ATI RN
ATI RN Custom Exams Set 2
1. An important part of nutrition therapy for patients with cystic fibrosis is:
- A. A low-fat diet to prevent steatorrhea
- B. A low-sodium diet to normalize fluid status
- C. A high-fiber diet to normalize bowel function
- D. Pancreatic enzyme replacement therapy to help digestion
Correct answer: D
Rationale: The correct answer is D: Pancreatic enzyme replacement therapy to help digestion. In cystic fibrosis, pancreatic insufficiency leads to the malabsorption of nutrients, making it essential for patients to take pancreatic enzymes to aid in digestion. Options A, B, and C are incorrect because a low-fat diet may not provide adequate nutrition for cystic fibrosis patients, a low-sodium diet is not the primary focus of nutrition therapy in cystic fibrosis, and a high-fiber diet may exacerbate gastrointestinal symptoms due to malabsorption.
2. How does hyponatremia place the patient at risk?
- A. Seizures
- B. Fatigue
- C. Cardiac dysrhythmias
- D. Muscle weakness
Correct answer: C
Rationale: Hyponatremia places the patient at risk for cardiac dysrhythmias. While hyponatremia can lead to seizures due to cerebral edema caused by fluid imbalance, the most immediate and life-threatening risk is cardiac dysrhythmias. Low sodium levels can disrupt the heart's electrical activity, potentially leading to fatal arrhythmias. Although fatigue and muscle weakness are symptoms of hyponatremia, cardiac dysrhythmias pose the most critical concern as they can have severe consequences.
3. The purpose of ECT in clients with depression is to:
- A. Stimulation in the brain to increase brain conduction and counteract depression
- B. Mainly Biologic, increasing the norepinephrine and serotonin level
- C. Creates a temporary brain damage that will increase blood flow to the brain
- D. Involves the conduction of electrical current to the brain to charge the neurons and combat depression
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.
4. A client who _____ diet requires _____ amounts of vitamin C.
- A. Follows a vegan diet
- B. Smokes cigarettes
- C. Follows a ketogenic diet
- D. Is lactose intolerant
Correct answer: B
Rationale: Clients who smoke require more vitamin C due to increased oxidative stress and depletion of vitamin C. Smoking leads to higher levels of oxidative stress in the body, which in turn increases the utilization of vitamin C to counteract the damage caused by free radicals. Choices A, C, and D do not directly impact the body's need for vitamin C as smoking does.
5. Which term describes a situation in which there is a demonstrated health need combined with actual or potential resources to apply remedial measures and a commitment to act on the part of the provider or the client?
- A. Health deficit
- B. Health need
- C. Health problem
- D. Foreseeable crisis
Correct answer: C
Rationale: A health problem specifically refers to a situation where a health need is identified, resources are available or potentially available to address it, and there is a commitment from either the provider or the client to take action. This term encapsulates the combination of a demonstrated need for remedial measures with the readiness and commitment to act upon it.