ATI RN
Nutrition ATI Proctored Exam 2023
1. During the first 24 hours of burn, nursing measures should focus on which of the following?
- A. I and O hourly
- B. Strict aseptic technique
- C. Forced oral fluids
- D. Isolate the patient
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.
2. Metabolism refers to all of the chemical reactions in an organism that support life. Is this statement true?
- A. True
- B. False
- C. Not Sure
- D. None of the above
Correct answer: A
Rationale: The statement is true. Metabolism indeed refers to all of the chemical reactions in an organism that support life. It is essential for various processes in the body, including converting food into energy, building and repairing tissues, and eliminating waste products. Choice B is incorrect because metabolism does encompass all chemical reactions that sustain life. Choice C is incorrect as the definition of metabolism is clear. Choice D is incorrect as the statement provided is true.
3. A client is receiving vancomycin. Which of the following laboratory results should be monitored to evaluate the therapeutic effect of this medication?
- A. BUN
- B. Creatinine
- C. Hemoglobin
- D. White blood cell count
Correct answer: B
Rationale: Corrected Rationale: Creatinine levels should be monitored to evaluate vancomycin's effect on kidney function. Vancomycin can be nephrotoxic, so monitoring creatinine levels helps assess renal function and ensure that the medication is not causing harm to the kidneys. Monitoring BUN (choice A) is important for assessing kidney function but is not as specific as monitoring creatinine levels. Hemoglobin (choice C) and white blood cell count (choice D) are not directly related to evaluating the therapeutic effect of vancomycin.
4. What is the first step in managing a child with anaphylaxis?
- A. Administer antihistamines
- B. Establish IV access
- C. Administer epinephrine
- D. Monitor vital signs
Correct answer: C
Rationale: The correct answer is to administer epinephrine. Administering epinephrine is the crucial first step in managing anaphylaxis as it helps reverse the severe allergic reaction by constricting blood vessels and relaxing airway muscles, preventing a life-threatening situation. Antihistamines (Choice A) are not the first-line treatment for anaphylaxis and should not delay the administration of epinephrine. Establishing IV access (Choice B) may be necessary but is not the initial step in managing anaphylaxis. Monitoring vital signs (Choice D) is important but should not take precedence over administering epinephrine in the acute management of anaphylaxis.
5. Neomycin may decrease absorption of which nutrient?
- A. Iron, copper, and zinc
- B. Protein and amino acids
- C. Fat-soluble vitamins
- D. Water-soluble vitamins
Correct answer: C
Rationale: The correct answer is C: Fat-soluble vitamins. Neomycin is known to interfere with the absorption of fat-soluble vitamins. This is because neomycin can disrupt the normal gut flora responsible for the absorption of these vitamins. Choices A, B, and D are incorrect because neomycin primarily affects the absorption of fat-soluble vitamins, not minerals, proteins, amino acids, or water-soluble vitamins.