ATI RN
ATI Nutrition Proctored Exam 2023
1. Approximately 70 to 80 percent of acute pancreatitis cases are caused by gallstones or _____.
- A. infection
- B. alcohol abuse
- C. diabetes
- D. obesity
Correct answer: B
Rationale: Alcohol abuse is indeed a major cause of acute pancreatitis, along with gallstones, accounting for the majority of cases. While infections, diabetes, and obesity can also contribute to pancreatitis, they are not as prevalent as alcohol abuse and gallstones in causing acute pancreatitis.
2. The nurse is caring for a client in a sickle cell crisis. Which is the pain regimen of choice to relieve the pain?
- A. Frequent aspirin (acetylsalicylic acid) and a non-narcotic analgesic
- B. Motrin (ibuprofen), an NSAID, PRN
- C. Demerol (meperidine), a narcotic analgesic, every four (4) hours
- D. Morphine, a narcotic analgesic, every two (2) to three (3) hours PRN
Correct answer: D
Rationale: Morphine is the preferred analgesic in sickle cell crisis due to its potency and effectiveness in managing severe pain.
3. A healthcare provider is caring for a group of clients. Which of the following clients is not at risk for pulmonary embolism?
- A. A client who has a BMI of 30
- B. A female client who is postmenopausal
- C. A client who has a fractured femur
- D. A client who has chronic atrial fibrillation
Correct answer: A female client who is postmenopausal
Rationale: Postmenopausal status is not a significant risk factor for pulmonary embolism. Risk factors for pulmonary embolism include obesity (BMI of 30 or higher), immobility such as having a fractured femur, and conditions like chronic atrial fibrillation that increase the risk of blood clot formation. While postmenopausal status may be associated with other health risks, it is not directly linked to an increased risk of pulmonary embolism.
4. You are caring for Conrad who has a brain tumor and increased Intracranial Pressure (ICP). Which intervention should you include in your plan to reduce ICP?
- A. Administer bowel softener
- B. Position Conrad with his head turned toward the side of the tumor
- C. Provide sensory stimulation
- D. Encourage coughing and deep breathing
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. A patient is being taught to use TD nitroglycerin patches to treat angina pectoris. What instructions should be included?
- A. Apply a patch every 12 hours
- B. Apply a new patch every morning
- C. Use it only when symptoms appear
- D. Rotate the application site weekly
Correct answer: B
Rationale: The correct answer is to apply a new patch every morning. Nitroglycerin patches should be applied in the morning and removed at bedtime to provide a 14-hour nitrate-free interval, preventing tolerance development. Choice A is incorrect because applying a patch every 12 hours may lead to tolerance. Choice C is incorrect because nitroglycerin patches are used prophylactically, not just when symptoms appear. Choice D is incorrect because rotating the application site weekly is not necessary; the same site can be used as long as there is no skin irritation.