ATI Nsg 131 Fundamentals Exam | Nurselytic

Questions 45

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ATI Nsg 131 Fundamentals Exam Questions

Question 1 of 5

A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with continuous enteral feedings. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: The correct answer is B, which instructs the nurse to flush the NG feeding tube with 30 mL of water immediately following medication administration. This action helps ensure that the medications are properly delivered through the feeding tube and into the stomach. Flushing the tube with water helps prevent any medication residue from clogging the tube and ensures that the medications are fully administered to the client.

Option A is incorrect because mixing the medications together could alter their effectiveness or cause potential interactions. Option C is incorrect as diluting the medications with tap water may affect their potency or stability. Option D is incorrect because maintaining the head of the bed flat for 30 minutes following medication administration is not necessary for enteral feedings.

Question 2 of 5

A nurse is caring for a client and observes that the client's urine is dark amber, cloudy, and has an unpleasant odor. The nurse should recognize that these findings are associated with which of the following?

Correct Answer: B

Rationale: The correct answer is B: Urinary tract infection (UTI). Dark amber, cloudy, and foul-smelling urine are common symptoms of a UTI due to the presence of bacteria in the urinary tract. The cloudiness indicates the presence of pus or bacteria in the urine, resulting in the unpleasant odor. UTIs can also cause urinary frequency and urgency, but the color and odor of the urine are more specific to an infection rather than just frequency alone. Urinary retention (choice
A) typically presents with difficulty urinating and a distended bladder, not necessarily changes in urine color and odor. Urinary incontinence (choice
C) refers to the inability to control urination, which is not indicated by the characteristics of the urine described. Urinary frequency (choice
D) may occur with a UTI but does not explain the dark amber color, cloudiness, and unpleasant odor of the urine.

Question 3 of 5

A nurse is providing teaching about a heart-healthy diet to a group of clients with hypertension. Which of the following statements by one of the clients indicates a need for further teaching?

Correct Answer: C

Rationale: The correct answer is C. Eating 2 cans of soup a day can lead to excessive sodium intake, which can worsen hypertension. A heart-healthy diet for hypertension should be low in sodium. Thickening gravies with cornstarch (
A) is a good low-sodium alternative. Fresh fruits (
B) are a nutritious snack option. Replacing table salt with dried herbs (
D) is a good way to reduce sodium intake.

Question 4 of 5

A nurse is caring for a client who needs to increase his protein intake. The client tells the nurse some of the food he enjoys. Which of the following foods should the nurse recommend as the best source of protein among these suggestions?

Correct Answer: B

Rationale: The correct answer is B: Chicken. Chicken is a high-quality protein source, providing essential amino acids needed for tissue repair and muscle growth. It is a lean protein option, making it beneficial for heart health. Peanuts (
A) are a good source of protein but are higher in calories and fats. Yams (
C) are not a significant protein source. Eggs (
D) are also a good protein source, but chicken is typically leaner. In summary, chicken is the best choice for increasing protein intake due to its high-quality protein content and low fat content.

Question 5 of 5

A nurse is caring for a client who has a hip fracture that requires surgical repair. Which of the following health care professionals is responsible for obtaining informed consent from the client for the procedure?

Correct Answer: D

Rationale: The correct answer is D: Surgeon. The surgeon is responsible for obtaining informed consent from the client for the surgical procedure as they are the ones performing the surgery. This responsibility ensures that the client fully understands the risks, benefits, and alternatives of the procedure. The nurse (choice
A) typically assists in the consent process by providing information and answering questions, but the ultimate responsibility lies with the surgeon. The surgical suite nurse (choice
B) and anesthesiologist (choice
C) do not have the primary responsibility for obtaining informed consent.

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