ATI RN Fundamental Proctored Exam With NGN Graded -Nurselytic

Correct Answer: A, B, C

Rationale:
Correct Answer: A, B, C


Rationale:
A: Warming the enema helps prevent cramping and discomfort during instillation.
B: Positioning the client on the left side with the right leg flexed forward helps facilitate easier insertion of the enema.
C: Lubricating the rectal tube or nozzle helps prevent injury and discomfort during insertion.

Incorrect

Choices:
D: Slowly inserting the rectal tube about 2 inches is incorrect as it may not be deep enough to reach the sigmoid colon.
E: Hanging the enema container 24 inches above the client's anus is incorrect as it may cause rapid flow leading to discomfort and cramping.

Correct Answer: C, D, E

Rationale: The correct answers are C, D, and E. Opioid analgesics can cause respiratory depression (Bradypnea), which the nurse should monitor for. Orthostatic hypotension can occur due to the vasodilatory effects of opioids. Nausea is a common side effect of opioids due to their effect on the gastrointestinal system. Urinary incontinence and diarrhea are not typical adverse effects of opioid analgesia, so choices A and B are incorrect.

Correct Answer: B

Rationale:
Correct Answer: B. Once my baby can sit up, he should be safe in the bathtub.


Rationale: This statement indicates a need for further clarification because sitting up doesn't guarantee safety in the bathtub. Babies can still slip or drown even when they can sit. It's important to never leave a baby unattended in the tub, regardless of their ability to sit up.

Summary of other choices:
A: Starting swimming lessons when the baby can close her mouth underwater is not recommended. Babies should not be submerged in water until they are older.
C: Testing the water temperature before placing the baby in the bath is a good practice for safety.
D: Removing the mobile from over the bed when the infant starts to push up is a good safety measure to prevent any hazards.

Correct Answer: D

Rationale: The correct answer is D: Herpes zoster. Linear clusters of vesicles with crusting are classic symptoms of herpes zoster, also known as shingles, caused by the reactivation of the varicella-zoster virus. The linear distribution follows the nerve pathways affected by the virus. This presentation is distinct from an allergic reaction (
A), which typically manifests as hives or red, itchy skin patches. Ringworm (
B) presents as circular, scaly patches and is caused by a fungus, not a virus like herpes zoster. Systemic lupus erythematosus (
C) is an autoimmune disease that does not typically present with linear clusters of vesicles.

Correct Answer: A

Rationale: The correct answer is A: Flush the tube before & after each med. Flushing the tube before medication administration ensures there are no residues that might interfere with the medication. Flushing after helps clear the tube of any remnants, preventing clogs.
Choice B is incorrect as medications should not be mixed with enteral feedings to avoid interaction.
Choice C is incorrect as tablets should be crushed and dissolved in water before administration.
Choice D is incorrect as medications should be crushed and dissolved individually to ensure accurate dosing.