ATI Nsg 131 Fundamentals Exam | Nurselytic

Questions 45

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ATI Nsg 131 Fundamentals Exam Questions

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Question 1 of 5

A nurse is caring for a client who needs to increase his protein intake. The client tells the nurse some of the food he enjoys. Which of the following foods should the nurse recommend as the best source of protein among these suggestions?

Correct Answer: B

Rationale: The correct answer is B: Chicken. Chicken is a high-quality protein source, providing essential amino acids needed for tissue repair and muscle growth. It is a lean protein option, making it beneficial for heart health. Peanuts (
A) are a good source of protein but are higher in calories and fats. Yams (
C) are not a significant protein source. Eggs (
D) are also a good protein source, but chicken is typically leaner. In summary, chicken is the best choice for increasing protein intake due to its high-quality protein content and low fat content.

Question 2 of 5

A nurse is caring for a client who has a hip fracture that requires surgical repair. Which of the following health care professionals is responsible for obtaining informed consent from the client for the procedure?

Correct Answer: D

Rationale: The correct answer is D: Surgeon. The surgeon is responsible for obtaining informed consent from the client for the surgical procedure as they are the ones performing the surgery. This responsibility ensures that the client fully understands the risks, benefits, and alternatives of the procedure. The nurse (choice
A) typically assists in the consent process by providing information and answering questions, but the ultimate responsibility lies with the surgeon. The surgical suite nurse (choice
B) and anesthesiologist (choice
C) do not have the primary responsibility for obtaining informed consent.

Question 3 of 5

A nurse is attending a social event when another guest coughs weakly once, grasps his throat with his hands, and cannot talk. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: The correct answer is B: Perform the Heimlich maneuver. This is the appropriate action for a choking individual who is coughing weakly, grasping their throat, and unable to talk, indicating a partial airway obstruction. The Heimlich maneuver helps clear the airway by applying abdominal thrusts to expel the obstructing object. Observing the client (
A) may lead to a worsening situation. Slapping the client on the back (
C) can be ineffective and potentially harmful. Assisting the client to the floor for mouth-to-mouth resuscitation (
D) is not indicated for a conscious choking individual.

Question 4 of 5

A nurse is preparing a client's evening dose of risperidone when the tablet falls on the countertop. Which of the following actions should the nurse take?

Correct Answer: A

Rationale:
Correct
Answer: A - Discard the tablet and obtain another dose of medication.


Rationale: Dropping the tablet on the countertop exposes it to potential contamination.
To ensure the client's safety and prevent any risk of infection or ingestion of foreign particles, it is best to discard the fallen tablet and obtain a new dose. This guarantees the client receives the full, uncontaminated dose as prescribed.

Summary of Incorrect

Choices:
B: Using the tablet's packaging to pick it up may introduce additional contaminants from the packaging material to the tablet, compromising its purity.
C: Washing the tablet with alcohol is not recommended as it may alter the tablet's composition and effectiveness. Placing it in a clean medication cup after washing does not guarantee sterility.
D: Placing the tablet directly into a medication cup without addressing potential contamination does not ensure the tablet's cleanliness and safety for the client.

Question 5 of 5

A nurse is preparing to administer oral medications to a client. Which of the following should the nurse recognize as an acceptable client identifier? (Select All that Apply)

Correct Answer: B,E

Rationale: The correct answers are B and E. A facility-assigned identification number is a unique identifier specific to the client, ensuring accuracy. The client's full name is another acceptable identifier for verification. Provider's name (
A) may not be specific to the client. Facility room number (
C) is not a reliable identifier for a specific client. Partner's full name (
D) is not directly related to the client being administered medication.

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