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Ati fundamentals exam east wick college
Ati fundamentals exam east wick college
Total Questions : 50
Showing 10 questions Sign up for moreA nurse is reinforcing teaching about a high-fiber diet with a client who has constipation. Which of the following statements indicates the client understands the best choice for a high-fiber diet?
Explanation
A. "I should choose 1 ounce of almonds when I am hungry midday." While almonds do contain fiber, they are not the highest-fiber option compared to bran cereal.
B. "My breakfast choice is 1⁄2 cup of bran cereal." Bran cereal is an excellent source of dietary fiber and is highly recommended for managing constipation.
C. "I will select a 1⁄2 cup of sweet potatoes for my starch." Sweet potatoes contain fiber, but they are not as high in fiber as bran cereal.
D. "One medium apple would be a good snack option." Apples are a good source of fiber, but bran cereal provides a higher fiber content per serving.
A nurse is caring for a client who is postoperative and has a prescription for a full liquid diet. The nurse enters the client's room to find he has just received a dietary tray. Which of the following items on the tray should the nurse remove?
Explanation
A. Apple juice: Apple juice is appropriate for a full liquid diet.
B. Cream of rice cereal: Cream of rice cereal is suitable for a full liquid diet as it can be made to a thin consistency.
C. Vanilla yogurt: Vanilla yogurt is allowed on a full liquid diet.
D. Scrambled eggs: Scrambled eggs are not considered part of a full liquid diet as they are a solid food.
A nurse is caring for an older adult client who reports constipation. Which of the following recommendations should the nurse make?
Explanation
A. Limit fluid intake to 1,000 mL daily. Increasing fluid intake, not limiting it, helps alleviate constipation.
B. Bear down hard when defecating. Bearing down hard can cause harm, such as hemorrhoids, and does not help relieve constipation.
C. Reduce activity: Increasing physical activity helps promote bowel movements, so reducing activity is not advisable.
D. Eat raw vegetables. Raw vegetables are high in fiber and can help alleviate constipation.
A nurse is preparing an injection using a single dose glass ampule. Which of the following actions should the nurse take?
Explanation
A. Wear sterile gloves when withdrawing the medication from the ampule: Sterile gloves are not necessary; clean gloves are sufficient.
B. Shake the ampule to move the solution below the neck: Shaking the ampule can cause the solution to spill. Tapping the ampule gently is recommended.
C. Snap the top of the ampule towards hands: Snapping the top towards hands can result in injury. The ampule should be snapped away from the hands.
D. Use a filter needle to draw up the medication: A filter needle prevents glass particles from being drawn up into the syringe.
A nurse is reviewing the laboratory values of a client who is receiving total parenteral nutrition (TPN): glucose 72 mg/dl, chloride 100 mEq/L. sodium 138 mEq/L, and potassium 3.0 mEq/L. Which of the following actions should the nurse plan to take?
Explanation
A. Discontinue the TPN infusion: Discontinuing TPN is not appropriate unless specifically indicated by a healthcare provider.
B. Administer glucagon IM: Glucagon is used for severe hypoglycemia, not for low potassium.
C. Check the client for a positive Chvostek's sign: Chvostek's sign is associated with hypocalcemia, not hypokalemia.
D. Request a potassium replacement: The client's potassium level is low (3.0 mEq/L), so potassium replacement is necessary.
A nurse working on a medical-surgical unit suspects that several clients have Clostridium difficile (C. difficile) when they all develop watery diarrhea. Which of the following actions should the nurse plan to take while waiting for the client's lab results?
Explanation
A. Perform hand hygiene with an alcohol-based agent: Alcohol-based hand sanitizers are not effective against C. difficile spores. Soap and water should be used.
B. Obtain stool cultures from all clients on the nursing unit: Only clients with symptoms should have stool cultures obtained.
C. Request the providers to initiate antibiotic therapy for every client on the unit: Antibiotic therapy should only be started after a confirmed diagnosis, as unnecessary antibiotics can contribute to antibiotic resistance.
D. Place all clients who have manifestations on contact precautions: This helps prevent the spread of C. difficile until lab results confirm the diagnosis.
A nurse is caring for an older adult client who has constipation. Which of the following actions should the nurse take?
Explanation
A. Avoid gas-producing foods: Avoiding gas-producing foods may reduce bloating but does not directly address constipation.
B. Add fluid and fiber to the diet. Increasing fluid and fiber intake helps to soften stool and promote regular bowel movements.
C. Promote active range-of-motion activities: While physical activity can help with bowel movements, active range-of-motion activities alone are not sufficient to address constipation.
D. Request that the provider prescribe a stool softener: This may be helpful but is usually considered after dietary measures have been attempted.
A nurse is reviewing the laboratory results of a client who is taking a loop diuretic and notes the client's potassium level is 3.0 mEq/L. Which of the following physiological responses should the nurse expect related to the client's hypokalemia?
Explanation
A. Hyperreflexia: Hypokalemia typically causes hyporeflexia, not hyperreflexia.
B. Increased appetite: Hypokalemia does not affect appetite; it can cause gastrointestinal symptoms like constipation.
C. Cardiac dysrhythmias: Low potassium levels can lead to dangerous cardiac dysrhythmias, making this the correct physiological response.
D. Hypoglycemia: Hypokalemia does not directly cause hypoglycemia.
A nurse is reinforcing teaching with the parents of a child who is starting to use a spacer with a metered-dose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching?
Explanation
A. The spacer increases the amount of medication delivered to the oropharynx. The spacer actually reduces the amount of medication deposited in the oropharynx, directing more to the lungs.
B. Inhale rapidly when using the spacer with the MDI. The correct technique is to inhale slowly and deeply to ensure the medication reaches the lungs.
C. Cover exhalation slots of the spacer with lips when inhaling. The lips should form a seal around the mouthpiece, but covering exhalation slots is not necessary.
D. The spacer increases the amount of medication delivered to the lungs. This is the primary benefit of using a spacer, making it the correct answer.
A nurse is preparing to administer a rectal suppository to a client. The nurse should instruct the client to lie in which of the following positions while in bed?
Explanation
A. Prone: The prone position is not conducive for administering a rectal suppository.
B. Sim's: Sim's position (lying on the left side with the right knee bent) allows for easier access to the rectum and promotes comfort during administration.
C. Dorsal recumbent: This position is not ideal for rectal suppository administration.
D. Fowler's: Fowler's position is used for feeding and respiratory treatments, not for administering rectal medications.
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