ATI RN
Fundamentals of Nursing Nursing Process Questions Questions
Question 1 of 5
A male client recently underwent a surgical procedure for a malignant tumor. As a result of the surgery, his urine is diverted to a stomal pouch. What should the nurse suggest so that he remains odor free.
Correct Answer: B
Rationale: The correct answer is B: Drinking cranberry juice. Cranberry juice is known to help reduce urinary odor due to its acidic nature which can help eliminate bacteria that cause odor. It also helps to maintain urinary tract health. The other choices are incorrect because: A: Eating spicy foods can actually increase body odor and may not have any impact on urinary odor. C: Foods like eggs, asparagus, or cheese may contribute to strong body odor but do not specifically address urinary odor. D: Drinking tea, coffee, and colas can potentially worsen urinary odor due to their caffeine content and impact on urinary tract health.
Question 2 of 5
Other signs of hypovolemia includes all of the following except:
Correct Answer: C
Rationale: The correct answer is C because decreased pulse rate and widened pulse pressure are not signs of hypovolemia. In hypovolemia, the body tries to compensate by increasing the heart rate and narrowing the pulse pressure to maintain adequate blood flow. A is incorrect as dry mucous membranes and soft eyeballs are signs of dehydration. B is incorrect as increased hematocrit and hemoglobin are indicators of hemoconcentration in hypovolemia. D is incorrect as increased lethargy and confusion can be seen in severe hypovolemia due to poor perfusion of vital organs.
Question 3 of 5
If a Wall unit is used, What should be the suctioning pressure required by James?
Correct Answer: C
Rationale: Step 1: The optimal suctioning pressure for adults is usually between 80-120 mmHg. Step 2: Choice C falls within this recommended range (95-110 mmHg). Step 3: Higher pressures (like in choices B and D) can cause tissue damage. Step 4: Lower pressures (like in choice A) may not effectively remove secretions. Summary: Choice C (95-110 mmHg) is correct as it falls within the safe and effective suctioning pressure range for adults, while the other choices are either too high or too low, risking harm or inefficiency.
Question 4 of 5
Which food is recommended for the patient who must increase intake of potassium?
Correct Answer: B
Rationale: The correct answer is B: Potato. Potatoes are high in potassium, which is essential for various bodily functions. Potatoes can help increase potassium intake in patients who require it. Bread, eggs, and cereal are not as rich in potassium as potatoes. Increasing intake of these foods won't provide the necessary boost in potassium levels needed for the patient.
Question 5 of 5
Which of the following IV solutions is hypertonic?
Correct Answer: C
Rationale: The correct answer is C: 5% dextrose in 0.9% NaCl. This solution is hypertonic because it has a higher osmolarity compared to the other choices. The presence of dextrose and NaCl in this solution increases its solute concentration, causing water to move out of the cells by osmosis. Normal saline (A) and 0.45% NaCl (B) are isotonic solutions, meaning they have the same osmolarity as body fluids. 0.225% NaCl (D) is a hypotonic solution with lower osmolarity than body fluids.