ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse receives a telephone call from a client's family member,who asks the nurse for an update on the client's condition. Which of the following actions should the nurse take to maintain the client's confidentiality?
Correct Answer: C
Rationale: Referring the family member to the client's provider ensures that accurate and appropriate information is shared by the authorized source maintaining confidentiality and adhering to privacy regulations. Requesting the caller's relationship does not fully address confidentiality concerns. Providing a general update over the phone risks disclosing sensitive information. Encouraging direct contact with the client may compromise privacy if the client does not wish to share details.
Question 2 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 3 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 4 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 5 of 5
A nurse is caring for a client who is receiving intermittent enteral feedings via a gastrostomy tube. Which of the following actions should the nurse take when administering the feeding?
Correct Answer: A
Rationale: Unclamping the tube allows free flow of the feeding into the stomach. Verifying a pH of 7 is unnecessary adjusting syringe height is imprecise and sterile gloves are not required for feeding administration though clean gloves are used for infection control.