ATI RN
ATI RN Fundamentals 2019 with NGN - Exam 2 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client about the administration of clotrimazole vaginal suppositories. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale:
Correct
Answer: D - "I will place the suppository as far inside my vagina as I can reach."
Rationale: Clotrimazole vaginal suppositories work best when placed deep within the vagina to ensure proper absorption and effectiveness. Placing the suppository as far inside as possible allows for maximum contact with the affected area. This statement indicates that the client understands the importance of proper administration for optimal results.
Summary of Incorrect
Choices:
A: Incorrect - Discontinuing the medication once symptoms are gone can lead to incomplete treatment, allowing the infection to persist.
B: Incorrect - Lying on the left side is not necessary for the administration of clotrimazole suppositories. It does not impact the effectiveness of the medication.
C: Incorrect - Adding lubricant to the suppository may interfere with its dissolution and absorption, reducing its effectiveness.
Question 2 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: The correct answer is C: Empty the ostomy pouch when it is one-third to one-half full. This is important to prevent leakage and skin irritation. Emptying the pouch regularly also helps maintain the integrity of the seal. Applying petroleum jelly (choice
A) can interfere with the adhesive of the pouch. Cleaning the stoma with hydrogen peroxide (choice
B) can be too harsh and may damage the delicate skin. Changing the ostomy appliance every 12 hours (choice
D) is unnecessary and can lead to unnecessary skin breakdown.
Question 3 of 5
A nurse is preparing to administer a controlled substance to a client for pain management. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D. Asking a second nurse to record her signature when wasting any unused portion of the controlled substance is crucial for proper documentation and accountability. This practice ensures accurate recording of the amount wasted, reducing the risk of diversion or errors. Reporting any discrepancy in the count total (choice
A) is important but does not directly address the proper documentation of wasted medication. Placing wasted portion in the sharps container (choice
B) is incorrect as it does not involve proper documentation. Verifying the count total after removing the amount needed (choice
C) is important but does not specifically address the documentation of wasting the unused portion.
Question 4 of 5
A nurse is caring for a group of clients whose primary languages are different from the nurse's. For which of the following clients should the nurse provide written materials in the client's primary language?
Correct Answer: A
Rationale: The correct answer is A because providing written materials in the client's primary language is crucial for effective teaching, especially for discharge instructions. This ensures comprehension and adherence to the instructions, promoting better health outcomes.
Choice B is incorrect because watching a video in the client's primary language does not necessarily require written materials.
Choice C is incorrect because the interpreter can facilitate verbal communication during spirometer teaching.
Choice D is incorrect because administering pain medication does not necessarily require written materials in the client's primary language.
Question 5 of 5
A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Prepare the client for a central venous line. Parenteral nutrition (PN) with high dextrose and fat content can cause irritation and damage to peripheral veins.
Therefore, a central venous line is necessary to administer PN safely and effectively, as it allows for rapid dilution and delivery of the hypertonic solution. Using a central line reduces the risk of phlebitis and extravasation. Changing the PN bag every 48 hours (
A) is a general guideline but not specific to this situation. Administering the PN and fat emulsion separately (
C) is not recommended as they are typically combined in one solution. Obtaining a random blood glucose daily (
D) is important but not directly related to the administration of PN with high dextrose and fat content.