ATI RN
ATI Proctored Nutrition Exam 2019
1. Gina, A client in prolong labor said she cannot go on anymore. The health care team decided that both the child and the mother cannot anymore endure the process. The baby is premature and has a little chance of surviving. Caesarian section is not possible because Gina already lost enough blood during labor and additional losses would tend to be fatal. The husband decided that Gina should survive and gave his consent to terminate the fetus. The principle that will be used by the health care team is:
- A. Beneficence
- B. Non malfeasance
- C. Justice
- D. Double effect
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.
2. A client with systemic sclerosis has been in bed for 2 weeks due to fatigue and abdominal pain. Today, the client came into the clinic complaining of her leg being hot, red and painful. What does the nurse suspect?
- A. Amputation
- B. Deep vein thrombosis
- C. Internal bleeding
- D. Kidney failure
Correct answer: Deep vein thrombosis
Rationale:
3. A patient with bipolar disorder has been prescribed lithium. Which dietary advice is important for the nurse to include?
- A. Avoid foods high in tyramine.
- B. Maintain a consistent salt intake.
- C. Increase protein intake.
- D. Avoid foods high in fat.
Correct answer: B
Rationale: Patients prescribed lithium should maintain a consistent salt intake to prevent fluctuations in lithium levels. Salt intake can impact lithium levels, and sudden changes in salt intake can affect how the body absorbs and excretes lithium. Therefore, advising the patient to maintain a stable salt intake is crucial for the effectiveness and safety of lithium therapy. Choices A, C, and D are incorrect. Avoiding foods high in tyramine is more relevant for patients taking MAOIs, not lithium. Increasing protein intake or avoiding foods high in fat are not specific dietary recommendations for patients on lithium therapy.
4. By age 2, children __________.
- A. take turns in face-to-face interaction
- B. can infer a speaker's indirectly expressed intention
- C. adjust their speech to fit the age of their listeners
- D. adjust their speech to fit the social status of their listeners
Correct answer: C
Rationale: By age 2, children are capable of adjusting their speech to fit the age of their listeners, showing early social cognition. Choice A is incorrect because taking turns in face-to-face interaction typically develops later in childhood. Choice B is incorrect as the ability to infer a speaker's indirectly expressed intention is a more advanced skill not typically seen at age 2. Choice D is also incorrect as children at age 2 are not developmentally ready to adjust their speech based on the social status of their listeners.
5. A healthcare provider is providing discharge instructions to a client who is prescribed Enalapril. Which of the following adverse effects should the healthcare provider instruct the client to monitor?
- A. Dry cough
- B. Weight gain
- C. Diarrhea
- D. Nausea
Correct answer: A
Rationale: The correct answer is A: Dry cough. A persistent dry cough is a common adverse effect of Enalapril, an ACE inhibitor. Enalapril can cause a non-productive cough due to its effect on bradykinin levels. The client should be advised to report this symptom to their healthcare provider to consider alternative treatments. Choices B, C, and D are incorrect because weight gain, diarrhea, and nausea are not typically associated with Enalapril use.