ATI LPN
ATI Nutrition Proctored Exam 2019 Answers
1. What can excessive intakes of dietary protein do?
- A. cause vitamin deficiencies.
- B. impair kidney function.
- C. increase weight loss.
- D. decrease production of indispensable amino acids.
Correct answer: B
Rationale: Excessive intake of dietary protein can lead to impaired kidney function over time. Excessive protein consumption can put a strain on the kidneys as they work to eliminate the byproducts of protein metabolism. This can potentially lead to kidney damage. Choices A, C, and D are incorrect. Excessive protein intake is not directly linked to causing vitamin deficiencies, increasing weight loss, or decreasing the production of indispensable amino acids.
2. A client newly prescribed sertraline is being taught by a nurse. Which statement by the client indicates understanding?
- A. I should take this medication with meals.
- B. I might have trouble sleeping when I start this medication.
- C. I should avoid drinking orange juice.
- D. I will feel better immediately after starting the medication.
Correct answer: B
Rationale: Choice B, 'I might have trouble sleeping when I start this medication,' indicates understanding because insomnia is a common side effect of sertraline, especially when initiating the medication. This statement shows the client comprehends a potential adverse effect and is prepared for it. Choices A, C, and D are incorrect. Taking sertraline with or without meals does not significantly affect its efficacy. There is no specific contraindication about drinking orange juice while on sertraline. Feeling better immediately after starting the medication is unlikely as sertraline usually takes some time to exert its therapeutic effects.
3. A client with type 2 diabetes mellitus is concerned about weight gain during pregnancy. Which of the following responses should the nurse make?
- A. You should not gain more than 10 lbs
- B. Your weight gain should be the same as for someone without diabetes
- C. Avoid gaining more than 15 lbs
- D. You should gain more weight because of your condition
Correct answer: B
Rationale: The correct answer is B. Clients with type 2 diabetes should aim for the same pregnancy weight gain as those without diabetes. Option A is too restrictive and may not be appropriate for a healthy pregnancy. Option C also imposes a specific limit without considering individual needs. Option D is incorrect as excessive weight gain can lead to complications in pregnancy, especially for individuals with diabetes.
4. A nurse is preparing to administer regular insulin and NPH insulin. What is the proper sequence of events the nurse should follow?
- A. Inspect the vials for contamination.
- B. Withdraw regular insulin first, then NPH.
- C. Inject air into the NPH insulin vial first.
- D. Roll the NPH insulin vial between the hands to mix.
Correct answer: A
Rationale: The correct sequence of events for administering regular insulin and NPH insulin begins with inspecting the vials for contamination to ensure patient safety. Rolling the NPH insulin vial between the hands to mix and injecting air into the NPH insulin vial should follow the inspection step. Afterward, the nurse should inject air into the regular insulin vial and then withdraw the regular insulin first. Option A is the correct answer as it outlines the initial crucial step in the administration process. Option B is incorrect as it provides the incorrect order of withdrawing the insulins. Option C is incorrect as injecting air into the NPH insulin vial should come after inspecting the vials. Option D is incorrect as rolling the NPH insulin vial should be done after inspecting the vials and injecting air into the NPH insulin vial.
5. During an initial assessment of a client, a nurse notices a discrepancy between the client's current IV infusion and the information received during the shift report. Which of the following actions should the nurse take?
- A. Complete an incident report and place it in the client's medical record.
- B. Compare the current infusion with the prescription in the client's medication record.
- C. Contact the charge nurse to see if the prescription was changed.
- D. Submit a written warning for the nurse involved in the incident.
Correct answer: B
Rationale: The correct action for the nurse to take when noticing a discrepancy between the client's current IV infusion and the information received during the shift report is to compare the current infusion with the prescription in the client's medication record. This step is crucial to ensure the accuracy of the prescribed treatment and to prevent any potential harm to the client. Option A is incorrect because completing an incident report should only be done after verifying the discrepancy. Option C is incorrect as contacting the charge nurse should come after confirming the details. Option D is incorrect as submitting a written warning is not appropriate without verifying the information first.
Similar Questions
Access More Features
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 90 days access @ $149.99