ATI Fundamentals Questions #1

During the insertion of a urinary catheter for a client, the tip of the catheter brushes against the nurse's arm. Which of the following actions should the nurse take? A. Wipe the catheter with povidone-iodine and continue the catheter insertion B. Soak the catheter in chlorhexidine for 15 min and then reattempt insertion C. Continue with the catheter insertion D. Obtain a new catheter and reattempt insertion

obtain a new catheter and reattempt insertion *Insertion of a urinary catheter is a sterile procedure. The only way to ensure sterility is to optain a new sterile catheter and by following surgical asepsis throughout the insertion procedure.

A nurse is reinforcing discharge teaching with a client who has a prescription for daily wound care via home health services. Which of the following statements by the client indicates an understanding of the teaching? A. "A nurse will show me how to care for my wound." B. "A nurse will stay with me at home during the day." C. "I will call the nurse to change my bed linens." D. "I will call the nurse to help me bathe in the morning."

"A nurse will show me how to care for my wound." *The home health nurse will provide wound care as prescribed and educate the client about wound care and illness management

A nurse in a long term care facility is attending to a group of clients. One of the clients is walking in the hallway, bumping into walls, and not responding to his name. Which of the following actions should the nurse perform first? A. Offer the client a nutritious snack B. Accompany the client back to his room C. Reorient the client to his surroundings D. Administer a PRN antianxiety medication

Accompany the client back to his room *The nurse should apply the safety and risk-reduction priority-setting framework, which assigns priority to the factor or situation posing the greatest risk to the client. When there are several risks to the client's safety, the risk posing the greatest threat is the highest priority. The nurse should use Maslow's heirarchy of needs, the ABC priority-setting framework, and/or nursing knowledge to identify which risk poses the greatest threat to the client. Therefore, the nurse should first escort the client back to his room to protect the client from injury due to wandering

A nurse is evaluating a client for conductive hearing loss. Using the Rinne test, which of the following results should the nurse identify as an indication that the client has conductive hearing loss of the left ear? A. Air conduction is less than bone conduction in the left ear. B. Air conduction is greater than bone conduction in the left ear. C. Sound is lateralizing to the right ear. D. Sound is lateralizing to the left ear.

Air conduction is less than bone conduction in the left ear. *This finding indicates conductive hearing loss of the left ear.

A nurse is caring for a client who is well-hydrated and has no visible evidence of nutritional deficiencies. A laboratory result withing the expected reference range for which of the followinng substances is an indication that the client has adequate protein uptake and synthesis? A. Albumin B. Calcium C. Sodium D. Potassium

Albumin *Albumin levels measure prtein status. They are useful for determining proteing depletion rathr than short-term or acute changes in nutritional status

A nurse is reinforcing teaching with a client who is postoperative following a knee arthroplpasty about the muscles he will need to strengthen in physical therapy. Which of the following muscle groups are responsible for movement at the knee joint? A. Antigravity B. Antagonistic C. Synergistic D. Skeletal

Antagonistic *The antagonistic muscle group is responsible fo the movement of the knee joint by contracting while other muscles relax *The antigravity muscle group is responsible for stabilizing the knee joint * The synergistic muscle group is responsible for contracting in sync to cause the same movement. Therefore, 2 muscles are contracting as other muscles relax. However, this is not occurring within a joint *The skeletal muscle group is responsible for supporting posture and producing voluntary movement

After collecting data on a client's radial pulses, the nurse documents "radial pluses 4+ bilaterally." This finding indicates which of the following pulse qualities? A. Bounding B. Full C. Variable D. Weak

Bounding *1+ is weak; 3+ is full; 4+ is bounding; variable typically describes the pulse's rate or rhythm, not its strength

A nurse is beginning her shift and reviewing the medication administration records (MARs) for her clients. She notes a medication dosage above the safe range and sees that another nurse administered that dosage during the previous shift. Which of the following actions should the nurse take? A. Call the nurse to verify that the cliet received that dosage B. Administer the medication in a safe dosage C. Give the dose the provider prescribed D. Call the provider to clarify the dosage

Call the provider to clarify the dosage *After collecting date from the client to check for adverse effects of the medication, the nurse should notify the provider of her observations to determine the next action

A nurse is preparing to assist with discharge planning for a client with a new colostomy who has low health literacy. when reinforcing teaching about changing the appliance, which of the following guidelines should the nurse follow? A. Prepare for a lengthy instructional session B. Use acronyms to make medical terms easier to remember C. Avoid unnecessary repetition of instructions D. Connect new instructions with what the client already knows

Connect new instructions with what the client already knows *Before reinforcing teaching for a client who has low literacy, the nurse should determine what information and instructions the client already understands. For clients who cannot read well, the nurse should use multiple stategies for learning such as demonstrations, role-playing, and modeling.

