ATI RN
ATI Medical Surgical Proctored Exam
1. A client with newly diagnosed osteoporosis is being taught about lifestyle modifications. Which instruction should be included?
- A. Increase intake of caffeinated beverages.
- B. Engage in weight-bearing exercises regularly.
- C. Avoid exposure to sunlight.
- D. Take calcium supplements with iron.
Correct answer: B
Rationale: Engaging in weight-bearing exercises is crucial for individuals with osteoporosis as it helps strengthen bones and reduce the risk of fractures. Weight-bearing exercises include activities like walking, jogging, dancing, and strength training. These exercises help improve bone density and overall bone health, making them an essential component of lifestyle modifications for individuals with osteoporosis.
2. Mr. Bradley has been advised to limit his dairy product intake. What principle regarding fluid intake should be followed?
- A. Gelatin, soups, fruit ices, and frozen fruit bars contribute to your fluid intake
- B. Drink milk in moderation
- C. Increase fiber intake
- D. Limit protein intake
Correct answer: A
Rationale: For patients with kidney disease, it's important to manage fluid intake from all sources, including foods like gelatin and soups, which can contribute to fluid overload.
3. The healthcare provider is assessing abdominal girth for a pediatric client who presents with abdominal distension. Which nursing action is appropriate?
- A. Measuring the girth just below the umbilicus
- B. Measuring the girth just below the sternum
- C. Measuring the girth just above the pubic bone
- D. Measuring the girth around the largest portion of the abdomen
Correct answer: D
Rationale: Measuring the girth around the largest portion of the abdomen ensures accurate assessment and tracking of abdominal distension. This method provides a more comprehensive measurement and helps healthcare providers monitor changes effectively.
4. Which of the following is an example of an environmental factor that could influence decision-making in nursing?
- A. Personal preferences
- B. Ethical considerations
- C. Availability of resources
- D. All of the above
Correct answer: D
Rationale: The correct answer is D, 'All of the above.' Environmental factors encompass a wide range of influences on decision-making in nursing. Personal preferences can impact how a nurse chooses a course of action, ethical considerations guide decision-making based on moral principles, and the availability of resources determines the options that are feasible. Therefore, all of these factors play a significant role in influencing decision-making in nursing. Choices A, B, and C are incorrect because each of them individually represents a specific environmental factor, whereas the correct answer D acknowledges that all of these factors collectively contribute to influencing decision-making.
5. The clinic nurse is assessing a child with a heavy ascariasis lumbricoides (common roundworm) infection. Which assessment findings should the nurse expect?
- A. Anemia
- B. Anorexia
- C. All are applicable
- D. Intestinal colic
Correct answer: D
Rationale: A heavy roundworm infection can cause anemia, anorexia, irritability, and an enlarged abdomen due to the worms’ effects on nutrient absorption and intestinal function.
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