User blog comment:JmLyan/Tasindri, the Soul of Materia/@comment-5412516-20130425215846/@comment-7481207-20130426061353

I assume you mean if she has two items that are in her Q for example. Abilities aren't activated with Q, W, E and R, they are rather added as actives to the items themselves, so you activate them the same way you would with the item actives already in LoL.