A nurse is perfroming an otoscopic examination of a client's right ear. The light relfex is visible in the right lower quandrant of the tympanic membrane. Which of the floowing actions should the nurse take in response to this finding? A. Obtain an audiology referral B. Document this as an expected finding C. Irrigate the ear with warm water D. Document mild inflammation

Document this as an expected finding *The light the otoscope reflects off the tympanic membrane is cone-shaped or triangular. In the right ear, it is visible in the right lower quandrant of the eardrum. In the left ear, it is visible in the left lower quandrant

A nurse is caring for a toddler at a well-child visit when the mother cries out, "Help! my baby is choking on his food." Which of the following findings indicates the toddler has an airway obstruction? A. Flushing of the skin B. Inability of the toddler to cry or speak C. Presence of nausea and mild emesis D. Capilarry refill time 1.5 seconds

Inability of the toddler to cry of speak *When the client has no sound passing through the vocal cords, the nurse should identify a complete airway obstruction is evident. The nurse should use the Heimlich maneuver to dislodge whatever is obstructing the trachea.

A nurse is assisting with the admission of a client to a facility. The client wears eyeglasses and has a hearing aid. Which of the following actions should the nurse take before beginning the interview process? A. sit beside the client during the interview B. Make sure the device is functioning C. make sure the lighting in the room is soft D. ensure a lengthy interview process to give the client adequate time to answer questions.

Make sure the device is functioning *The nurse should ensure all assistive devices are working before beginning the interview process

A nurse is preparing to attend a care plan conference for a client who has severe burns. Which of the following criteria should the nurse identify as part of an effective conference? A. The planning process for the conference is centered on the nursing staff B. Other health care professionals are in attendance at the conference C. Controversial opinions contributed to the plan of care are not tolerated during the conference D. The conference focuses on a discussion of the client's health care issues with minimal focus of resolving them.

Other health care professionals are in attendance at the conference *An effective conference should consist of other health care professionals contributing to the plan of care for goal-setting and to establish positive outcomes. The members of the conference consist of the nursing team, who should invite other health professionals such as physical therapists, dieticians, and occupational therapists to contribute to the plan of care

A nurse in a long term care facility is feeding a client. Which of the following observations should the nurse identify as an indication that the client requires an evaluation for dysphagia? A. Speaking rapidly B. Hiccupping frequently C. Pocketing food D. Preferring clear liquids

Pocketing food *Incomplete oral clearance (pocketing food in the cheeks, under the tongue, or on the hard palate) i s a common manifestation of dysphagia or difficulty swallowing. Pocketing results in collections of food in the mouth, causing an aspiration risk after the meal

A nurse is preparing to administer a bolus feeding to a client through an NG tube and observes that the exit mark on the tube has moved since the last feedinng. Which of the following actions should the nurse plant to take? A. Auscultate over the client's stomach while injecting air B. Request an X-ray of the client's abdomen C. Place the head of the client's bed in a flat position D. Administe the feeding if the pH of the aspirated contents is greater than 6

Request an X-ray of the client's abdomen *The nurse should request an X-ray to verify the placement of the NG tube both after the initial insertion of the tube and if placement of the tube is suspected. The nurse should verify NG tube placement prior to administering a bolus feeding

A home health nurse is visiting the home of a caregiver who says he is "exhausted" from working part-time in addition to caring for his mother, whi is an older adult and has severe dementia. Which of the following opptions should the nurse suggest to the caregiver? A. Rehabilitaton B. Assisted-living facilty C. Respite care D. Adult day care facility

Respite care *Respite care is a service for caregivers who need free time to rest, away from muliple responsibilities related to the care of a family member who needs assistance.

