ATI RN
ATI Proctored Nutrition Exam 2019
1. The following mechanisms can be utilized as part of the quality assurance program of your hospital EXCEPT:
- A. Patient satisfaction surveys
- B. Peer review to assess care provided
- C. Review of clinical records of care of client
- D. Use of Nursing Interventions Classification
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.
2. Before and after the operation, the operating suite is managed by the:
- A. Surgeon C. Nurse Manager
- B. Nurse Supervisor D. Chief Nurse
- C.
- D.
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.
3. Ms. Maria Salvacion says that she is the incarnation of the holy Virgin Mary. She said that she is the child of the covenant that would save this world from the evil forces of Satan. One morning, while caring for her, she stood in front of you and said “Bow down before me! I am the holy mother of Christ! I am the blessed Virgin Mary!†The best response by the Nurse is:
- A. Tell me more about being the Virgin Mary
- B. So, You are the Virgin Mary?
- C. Excuse me but, you are not anymore a Virgin so you cannot be the Blessed Virgin Mary.
- D. You are Maria Salvacion
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.
4. A client says to the nurse “I am worthless person, I should be dead†The nurse best replies:
- A. “Don’t say you are worthless, you are not a worthless personâ€
- B. “We are going to help you with your feelingsâ€
- C. “What makes you feel you’re worthless?â€
- D. “What you say is not trueâ€
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.
5. 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.
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