ATI Questions

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blierman
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65512
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ATI Questions
Updated:
2011-02-10 14:45:07
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ATI
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Nutrition, Medication Administration, Bowel Elimination, Urinary Elimination
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  1. True or False: Adequate fluid intake can be achieved by healthy adults from their regular eating and drinking habits.
    True
  2. True or False: Calcium intake is not as important for adults because their bones are done growing.
    False; Calium intake should be increased for adults to prevent calcium being used from bone stores to maintain adequate blood levels.
  3. True or False: Social isolation can contribute to poor nutrition.
    True
  4. Which of the following factors predisposes an older adult to nutrient deficienies?
    1. Well-fitting dentures
    2.Recommened decrease in total caloric intake
    3.Loss of a spouse
    4.Extensive medication regimen
    5. Decreased mobility
    6. Living on a fixed income
    7. Participating in an exercise program.
    2,3,4,5,6
  5. True or False: Mechanical soft diets cannot meet nutritonal requirements for clients.
    False. A mechanical soft diet is a regular diet that has been modified for texture. The foods comprising the diet can be modified to meet specific nutrient needs to the client.
  6. True or False: Clear liquid diets should not be used for more than 2 to 3 days.
    True
  7. True or False: A soft or low-fiber diet is appropriate for a client with acute gastritis
    True
  8. True or False: Monitoring a client's weight is necessary to determine if nutrition is adequate.
    True.
  9. True or False: All stomach residual volumes should be discarded to prevent nausea and vomiting.
    False. Stomach residual volume should always be returned because they contain valuable electrolytes, nutrients, and enzymes necessary for digestion
  10. True or False: Tube feeding should be administered at room temperature to prevent abdominal cramping.
    True
  11. True or False: Intermittent tube feedings are typically used for critically ill clients.
    False. Continuous feedings are generally used for critically ill clients, as they are associated with smaller residual volumes and a lower risk of aspiration and diarreha. Intermittent feedings are often used for non-critical clients, home tube feedings, and those clients in rehabilitation.
  12. Which of the following actions are important in the prevention of baterial contamination of tube feeding?
    1. Fill the generic bag with 24 hr worth of formula from cans
    2. Wash hands thoroughly
    3. Leave usused portions in the patient room to avoid cross-contamination
    4. Cover and label any unused portion with the client's name, room number, date, and time opened
    5. Replace tubing and feeding bag every 48 hr.
    • 2,4
    • Feeding bags should be filled with no more than 6 hr worth of formula. Pre-filled bags usually contain enough formula for a 24 hr period. Any usnused portion should be covered, unless otherwise specified by instititional policy.
  13. Which of the following should be monitored for a client undergoing PN?
    1. Breath sounds
    2. Oral intake
    3. WBC
    4. Electrolytes
    5. Vital Signs
    6. Daily Weight
    7. Blood Glucose
    8. Peripheral IV or central line site
    All
  14. True or False: Lipids should always be administered for a client with PN
    False: Lipids are contraindicated for clients with hyperlipidemia or severe heptic disease
  15. True or False: TPN solutions should always be administered through a central line
    True
  16. True or False: Protein should comprise 10% of all PN solutions to promote muscle building and healing.
    False: Protein should provide 10-20% of calories, but a client's individual requirements, hepatic function, and renal function are the determining factors for the amount of protein added.
  17. True or False: TPN is preferred for clients expected to receive PN longer than 7 days
    True.
  18. A nurse is preparing insulin from two differen vials. Which of the following actions indicate that she understands correct medication administration?
    A. The nurse injects fluid from one vial into the other regardless of the medication
    B. The nurse inserts air into the first vial, but not the second one.
    C. The nruse discards medications if medications are mixed during preparation.
    D. The nurse wipes the needle with alcohol proir to injecting into the vial
    C.
    (this multiple choice question has been scrambled)
  19. An older adult client has had a cerebrovascular accident and is prescribed a metered dose inhaler. Which nursing consideration is a priority when teaching the client how to take the medications?
    A. Dosage and amount of medication
    B. Schedule of administration
    C. Coordination and cognition of the cleint
    D. The purpose and goal of medication regimen
    C.
    (this multiple choice question has been scrambled)
  20. Proper administration of eye drops includes which of the folling nursing interventions?
    1. Using medical aseptic technique
    2. Asking the client to look up at the ceiling
    3. Having the client lie in a side-lying position
    4. Dropping medication into the center of the client's conjunctival sac
    5. Instructing the client to close the eye gently
    2,4,5
  21. A nurse prepared an injection of an opiod to give to a client who reports pain. Prior to administering the medication, the nurse is called to another room to assist another client onto a bedpan. This nurse then asks a second nurse to give the injection so that she can help the client needing the bedpan. Which of the following actions is the most appropriate for the second nurse to take.