A nurse is preparing to administer a unit of packed RBCs to a client when she discovers that the IV line is no longer patent. The IV team can send someone in 30 minutes to initiate a new line. Which of the following actions should the nurse take? A. Return the blood to the laboratory B. Place the blood in the medication room C. place the blood in the refrigerator D. Leave the blood at the client's bedside

Return the blood to the laboratory *Because the nurse knows that the delay will more than a few minutes, she should return the unit of packed RBCs immediately to the laboratory, where the technician will maintain until the client is ready to receive it

A nurse is collecting baseline data about a client's respirations as part of a comprehensive pysical examination. Which of the following types of breath sounds should the nurse report to the provider? A. Bronchial B. Vesicular C. Rhonchi D. Bronchovesicular

Rhonchi *Rhonchi are adventitious (abnormal) breath sounds that are loud, harsh, and gurgling and have a snoring or moaning quality. They reflect air passing through the trachea and bronchi when those airways are narrowed due to fluid, swelling, lesions, or secretions. The nurse should report this breath sound to the provider

A nurse is measuring a client's vital signs. The client's heart rate is 105/min. The nurse should document this finding as which of the following alterations? A. Palpitation B. Bradycardia C. Tachycardia D. Dysrhythmia

Tachycardia *Tachycardia is a heart rate over 100/min in adults

A nurse is planning to obtain the vital signs of a 2 year old child who is experiencing diarrhea and may have a right ear infection. Which of the following routes should the nurse use to obtain the temperature? A. Rectal B. Tympanic C. Oral D. Temporal

Temporal *The temporal artery route, while not as accurate as the rectal route for obtaining a precise body temperature, is non-invasive and can be used to obtain a temperature in a toddler who may have an ear infection and is having diarrhea. The nurse should place the probe behind the ear if the client is diaphoretic but should avoid placing it over an area covered with hair

A nurse is reinforcing teaching with a client about the use of a straight-legged cane. Which of the following client actions indicates an understanding of the teaching? A. The client holds the cane on the unaffected side B. The client walks by stepping with the unaffected leg before the affected leg C. The client holds the cane directly next to the foot. D. The client holds the cane with a straight elbow

The client holds the cane on the unaffected side *The nurse should instruct the client to hold the cane on the unaffected side to provide a wide base of support and stability

A hospice nurse is visiting with the family member of a client. The family member states that the client has insomnia almost nightly. Which of the following practices should the nurse identify as contributing to the client's insomnia? A. The client watches television in bed during the day B. The client drinks warm milk before bedtime C. The client goes to bed at 2200 every night D. The client gets up to use the bathroom once during the day

The client watches television in bed during the day *To promote sleep, the client should avoid watching television in bed. She should be in bed only for sleep or sexual activities.

A nurse is colling data for a client who has decreased circulation in his left leg. Which of the following actions should the nurse take first? A. evaluate pedal pulses B. obtain a medical history C. measure vital signs D. ask the client if he is experiencing any pain in the leg

evaluate pedal pulses *For a client who has decreased circulation in the legs, evaluating pedal pulses is critical in order to determine adequate blood supply to the foot. The nurse should apply the safety and risk-reduction priority-setting framework when caring for this client. When there are several risks to client safety, the risk posing the greatest threat is the highest priority. The nurse should use Maslow's heirarchy of needs, the ABC priority-setting framework, and/or nursing knowledge to identify which risk poses the greatest threat to the client.

A nurse is changing the dressings for a client recovering from an appendectomy following a ruptured appendix. The client's surgical wound is healing by secondary intention. Which of the following observations should the nurse report to the provider? A. tenderness when touched B. pink, shiny tissue with a grainy appearance C. serosanguineous drainage D. halo of erythema on the surrounding skin

halo of erythema on the surrounding skin *The nurse should report to the provider when the client has a ring of erythema (redness) on the surrounding skin, which might indicate an underlying infection. This and any other manifestation of infection such as purulent drainage, swelling, warmth, or a strong odor should be reported to the provider

A nurse delegates the collection of a client's temperature to an assistive personnel (AP). The nurse notes in the documentation that the AP obtained the client's axillary temperature; however, the nurse wanted an oral temperature. The nurse should identify that which of the following rights of delegating should have prevented this situation from occurring? A. Right task B. Right circumstance C. Right person D. Right communication

Right communication *This situation could have been avoided if the right communication was given by the nurse to the AP. The right communicatin entails providing clear, concise instructions regarding the task, including the objective, limits, and expectations.

