ATI PN Fundamentals 2023

Extract:

Question 1 of 5

A nurse is preparing to administer a medication from an ampule. Which of the following is an appropriate action for the nurse to take?

A. Add 0.5 mL of diluent to the medication. B. Inject air into the ampule prior to drawing the medication into a syringe. C. Use a filter needle to aspirate the medication. D. Cleanse the tip of the ampule with an alcohol swab after opening.

Correct Answer: C

Rationale: A filter needle prevents glass particles from being drawn into the syringe from the ampule.

Question 2 of 5

A nurse is providing nonpharmacological interventions for a client who is experiencing pain. Which of the following actions should the nurse take?

A. Play music in the client's room. B. Keep the client's room well lit. C. Ensure that the client's room is kept at a cool temperature. D. Encourage the client to abstain from distracting activities.

Correct Answer: A

Rationale: Music is a nonpharmacological method to distract from pain and promote relaxation.

Question 3 of 5

A nurse is collecting data from a client who has a stage 4 pressure injury. Which of the following supplies should the nurse obtain?

A. Cotton-tipped applicator B. Tongue depressor C. Adhesive tape D. Syringe

Correct Answer: D

Rationale: A syringe is used for irrigation to clean a stage 4 pressure injury with deep tissue involvement.

Question 4 of 5

A nurse at a long-term care facility is reinforcing teaching with a newly licensed nurse about the proper use of restraints. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

A. Observe the client's skin integrity every 2 hr. B. Use a square knot to secure the client's restraint to the bed. C. Ensure that 2 fingers can be placed between the restraint and the client. D. Tie the ends of the restraint to the client's bed rail. E. Pad bony prominences before applying a restraint.

Correct Answer: A,C,E

Rationale: A: Frequent skin checks prevent injury. C: Two fingers ensure proper fit. E: Padding protects bony areas.

Question 5 of 5

A nurse is caring for a group of clients. For which of the following situations should the nurse complete an incident report? (Select all that apply.)

A. A client reports being dissatisfied with the temperature of the meals provided. B. A client receives burns from a heating pad. C. A client becomes disoriented and falls out of bed. D. A client is unable to afford the physical therapy that the provider recommends. E. A client's visitor becomes dizzy and faints in the client's room.

Correct Answer: B,C,E

Rationale: B: Burns indicate harm. C: Falls require reporting. E: Visitor fainting is an unexpected event.

ATI PN Fundamentals 2023 | Nurselytic

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