ATI RN
ATI Proctored Nutrition Exam 2019
1. For an incontinent elderly client who frequently wets his bed and develops redness and skin excoriation at the perianal area, what is the best nursing goal?
- A. Ensure that the bed linen is always dry
- B. Frequently check the bed for wetness and keep it dry
- C. Place a rubber sheet under the client's buttocks
- D. Keep the patient clean and dry
Correct answer: A
Rationale: The best nursing goal for an incontinent elderly client with skin excoriation is to ensure that the bed linen is always dry. This helps in preventing further skin breakdown and promoting skin integrity. Choice B, to frequently check the bed for wetness and keep it dry, may not address the issue of prevention if the linen is not consistently dry. Choice C, placing a rubber sheet under the client's buttocks, focuses more on protecting the mattress rather than addressing the client's skin condition directly. Choice D, keeping the patient clean and dry, is important but does not specifically address the preventive aspect of maintaining dry bed linen.
2. Cocaine is derived from the leaves of coca plant; the nurse knows that cocaine is classified as:
- A. Narcotic
- B. Stimulant
- C. Barbiturate
- D. Hallucinogen
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.
3. During times of staff and financial shortage, which method is the best and most effective?
- A. Functional Method
- B. Primary Nursing
- C. Team Nursing
- D. Modular Method
Correct answer: D
Rationale: During times of staff and financial shortage, the Modular Method is considered the best and most effective. This method allows for flexibility and adaptability in assigning tasks and responsibilities, making it easier to cope with limited resources. Functional Method (Choice A) focuses on the division of labor based on each staff member's skills, which may not be the most efficient during shortages. Primary Nursing (Choice B) and Team Nursing (Choice C) may require a more significant number of staff, making them less suitable during shortages.
4. As a nurse assigned for care for geriatric patients, you need to frequently assess your patient using the nursing process. Which of the following needs be considered with the highest priority?
- A. Patients own feeling about his illness
- B. Safety of the client especially those elderly clients who frequently falls
- C. Nutritional status of the elderly client
- D. Physiologic needs that are life threatening
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.
5. Gina, A client in prolong labor said she cannot go on anymore. The health care team decided that both the child and the mother cannot anymore endure the process. The baby is premature and has a little chance of surviving. Caesarian section is not possible because Gina already lost enough blood during labor and additional losses would tend to be fatal. The husband decided that Gina should survive and gave his consent to terminate the fetus. The principle that will be used by the health care team is:
- A. Beneficence
- B. Non malfeasance
- C. Justice
- D. Double effect
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.
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