ATI RN
ATI Nurs 100 Fundamentals Quiz Questions
Question 1 of 5
A nurse is teaching a client about foods and beverages that can cause diarrhea. Which of the following should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Caffeinated beverages. Caffeine is a known diuretic that can stimulate the digestive system and cause diarrhea in some individuals. The nurse should include this in the teaching to help the client avoid potential triggers for diarrhea. Ripe bananas (choice
A) are actually recommended for managing diarrhea due to their binding properties. White rice (choice
C) and low-fiber cereal (choice
D) are considered part of the BRAT diet, which is often recommended for easing diarrhea symptoms. However, these options are not known to cause diarrhea.
Question 2 of 5
A nurse is assessing a client who has dehydration. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Dark-colored urine. Dehydration leads to increased concentration of urine, resulting in darker color due to higher levels of waste products. Specific gravity of 1.015 (choice
A) is within normal range and doesn't specifically indicate dehydration. Cloudy urine (choice
B) may be due to other factors like infection. Urine osmolality of 200 mOsm/kg (choice
C) is very low and doesn't reflect dehydration. Dark-colored urine (choice
D) is a classic sign of dehydration due to increased concentration.
Question 3 of 5
A nurse is developing a plan of care to prevent skin breakdown for a client with a spinal cord injury and paralysis. Which of the following nursing actions are appropriate? (Select all that apply.)
Correct Answer: D,E
Rationale:
Correct
Answer: D, E
Rationale:
D: Using pillows to keep heels off the bed surface helps to prevent pressure ulcers on the heels, a common site for skin breakdown in clients with limited mobility.
E: Minimizing skin exposure to moisture is crucial in preventing skin breakdown as moisture can soften the skin and increase the risk of breakdown.
Incorrect
Choices:
A: Keeping the client's skin dry with powder can actually increase friction and contribute to skin breakdown, especially in areas of high pressure.
B: Implementing a turning schedule every 4 hours is beneficial for preventing pressure ulcers, but it is not specific to preventing skin breakdown in clients with spinal cord injury and paralysis.
C: Massaging over erythematous bony prominences can exacerbate skin breakdown by increasing pressure on already compromised skin.
Question 4 of 5
A nurse is teaching a client who has urinary incontinence about avoiding foods and beverages that can cause bladder irritation. The nurse should include that which of the following foods and beverages is a bladder irritant?
Correct Answer: A
Rationale: The correct answer is A: Caffeinated beverages. Caffeine is a diuretic that can increase urine production and irritate the bladder, leading to urinary incontinence. It can also act as a stimulant, causing the bladder muscles to contract more frequently. Dairy products (
B), red meat (
C), and fresh vegetables (
D) do not typically irritate the bladder. In fact, fresh vegetables can be beneficial for bladder health due to their high water content and nutrients.
Question 5 of 5
A nurse in a PACU is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Purplish-colored stoma. A purplish-colored stoma indicates poor blood circulation, which can lead to tissue necrosis and potential stoma complications. The nurse should report this finding to the provider promptly for further evaluation and intervention.
Choices A, B, and C are normal findings for a newly created colostomy. A stoma oozing red drainage (choice
A) is expected as it indicates healthy tissue healing. A shiny, moist stoma (choice
B) is a sign of adequate hydration of the stoma. A rosebud-like stoma orifice (choice
C) is a normal characteristic of a colostomy stoma. These findings do not typically require immediate provider notification.