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:
Rationale:
Choice A is correct because flushing the jejunostomy tube before and after each medication helps prevent clogging and ensures proper delivery. Flushing clears the tube and ensures medication is fully administered.
Choice B is incorrect as medications should not be administered with enteral feedings to prevent interactions.
Choice C is incorrect as tablets should be crushed before administration.
Choice D is incorrect as crushed medications should be dissolved one at a time to avoid interactions.
Question 2 of 5
A nurse educator is teaching a module on pharmacokinetics to a group of newly licensed nurses. Which of the following statements by a newly licensed nurse indicates an understanding of the 1st-pass effect?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale:
1. The 1st-pass effect refers to the metabolism of a drug in the liver before it reaches systemic circulation.
2. Medications administered orally undergo first-pass metabolism in the liver, leading to potential inactivation.
3. Administering such meds through nonenteral routes (e.g., intravenous) bypasses the liver, avoiding inactivation.
4.
Choice A discusses receptor activity, not related to the first-pass effect.
5.
Choice C refers to drug elimination rate, not specific to the first-pass effect.
6.
Choice D discusses safety margin and monitoring, not directly related to drug metabolism.
Question 3 of 5
A nurse is teaching an adult client how to administer ear drops. Which of the following statements by the client indicates understanding of the proper technique?
Correct Answer: B
Rationale: The correct answer is B: "I will gently apply pressure with my finger to the tragus of my ear after putting in the drops." This statement indicates understanding of the proper technique because applying pressure to the tragus helps the ear drops to reach the ear canal. The tragus is a small cartilaginous projection in front of the ear canal that, when pressed, helps to facilitate the passage of the drops into the ear. This action ensures proper distribution of the medication for effective treatment.
Other choices are incorrect:
A: Pulling the ear down and back is a technique used for administering ear drops in children, not adults.
C: Inserting the nozzle snug into the ear can cause injury to the ear canal and eardrum.
D: Placing a cotton ball all the way into the ear canal can prevent the drops from reaching the ear canal and may cause blockage.
Question 4 of 5
A nurse prepares to administer an injection of morphine (Duramorph) to a client who reports pain. Prior to administering, the nurse is called to another room to assist another client onto a bedpan. She asks a 2nd nurse to give the injection. Which of the following actions should the 2nd nurse take?
Correct Answer: A
Rationale: The correct answer is A. The second nurse should offer to assist the client needing the bedpan. This is important for patient safety and continuity of care. By offering assistance, the second nurse ensures that the immediate needs of the client are met promptly. Administering the injection prepared by the other nurse (
B) may lead to errors and violates the principle of accountability. Preparing another syringe and administering the injection (
C) is unnecessary and could delay care for the client needing assistance. Telling the client needing the bedpan to wait (
D) is not appropriate as it neglects the client's needs.
Question 5 of 5
A nurse is preparing to administer a med to a client. The med was scheduled for administration at 0900. Which of the following are acceptable administration times for this med? Select all.
Correct Answer: A,D
Rationale: The correct answers are A and D. Medications can generally be administered within 30 minutes before or after the scheduled time. A (905) and D (840) fall within this window for a 0900 scheduled administration. B (825) is too early, C (1,000) is too late, and E (935) is also too late. It's important to administer medications close to the scheduled time to maintain therapeutic levels in the body.