ATI LPN Fundamentals exam VI

Extract:

Question 1 of 5

A nurse is preparing to administer a subcutaneous injection to a client. Which of the following actions should the nurse plan to take?

A. Cleanse the injection site with a circular motion.B. Don sterile gloves prior to the injection.C. Use the dominant hand to pinch the client's skinD. Inject the medication at a 15Â° angle to the client's skin

Correct Answer: A

Rationale: Cleansing with a circular motion reduces infection risk, unlike sterile gloves (unnecessary), specific hand use, or a 15Â° angle (too shallow).

Question 2 of 5

A nurse is preparing to administer an IM injection to a client using a medication from an ampule. Which of the following actions should the nurse plan to take?

A. Administer the medication using a filter needle.B. Break the ampule by bending the top to the side.C. Flick the bottom of the ampule several times.D. Withdraw medication from the center of the ampule.

Correct Answer: A

Rationale: A filter needle prevents glass contamination, unlike bending (unsafe), flicking bottom (incorrect location), or withdrawing from the center (impractical).

Question 3 of 5

A nurse is preparing to administer heparin subcutaneously to an obese client who has a deep vein thrombosis. Which of the following actions should the nurse take?

A. Select a 22-gauge needle for heparin administration.B. Insert the needle at a 90Â° angle.C. Massage the injection site after administering the heparin.D. Aspirate for a blood return prior to injecting the heparin.

Correct Answer: B

Rationale: A 90Â° angle suits obese clients' thicker subcutaneous tissue, unlike a larger gauge needle, massaging (risks bruising), or aspirating (unnecessary).

Question 4 of 5

A nurse is caring for a client who is receiving a continuous IV infusion through a short-peripheral device. Which of the following actions should the nurse take?

A. Ensure the client's IV solution is changed every 48 hrB. Check the client's IV site every 8 hr.C. Change the client's IV tubing every 96 hr.D. Replace the client's transparent IV dressing every 24 hr.

Correct Answer: A

Rationale: Changing IV solution every 48-72 hr reduces infection risk, unlike less frequent tubing changes or unnecessary frequent dressing/site checks.

Question 5 of 5

A nurse is reinforcing teaching with a client who has a duodenal ulcer and has a new prescription for sucralfate. Which of the following instructions should the nurse include?

A. Stop taking this medication if you develop constipation.B. Take the medication on an empty stomach.C. Take an antacid at the same time you take this medication.D. Remain upright for 30 min after taking this medication.

Correct Answer: B

Rationale: Sucralfate works best on an empty stomach to coat the ulcer, unlike stopping for constipation, taking with antacids (interferes), or needing to stay upright.

ATI LPN Fundamentals exam VI | Nurselytic

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