ATI PN Fundamentals of Nursing 2020 with NGN Exam 2

Extract:

Question 1 of 5

A nurse is reinforcing discharge teaching with a client who speaks a different language than the nurse. Which of the following actions should the nurse take?

A. Reinforce discharge teaching with the client's partner who speaks the languages of both the client and the nurse. B. Ask a nurse from another unit who speaks the same language as the client to reinforce the discharge teaching. C. Request that a medical interpreter assist with translating the discharge teaching for the client. D. Use nonverbal communication with gestures to reinforce discharge teaching with the client.

Correct Answer: C

Rationale: A medical interpreter ensures accurate translation, critical for discharge instructions. Partners may miss details, another nurse may not be available, and gestures lack precision.

Question 2 of 5

A nurse is reinforcing discharge teaching about fecal occult blood testing with a client. Which of the following instructions should the nurse include in the teaching?

A. Discontinue supplements containing vitamin C 24 hr before the test. B. Place a thick layer of stool on the specimen card. C. Urinate prior to collecting the stool specimen. D. Refrain from consuming pork 7 days before the test.

Correct Answer: C

Rationale: Urinating first prevents urine contamination of the stool sample. Vitamin C timing, thick stool, and pork avoidance aren't standard requirements.

Question 3 of 5

A nurse is preparing to administer an opioid analgesic IM to a client. The vial contains 2 mg of medication, but the client's prescription is for 1 mg. After administering the medication, which of the following actions should the nurse take when handling the remaining medication in the vial?

A. Discard the vial with the remaining medication in the sharp container. B. Have another nurse witness the disposal of the remaining medication. C. Draw up the remaining 1 mg in a syringe and label it with the contents, date, and time. D. Store the vial in the client's medication drawer for future use.

Correct Answer: C

Rationale: Drawing and labeling the remaining dose minimizes waste and ensures safety with proper documentation. Discarding is wasteful, witnessing isn't needed here, and storing in a drawer risks errors.

Question 4 of 5

A nurse is caring for a client who has an indwelling urinary catheter and a prescription for furosemide. Which of the following actions should the nurse take?

A. Record the urinary output at the end of each shift. B. Check the urine for ketones every 12 hr. C. Collect a 24-hr urine specimen to send to the laboratory. D. Measure the specific gravity of the urine during each shift.

Correct Answer: A

Rationale: Recording output monitors furosemide's diuretic effect and fluid balance. Ketones, 24-hr collection, and specific gravity aren't routine here.

Question 5 of 5

A nurse is assisting with the care of a client who has a closed chest tube drainage system. Which of the following actions should the nurse take?

A. Place the drainage system below the client's chest level. B. Loop excess tubing next to the client's side. C. Clamp the tubing when ambulating the client. D. Milk the client's tubing every shift.

Correct Answer: A

Rationale: Keeping the system below chest level ensures proper drainage. Looping risks fluid buildup, clamping risks pneumothorax, and milking can harm lung tissue.

ATI PN Fundamentals of Nursing 2020 with NGN Exam 2 | Nurselytic

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