ATI RN
ATI Nutrition Proctored
1. How many diet-related major risk factors for coronary heart disease does Mrs. Winslow have?
- A. 1
- B. 4
- C. 2
- D. 3
Correct answer: B
Rationale: Mrs. Winslow has four major diet-related risk factors for coronary heart disease: high total cholesterol, high LDL cholesterol, high triglycerides, and low HDL cholesterol. Choice A is incorrect because there are more than one risk factor present. Choices C and D are incorrect as they do not account for the total number of diet-related major risk factors identified.
2. A client receiving total parenteral nutrition (TPN is awaiting the next container. What fluid should the nurse infuse in the interim?
- A. Dextrose 5% in water
- B. 0.9% sodium chloride
- C. Dextrose 10% in water
- D. Lactated Ringer's solution
Correct answer: B
Rationale: The correct answer is 0.9% sodium chloride. When a client receiving TPN is awaiting the next container, infusing 0.9% sodium chloride is the appropriate choice to maintain fluid and electrolyte balance. Dextrose solutions are not recommended as they do not provide sufficient nutrition. Lactated Ringer's solution contains electrolytes but lacks essential nutrients found in TPN, making it an inadequate choice during the delay in TPN delivery.
3. Which of the following amino acids are considered indispensable?
- A. Lysine
- B. Methionine
- C. Tryptophan
- D. Valine
Correct answer: A
Rationale: The correct answer is A: Lysine. Indispensable amino acids are those that the body cannot synthesize and must be obtained from the diet. Lysine, methionine, and tryptophan are all examples of indispensable amino acids. However, the question specifically asked for 3 out of the 9 indispensable amino acids, making 'Lysine' the correct choice. Choices B, C, and D are also indispensable amino acids but are not the focus of the question.
4. As the head nurse in the OR, how can you improve the effectiveness of clinical alarm systems?
- A. Limit suppliers to a few so that quality is maintained
- B. Implement a regular inventory of supplies and equipment
- C. Adherence to manufacturer’s recommendation
- D. Implement a regular maintenance and testing of alarm systems
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 client receiving continuous enteral tube feeding reports cramping and abdominal distention. Which of the following actions should the nurse take?
- A. Check for gastric residual.
- B. Apply low intermittent suction.
- C. Increase the rate of the feeding.
- D. Request a higher-fat formula.
Correct answer: A
Rationale: When a client on continuous enteral tube feeding experiences cramping and abdominal distention, the nurse should check for gastric residual. This assessment helps determine if the client is tolerating the feeding well or if there is a potential issue such as feeding intolerance. Applying low intermittent suction, increasing the feeding rate, or requesting a higher-fat formula are not appropriate actions for addressing the reported symptoms and may exacerbate the client's discomfort or lead to further complications.
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