culture.

Question 3 of 5

A nurse is caring for a client who receives intermittent enteral feedings through an NG tube. Before administering a feeding,the nurse should measure the gastric residual for which of the following purposes?

Correct Answer: C

Rationale: Measuring gastric residual (
C) assesses stomach emptying to prevent complications from overfeeding. Other choices are incorrect purposes.

Question 4 of 5

A nurse is assessing a client and discovers the infusion pump with the client's total parenteral nutrition (TPN) solution is not infusing. The nurse should monitor the client for which of the following conditions?

Correct Answer: D

Rationale: TPN stoppage can cause hypoglycemia leading to shakiness and diaphoresis (
D). Other choices are unrelated to TPN interruption.

Question 5 of 5

A nurse is discussing indications for urinary catheterization with a newly licensed nurse. Which of the following indications should the nurse include?

Correct Answer: A,B,C

Rationale: Residual urine measurement (
A) perineal wound protection (
B) and urinary retention relief (
C) are valid indications.

Choices D and E increase infection risk.

Similar Questions

A nurse administers an incorrect medication to a client. Following an assessment of the client,the nurse determines that the client has experienced no untoward effects as a result of the medication. The nurse does not complete an incident report because no harm came to the client. Which of the following ethical principles did the nurse violate?
A nurse is assisting with transferring a client from the bed to a wheelchair. Which of the following actions should the nurse take?
A nurse is caring for a client who requires cold applications with an ice bag to reduce the swelling and pain of an ankle injury. Which of the following actions should the nurse take?
The family of an older adult client brings him to the emergency department after finding him wandering outside. During the initial assessment.the nurse notes that the client flinches when she palpates his abdomen yet responds to questions only by nodding and smiling. Which of the following factors should the nurse identify as a likely explanation for the client's behavior?
A nurse is providing discharge teaching for a client who requires home oxygen therapy. Which of the following statements should the nurse identify as an indication that the client needs further teaching?

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