in performing a cleansing enema the nurse performs the procedure by positioning the client in

ATI RN

ATI Nutrition Practice Test A 2019

1. In conducting a cleansing enema, how does the nurse position the client?

A. Right lateral position
B. Left lateral position
C. Right Sim's position
D. Left Sim's position

Correct answer: B

Rationale: In preparing a patient for a cleansing enema, the nurse typically positions the patient in the left lateral position. This position allows for the best flow of the solution due to the anatomical configuration of the colon. The right lateral position, right Sim's position, and left Sim's position are not typically used for this procedure. The rationale provided initially is incorrect as it pertains to lung expansion and postural drainage, which are not relevant to a cleansing enema procedure.

2. The nurse knows that after receiving the blood from the blood bank, it should be administered within:

A. 1 hour
B. 2 hours
C. 4 hours
D. 6 hours

Correct answer: D

Rationale: Blood transfusions need to be administered promptly after receiving the blood from the blood bank to ensure patient safety and effectiveness. Waiting too long can lead to complications such as bacterial growth in the blood product, which can be harmful when infused. Administering the blood within 6 hours is crucial to prevent such risks. Choices A, B, and C are incorrect because waiting for 1, 2, or 4 hours respectively can increase the likelihood of complications associated with delayed transfusion.

3. Which of the following statements are correct?

A. Lipids are transported in the blood as lipoproteins, which are clusters of lipids associated with proteins.
B. In type II diabetes, the pancreas produces insulin, but cells are resistant to this signal.
C. The glycemic index classifies foods based on their potential to raise blood glucose levels.
D. All of the above

Correct answer: D

Rationale: Option A is correct because lipoproteins indeed transport lipids in the blood. They are complexes of lipids and proteins that transport water-insoluble lipids through the blood. Option B is correct as it accurately describes the condition of type II diabetes where the pancreas can produce insulin, but the cells are resistant to its signal, causing an ineffective regulation of blood sugar. Option C is also correct because the glycemic index is indeed a classification system for foods based on their potential to raise blood glucose levels. High glycemic index foods raise blood glucose levels faster than low glycemic index foods. Hence, all the statements are correct, making option D the correct answer.

4. Dina, 17 years old, asks you how a tubal ligation prevents pregnancy. Which would be the best answer?

A. Prostaglandins released from the cut fallopian tubes can kill sperm
B. Sperm cannot enter the uterus because the cervical entrance is blocked
C. Sperm can no longer reach the ova, because the fallopian tubes are blocked
D. The ovary no longer releases ova as there is nowhere for them to go

Correct answer: C

Rationale: The correct answer is C: 'Sperm can no longer reach the ova because the fallopian tubes are blocked.' Tubal ligation works by blocking the fallopian tubes, preventing sperm from reaching the egg for fertilization. Choice A is incorrect because prostaglandins are not released from the cut fallopian tubes to kill sperm. Choice B is incorrect as the cervical entrance being blocked does not relate to tubal ligation. Choice D is incorrect because tubal ligation does not affect the release of ova from the ovary.