in monitoring the patient in pacu the nurse correctly identify that checking the patients vital signs is done every

ATI RN

Nutrition ATI Test

1. In monitoring the patient in PACU, the nurse correctly identifies that checking the patient's vital signs is done every:

A. 1 hour
B. 5 minutes
C. 15 minutes
D. 30 minutes

Correct answer: A

Rationale: Correct Answer: A - Vital signs monitoring in the PACU (Post-Anesthesia Care Unit) is typically done every hour to closely monitor the patient's condition during the immediate postoperative period. This frequency allows the nurse to promptly identify any changes in the patient's vital signs and intervene as necessary. Choice B (5 minutes) is too frequent for routine vital signs monitoring in the PACU and may not allow for a comprehensive assessment of the patient's stability. Choice C (15 minutes) and Choice D (30 minutes) are also not in line with the standard practice of vital signs monitoring in the PACU, which is typically hourly.

2. Which of the following treatments is not recommended for a child classified with no dehydration?

A. Administering 1,000 ml to 1,400 ml within 4 hours
B. Continuing feeding
C. Allowing the child to take as much fluid as he wants
D. Returning the child to the doctor if the condition worsens

Correct answer: B

Rationale: The correct answer is B. Continuing feeding is a recommended treatment for a child classified with no dehydration. This helps maintain the child's nutritional status and supports recovery. Options A, C, and D are appropriate interventions for a child with no dehydration. Option A ensures adequate fluid intake, option C promotes hydration, and option D ensures appropriate follow-up if the condition worsens.

3. What are the best food sources of magnesium?

A. oils, bananas, and pork
B. pizza, potatoes, and tomatoes
C. milk, rice, and apples
D. legumes, whole grains, and chocolate

Correct answer: D

Rationale: The correct answer is D: legumes, whole grains, and chocolate. These foods are rich sources of magnesium, an essential mineral that plays a role in over 300 biochemical reactions in the body. Choices A, B, and C do not contain as high levels of magnesium compared to legumes, whole grains, and chocolate.

4. Discharge plans of diabetic clients include injection site rotation. You should emphasize that the space between sites should be:

A. 6.0 cm.
B. 5.0 cm.
C. 2.5 cm.
D. 4.0 cm.

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. Which list contains fatty acids that reduce cardiovascular disease risk?

A. omega 3, trans fatty acids, saturated fatty acids
B. EPA and DHA
C. omega 6, omega 3, partially hydrogenated oil
D. omega 3, EPA, saturated fatty acids

Correct answer: B

Rationale: EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid), both omega-3 fatty acids, are known to reduce the risk of cardiovascular disease.