a guideline that is utilized in determining priorities is to assess the status of the following except
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Nursing Elites

ATI RN

Nutrition ATI Test

1. A guideline that is utilized in determining priorities is to assess the status of the following, EXCEPT:

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. 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?

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.

3. Saturated fats are generally found in animal products with a few exceptions. Which of the following is a plant product that contains a large proportion of saturated fat?

Correct answer: D

Rationale: Coconut oil is a plant-based oil that is high in saturated fat, unlike most other plant oils, which are typically unsaturated.

4. Which breakfast items indicate an understanding of foods high in antioxidants A and C?

Correct answer: D

Rationale: The correct answer is D: Hard-boiled eggs, cantaloupe, and orange juice. Cantaloupe and orange juice are rich in vitamins A and C, which are known for their antioxidant properties. Choice A is incorrect because fried eggs, sausage, and whole wheat toast do not contain high levels of antioxidants A and C. Choice B is incorrect because, while blueberries are high in antioxidants, coffee does not provide significant amounts of vitamins A and C. Choice C is incorrect because, although strawberries are a good source of vitamin C, low-fat milk does not contribute significantly to vitamins A and C.

5. Cocaine is derived from the leaves of coca plant; the nurse knows that cocaine is classified as:

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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