ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse is teaching a client how to administer medication through a jejunostomy tube. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Flush the tube before & after each med. Flushing the tube before medication administration ensures there are no residues that might interfere with the medication. Flushing after helps clear the tube of any remnants, preventing clogs.
Choice B is incorrect as medications should not be mixed with enteral feedings to avoid interaction.
Choice C is incorrect as tablets should be crushed and dissolved in water before administration.
Choice D is incorrect as medications should be crushed and dissolved individually to ensure accurate dosing.
Question 2 of 5
A nurse is preparing an in-service program about delegation. Which of the following elements should she identify when presenting the 5 rights of delegation?
Correct Answer: B, C, E
Rationale: The correct answer is B, C, and E. Right supervision/evaluation ensures appropriate oversight, accountability, and feedback. Right direction/communication involves clear instructions and feedback. Right circumstances consider factors like workload, resources, and environment.
Choice A ("Right client") is incorrect as it is not one of the 5 rights of delegation.
Choice D ("Right time") is important but does not specifically fall under the 5 rights framework. In summary, choices B, C, and E are crucial elements that align with the principles of effective delegation, while choices A and D are not directly related to the concept of the 5 rights of delegation.
Question 3 of 5
A nurse is preparing to administer methylprednisolone acetate (Depo-Medrol) 10 mg by IV bolus. The amount available is 40 mg/mL. How many mL should the nurse administer?
Correct Answer: 0.3
Rationale:
Correct Answer: 0.3 mL
Rationale:
To calculate the mL to administer, divide the dose needed (10 mg) by the concentration available (40 mg/mL). 10 mg / 40 mg/mL = 0.25 mL. Since the available concentration is rounded to the nearest tenth (0.3 mL), this is the amount the nurse should administer.
Summary of other choices:
A: Incorrect, as it does not follow the correct calculation process.
B: Incorrect, as it does not consider the concentration of the medication.
C: Incorrect, as it does not involve the necessary division calculation.
D: Incorrect, as it does not relate the dose needed to the concentration available.
E: Incorrect, as it does not provide a logical explanation for the calculation.
F: Incorrect, as it lacks the step-by-step calculation process.
G: Incorrect, as it does not explain how to determine the mL to administer.
Question 4 of 5
The skin barrier covering a client's intestinal fistula keeps falling off when she stands up to ambulate. The nurse has reapplied it twice during the shift, but it remains intact only when the client is supine in bed. The nurse telephoned the physical therapist about the difficulties containing the drainage from the fistula, so the therapist didn't ambulate the client today. The client sat in a chair during lunch w/an absorbent pad over the fistula. The client ate all the food on her tray. The wound care nurse confirmed that she will see the client later today. The client states she feels frustrated at not having physical therapy, but the nurse thinks the client welcomed having a day to rest. Which of the following information should the nurse include in the change-of-shift report? Select all.
Correct Answer: A, B, D
Rationale:
Correct Answer: A, B, D
Rationale:
A: The physical therapist not ambulating the client is crucial information as it indicates a change in the client's care plan due to the skin barrier issue.
B: The skin barrier's behavior in different positions is relevant to understanding the problem and potential solutions.
D: The wound care nurse's visit is important as it shows ongoing management of the skin barrier issue.
Summary:
C: The client's feelings about physical therapy are not as critical as the actual care provided.
E: The client's food intake is not directly related to the issue with the skin barrier.
F, G: No information is provided about these options in the scenario.
Question 5 of 5
A provider is discharging a client with a prescription for home oxygen therapy via nasal cannula. Client & family teaching by the nurse should include which of the following? Select all.
Correct Answer: C, D, E
Rationale: The correct answers are C, D, and E.
C: Checking the position of the cannula often is important to ensure proper oxygen delivery.
D: Reporting nasal stuffiness, nausea, or fatigue is crucial as they could indicate complications.
E: Posting 'no smoking' signs is essential as oxygen is highly flammable.
A: Applying petroleum jelly can be dangerous as it can interfere with oxygen flow.
B: Removing the nasal cannula during mealtimes can lead to hypoxemia.
F and G are not provided in the question.