ATI RN
ATI Proctored Nutrition Exam 2019
1. As Leda’s nurse, you plan to set up an emergency equipment at her beside following thyroidectomy. You should include:
- A. An airway and rebreathing tube
- B. A tracheostomy set and oxygen
- C. A crush cart with bed board
- D. Two ampules of sodium bicarbonate
Correct answer: A
Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.
2. Diet therapy for Rudy, who has acute renal failure is low-protein, low potassium and low sodium. The nutrition instructions should include:
- A. Recommend protein of high biologic value like eggs, poultry and lean meats
- B. Encourage client to include raw cucumbers, carrot, cabbage, and tomatoes
- C. Allowing the client cheese, canned foods and other processed food
- D. Bananas, cantaloupe, orange and other fresh fruits can be included in the diet
Correct answer: B
Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.
3. What is the most likely complication for a client receiving TPN who suddenly develops tremors, dizziness, and diaphoresis?
- A. Fluid volume overload
- B. Sepsis
- C. Hyperglycemia
- D. Hypoglycemia
Correct answer: D
Rationale: The correct answer is D, Hypoglycemia. When a client receiving TPN suddenly develops tremors, dizziness, and diaphoresis, it is indicative of hypoglycemia. TPN provides a high concentration of glucose, and if it is abruptly stopped or the infusion rate is reduced, it can lead to hypoglycemia. Choices A, B, and C are incorrect as they do not directly correlate with the symptoms described in the scenario. Fluid volume overload typically presents with edema and hypertension, sepsis with fever and increased heart rate, and hyperglycemia with polyuria, polydipsia, and blurred vision.
4. Mrs. Pichay who is for thoracentesis is assigned by the nurse to any of the following positions, EXCEPT:
- A. straddling a chair with arms and head resting on the back of the chair
- B. lying on the unaffected side with the bed elevated 30-40 degrees
- C. lying prone with the head of the bed lowered 15-30 degrees
- D. sitting on the edge of the bed with her feet supported and arms and head on a padded overhead table
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.
5. In cleaning the stoma, the nurse would use which of the following cleaning mediums?
- A. Hydrogen Peroxide, water and mild soap
- B. Providone Iodine, water and mild soap
- C. Alcohol, water and mild soap
- D. Mild soap and water
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.
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