ATI RN
ATI Proctored Nutrition Exam 2019
1. Mang Caloy is scheduled to have a hemorrhoidectomy, after the operation, you would expect that the client’s position post operatively will be:
- A. Knee chest position
- B. Side lying position
- C. Sims position
- D. Genopectoral position
Correct answer: D
Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.
2. Salome was fitted a hearing aid. She understood the proper use and wear of this device when she says that the battery should be functional, the device is turned on and adjusted to a:
- A. therapeutic level
- B. comfortable level
- C. prescribed level
- D. audible level
Correct answer: C
Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.
3. To ensure client safety before starting blood transfusions, the following are needed before the procedure can be done EXCEPT:
- A. take baseline vital signs
- B. warm the blood to room temperature for 30 minutes before administering the transfusion
- C. have two nurses verify client identification, blood type, unit number, and expiration date of blood
- D. get consent signed for blood transfusion
Correct answer: D
Rationale: To ensure client safety before starting blood transfusions, taking baseline vital signs, warming the blood to room temperature, and having two nurses verify client identification, blood type, unit number, and expiration date of blood are crucial steps. Consent for blood transfusion is required but is typically obtained before the procedure. The focus before the procedure should be on confirming the right client, blood product, and ensuring the blood is prepared correctly to minimize risks of transfusion reactions.
4. The purpose of chest percussion and vibration is to loosen secretions in the lungs. The difference between the procedures is:
- A. Percussion uses only one hand, while vibration uses both hands
- B. Percussion delivers cushioned blows to the chest with cupped palms, while vibration gently shakes secretions loose
- C. In both percussion and vibration, the hands are not on top of each other, and hand action is not in tune with the client's breath
- D. Percussion slaps the chest to loosen secretions, while vibration shakes the secretions along with the inhalation
Correct answer: D
Rationale: Chest percussion involves the use of rhythmic tapping to dislodge mucus from the lungs, facilitating its movement toward the larger airways where it can be expelled. This technique is particularly important in conditions where mucus retention is a significant risk factor for infection. The key difference between chest percussion and vibration is that percussion involves slapping the chest to loosen secretions, while vibration involves shaking the secretions along with the inhalation, aiding in moving the loosened secretions upwards for easier removal. Choices A, B, and C do not accurately describe the main difference between chest percussion and vibration, making them incorrect.
5. Which dietary approach is most beneficial for managing hypertension?
- A. Increasing caffeine intake
- B. Reducing sodium intake
- C. Increasing dietary cholesterol
- D. Reducing fiber intake
Correct answer: B
Rationale: Reducing sodium intake is the most beneficial dietary approach for managing hypertension. High sodium intake can lead to increased blood pressure, so lowering sodium intake is crucial in managing hypertension. Choices A, C, and D are incorrect because increasing caffeine intake, dietary cholesterol, or reducing fiber intake are not recommended dietary approaches for managing hypertension and may even have adverse effects on blood pressure levels.
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