    A. Tell the client needing the bedan she will have to wait for her nurse
    B. Prepare another syringe and give the injection
    C. Offer to assiste the client needing the bedpan
    D. Give the injection prepared by the other nurse
    C.
    (this multiple choice question has been scrambled)
  22. During morning rounds, a nurse enters a client's room and finds medications sitting on the bedside table. The client states the medications are from last night and asks the nurse if he can take them now. Which of the following actions should the nurse take?
    A. Let the client take the meds with water and document in chart
    B. Review the medication administration record (MAR), let the client take the medications with water, and document
    C. Remove the medications, discard them, report the error, and document according to facility/agency policy
    D. Report medication error to the pharmasist and charge nurse immediately.
    C.
    (this multiple choice question has been scrambled)
  23. For a medication that was ordered at 0900, which of the following are acceptable administration times
    1. 0905
    2. 0825
    3. 1000
    4. 0840
    5. 0935
    1,4
  24. Which of the following nursing actions may prevent medication errors from occuring?
    A. Giving the ordered medication and then looking up the ususal dose range
    B. Taking all medications out of the unit-dose wrapperd being entering cleitn's room
    C. Checking with the PCP when a single dose requires administration of multiple tablets
    D. Relying on another nurse to clarify a medication order
    C.
    (this multiple choice question has been scrambled)
  25. When implementing medication therapy, the nurse's responsibilites include which of the following?
    1. Observing for medication side effects
    2. Monitoring for therapeutic effects
    3. Ordering the appropriate dose
    4. Changing the dose if side effects occur
    5. Maintaining an up-to-date knowldge base
    1,2,5
  26. When assessing the IV site for phlebitis, the nurse shoud look for which of the following signs and symptoms?
    1. Red line on affected extremity
    2. Incrased rate of infusion
    3. Local swelling at site
    4. Cool, pale skin
    5. Pain at site
    1,5
  27. Which of the following techniques will minimize the risk for catheter embolism?
    A. Use good handwashing technique before and after IV insertion
    B. Rotste the IV sites at least every 72 hr
    C. Administer anticoagulants
    D. Once in the vein, never put the stylet back through the catheter.
    D
  28. Which of the following actions is the highest priority if the nurse suspects an air embolism?
    A. Remove the IV catheter immediately
    B. Observe for fever and site redness
    C. Place the client in Trendelenburg position of the left side
    D. Assess neck veins and rspiratory rate.
    C
  29. The nurse checks for patency of an IV saline lock by:
    A. Assessing the site for redness
    B. Flushing the IV with NS and assessing the site
    C. Asking the client if the site is painful
    D. Checking the date of insertion
    B
  30. A tap water enema is ordered for a client to be repeated until the return in clear. What is the nurse's next action?
    A. Clarify the order with the primary care provider
    B. Explain the procedure to the client
    C. Insure that the tap water is not too hot
    D. Keep the amount per enema to less than 1,000mL
    • A.
    • Tap water is a hypotonic solution and can cause water toxicity. It should not be repeated.
  31. Which of the following foods should be encouraged for a client experiencing constipation?
    A. Macaroni and cheese
    B. Fresh fruit and whole wheat toast
    C. Beef tips and noodles
    D. Mashed potatoes and gravy
    B
  32. A client with an indwelling catheter reports a need to void. What priority intervention should the nurse perform?
    A. Check to see if the catheter is patent
    B. Reassure the client that is it not possible for her to void
    C. Recatheterize the client with a large-gauge catheter
    D. Notify the PCP
    A
  33. Which of the following interventions is correct when performing a 24-hr urine specimen test?
    A. Ask the cleitn to void first into the toilet and then to stop midstream and finish voiding in the specimen container
    B. Ask the cleitn to void and pour the urine into a speciment container
    C. Discard the first void
    D. Keep all voidings for 24 hours in a container at room temperature
    C.
    (this multiple choice question has been scrambled)
  34. Which of the following is the best position for a client to be in tto encourage normal elimination?
    A. In the lateral Sims' position
    B. Sitting
    C. Supine
    D. Right side-lying
    B
  35. Which of the following interventions is appropriate for the nurse to prefrom when prefroming a catheterization on a female client?
    1. Provide for privacy
    2. Darken the room
    3. Maintain surgical aseptic technique throughout the procedure
    4. Position the client supine with knees bent and apart
    5. Ask the client not to talk during the procedure.
    1,3,4

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