ATI RN
ATI Nutrition
1. A client who is 2 days postoperative following abdominal surgery is about to progress from a clear liquid diet to full liquids. Which of the following items should the nurse tell the client he may now request to have on his meal tray?
- A. Cranberry juice
- B. Flavored gelatin
- C. Skim milk
- D. Chicken broth
Correct answer: Cranberry juice
Rationale: Cranberry juice is an appropriate choice for a client transitioning from a clear liquid diet to full liquids post abdominal surgery. It provides hydration and some essential nutrients. Flavored gelatin is usually allowed on a clear liquid diet and may not be suitable for a full liquids phase. Skim milk and chicken broth are typically introduced in a later stage of the diet progression, closer to a soft diet, due to their higher protein and fat content.
2. The nurse is describing clinical reasoning to a group of nursing students. Which is most descriptive of clinical reasoning?
- A. Purposeful and goal-directed
- B. A simple developmental process
- C. Based on deliberate and irrational thought
- D. Assists individuals in guessing what is most appropriate
Correct answer: A
Rationale: Clinical reasoning is purposeful and goal-directed, involving the use of critical thinking and decision-making skills to provide effective patient care.
3. When is removal of the restraints by the nurse appropriate?
- A. When medication that has been administered has taken effect
- B. When no acts of aggression are observed in the hour following the release of two extremity restraints
- C. When the nurse explores with the client the reasons for the angry and aggressive behavior
- D. When the client apologizes and tells the nurse that it will never happen again
Correct answer: B
Rationale: The correct answer is B. The nurse can safely remove restraints once no aggressive behavior is observed after releasing two extremity restraints for an hour. Choice A is incorrect because the removal of restraints should be based on the client's behavior rather than just the effect of medication. Choice C is incorrect as exploring reasons for aggressive behavior should be done before or during the intervention, not as a condition for removing restraints. Choice D is incorrect since an apology from the client does not guarantee a change in behavior or indicate that it is safe to remove the restraints.
4. The nurse is assessing a 3-year-old child. Which assessment finding would the nurse identify as abnormal?
- A. Pedals tricycle without assistance
- B. Unscrews a bolt on a toy
- C. Falls when bending over to touch toes
- D. Builds a tower of 10 cubes
Correct answer: C
Rationale: The correct answer is C. Falling when bending over to touch toes could indicate a developmental delay or a balance issue that may need further assessment. Choices A, B, and D are typical developmental milestones for a 3-year-old child. Pedaling a tricycle without assistance, unscrewing a bolt on a toy, and building a tower of 10 cubes are all age-appropriate activities for a child of this age.
5. Cognitive-behavioral therapy (CBT) is often used to treat which of the following conditions?
- A. Schizophrenia
- B. Bipolar disorder
- C. Posttraumatic stress disorder
- D. Generalized anxiety disorder
Correct answer: D
Rationale: Cognitive-behavioral therapy (CBT) is a widely used therapeutic approach effective in treating various mental health conditions. While CBT can be beneficial for different disorders, it is particularly well-suited for anxiety-related conditions like generalized anxiety disorder. CBT focuses on identifying and modifying negative thought patterns and behaviors contributing to anxiety, making it a suitable choice for treating generalized anxiety disorder. Therefore, the correct answer is D. Choices A, B, and C are incorrect because CBT is not typically the first-line treatment for schizophrenia, bipolar disorder, or posttraumatic stress disorder, although it may be used as a part of a comprehensive treatment plan.
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