ATI RN
ATI Nutrition 2024 NGN Exam
1. A nurse is teaching a client who has hypertension about a heart healthy diet. Which of the following statements indicates that the client understands the teaching?
- A. I will get 15% of my total daily calories from saturated fats.
- B. I will decrease the potassium in my diet.
- C. I will limit my daily sodium intake to 3 grams.
- D. I will eat five 8-ounce servings of fruit daily.
Correct answer: C
Rationale: Limiting daily sodium intake to 3 grams helps manage blood pressure and is a key part of a heart-healthy diet.
2. What are the signs of compartment syndrome?
- A. Unrelieved pain, pallor, pulselessness
- B. Muscle weakness, hyporeflexia
- C. Pins-and-needles sensation, swelling
- D. Severe swelling and tightness in the affected extremity
Correct answer: A
Rationale: The correct signs of compartment syndrome include unrelieved pain, pallor, and pulselessness due to increased pressure within a muscle compartment. Choice B, muscle weakness, and hyporeflexia are not typical signs of compartment syndrome. Choice C, pins-and-needles sensation and swelling, are not specific signs of compartment syndrome. Choice D, severe swelling and tightness in the affected extremity, could be seen in compartment syndrome but are not the primary signs.
3. Maria’s statement “Bow down before me! I am the holy mother of Christ! I am the blessed Virgin Mary!†is an example of:
- A. Delusion of grandeur
- B. Visual Hallucination
- C. Religious delusion
- D. Auditory Hallcucination
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.
4. The nurse is caring for an adolescent who has just started dialysis. The child always seems angry, hostile, or depressed. The nurse should recognize that this is most likely related to what underlying cause?
- A. Physiologic manifestations of renal disease
- B. The fact that adolescents have few coping mechanisms
- C. Neurologic manifestations that occur with dialysis
- D. Resentment of the control and enforced dependence imposed by dialysis
Correct answer: D
Rationale: Adolescents may feel anger and depression due to the loss of independence and control over their lives, which is imposed by the need for regular dialysis treatments. This reaction is common as they struggle with the restrictions placed on their social and personal lives.
5. When a patient with type 2 diabetes is admitted for a cholecystectomy, which nursing action can the nurse delegate to a licensed practical/vocational nurse (LPN/LVN)?
- A. Communicate the blood glucose level and insulin dose to the circulating nurse in surgery.
- B. Discuss the reason for the use of insulin therapy during the immediate postoperative period.
- C. Administer the prescribed lispro (Humalog) insulin before transporting the patient to surgery.
- D. Plan strategies to minimize the risk for hypoglycemia or hyperglycemia during the postoperative period.
Correct answer: C
Rationale: The correct answer is C because the administration of prescribed lispro (Humalog) insulin before transporting the patient to surgery is a task that can be safely delegated to a licensed practical/vocational nurse (LPN/LVN). This action is within the scope of practice of an LPN/LVN and does not require independent nursing judgment. Choices A and B involve communicating and discussing important medical information, which are higher-level nursing actions typically performed by registered nurses. Choice D involves planning strategies to manage blood glucose levels postoperatively, which requires critical thinking and assessment skills usually performed by a registered nurse.
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