ATI RN
ATI RN Fundamentals 2019 with NGN - Exam 2 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer insulin to a client with diabetes mellitus. Which of the following actions should the nurse take to ensure safe administration?
Correct Answer: C
Rationale: Shaking the insulin vial can denature the insulin; it should be gently rolled if needed. A 25-gauge needle is appropriate, but the key safety step is verifying the insulin type and dose with another nurse to prevent medication errors. Insulin is typically administered in subcutaneous sites like the abdomen or thigh, not the deltoid muscle.
Question 2 of 5
A nurse is teaching a client about the use of a metered-dose inhaler (MDI). Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Shaking the inhaler 5–6 times is sufficient. Holding the breath for 10 seconds maximizes medication absorption. Inhaling quickly and deeply ensures proper delivery to the lungs. Waiting 30–60 seconds between puffs is standard for most MDIs.
Question 3 of 5
A nurse is preparing to administer an intramuscular injection. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A 23-gauge needle is appropriate, but aspirating for blood ensures the needle is not in a blood vessel, which is critical for IM injections. Rapid injection causes discomfort. The site should be cleansed with alcohol, not soap and water.
Question 4 of 5
A nurse is caring for a client with a nasogastric tube. Which of the following actions should the nurse take to prevent aspiration?
Correct Answer: A
Rationale: Keeping the head of the bed elevated 30–45 degrees reduces aspiration risk during NG tube feedings. Flushing with 30 mL of water is typical, supine positioning increases aspiration risk, and tube placement should be checked before each feeding.
Question 5 of 5
A nurse is caring for a client with a new colostomy. Which of the following actions should the nurse teach the client to perform to care for the stoma?
Correct Answer: C
Rationale: Petroleum jelly can interfere with the adhesion of the ostomy appliance. Hydrogen peroxide is too harsh and can damage the stoma tissue. Emptying the ostomy pouch when it is one-third to one-half full prevents leakage and maintains skin integrity. Changing the appliance every 12 hours is too frequent; typically, it is changed every 3–7 days.