ATI RN
ATI RN Fundamentals Exam 6 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer an otic antibiotic to an adult client who has otitis media. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Holding the dropper 1/2 inch (1 cm) above the ear canal during administration is the correct action when administering otic medications. This distance helps to ensure that the medication is properly instilled into the ear canal without touching the dropper tip to the skin or ear canal reducing the risk of contamination. Placing a cotton ball into the inner ear canal is not necessary following otic administration. It may cause unnecessary discomfort to the client. Straightening the ear canal by pulling the auricle down and back helps facilitate the administration of otic medications and allows proper placement of the medication into the ear. Applying pressure to the nasolacrimal duct is a technique used for ophthalmic medications not otic medications.
Question 2 of 5
A nurse is providing teaching to a client who uses tobacco products. (Move the steps that the nurse should take into the box on the right placing them in the correct order of performance. All steps must be used.)
Correct Answer: D,A,B,C
Rationale: Correct order: D A B C. D. Ask about the type of tobacco product used. A. Teach the client cessation strategies. B. Develop a cessation plan with the client. C. Assist the client in modifying the plan if necessary.
Question 3 of 5
A guard at a prison brings an injured inmate to the facility clinic. The inmate is bleeding and the guard asks the nurse about the inmate's HIV infection status. Which of the following actions by the nurse is appropriate?
Correct Answer: C
Rationale: Having the guard sign a release of information form may not be appropriate in an emergency situation and immediate action is needed to address the injury. Telling the guard to submit an inmate inquiry form to the warden may delay necessary medical intervention in an emergency. Completing an incident report is appropriate to document the situation and the care provided. It is not necessary to disclose the inmate's HIV status in the report. Instructing the guard to ask the inmate is not a proper approach to handling a medical emergency. The nurse should focus on providing immediate care to the injured inmate.
Question 4 of 5
A nurse is caring for a client who has a new prescription for a medication that she thinks may be harmful to the client. After seeking clarification from the provider the nurse still feels that it is unsafe. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: If the nurse still has concerns after seeking clarification the appropriate action is to contact another provider for a second opinion to ensure the safety and well-being of the client. Withholding the treatment without further consultation may not be the best course of action. Seeking additional input is important. Carrying out the prescription despite concerns about its safety may pose risks to the client. Notifying the ethics committee should be considered if there are ongoing ethical concerns or if the issue cannot be resolved through collaboration with other providers.
Question 5 of 5
A nurse is providing care for a client who is scheduled for a total laryngectomy. Which of the following is the nurse's priority intervention?
Correct Answer: D
Rationale: Showing the client how to use an artificial larynx is an important aspect of post-laryngectomy care but determining the client's reading ability takes precedence as it will significantly impact communication options. Arranging a support session is important for emotional support but assessing the client's reading ability is more immediate in addressing communication needs. Demonstrating the use of esophageal speech is relevant but understanding the client's reading ability is a priority before exploring communication alternatives.