ATI RN
ATI Nutrition Practice Test B 2019
1. A nurse is completing an admission assessment on an adolescent client who is vegan. Which breakfast item should the nurse recommend as a protein combination with their diet restriction?
- A. Bagel with cream cheese
- B. Wheat toast with jelly
- C. Oatmeal pancakes with peanut butter
- D. Eggs with tofu bacon
Correct answer: C
Rationale: The correct answer is C: Oatmeal pancakes with peanut butter. For a vegan client, it is important to recommend plant-based protein sources. Oatmeal pancakes with peanut butter offer a good protein combination that aligns with their dietary restriction. Choices A, B, and D are not suitable as they all contain animal-derived products, which are not suitable for a vegan diet.
2. During an acute asthma attack in a client with asthma, what medication should the nurse administer first?
- A. Oral corticosteroids
- B. Short-acting beta agonist
- C. Leukotriene receptor antagonist
- D. Long-acting beta agonist
Correct answer: B
Rationale: During an acute asthma attack, the priority is to quickly relieve bronchospasm and improve breathing. Short-acting beta agonists, like albuterol, are the first-line medications as they rapidly relax bronchial muscles, providing immediate relief. Oral corticosteroids are used as adjunct therapy to reduce airway inflammation over time, while leukotriene receptor antagonists and long-acting beta agonists are not appropriate for immediate relief during an acute attack.
3. How does the nurse interpret the client's actions of combing her hair only on the right side of her head and washing only the right side of her face after a stroke?
- A. Poor left-sided motor control
- B. Paralysis or contractures on the right side
- C. Limited visual perception of the left fields
- D. Unawareness of the existence of her left side
Correct answer: Unawareness of the existence of her left side
Rationale: The client's selective grooming and washing habits indicate a condition known as 'unawareness of the existence of her left side,' also called hemispatial neglect. This condition is characterized by a lack of awareness or attention to one side of the body or space, typically the left side in stroke patients. Choices A, B, and C are incorrect because the client's actions are not due to poor motor control, paralysis, contractures, or limited visual perception. Instead, they are indicative of a specific cognitive deficit related to neglecting one side of the body.
4. Mrs. Seva also tells the nurse that she is often constipated. Because she is aging, what physical changes predispose her to constipation?
- A. inhibition of the parasympathetic reflex
- B. weakness of sphincter muscles of anus
- C. loss of tone of the smooth muscles of the colon
- D. decreased ability to absorb fluids in the lower intestines
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. Specialized cell types organized in a way that provides a specific function form
- A. tissues, which build organs.
- B. organs, which build tissues.
- C. organ systems, which build tissues.
- D. atoms, which comprise tissues.
Correct answer: tissues, which build organs.
Rationale: The correct answer is 'tissues, which build organs.' Specialized cell types organize to form tissues, which in turn build organs. Tissues are groups of cells that work together to perform a specific function. Option B is incorrect because organs are composed of tissues, not the other way around. Option C is incorrect as organ systems consist of multiple organs working together, not building tissues. Option D is incorrect as atoms are the basic building blocks of matter and are not directly involved in forming tissues.