how should a nurse prepare a patient for a colonoscopy

ATI RN

ATI RN Exit Exam

1. How should a healthcare professional prepare a patient for a colonoscopy?

A. Provide clear instructions on diet
B. Explain the procedure in detail
C. Ensure the patient has an empty stomach
D. Give a bowel prep solution

Correct answer: D

Rationale: Giving a bowel prep solution is essential to clean out the colon thoroughly before a colonoscopy. This process is crucial as it helps to achieve a clear view of the colon during the procedure. Providing clear instructions on diet (Choice A) and ensuring the patient has an empty stomach (Choice C) are important steps in the preparation process but may not be sufficient on their own to adequately cleanse the colon. Explaining the procedure in detail (Choice B) is helpful for patient education but does not directly contribute to the physical preparation required for a successful colonoscopy.

2. What is the initial nursing action for a patient presenting with chest pain?

A. Administer aspirin
B. Reposition the patient
C. Provide pain relief
D. Prepare for surgery

Correct answer: A

Rationale: The correct initial nursing action for a patient presenting with chest pain is to administer aspirin. Aspirin helps reduce the risk of further clot formation in patients experiencing chest pain, as it has antiplatelet effects. Repositioning the patient, providing pain relief, or preparing for surgery are not the first-line interventions for chest pain. Repositioning the patient may be necessary to ensure comfort and safety, pain relief can be provided after further assessment and diagnostic tests, and preparing for surgery would only be considered after a thorough evaluation and confirmation of the need for surgical intervention.

3. A charge nurse is preparing to lead negotiations among nursing staff due to conflict about overtime requirements. Which of the following strategies should the nurse use to promote effective negotiation?

A. Identify solutions prior to the negotiation.
B. Focus on how to resolve the conflict.
C. Attempt to understand both sides of the issue.
D. Avoid personalizing the conflict.

Correct answer: C

Rationale: In negotiating conflicts, it is crucial to attempt to understand both sides of the issue. This strategy helps the charge nurse gain insights into the perspectives and concerns of all parties involved, facilitating a more effective negotiation process. Choice A is not ideal as identifying solutions prior to negotiation may overlook important viewpoints or needs. Choice B is vague and does not provide a specific action plan for resolving the conflict. Choice D is incorrect as personalizing the conflict can lead to biased decision-making and hinder the negotiation process.

4. A nurse working in a rehabilitation facility is developing a discharge plan for a client who has left-sided hemiplegia. Which of the following actions is the nurse's priority?

A. Consult with a case manager regarding insurance coverage.
B. Counsel caregivers on respite care options.
C. Ensure that the client has a referral for physical therapy.
D. Refer the client to a local stroke support group.

Correct answer: C

Rationale: The correct answer is C: 'Ensure that the client has a referral for physical therapy.' For a client with left-sided hemiplegia, physical therapy is crucial in restoring function and mobility. It is the nurse's priority to ensure the client receives the necessary rehabilitation services. Consulting with a case manager about insurance coverage (Choice A) is important but not the priority at this stage. Counseling caregivers on respite care options (Choice B) and referring the client to a local stroke support group (Choice D) are also valuable but not as essential as ensuring the client has access to physical therapy for rehabilitation.

5. A client prescribed clozapine is receiving discharge teaching from a nurse. Which statement by the client indicates an understanding of the teaching?

A. I should report a sore throat to my provider.
B. I should avoid drinking grapefruit juice while taking this medication.
C. I should take this medication with food.
D. I should avoid taking this medication with food.

Correct answer: A

Rationale: The correct answer is A. Clozapine can cause agranulocytosis, a serious condition that decreases the number of white blood cells. Reporting a sore throat is crucial as it could be a sign of infection. Choice B is incorrect because there is no specific interaction between clozapine and grapefruit juice. Choice C is incorrect because clozapine is usually taken without regard to meals. Choice D is incorrect as clozapine is generally taken without food to enhance absorption.