ATI RN
ATI Nutrition Practice Test A 2019
1. When a nurse signs a consent form, which ethical principle is being observed regarding the patient?
- A. Autonomy
- B. Justice
- C. Accountability
- D. Beneficence
Correct answer: A
Rationale: The correct answer is 'Autonomy'. Autonomy refers to the patient's right to make their own decisions, which is being honored when a nurse signs a consent form. While beneficence (Choice D) is an important ethical principle that involves acting in the patient's best interest, it is not what is being primarily observed in this instance. Justice (Choice B) refers to fairness and equal treatment and is not specifically relevant to this scenario. Accountability (Choice C) pertains to being answerable for one's actions and decisions, but again, it is not the principle directly observed in this situation. Therefore, when a nurse signs a consent form, it is the principle of autonomy that is being observed.
2. In conducting a cleansing enema, how does the nurse position the client?
- A. Right lateral position
- B. Left lateral position
- C. Right Sim's position
- D. Left Sim's position
Correct answer: B
Rationale: In preparing a patient for a cleansing enema, the nurse typically positions the patient in the left lateral position. This position allows for the best flow of the solution due to the anatomical configuration of the colon. The right lateral position, right Sim's position, and left Sim's position are not typically used for this procedure. The rationale provided initially is incorrect as it pertains to lung expansion and postural drainage, which are not relevant to a cleansing enema procedure.
3. What is the term for mobilizing people to become aware of their own problems and to take action to solve them?
- A. Community Organizing
- B. Family Nursing Care Plan
- C. Nursing Intervention
- D. Nursing Process
Correct answer: A
Rationale: The correct answer is Community Organizing. This involves engaging and mobilizing individuals in a community or group to take action for the mutual benefit or to solve common problems. The options 'Family Nursing Care Plan', 'Nursing Intervention', and 'Nursing Process' are incorrect as these terms refer to specific nursing practices and methods, not the broader action of mobilizing and engaging a community to solve its own problems. Moreover, the provided rationale does not match the original question and correct answer. It instead describes the proactive and preventative nature of nursing care, which is unrelated to the concept of community organizing.
4. What special consideration should be taken into account when Mario prepares Richard for postural drainage and percussion?
- A. Monitoring a respiratory rate of 16 to 20 per minute
- B. Assessing the client's ability to tolerate sitting and lying positions
- C. Ensuring the client is free of signs of infection
- D. Knowing the time of the client's last food and fluid intake
Correct answer: A
Rationale: The correct answer is A, 'Monitoring a respiratory rate of 16 to 20 per minute'. When performing postural drainage and percussion, it is crucial to monitor the respiratory rate to ensure the safety and effectiveness of the procedure. Choice B, 'Assessing the client's ability to tolerate sitting and lying positions', while important, is not directly related to the specifics of postural drainage and percussion. Similarly, option C, 'Ensuring the client is free of signs of infection', although important, is not directly linked to the procedure. Option D, 'Knowing the time of the client's last food and fluid intake', might be relevant for other procedures, but it is not the primary consideration for postural drainage and percussion.
5. What side effect is commonly associated with ECT?
- A. Transient loss of memory, confusion, and disorientation
- B. Nausea and vomiting
- C. Fractures
- D. Hypertension and increased heart rate
Correct answer: A
Rationale: The correct answer is A, as Electroconvulsive Therapy (ECT) is commonly associated with side effects such as transient loss of memory, confusion, and disorientation. While nausea and vomiting (Choice B) can occur, they are not as common as the memory-related side effects. Fractures (Choice C) are unlikely unless a mishap occurs during the procedure. Hypertension and increased heart rate (Choice D) might occur during the procedure due to the physiological stress of the treatment, but these are not the most commonly associated side effects. The rationale provided did not effectively explain this, so it's important to note that ECT is a procedure often used for severe depression and other mental illnesses, and understanding its side effects is crucial for patient safety and effective care.
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