A nurse is collecting data about a client's incision and observes the drainage to be blood-tinged. Which of the following terms should the nurse use to document this finding? A. Sanguineous B. Purulent C. Serous D. Hyperemia

Sangineous *This type of drainage contains large amounts of red blood cells, indicating that damaged capillaries are allowing the escape of red blood cells from the plasma.

A nurse at a screeining clinic is collecting data for a client who reports a history of a heart murmur related to aortic valve stenosis. At which of theh following anatomical areas should the nurse place the stethoscope to auscultate the aortic valve? A. Fift intercostal space just medial to the midclavicular line B. Second intercostal space to the left of the sternum C. Fifth intercostal space to the left of the sternum D. Second intercostal space to the right of the sternum

Second intercostal space to the right of the sternum *The aortic valve is located in the second intercostal space to the right of the sternum. Aortic stenosis produces a midsystolic ejection murmur that can be heard clearly at the aortic area with the client leaning forward. *A is the mitral valve location *B is the pulmonic valve location *C is the tricuspid valve location

A nurse is caring for a client who has a terminal illness. The family wants to care for the client at home. Which of the following statements indicates that the nurse understands family-centered care. A. "Social services can contact various community resources that will be helpful." B. "I will review the care plan to make any necessary changes." C. "Let's set up a meeting time with the doctor to discuss your options for home care." D. "I will make a list of things we need to do before discharge."

"Let's set up a meeting time with the doctor to discuss your options for home care." *With family-centered care, the nurse considers the health of the family as a unit; therefore, the client and family help determine outcomes and goals. Setting up a meeting to discuss this option with the provider will give the family a sense of autonomy and foster the family-centered nursing environment.

A nurse is caring for a client who has type 1 diabetes mellitus and is resistant to learning self-injection insulin methods. Which of the following statements should the nurse provide? A. "Tell me what I can do to help you overcome your fear of giving yourself injections." B. "I am sure your provider will not be pleased that you refuse to give yourself insulin injections." C. "It's okay. Your partner can learn how to give you the insulin injections." D. "You won't be able to go home unless you learn to give yourself insulin injections."

"Tell me what I can do to help you overcome your fear of giving yourself injections." *This response illustrates the therapeutic communication technique of clarifying and offering of self. The nurse should allow the client to express feelings and fears and support the client in learning how to give the injections.

A nurse is collecting data from a client who has an onset of severe back pain of unknown origin. Which of the following questions should the nurse ask to encourage discussion with the client? A. "Does the medication you're taking relieve the pain?" B. "Can you point to where the pain is the worst?" C. "What do you think caused the onset of your pain?" D. "Changing positions makes your pain worse, right?"

"What do you think caused the onset of your pain?" *The nurse is usingan open-ended question that allows the client to respond with a wide range of information by using more than a few words.

A nurse is caring for a client who has cancer and refuses visitors because of his debilitated physical appearance. Which of the following comments should the nurse make? A. "You look just fine to me." B. "Nobody expects you to look beautiful in the hospital." C. "I understand how you feel. I would feel the same way." D. "Would you like to talk about how you feel?"

"Would you like to talk about how you feel?" *This is a therapeutic reesponse that will encourage the client to talk about his concerns and feelings

A nurse is collecting data for an adult client. What is the correct sequence of steps for data collection of abdomen? Palpation Auscultation Percussion Inspection

1.) Inspection 2.) Auscultation 3.) Percussion 4,) Palpation *This sequence prevents altering the bowel sounds and causing false results. The appropriate sequence for any other data collection for an adult is Inspection, palpation, percussion, auscultation.

A nurse is preparing to administer sotalol to a client with a prescription for sotalol 320 mg/day divided equally every 12 hours. The medication is available in 80 mg tablets. How many tablets should the nurse administer per dose (Round the answer to the nearest tenth. Use a leading zero if applicable but do not use a trailing zero.)

2 1.) What is the unit of measurement the nurse should calculate? tablet 2.) What is the dose the nurse should administer? 320 mg/day 3.) What is the dose available? 80 mg 4.) Should the nurse convert the units or measurement? no 5.) What is the quantity of the dose available? 1 tablet 6.) Set up an equation and solve for x *Have/quantity = desired/X 80 mg/1 tablet = 320 mg/X tablet X=4/2 doses per day x=2

A nurse is reinforcing teaching with the parent of a child who is to take 30 mL of a liquid medication. The parent has a hollow medication spoon that has marks to indicate teaspoons and tablespoons. How many tablespoons of medication should the nurse instruct the parent to give the child? (Fill in the blank with numeric value only. Round the answer to the nearest whole number. Use a leading zero if applicable but do not use a trailing zero.)

