ATI RN
ATI Nsg 131 Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is measuring a client's oral temperature. The client informs the nurse that he has just eaten some ice chips. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Wait 30 min and return to measure the oral temperature. When a client eats ice chips, the oral temperature may be falsely low due to the cold temperature of the ice. Waiting 30 minutes allows the oral cavity to return to its normal temperature, ensuring an accurate reading. Option A is incorrect because immediate measurement would yield an inaccurate result. Option B is incorrect as it does not address the issue of the ice chips affecting the temperature reading. Option C is incorrect as providing warm water may not be sufficient to normalize the temperature.
Question 2 of 5
A nurse is instructing a group of clients regarding nutrition. Which of the following is a good source of omega-3 fatty acids that the nurse should include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Fish. Fish, especially fatty fish like salmon and mackerel, are excellent sources of omega-3 fatty acids such as EPA and DHA, which have numerous health benefits including reducing inflammation and supporting heart health. Leafy green vegetables (
B) typically do not contain significant amounts of omega-3s. Dietary supplements (
C) can be a source of omega-3s, but whole foods like fish are preferred for better absorption and overall nutrition. Corn oil (
D) is not a good source of omega-3s and is higher in omega-6 fatty acids.
Question 3 of 5
Before administering a medication to a client, the nurse must identify the client. Which of the following methods of identification should the nurse use?
Correct Answer: C
Rationale: The correct answer is C: Ask the client's full name and date of birth. This method ensures the nurse is identifying the client accurately by cross-referencing two unique identifiers. Room number (
A) is not a reliable method as clients can move rooms. Checking the name on the MAR (
B) can be inaccurate if there are multiple clients with the same name. Asking a family member (
D) introduces potential for error. Using other methods (E, F, G) may not provide reliable identification. Asking for full name and date of birth is a standard and effective way to confirm the client's identity before medication administration.
Question 4 of 5
The nurse is preparing a medication for a client and observes the date of expiration on the vial occurred 2 months ago. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Discard the medication. Expired medications may have decreased effectiveness or become harmful. By discarding the medication, the nurse ensures patient safety. Returning to the pharmacy (
B) is not appropriate as it may still be mistakenly used. Giving the medication (
A) is unsafe. Notifying the provider (
D) is important, but immediate action to discard the medication is necessary.
Question 5 of 5
A nurse is caring for a client who is unconscious and has a breathing pattern characterized by alternating periods of hyperventilation and apnea. The nurse should document that the client has which of the following respiratory alterations?
Correct Answer: D
Rationale: The correct answer is D: Cheyne-Stokes respirations. This breathing pattern is characterized by alternating periods of deep, rapid breathing (hyperventilation) followed by periods of apnea (no breathing). It is commonly seen in clients with neurological conditions or at end of life. Kussmaul respirations (choice
A) are deep and rapid breathing seen in metabolic acidosis, not alternating with apnea. Apneustic respirations (choice
B) involve prolonged inhalation and shortened exhalation, not the pattern described. Stridor (choice
C) is a high-pitched, noisy breathing sound indicating airway obstruction.
Therefore, the correct choice is D as it fits the described breathing pattern accurately.