ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who has a new colostomy. Which of the following actions should the nurse take when demonstrating how to change the ostomy appliance?
Correct Answer: D
Rationale: Tracing the size of the stoma onto the skin barrier ensures a precise fit which is crucial for preventing leaks and maintaining the integrity of the ostomy. A proper fit also helps in preventing skin irritation and discomfort. Applying skin sealant on damp skin compromises adhesion and can lead to skin irritation. Removing the appliance before emptying the pouch is unnecessary and disrupts the seal. Ensuring the skin is slightly damp is incorrect as the skin should be completely dry for proper adhesion.
Question 2 of 5
A nurse is teaching a client about self-administering a subcutaneous injection to the abdomen. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Expelling air bubbles from a prefilled syringe ensures accurate dosing preventing underdosing. A 5 cm site selection varies aspiration is unnecessary for subcutaneous injections and a 15° angle is incorrect; 45° or 90° is standard.
Question 3 of 5
A nurse is inserting an NG tube for a client who has a new prescription for enteral feedings. Which of the following actions should the nurse take to verify the placement of the client's tube? (Select all that apply.)
Correct Answer: A,C,D,E
Rationale: Measuring aspirate amount examining secretion color measuring pH and obtaining an x-ray confirm NG tube placement. Flushing with water does not verify placement and may skew assessments.
Question 4 of 5
A nurse is preparing to administer diazepam 2 mg twice daily via NG tube. Available is diazepam oral solution 5 mg/1 mL. How many mL should the nurse administer with each dose?
Correct Answer: A
Rationale:
To administer 2 mg of diazepam using a 5 mg/1 mL solution calculate: 2 mg ÷ 5 mg/mL = 0.4 mL per dose. Other options (0.8 mL 1 mL 1.6 mL) result in incorrect dosing either overdosing or underdosing the client.
Question 5 of 5
A nurse is planning care for a client who has an endotracheal tube and is receiving mechanical ventilation. Which of the following interventions should the nurse include to reduce the client's risk for ventilator-associated pneumonia?
Correct Answer: C
Rationale: Swabbing with chlorhexidine reduces bacterial growth lowering ventilator-associated pneumonia risk. Daily oral care is insufficient firm-bristle brushes risk tissue trauma and a 15° head elevation is inadequate compared to chlorhexidine’s direct antimicrobial effect.