ATI RN
ATI Proctored Nutrition Exam 2019
1. If a child has two or more pink signs, you would classify the child as having:
- A. No disease
- B. Mild form of disease
- C. Urgent Referral
- D. Very severe disease
Correct answer: D
Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.
2. A patient has been taking hydrocodone, an opioid analgesic for their moderate pain, and they have taken more than the prescribed dose. What should you administer as the antidote if they experience toxicity?
- A. Naloxone
- B. N-acetylcysteine
- C. Atropine
- D. Digoxin immune Fab
Correct answer: A
Rationale: Naloxone is the specific antidote for opioid toxicity. It works by blocking the effects of opioids on the central nervous system, thereby reversing symptoms like respiratory depression and sedation. N-acetylcysteine is used for acetaminophen overdose, while atropine is indicated for certain types of poisonings. Digoxin immune Fab is used for digoxin toxicity. Therefore, in the case of opioid toxicity due to hydrocodone overdose, naloxone is the appropriate antidote.
3. The client is receiving digoxin and complains of nausea. What is the nurse’s priority action?
- A. Check the client’s digoxin level.
- B. Continue the current dose of digoxin.
- C. Administer an antiemetic for nausea.
- D. Discontinue the digoxin immediately.
Correct answer: A
Rationale: The correct answer is to check the client’s digoxin level (Choice A). Nausea can be a sign of digoxin toxicity, so assessing the digoxin level is crucial to determine if the medication dosage needs adjustment. Continuing the current dose of digoxin (Choice B) may worsen the symptoms if toxicity is present. Administering an antiemetic (Choice C) may provide temporary relief but does not address the underlying issue of digoxin toxicity. Discontinuing digoxin immediately (Choice D) without assessing the digoxin level can be harmful if the medication is within the therapeutic range.
4. Recent evidence suggests that paternal alcohol use around the time of conception __________.
- A. can alter gene expression
- B. can cause fetal alcohol syndrome
- C. is linked to blood vessel abnormalities
- D. has no negative effect on the developing organism
Correct answer: A
Rationale: Recent evidence suggests that paternal alcohol use around the time of conception can alter gene expression. This means that paternal alcohol consumption can potentially impact the genes and genetic materials passed on to offspring, affecting their development and health. Choice B is incorrect because fetal alcohol syndrome is typically associated with maternal alcohol consumption during pregnancy, not paternal alcohol use around conception. Choice C is incorrect as there is no direct link between paternal alcohol use and blood vessel abnormalities. Choice D is incorrect as paternal alcohol use can indeed have negative effects on the developing organism, particularly through altering gene expression.
5. A client has a new prescription for clopidogrel. Which of the following instructions should the nurse include?
- A. Take this medication with food
- B. Take this medication three times daily
- C. You might have to stop taking this medication 5 days before any planned surgeries
- D. Expect to have black-colored stools while taking this medication
Correct answer: C
Rationale: The correct answer is C. When instructing a client who is prescribed clopidogrel, the nurse should include information about stopping the medication 5 days before any planned surgeries to reduce the risk of bleeding. This is crucial to prevent excessive bleeding during surgical procedures. Choices A, B, and D are incorrect because taking the medication with food, the frequency of administration, and the possibility of black-colored stools are not specific instructions related to clopidogrel use.