a written nursing care plan is a tool that
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Nursing Elites

ATI RN

ATI Nutrition Practice Test A 2019

1. What is the primary function of a written nursing care plan?

Correct answer: D

Rationale: A written nursing care plan fundamentally serves to facilitate the development of a nursing diagnosis. This procedure involves analyzing patient data and identifying health problems that nurses can address independently. This analysis then aids in determining the most appropriate nursing interventions for the identified health issues. Although evaluating the achievement of nursing care goals is an important aspect, it is not the primary function of a nursing care plan. Similarly, while delivering quality nursing care is crucial, it is a broader concept that includes many other facets beyond just the initial nursing diagnosis and interventions.

2. What sensation is used as a gauge so that patients with ileostomy can determine how often their pouch should be drained?

Correct answer: B

Rationale: The correct answer is B: Sensation of pressure. Patients with ileostomy can determine how often their pouch should be drained by feeling the sensation of pressure. This is important as it helps prevent leakage or overflow of the pouch. The sensation of taste (choice A) and smell (choice C) are not typically used as gauges for draining the pouch in ileostomy patients. The urge to defecate (choice D) is not relevant in this context as patients with ileostomy do not pass stool through the rectum.

3. The priority nursing diagnosis for a client with major depression is:

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.

4. When surgery is on-going, who coordinates the activities outside, including the family?

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.

5. A nurse is educating the parent of a preschool-age child about nutrition. Which is the best snack choice for the nurse to recommend to the parent?

Correct answer: B

Rationale: The best snack choice for a preschool-age child recommended by the nurse would be a mini wheat bagel with peanut butter. This option provides a good balance of carbohydrates, protein, and healthy fats, making it a more nutritious choice compared to the other options. Fruit snacks may contain added sugars and lack essential nutrients. White toast with jelly is high in simple carbohydrates and sugars, providing less sustained energy. Sports drinks are often high in sugar and not necessary for a preschool-age child's snack.

Similar Questions

Which of the following is the most important risk factor for development of Chronic Obstructive Pulmonary Disease?
A client with hypertension is being educated by a nurse about a heart-healthy diet. Which of the following statements indicates that the client understands the teaching?
A patient is admitted to the emergency room and is found to have proteinuria, a low serum albumin level, edema, and elevated blood lipids. Which condition do these symptoms typically associate with?
Which of the following gauges should you prepare for spinal anesthesia if the anesthesiologist requires a pink spinal set and a blue spinal set as backup?
Nonnutritive sweeteners are not metabolized by microorganisms and do not promote dental caries. Products made with a nonnutritive sweetener can be used as frequently as 8 to 10 times per day.

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