ATI RN
ATI Nutrition Proctored Exam 2023
1. What is the glomerular filtration rate for patients with stage 5 chronic kidney disease (CKD)?
- A. Less than 15 mL/min/1.73 m²
- B. Less than 30 mL/min/1.73 m²
- C. Less than 90 mL/min/1.73 m²
- D. Less than 125 mL/min/1.73 m²
Correct answer: A: Less than 15 mL/min/1.73 m²
Rationale: In patients with stage 5 chronic kidney disease (CKD), also known as end-stage renal disease, the kidney function is significantly compromised. This severe condition is characterized by a glomerular filtration rate (GFR) of less than 15 mL/min/1.73 m², as correctly stated in choice A. Choices B, C, and D suggest higher GFR values, which are not indicative of stage 5 CKD. Specifically, a GFR of less than 30 mL/min/1.73 m² indicates stage 4 CKD, less than 90 mL/min/1.73 m² signifies stage 3 CKD, and a typical healthy individual usually has a GFR of around 125 mL/min/1.73 m², which is far above the GFR for stage 5 CKD.
2. Which statement by a patient indicates good understanding of the nurse’s teaching about prevention of sickle cell crisis?
- A. Home oxygen therapy is frequently used to decrease sickling.
- B. There are no effective medications that can help prevent sickling.
- C. Routine continuous dosage narcotics are prescribed to prevent a crisis.
- D. Risk for a crisis is decreased by having an annual influenza vaccination.
Correct answer: D
Rationale: Because infection is the most common cause of a sickle cell crisis, influenza, Haemophilus influenzae, pneumococcal pneumonia, and hepatitis immunizations should be administered.
3. During a mental status examination, which of the following components should not be included in the assessment?
- A. Appearance and behavior
- B. Giving advice
- C. Mood and affect
- D. Cognitive function
Correct answer: B
Rationale: During a mental status examination, components such as appearance and behavior, mood and affect, and cognitive function are assessed. Giving advice is not a component of a mental status examination as it focuses on evaluating the client's mental state rather than providing guidance or recommendations.
4. A client has an abdominal incision. The surgical wound was closed with 10 sutures. This surgical wound is healing by what process?
- A. Primary intention
- B. Binary intention
- C. Secondary intention
- D. None of the Above
Correct answer: Primary intention
Rationale:
5. What is the major cause of death for children older than 1 year in the United States?
- A. Heart disease
- B. Childhood cancer
- C. Unintentional injuries
- D. Congenital anomalies
Correct answer: C
Rationale: Unintentional injuries are the leading cause of death among children older than 1 year in the United States.