2 1.) What is the unit of measurement the nurse should calculate? tbsp 2.) Set up an equation and solve for x 15mL/1 tsbp = 30 mL/x tbsp 15x = 3 X = 2

A nurse on a pediatric unit is caring for a child who is 4 years old. TO help with communication and play activities for this client, the nurse should consider which of the following characteristics of Piaget's preoperational period? A. Seriation B. Animism C. Reversibility D. Self-Consciousness

Animism *Jean Piaget's theory of cognitive development places children between the ages of 2 and 7 years in the preoperational period. A classic characteristic of this period is animism, in which the child attributes lifelike feelings and thoughts to inanimate objects. Play therapy should a doll or toy through which the child can express feelings. *Seriation and reversibility is a characteristic of the concrete operations period for children between the ages of 7 and 11 years *Self-consciousness is a characteristic of the formal operations period for children from the age of 11 years to adulthood

A nurse is collecting data to determine a client's cardiac function via palpation. At which of the following sites should the palpate for thrills in the mitral area? A B C

C *This area is the apical pulse or point of maximal impulse (PMI) *A is the pulmonic area *B is the tricuspid aread

A nurse is caring for a client who had a mastectomy and has a self-suction drainage evacuator in place. Which of the following actions should the nurse take to ensure proper operation of the device? A. Irrigate the tubing with sterile normal water each shift B. Cleanse the opening with soap and water after emptying C. Maintain the tubing above the level of the surgical incision D. Collapse air from the device after emptying

Collapse air from the device after emptying *The nurse should collapse ai from the devie after emptying the contents and periodically to create enough suction to pull fluid exudate into the collection area of the device.

A nurse discovers that a client received the wrong medication. Which of the following actions should the nurse take first? A. Complete a medication error report B. Notify the prescribing provider C. Collect data from the client D. Notify the charge nurse

Collect data from the client *The greatest risk to the client's safety is adverse effects from either receiving the wrong medication or not receiving the prescribed medication. The nunrse should collect data from the client first to assess for any possible adverse effects. This evaluation also serves as a baseline for further monitoring for adverse effects

A nurse is reviewing adult cardiopulmonary resuscitation (CPR) with a newly licensed nurse. Which of the following steps should the nurse identify as the first response when performing CPR? A. Call for assistance B. Begin chest compressions C. Comfirm unresponsiveness D. Give rescue breaths

Confirm unresponsiveness *The nurse should apply the nursing process priority-framework to plan client care and prioritize actions. Before the nurse can formulate a plan of action, implement a nursing intervention, or notify a provider of a change in the client's status, he or she must first collect adequate data from the client. Assessing or collecting additional data will provide the nurse with the knowledge to make an appropriate decision. Establishing unresponsiveness is required before beginning CPR.

A nurse is caring for a client who has terminal cancer. The client is proceeding with plans to build a new house. This behavior would typically indicate which of the following stages of grief? A. Acceptance B. Bargaining C. Anger D. Denial

Denial *During the denial stage, a client is unable to accept the reality of the loss. *During the acceptace stage, a client integrates the loss into his/her life (e.g. making final arrangements) *During the bargaining stage, a client stalls awareness of the loss by trying to keep it from occurring) *During the anger stage of gried, a client shows resistance or blames other perople, a higher power, or the situation itself

A nurse is replacing the surgical dressing on a client who had abdominal surgery. Which of the following actions should the nurse take? A. Don clean gloves to remove the old dressing B. Loosen the dressing by pulling the tape away from the wound C. Remove the entire old dressing at once D. Open sterile supplies after applying sterile gloves

Don clean gloves to remove the old dressing *The nurse should use standard precautions by applying clean gloves whenever there is a possibility of coming into contact with secretions. Removing a soiled dressing is a procedure that requires wearing clean, not sterile, golves. Sterile gloves are not necessary until the nurse applies the new sterile dressing.

