ATI RN
ATI RN Fundamentals 2019 with NGN - Exam 2 Questions
Extract:
Question 1 of 5
A nurse is teaching a client about self-catheterization. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will wash my hands before starting the procedure." This statement indicates an understanding of the importance of hand hygiene to prevent infection during self-catheterization. Washing hands reduces the risk of introducing harmful bacteria into the urinary tract. Using a new catheter each week (
A) is not recommended as it can be costly and unnecessary if the catheter is properly cleaned and maintained. Lubricating the catheter with petroleum jelly (
B) is important for comfort and ease of insertion, but it does not address infection prevention. Inserting the catheter while lying flat (
D) is not ideal as it may obstruct the flow of urine and make the procedure more challenging.
Question 2 of 5
A nurse is caring for a client with a pressure ulcer. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Keep the ulcer moist with a hydrogel dressing. This helps maintain a moist wound environment, promoting healing. Dry gauze dressing (
A) can stick to the wound and cause trauma during removal. Cleaning with hydrogen peroxide (
C) can be cytotoxic and delay healing. Positioning the client directly on the ulcer (
D) can increase pressure and worsen the condition.
Question 3 of 5
A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Pull the lower eyelid down to form a pocket. This action helps prevent the eye drops from spilling out and allows for better absorption. By forming a pocket, the drops stay in contact with the eye longer.
Choice A is incorrect because instilling drops directly onto the cornea can cause irritation.
Choice B is incorrect as asking the client to look downward may cause the drops to miss the eye.
Choice D is incorrect as wiping the dropper tip with alcohol is not necessary and may cause irritation if residue is left behind.
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: The correct answer is A: Keep the head of the bed elevated 30–45 degrees. This position helps prevent reflux of gastric contents into the lungs, reducing the risk of aspiration. Gravity assists in keeping the contents of the stomach in place.
Choice B is incorrect because flushing the tube with water does not directly prevent aspiration.
Choice C is incorrect as placing the client in a supine position increases the risk of aspiration.
Choice D is incorrect as checking tube placement only at the start of the shift may not catch dislodgement or displacement that can lead to aspiration.
Question 5 of 5
A nurse is teaching a client about a low-residue diet. Which of the following foods should the nurse recommend?
Correct Answer: C
Rationale: The correct answer is C: White rice. A low-residue diet aims to reduce fiber intake to ease digestion. White rice is low in fiber, making it suitable for this diet. Whole-grain bread (
A) and raw carrots (
D) are high in fiber and not recommended. Steamed broccoli (
B) is also high in fiber.