ATI RN
Introduction to Nursing Final Exam Quizlet Questions
Question 1 of 5
A client with diarrhea is for low residue diet. Which among the following is not included in the low fiber diet for diarrhea?
Correct Answer: A
Rationale: The correct answer is A: Bread. Low residue diet for diarrhea aims to reduce fiber intake to ease digestion. Bread, especially whole grain, contains high fiber which can worsen diarrhea. Chicken without skin, rice, and tea are low in fiber and suitable for a low residue diet. Bread is the only option that is high in fiber among the choices.
Question 2 of 5
The barium enema should be done before the upper gastrointestinal series because of which of the following?
Correct Answer: A
Rationale: The correct answer is A because retained barium from the barium enema procedure may cloud the colon and interfere with the visualization of the upper gastrointestinal series. This can lead to inaccurate results and potential misdiagnosis. This sequence ensures a clear view of the upper gastrointestinal tract. Choices B, C, and D are incorrect because lower gastrointestinal bleeding is not a direct concern, physician orders can be adjusted based on medical necessity, and barium is not absorbed in the small intestine in significant amounts to impact the sequence of procedures.
Question 3 of 5
A nurse on the postoperative nursing unit provides care to reduce the incidence of surgical wound infection. What actions are best to achieve this goal? (Select the one that does not apply.)
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Administering antibiotics for 72 hours is not within the nurse's scope of practice but the physician's responsibility. 2. Disposing of dressings properly prevents contamination and infection. 3. Leaving draining wounds open to air can introduce pathogens and hinder healing. 4. Performing proper hand hygiene reduces the transfer of pathogens to the wound site.
Question 4 of 5
A nurse works on the postoperative floor and has four clients who are being discharged tomorrow. Which one has the greatest need for the nurse to consult other members of the health care team for postdischarge care?
Correct Answer: C
Rationale: The correct answer is C because the older adult living alone with memory loss may be at higher risk for safety concerns and medication management post-discharge. Consulting other healthcare team members can ensure appropriate support services are in place. Choice A: While being a primary caregiver is important, it does not necessarily indicate a greater need for consultation compared to the other choices. Choice B: Post-knee replacement and needing physical therapy are common needs post-discharge, and consultation with the healthcare team may not be as critical as in the case of the older adult with memory loss. Choice D: Having family and friends nearby suggests a support system, reducing the immediate need for consultation compared to the older adult living alone with memory loss.
Question 5 of 5
The nurse should plan to use a wet-to-dry dressing for which patient?
Correct Answer: D
Rationale: Correct Answer: D Rationale: Wet-to-dry dressing is used for wounds with purulent drainage to promote healing by mechanical debridement. Purulent drainage indicates infection, making it necessary to remove dead tissue. Dry brown areas suggest necrosis, which requires removal to allow healthy tissue regeneration. Wet-to-dry dressing helps in this process by moistening the wound, facilitating the removal of necrotic tissue with each dressing change. This promotes a clean wound bed conducive to healing. Summary of Other Choices: A: Pink granulation tissue indicates healing, not requiring mechanical debridement. B: Surgical incision with pink, approximated edges indicates a well-healing wound, not requiring wet-to-dry dressing. C: Full-thickness burn with dry, black material suggests eschar formation, which requires specialized burn care, not wet-to-dry dressing.