ATI RN
Nutrition ATI Test
1. A guideline that is utilized in determining priorities is to assess the status of the following, EXCEPT:
- A. perfusion
- B. locomotion
- C. respiration
- D. mentation
Correct answer: D
Rationale: When determining priorities in patient care, assessing perfusion, respiration, and locomotion are crucial. However, assessing mentation is also important but not typically included in the ABCs of emergency care. Monitoring mentation is essential for neurological assessment and detecting changes in mental status, but it is not part of the immediate priorities in life-threatening situations.
2. After cleaning the abrasions and applying antiseptic, the nurse applies a cold compress to the swollen ankle as ordered by the physician. This statement shows that the nurse has a correct understanding of the use of a cold compress:
- A. Cold compress reduces blood viscosity in the affected area
- B. It is safer to apply than a hot compress
- C. Cold compress prevents edema and reduces pain
- D. It eliminates toxic waste products due to vasodilation
Correct answer: C
Rationale: The correct understanding of using a cold compress includes knowing that it helps prevent edema and reduces pain. Cold application constricts blood vessels, reducing blood flow to the area, which helps decrease swelling and pain. Choices A, B, and D are incorrect because cold compresses do not directly affect blood viscosity, safety compared to hot compresses, or eliminate toxic waste products due to vasodilation. It is essential for nurses to have a clear understanding of the rationale behind interventions to provide effective patient care.
3. Myxedema coma is a life-threatening complication of long-standing and untreated hypothyroidism with one of the following characteristics.
- A. Hyperglycemia
- B. Hypothermia
- C. Hyperthermia
- D. Hypoglycemia
Correct answer: A
Rationale: Myxedema coma is associated with hypothermia, not hyperthermia. Therefore, the correct characteristic of myxedema coma is hypothermia. This condition is a medical emergency that requires prompt recognition and intervention to prevent serious complications. The presence of hyperglycemia is not a defining characteristic of myxedema coma, making choice A the correct answer in this case. Hyperthermia and hypoglycemia are not typically seen in myxedema coma and are not consistent with the clinical presentation of this condition.
4. What is the first step in decontamination?
- A. Immediately applying a chemical decontamination foam to the area of contamination
- B. Thoroughly washing and rinsing the patient with soap and water
- C. Immediately applying personal protective equipment
- D. Removing the patient's clothing and jewelry, then rinsing the patient with water
Correct answer: D
Rationale: The correct first step in decontamination is to remove the patient's clothing and jewelry to prevent further exposure and then rinse the patient with water. This helps to eliminate any contaminants on the patient's body. Choice A is incorrect because applying a chemical decontamination foam should come after removing clothing. Choice B is incorrect as washing and rinsing the patient should follow the removal of clothing. Choice C is incorrect as personal protective equipment should be worn by the individual performing the decontamination, not applied to the patient.
5. Nurse Joel and Ana are helping a 16-year-old Nursing Student in a case filed against the student for frustrated homicide. Nurse Joel and Ana are aware of the different circumstances of crimes. They are correct in identifying which of the following circumstances will be best applied in this case?
- A. Justifying
- B. Aggravating
- C. Mitigating
- D. Exempting
Correct answer: A
Rationale: In cases of frustrated homicide, the circumstance of 'justifying' is the most applicable. Justifying circumstances are those that exempt the individual from criminal liability because the act is considered morally right or justified under the circumstances. Aggravating circumstances would worsen the offense, mitigating circumstances would lessen the penalty, and exempting circumstances would completely excuse the individual from liability, none of which are suitable in a case of frustrated homicide.
Similar Questions
Access More Features
ATI RN Basic
$69.99/ 30 days
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI RN Premium
$149.99/ 90 days
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $149.99