ATI RN
ATI RN Fundamentals 2019 with NGN - Exam 2 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer an intramuscular injection. Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct
Answer: B - Aspirate for blood before injecting.
Rationale: Aspiration ensures the needle is not in a blood vessel, reducing the risk of injecting medication into the bloodstream.
Step 1: Insert the needle into the muscle.
Step 2: Pull back on the plunger gently, looking for blood return. If blood appears, reposition the needle. If no blood, inject medication slowly.
Summary:
A: Incorrect - A 23-gauge needle is too large for the deltoid muscle, use a 25-27 gauge needle.
C: Incorrect - Injecting rapidly can cause pain and tissue damage, inject medication slowly.
D: Incorrect - Cleanse the site with an alcohol pad, not soap and water.
Question 2 of 5
A nurse is caring for a client with a urinary tract infection. Which of the following instructions should the nurse include in the discharge teaching?
Correct Answer: C
Rationale: Rationale for Correct Answer (C - Drink cranberry juice daily): Cranberry juice contains compounds that can prevent bacteria from adhering to the urinary tract walls, reducing the risk of infection. It is a natural way to promote urinary health. The nurse should include this instruction in the discharge teaching to help prevent future UTIs.
Incorrect
Choices:
A: Limiting fluid intake can lead to dehydration and may worsen the infection symptoms.
B: It is crucial to complete the full course of antibiotics to ensure the infection is completely eradicated.
D: Sitz baths can actually provide relief for UTI symptoms by helping to soothe discomfort and promote healing.
Question 3 of 5
A nurse is caring for a client who has a new prescription for a transdermal patch. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Remove the previous patch before applying a new one. This is important to prevent medication overdose, as leaving the old patch on can lead to a double dose. Removing the old patch also ensures proper absorption of the new medication. Applying the patch to a hairy area (choice
A) can reduce its efficacy. Leaving the patch on for 48 hours (choice
C) is incorrect as the duration varies based on the specific patch. Applying the patch to the same site each time (choice
D) can lead to skin irritation or problems with absorption.
Question 4 of 5
A nurse is assessing a client with chronic obstructive pulmonary disease (COPD). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Correct answer: A - Barrel-shaped chest
Rationale: In COPD, air trapping leads to increased lung volume, causing the chest to appear barrel-shaped. This is due to hyperinflation of the lungs. The other options are not typical findings in COPD. B: COPD often presents with an increased respiratory rate. C: COPD patients usually have purulent sputum. D: COPD patients often have decreased oxygen saturation due to impaired gas exchange.
Question 5 of 5
A nurse is teaching a client about self-catheterization. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will wash my hands before starting the procedure." This statement indicates an understanding of the importance of hand hygiene to prevent infection during self-catheterization. Washing hands reduces the risk of introducing harmful bacteria into the urinary tract. Using a new catheter each week (
A) is not recommended as it can be costly and unnecessary if the catheter is properly cleaned and maintained. Lubricating the catheter with petroleum jelly (
B) is important for comfort and ease of insertion, but it does not address infection prevention. Inserting the catheter while lying flat (
D) is not ideal as it may obstruct the flow of urine and make the procedure more challenging.