ATI RN
ATI RN Fundamentals 2019 with NGN - Exam 2 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer a blood transfusion to a client. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Verifying the client’s identity with two identifiers (e.g., name, medical record number) is the first step to ensure the right client receives the transfusion. Checking compatibility, obtaining vital signs, and starting the transfusion follow.
Question 2 of 5
A nurse is caring for a client who is receiving enteral feedings via an NG tube. Which of the following actions should the nurse take prior to administering the formula?
Correct Answer: B
Rationale: Checking gastric residual volume ensures tolerance of feedings and prevents aspiration. Water sips are not necessary, flushing with sterile saline is not standard, and deep breathing/coughing is unrelated to NG feeding administration.
Question 3 of 5
A nurse is preparing to administer a vaccine to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Verifying the vaccine expiration date ensures safety and efficacy. The vastus lateralis is typically used for infants, not adults. A 5/8-inch needle is often used for subcutaneous injections, and aspiration is not required for vaccines.
Question 4 of 5
A nurse is planning care for a client who is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to include?
Correct Answer: C
Rationale: Oral contrast is not typically used for an intravenous pyelogram. Pain in the suprapubic region is not a common side effect of an intravenous pyelogram. The nurse should assist the client with a bowel cleansing before an intravenous pyelogram to ensure clear images. Removing metal objects is important for MRI, not an intravenous pyelogram.
Question 5 of 5
A nurse is preparing to administer several medications to a client. Which of the following data should the nurse plan to use to confirm the client's identity?
Correct Answer: D
Rationale: The client's room number is not a reliable method to confirm the client's identity because multiple clients may be assigned to the same room, and there is a possibility of room changes or transfers. The client's admitting diagnosis is not a suitable method to confirm identity as it does not provide specific information about the individual patient. The name of the client's next of kin is not a reliable method to confirm the client's identity as it refers to a family member or emergency contact, not the client themselves. The nurse should plan to use the client's telephone number to confirm their identity, as it is a unique identifier. Note: Typically, client identity is confirmed using two identifiers such as name and date of birth, but based on the provided options, the telephone number is the most reliable.