ATI RN
ATI Nutrition Practice Test A 2019
1. Why is a pulse oximeter attached to Mr. Dizon's finger?
- A. To determine if the patient's hemoglobin level is low and if he requires a blood transfusion
- B. To check the level of the patient's tissue perfusion
- C. To measure the effectiveness of the patient's anti-hypertensive medications
- D. To detect oxygen saturation of arterial blood before symptoms of hypoxemia develop
Correct answer: D
Rationale: A pulse oximeter is used to detect the oxygen saturation levels in arterial blood before the onset of hypoxemia symptoms. This device provides essential information about the effectiveness of oxygen transportation to the body's tissues. Choice A is incorrect because a pulse oximeter does not directly measure hemoglobin levels nor determine the need for a blood transfusion. Choice B is incorrect because a pulse oximeter is designed specifically to assess oxygen saturation, not tissue perfusion. Choice C is incorrect because a pulse oximeter is not used to measure the efficacy of anti-hypertensive medications, but rather to monitor oxygen levels in the blood.
2. Which of the following interventions should be considered the highest priority when caring for June, who has hemiparesis secondary to a stroke?
- A. Position June in an upright lateral position
- B. Perform range of motion exercises
- C. Apply antiembolic stockings
- D. Use hand rolls or pillows for support
Correct answer: C
Rationale: The correct answer is C, 'Apply antiembolic stockings'. In the case of a patient who has experienced a stroke and is suffering from hemiparesis, the highest priority intervention is to prevent further complications such as deep vein thrombosis (DVT), which can be life-threatening. Antiembolic stockings are used to increase venous blood flow velocity and reduce the risk of DVT. Choice 'A', positioning June in an upright lateral position, while important for overall care, is not the highest priority. Choice 'B', performing range of motion exercises, is an important part of recovery but not the immediate priority. Choice 'D', using hand rolls or pillows for support, is also a valuable intervention but does not address the most pressing risk of further complications.
3. Where should a nurse auscultate the apex beat?
- A. At the fifth intercostal space, along the midclavicular line
- B. At the mid-sternum
- C. 2 inches to the left of the lower end of the sternum
- D. 1 inch to the left of the xiphoid process
Correct answer: A
Rationale: The correct location to auscultate the apex beat is at the fifth intercostal space, along the midclavicular line. This is where the apical impulse, also known as the point of maximal impulse (PMI), can be best heard. Choices B, C, and D are incorrect anatomical locations for auscultating the apex beat, which makes them incorrect choices. Auscultating at the correct location allows healthcare providers to assess the heart's function and detect any abnormalities in heart sounds, which is crucial for comprehensive patient care.
4. Generally, lifestyle-related diseases share common risk factors. Which of the following is NOT one of them?
- A. Physical activity
- B. Smoking
- C. Genetics
- D. Nutrition
Correct answer: C
Rationale: Common risk factors for lifestyle-related diseases typically include aspects of one's lifestyle that can be modified or controlled, such as physical activity, smoking habits, and nutrition. These factors can be changed to prevent or manage lifestyle-related diseases. Genetics, on the other hand, is not a modifiable risk factor, meaning it cannot be changed or controlled. Therefore, it is not considered a common risk factor for lifestyle-related diseases. Understanding the modifiable risk factors for these diseases allows for better prevention and management strategies, and helps reduce the risk of complications.
5. What is the primary function of a written nursing care plan?
- A. Evaluates whether nursing care goals have been achieved
- B. Ensures the provision of quality nursing care
- C. Assists in selecting the appropriate nursing interventions
- D. Facilitates the creation of a nursing diagnosis
Correct answer: D
Rationale: A written nursing care plan fundamentally serves to facilitate the development of a nursing diagnosis. This procedure involves analyzing patient data and identifying health problems that nurses can address independently. This analysis then aids in determining the most appropriate nursing interventions for the identified health issues. Although evaluating the achievement of nursing care goals is an important aspect, it is not the primary function of a nursing care plan. Similarly, while delivering quality nursing care is crucial, it is a broader concept that includes many other facets beyond just the initial nursing diagnosis and interventions.
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