FUNDAMENTALS 2020 RN VIRTUAL ATI - FUNDAMENTALS ALTERNATE ITEM FORMAT QUESTIONS AND ANSWERSQUIZ

FUNDAMENTALS 2020 RN VIRTUAL ATI -
FUNDAMENTALS ALTERNATE ITEM
FORMAT QUESTIONS AND
ANSWERSQUIZ


AlnurselislcaringlforlalclientlwithlCrohn'slDisease.lWhichloflthelfollowinglfoodslcanlbeli
ncludedlinlthislclient'sldiet?lSelectlalllthatlapply.

Selectlonelorlmore:
a.lRaisins
b.lWildlrice
c.lFreshlcelery
d.lPastal
e.lEggsl-lans-d.lPasta
e.lEggs

Low-fiber,llow-
residueldietslarelrecommendedlforlclientslwithlCrohn'slDisease.lFoodslthatlarelapprop
riatelforlclientslwithlCrohn'slDiseaselinclude:lTender,lground,lwell-
cookedlmeat,leggs,lfish,lpoultry,lrefinedlpastalandlcereal,lwhitelricelandlbread,lcanned
lorlcookedlvegetableslwithoutlskinlorlseedslandljuiceslwithoutlpulp.

AlnurselislcaringlforlalclientlinlBuck'slTraction.lWhichloflthelfollowinglnursinglinterventi
onslwouldlensureleffectiveltherapy?lSelectlalllthatlapply.

Selectlonelorlmore:
a.lAssistlthelclientltolrolllfromlsideltolside.l
b.lEnsurelthatlalllweightslarelfreelhanging.l
c.lMaintainlcountertractionlwithlweights.
d.lPreventlwrinklinglofltheltractionlbandage.l
e.lSupportlthelleglinladduction.l-lans-b.lEnsurelthatlalllweightslarelfreelhanging.l
d.lPreventlwrinklinglofltheltractionlbandage.

Alllweightslmustlbelfreelhangingltolensureleffectiveltraction.
TolensureleffectivelBuck'sltraction,litlislimportantltolavoidlwrinklinglandlslippingloflthelt
ractionlbandagelandltolmaintainlcountertraction.

, Alnurselislcaringlforlalclientlwholislonelmonthlpostlbariatriclsurgerylandlhaslbeenldiag
nosedlwithldumpinglsyndrome.lWhichloflthelfollowinglrecommendationslislappropriate?
l

Selectlalllthatlapply.
a.lEatlsmall,lfrequentlmealslduringlthelday.
b.lReducelthelamountloflproteinlandlfatlinltheldiet.
c.lAvoidlconsuminglmilk,lsweets,landlsugars.
d.lEliminatelliquidslwithlmeals,landlforlonelhourlbeforelandlafterlmeals.
e.lSitluplforlatlleastlanlhourlafterleachlmeal.l-lans-
a.lEatlsmall,lfrequentlmealslduringlthelday.
c.lAvoidlconsuminglmilk,lsweets,landlsugars.
d.lEliminatelliquidslwithlmeals,landlforlonelhourlbeforelandlafterlmeals

Dumpinglsyndromelfrequentlyloccurslafterlbariatriclsurgerylandlsymptomslcanlincludel
vertigo,lsyncope,lpallor,ldiaphoresis,ltachycardia,landlpalpitations.lTherapylincludes:ls
mall,lfrequentlmealslratherlthanllargelones;lavoidanceloflmilk,lsweets,landlsugars;lelim
inationloflliquidslwithlmealslandlforlonelhourlbeforelandlafterlmeals;lreductionlinlthela
mountloflfluidlingestedlatloneltime,leatinglalhigh-protein,lhigh-fat,landllow-to-
lmoderatelcarbohydrateldiet;landllyingldownlafterlmealsltolslowltransitltimeloflfoodlinlt
helintestines.

AlnurselislcaringlforlalclientlhospitalizedlwithlGuillain-
BarrélSyndromelwholhaslbeenlinlthelintensivelcarelunitlonlalventilatorlforlfourldays.lW
hichloflthelfollowinglwouldlbelmostlappropriatelinlassessinglforlcomplicationsloflimmob
ility?l

Selectlalllthatlapply.
a.lPerforminglrangeloflmotionlonlthelclient'slankles,lknees,landlhips.
b.lAssesslthelcharacterloflbowellsoundslandlfrequencyloflstools.
c.lObservelskinlcolorloverlsacral,lheels,landlscapulaelareas
d.lAssessinglthelclient'slabilityltolmovellowerlextremities.
e.lAssesslratelandldepthloflrespiratoryleffort.l-lans-
a.lPerforminglrangeloflmotionlonlthelclient'slankles,lknees,landlhips.
b.lAssesslthelcharacterloflbowellsoundslandlfrequencyloflstools.
c.lObservelskinlcolorloverlsacral,lheels,landlscapulaelareas

Potentiallcomplicationsloflimmobilitylcouldlincludelthelfollowing:llosslofljointlmotionland
lcontractures,ldecreasedlgastrointestinallmotilitylandlconstipation,ldeeplveinlthrombosi
slwithlerythemalandlswellingloflthelcalflareas,landlskinlbreakdownlwithlearlylevidencel
oflpallor,lerythema,lblisteringloverlbonylprominences.

Anl87-year-
oldlclientlhaslbeenladmittedlrepeatedlyltolthelacutelcarelsettinglforlpneumonia.lThelcli
ent'slfamilylaskslwhatlmeasureslcanlhelplpreventlrecurrentlrespiratorylissues.lWhichlof