ATI RN
ATI RN Nutrition Online Practice 2019
1. This quality is being demonstrated by a Nurse who raise the side rails of a confused and disoriented patient?
- A. Autonomy
- B. Responsibility
- C. Prudence
- D. Resourcefulness
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. Nurse Minette needs to schedule a first home visit to OB client Leah. When is a first home-care visit typically made?
- A. Within 4 days after discharge
- B. Within 24 hours after discharge
- C. Within 1 hour after discharge
- D. Within 1 week of discharge
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. 24 hours after the creation of a colostomy, what should Nurse Violy identify as the normal appearance of the stoma?
- A. Pink, moist, and slightly protruding from the abdomen
- B. Gray, moist, and slightly protruding from the abdomen
- C. Pink, dry, and slightly protruding from the abdomen
- D. Red, moist, and slightly protruding from the abdomen
Correct answer: A
Rationale: Following colostomy surgery, a healthy stoma should appear pink, moist, and slightly protruding from the abdomen, which is why option 'A' is the correct answer. A gray stoma (choice 'B') could indicate poor blood supply or necrosis, which is a serious complication. A dry stoma (choice 'C') is also not normal as it should be moist; a dry stoma may suggest dehydration or other complications. While a stoma can appear red (choice 'D'), this is not typically the normal color; it should usually be pink. Therefore, it's important for healthcare professionals to correctly identify the normal and abnormal appearances of a stoma to ensure proper patient care.
4. Angie is a disoriented client who frequently falls from the bed. As her nurse, which of the following is the best nursing intervention to prevent future falls?
- A. Tell Angie not to get up from bed unassisted
- B. Put the call bell within her reach
- C. Put bedside commode at the bedside to prevent Angie from getting up
- D. Put the bed in the lowest position ever
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.
5. Fires are approached using the mnemonic RACE, in which, R stands for:
- A. Run
- B. Race
- C. Rescue
- D. Remove
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.
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