A nurse is prepating to administer eye drops to a client following surgery. Which of following actions should the nurse take when instilling the eye drops? A. Drop the eye medication into the lower conjunctival sac B. Apply gentle pressure in the outer opening of the eye for 2 minutes C. Hold the eyedropper 0.5 cm (0.2 in) from the cornea D. Instruct the client to close eyes tightly after administration

Drop the eye medication into the lower conjunctival sac *The nurse should drop the eye medication in the lower conjunctival sac to avoid placing the drops on the cornea and causing damage

A nurse is removing personal protective equipment (PPE) after performing a procedure for a client who requires isolation precautions. Which of the following items of PPE should the nurse remove first? A. Gloves B. Gown C. Eyewear D. Mask

Gloves *the nurse should remove the gloves first because they are the most contaminated piece of PPE. Next, the nurse should remove the goggles or face shield, and then the gown. FInally, the nurse should remove the respirator or mask because it is the least contaminated piece of PPE.

A nurse is caring for a client who is dehydrated. Which of the following laboratory values should the nurse expect for this client? A. BUN 18 mg/dL B. Capillary refill 1.5 seconds C. Hct 55% D. urine specific gravity 1.001

Hct 55% *An elevated hematocrit indicates dehydration. Other manifestations include a weak pulse, tachycardia, hypotension, slow capillary refill, elevated BUN, increased urine specific gravity, and decreased urine output.

A nurse on a medical-surgical unit is washing her hands prior to assisting with a surgical procedure. Which of the following actions by the nurse demonstrates proper surgical handwashing technique? A. The nurse washes each part of her hands with 5 strokes B. The nurse washes from the elbows down to the hands C. The nurse washes her hands held higher than her elbows. D. The nurse uses minimal friction when washing her hands

The nurse washes with her hands held higher than her elbows *The nurse who is performing a surgical handwashing technique should wash with her hands held higher than the elbows so that water and soapsuds can drain away from the clean area toward the dirty area.

A nurse is planning to administer pain medication to a client who has postoperative pain following abdominal surgery. Which of the following actions should the nurse take first? A. Use the pain scale to determine the client's pain level B. Discuss the adverse effects of pain medication with the client C. Obtain the client's vital signs D. Check the client's allergies

Use the pain scale to determine the client's pain level *The nurse should consider Maslow's heirarchy of needs, which includes 5 levels of priority, when caring for this clients. To meet the client's physiological needs (priority), the nurse should begin pain management by asking the client to describe the pain

A nurse is preparing data from a client at admission. The client reports a latex allergy. Which of the following precautions should the nurse take when caring for this client? A. Snap gloves on and off to reduce any lingering allergens B. Wear powdered hypoallergic latex gloves C. Rinse non-disposable items with ethylene oxide D. Wrap IV tubing with tape

Wrap IV tubing with tape *Although latex-free products are widely available, the nurse might encounter some products that contain latex such as IV tubing and monitoring cords and devices. The nurse should create a barrier between these items and the client (e.g. by wrapping them in non-latex tape or stockinette)

A nurse is supervising a newly licensed nurse who is administeringa controlled substance. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure? A. placing an unused portion of the medication in a sharps box B. asking another nurse to observe disposal of an unused portion of the medicaion C. counting the inventory of the available narcotic after administering the medication D. making sure that a nurse signs the control inventory form after disposal of the medication

asking another nurse to observe disposal of an unused portion of the medication *The nurse should ask another nurse to witness the disposal of a controlled substance to maintain safe control of the narcotic.

A nurse is collecting data from a client who s postoperative following abdominal surgery. Which of the following findings is the nurse's priority to report to the surgeon immediately? A. Nausea with 1 episode of vomiting B. Incisional pain of 5 on a 0 to 10 scale C. warm, tender area on the right calf D. serosanguineous fluid from a surgical drain

warm, tender area on the right calf *The greatest risk to this client is an injury from thrombus formation; therefore, this is the priority finding that the nurse should report to the surgeon immediately. This is a life-threatening postoperative complication because the thrombs could dislodge and become a pulmonary embolism.

A nurse is caring for a client who has a deficiency in Vitamin D. Which of the following foods should the nurse recommend the client include in his diet? A. whole milk B. chicken C. oranges D. dried peas

whole milk *The fat-soluble vitamins, ADEK require fatty substances or tissues to be dissolved as well as the presence of bile in the small intestine for absorption. Whole milk contains A and K and is often fortified with vitamin D.