ATI RN
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ATI RN Fundamentals Exam 6 Questions
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Question
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1 of 5
A nurse is preparing to administer a tap water enema to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Sterile gloves are not necessary for a tap water enema; clean non-sterile gloves are sufficient. Lubricating the tip of the rectal tube is appropriate to ease insertion and enhance client comfort. Placing the client into a left Sims' position facilitates optimal administration of a tap water enema. Lowering not raising the enema bag will allow for a slower flow and may reduce cramping.
Question 2 of 5
A nurse is preparing to administer carbamazepine to a client who has an NG tube. The provider orders 800 mg each day in two divided doses. Carbamazepine oral suspension is available in 20 mg/mL doses. How many mL should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero when applicable. Do not use a trailing zero.)
Correct Answer: 20
Rationale:
To calculate the amount of carbamazepine oral suspension needed for each dose divide the total daily dose by the concentration of the suspension and then by the number of doses per day. 800 mg / 20 mg/mL / 2 = 20 mL. The nurse should administer 20 mL of carbamazepine oral suspension with each dose.
Question 3 of 5
A nurse is caring for a client who is having palliative surgery. Which of the following should be included in the nurse's instruction?
Correct Answer: A
Rationale: Palliative surgery focuses on relieving symptoms and improving comfort rather than curing the underlying disease.
Therefore informing the client that they will be more comfortable after surgery is an appropriate instruction. Palliative surgery may not necessarily provide more information about the disease. Palliative surgery does not aim to restore function in the same way as corrective or restorative surgery. Palliative surgery is not performed with the expectation of curing the disease; its goal is to enhance the quality of life by alleviating symptoms.
Question 4 of 5
A nurse observes an assistive personnel (AP) empty an indwelling urinary catheter drainage bag while not wearing gloves. Which of the following interventions should the nurse take first?
Correct Answer: C
Rationale: Providing the AP with a copy of the unit's policy may be done but is not the first step. Direct communication is important for immediate feedback. Notifying the charge nurse is appropriate but may not be the first action when direct communication with the AP can address the issue. Talking with the AP about the technique used is the first and immediate action to address the observed lapse in infection control practices. Conducting an in-service on standard precautions is a broader intervention and may be considered after addressing the immediate concern with the AP.
Question 5 of 5
A nurse is caring for a client who has been diagnosed with breast cancer. After months of treatment the client refuses to undergo further radiation therapy. Which of the following actions by the nurse is appropriate?
Correct Answer: A
Rationale: Supporting the client in her personal decision respects her autonomy and right to make decisions about her own healthcare. Referring the client to a counselor can be appropriate but the primary response should be to support the client's decision. Encouraging the client not to give up may not be appropriate if the client has made a well-considered decision to refuse further treatment. Suggesting that the client talk with a breast cancer survivor may provide emotional support but should not be used as a means to persuade the client to undergo further treatment if she has made an informed decision to refuse.