ATI RN
ATI Nurs 100 Fundamentals Quiz Questions
Question 1 of 5
A nurse is preparing a teaching plan for a client who has chronic constipation secondary to irregular bowel habits. Which of the following should the nurse plan to include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: The client should follow a high fiber diet to establish bowel regularity. Adequate fiber intake helps promote regular bowel movements by adding bulk to the stool. This aids in easing the passage of stool and preventing constipation. High-fiber foods include fruits, vegetables, whole grains, and legumes. Fiber also promotes the growth of beneficial gut bacteria, which further aids in digestion. It is essential for the nurse to include this in the teaching plan to address the client's chronic constipation.
Rationale for why the other choices are incorrect:
A: The goal of therapy is not necessarily to have a bowel movement daily; the focus should be on establishing regularity.
B: Distributing fiber intake throughout the day is more beneficial than consuming it all at once.
D: Adequate water intake is important for bowel health, but it is not the only factor to address chronic constipation.
E: No information provided.
F: No information provided.
G: No information provided
Question 2 of 5
A nurse is assessing a client who has had staples removed from an abdominal wound postoperatively. The nurse notes a wide separation of the wound edges with light serosanguineous drainage. Which of the following actions should the nurse perform first?
Correct Answer: A
Rationale: The correct answer is A: Cover the wound with a moist, sterile gauze dressing. First, covering the wound with a dressing helps protect it from environmental contaminants, reducing the risk of infection. This step promotes wound healing by providing a moist environment, which aids in the healing process. Additionally, the dressing helps to contain the drainage, preventing it from spreading and causing further contamination. This immediate action is essential in wound care management to prevent complications. Checking vital signs (
B) is important but not the first priority in this situation. Assessing pain level (
C) is important but addressing wound care takes precedence. Obtaining a culture and sensitivity of the wound drainage (
D) can be done later if infection is suspected but is not the initial action needed in this scenario.
Question 3 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.
Question 4 of 5
Which of the following is a common risk factor for developing a urinary tract infection (UTI)?
Correct Answer: C
Rationale: The correct answer is C: Having a urinary catheter. Urinary catheters can introduce bacteria into the urinary tract, increasing the risk of UTI. The catheter provides a direct pathway for bacteria to enter the bladder, leading to infection. Drinking plenty of water (
A) actually helps reduce the risk of UTIs by flushing out bacteria. Maintaining good personal hygiene (
B) and frequent handwashing (
D) are important for overall health but are not direct risk factors for UTIs.
Question 5 of 5
A nurse is providing teaching to a client who takes opioid pain medication and has a new prescription for docusate sodium. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "It might take up to 3 days for the medication to work." This statement shows the client understands that docusate sodium is a stool softener and not a laxative, so it may take a few days to soften the stool.
Choice B is incorrect because docusate sodium is not used for diarrhea.
Choice C is incorrect as docusate sodium should not be taken with mineral oil due to potential interactions.
Choice D is incorrect because while it's important to stay hydrated when taking docusate sodium, the specific amount of water mentioned is not necessary for the medication's effectiveness.