ATI RN
ATI Nsg 131 Fundamentals Exam Questions
Extract:
Question 1 of 5
A provider prescribes a sublingual medication for a client who has an NG tube in place. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Request a prescription for an oral formulation of the medication. Sublingual medications are meant to be absorbed under the tongue, bypassing the digestive system. Since the client has an NG tube in place, administering the medication under the tongue is not possible. Dissolving the medication in water and giving it through the NG tube (choice
C) may alter the drug's intended absorption and efficacy. Administering crushed medication through the NG tube (choice
D) may also alter the drug's intended pharmacokinetics. Requesting a prescription for an oral formulation ensures the medication is administered effectively and safely.
Question 2 of 5
A nurse is teaching a client who has constipation. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Increase your daily fluid intake. Adequate hydration softens stools and helps prevent constipation. Water helps move waste through the digestive system more efficiently. Increasing fluid intake is a simple and effective way to promote regular bowel movements. Trying to defecate at different times of the day (
A) may not address the underlying issue of dehydration. Reducing daily activity (
C) can actually worsen constipation by slowing down digestion. Consuming a low-fiber diet (
D) can lead to constipation as fiber helps add bulk to stools and promotes regular bowel movements.
Question 3 of 5
A nurse is planning care for a client who has a decreased level of consciousness. The client is receiving continuous enteral feedings via a gastrostomy tube due to an inability to swallow. Which of the following is the priority action by the nurse?
Correct Answer: C
Rationale: The correct answer is C: Elevate the head of the client's bed 30° to 45°. This is the priority action because it helps prevent aspiration in a client with decreased consciousness receiving enteral feedings. By elevating the head of the bed, gravity helps keep the feeding in the stomach and reduces the risk of reflux into the lungs, which can lead to aspiration pneumonia.
Checking residual volume (choice
A) is important but not the priority. Observing respiratory status (choice
B) is also crucial but secondary to preventing aspiration. Monitoring intake and output (choice
D) is a routine nursing task but not as critical as preventing aspiration. The key is to prioritize actions that directly impact the client's safety and well-being, which in this case is elevating the head of the bed.
Question 4 of 5
A nurse is caring for a client who requests prescription pain medication. Which of the following actions should the nurse perform first?
Correct Answer: A
Rationale: The correct answer is A: Determine the location of the pain. This is the first step because assessing the location of pain is crucial in understanding the client's condition and choosing the appropriate medication. Identifying the source of pain helps in selecting the most effective treatment. Repositioning the client (
B) or administering medication (
C) should only be done after the nurse assesses the pain location. Reviewing the effects of the pain medication (
D) is important but not the first step. Other choices are not relevant to the initial assessment of the client's pain.
Question 5 of 5
A nurse accidentally sticks her hand with a syringe needle after administering an IM injection to a client. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action for the nurse to take first is to wash the area of the puncture thoroughly with soap and water. This is important to reduce the risk of infection and minimize any potential harm caused by the needle stick injury. Washing the area helps to remove any contaminants and reduce the chances of infection. Going to employee health services or reporting the incident can be done after washing the area to address any further necessary actions. Completing an incident report and reporting to the charge nurse are important steps but should follow immediate washing of the puncture site to prioritize the nurse's health and safety.