ATI RN
ATI 110 Fundamentals Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is at risk for a pressure injury. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Provide the client with a high-calorie diet. A high-calorie diet can help promote tissue healing and prevent pressure injuries by providing the necessary nutrients for skin integrity. Keeping the head of the bed elevated to 45 degrees (
A) is important for preventing aspiration but not directly related to preventing pressure injuries. Massaging bony prominences (
C) can actually increase the risk of pressure injuries by causing friction and shear forces. Repositioning the client every 4 hours (
D) is essential but not directly related to the prevention of pressure injuries.
Question 2 of 5
A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?
Correct Answer: B
Rationale: The correct answer is B. Crushing enteric-coated aspirin can lead to stomachache or indigestion because the coating is designed to protect the stomach lining from irritation. By crushing it, the medication can be released too quickly, causing irritation.
Choice A is incorrect because it focuses on the timing of medication release rather than the potential harm of crushing it.
Choice C is incorrect as adding ice cream does not address the issue of medication safety.
Choice D is incorrect as it does not provide a specific reason why crushing is unsafe.
Question 3 of 5
A nurse is receiving a telephone prescription for a client from a provider. Which of the following actions should the nurse take when transcribing the prescription?
Correct Answer: D
Rationale: The correct answer is D: Read back the prescription to the provider. This is crucial to ensure accuracy and prevent errors. By reading back the prescription, the nurse confirms understanding and allows the provider to clarify any misunderstandings immediately. This step promotes patient safety and effective communication.
Choice A (Use the provider’s initials after the prescription) is incorrect because it does not address the need for verification of the prescription details.
Choice B (Repeat the prescription to the provider) is not as effective as reading back, as it may not ensure complete accuracy.
Choice C (Write the prescription in shorthand) can lead to misinterpretation and errors.
Question 4 of 5
A nurse in a public clinic is planning a health fair for older adult clients in the community. In teaching medication safety, which of the following foods should the nurse advise the clients to avoid when taking their prescriptions?
Correct Answer: B
Rationale: The correct answer is B: Grapefruit juice. Grapefruit juice can interact with many medications by inhibiting the enzyme that metabolizes the drugs, leading to higher drug levels in the body and potentially causing adverse effects. Orange juice (
A), milk (
C), and carbonated beverages (
D) do not have significant interactions with most medications. It is important for the nurse to advise older adult clients to avoid grapefruit juice to prevent medication interactions and ensure their safety.
Question 5 of 5
A nurse is teaching a class about sleep disorders. The nurse should include that which of the following conditions can cause obstructive sleep apnea (OSA)?
Correct Answer: D
Rationale: The correct answer is D: Enlarged tonsils. Enlarged tonsils can physically obstruct the airway during sleep, leading to obstructive sleep apnea (OS
A). This obstruction causes pauses in breathing during sleep, resulting in disrupted sleep patterns and decreased oxygen levels in the blood. Heart failure (
A) is incorrect because it is not a direct cause of OSA. Brainstem injury (
B) may disrupt the sleep-wake cycle but is not a common cause of OSA. Recent weight loss (
C) can actually improve OSA symptoms by reducing the amount of tissue in the airway.
Therefore, the most likely condition to cause OSA among the choices given is enlarged tonsils.