ATI RN
ATI Nutrition Proctored Exam 2023
1. Can fluid retention cause lab values to be deceptively high, whereas dehydration may cause the values to be deceptively low?
- A. True
- B. False
- C. Not always
- D. Sometimes
Correct answer: B: False
Rationale: The statement is incorrect. Fluid retention generally results in lab values appearing deceptively low, not high, because the excess fluid dilutes the concentration of substances in the blood. Conversely, dehydration can make lab values appear deceptively high as the reduced fluid volume in the body means substances in the blood are less diluted. Choices 'C: Not always' and 'D: Sometimes' are not specific and do not directly address the statement in the question, hence they are incorrect.
2. Which of the following is a form of primary prevention?
- A. Regular Check-ups
- B. Regular Screening
- C. Self-Medication
- D. Immunization
Correct answer: D
Rationale: The correct answer is D, 'Immunization.' Primary prevention aims to prevent disease before it occurs by preventing exposure to risk factors. Immunization is a classic example of primary prevention as it helps prevent the development of infectious diseases. Choice A, 'Regular Check-ups,' is more related to secondary prevention by detecting diseases early. Choice B, 'Regular Screening,' is also more aligned with secondary prevention as it involves early detection of diseases. Choice C, 'Self-Medication,' is not a form of primary prevention but rather a risky practice that can lead to adverse outcomes.
3. You are on duty in the medical ward. You were asked to check the narcotics cabinet. You found out that what is on record does not tally with the drugs used. What will you do first?
- A. Write an incident report and refer the matter to the nursing director
- B. Keep your findings to yourself
- C. Report the matter to your supervisor
- D. Find out from the endorsement any patient who might have been given narcotics
Correct answer: C
Rationale: In this situation, the first step should be to report the matter to your supervisor. It is essential to notify the appropriate authority immediately to address the discrepancy in the narcotics cabinet. Choice A is not the first step as reporting to the nursing director should follow after informing the supervisor. Keeping the findings to yourself (Choice B) is not appropriate as it may jeopardize patient safety and is against ethical standards. While finding out which patient received narcotics (Choice D) is important, it is not the immediate action to take in this scenario.
4. A client scheduled for hysterosalpingography needs health teaching before the procedure. The nurse is correct in telling the patient that:
- A. She needs to void prior to the procedure
- B. A full bladder is needed prior to the procedure
- C. Painful sensation is felt as the needle is inserted
- D. Flushing sensation is felt as the dye in injected
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.
5. The following are appropriate nursing interventions during colostomy irrigation, EXCEPT:
- A. Increase the irrigating solution flow rate when abdominal cramps is felt
- B. Insert 2-4 inches of an adequately lubricated catheter to the stoma
- C. Position client in semi-Fowler
- D. Hang the solution 18 inches above the stoma
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.