ATI RN
ATI RN Fundamentals 2019 with NGN - Exam 2 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer a medication via a gastrostomy tube. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Flushing the tube with 15–30 mL of water before administration ensures patency and clears residual formula. Extended-release tablets should not be crushed, apple juice may clog the tube, and tube placement must be verified before administration.
Question 2 of 5
A nurse is reviewing client confidentiality with a newly licensed nurse. The nurse should identify which of the following examples as a violation of HIPAA?
Correct Answer: C
Rationale: Discussing a client’s transfer with a nurse from another unit violates HIPAA unless the nurse has a need-to-know. Faxing to a provider, teaching with consent, and surgical reports are permissible.
Question 3 of 5
A nurse is preparing to administer a medication via a gastrostomy tube. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Flushing the tube with 15–30 mL of water before administration ensures patency and clears residual formula. Extended-release tablets should not be crushed, apple juice may clog the tube, and tube placement must be verified before administration.
Question 4 of 5
A nurse is preparing to perform a sterile dressing change for a client with a surgical wound. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Clean gloves, not sterile, are used to remove old dressings. The sterile field should be opened before donning sterile gloves to maintain sterility. Alcohol-based solutions are not typically used for wound cleansing. Sterile drapes should surround, not cover, the wound. Opening the sterile field after donning gloves ensures a sterile environment.
Question 5 of 5
A nurse is caring for a client who is immunocompromised. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Hand hygiene with alcohol-based rub before contact reduces infection risk in immunocompromised clients. Semiprivate rooms increase exposure, masks may not be sufficient, and sterile gloves are unnecessary for routine perineal care.