ATI RN
ATI Fundamentals Exam East Wick College Questions
Question 1 of 5
A nurse is reinforcing teaching about a high-fiber diet with a client who has constipation. Which of the following statements indicates the client understands the best choice for a high-fiber diet?
Correct Answer: B
Rationale: The correct answer is B: My breakfast choice is 1⁄2 cup of bran cereal. Bran cereal is high in fiber, which helps promote bowel regularity and alleviate constipation. Choosing bran cereal for breakfast ensures the client starts the day with a good amount of fiber. Almonds (choice
A) are a good source of fiber but not as high as bran cereal. Sweet potatoes (choice
C) are a source of fiber but not as high as bran cereal. An apple (choice
D) is also a good source of fiber, but bran cereal typically contains more fiber per serving. It is important to prioritize foods with higher fiber content when aiming for a high-fiber diet to effectively manage constipation.
Question 2 of 5
A nurse is caring for a client who is postoperative and has a prescription for a full liquid diet. The nurse enters the client's room to find he has just received a dietary tray. Which of the following items on the tray should the nurse remove?
Correct Answer: D
Rationale: The correct answer is D: Scrambled eggs. A full liquid diet consists of clear liquids and foods that are liquid at room temperature. Scrambled eggs are not considered part of a full liquid diet as they are not liquid at room temperature. Apple juice, cream of rice cereal, and vanilla yogurt are all appropriate choices for a full liquid diet as they are in liquid form or become liquid when consumed. Removing the scrambled eggs ensures the client follows the prescribed diet for optimal recovery.
Question 3 of 5
A nurse is caring for an older adult client who reports constipation. Which of the following recommendations should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: Eat raw vegetables. Raw vegetables are high in fiber which can help promote regular bowel movements and alleviate constipation in older adults. Fiber adds bulk to stool and helps it pass more easily through the digestive system. Limiting fluid intake (
A) may worsen constipation. Bearing down hard when defecating (
B) can lead to straining and potential injury. Reducing activity (
C) can further slow down the digestive system. Eating raw vegetables (
D) is the best choice for addressing constipation in this scenario.
Question 4 of 5
A nurse is preparing an injection using a single dose glass ampule. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct
Answer: D - Use a filter needle to draw up the medication.
Rationale:
1. Filter needles prevent glass particles from entering the syringe, ensuring patient safety.
2. Glass ampules can break easily, and using a filter needle reduces the risk of glass particles contaminating the medication.
3. Filtering the medication also helps remove any particulate matter that may be present in the solution.
4. This process is essential to maintain the integrity and sterility of the medication before administration.
Summary:
A: Wearing sterile gloves is important but not necessary specifically for withdrawing medication from an ampule.
B: Shaking the ampule can introduce air bubbles into the solution, affecting the accurate dosage.
C: Snapping the top of the ampule can lead to glass particles falling into the medication, compromising safety.
D: Using a filter needle is the correct choice to draw up medication from a glass ampule.
E, F, G choices are not applicable in this scenario.
Question 5 of 5
A nurse is reviewing the laboratory values of a client who is receiving total parenteral nutrition (TPN): glucose 72 mg/dl, chloride 100 mEq/L, sodium 138 mEq/L, and potassium 3.0 mEq/L. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Request a potassium replacement. The potassium level of 3.0 mEq/L is below the normal range (3.5-5.0 mEq/L). Hypokalemia can lead to serious complications, such as cardiac dysrhythmias.
Therefore, the nurse should plan to request a potassium replacement to correct the low potassium level and prevent potential adverse effects.
A: Discontinuing the TPN infusion is not necessary based solely on the potassium level.
B: Administering glucagon IM is not indicated for a low potassium level.
C: Checking for a positive Chvostek's sign is used to assess for hypocalcemia, not hypokalemia.
Overall, the correct action is to address the low potassium level with a replacement to maintain the client's electrolyte balance.