ATI RN
Nutrition ATI Test
1. In some hip surgeries, an epidural catheter for Fentanyl epidural analgesia is given. What is your nursing priority care in such a case?
- A. Instruct the client to observe strict bed rest
- B. Check for epidural catheter drainage
- C. Administer analgesia through the epidural catheter as prescribed
- D. Assess respiratory rate carefully
Correct answer: D
Rationale: The nursing priority care in a case where an epidural catheter for Fentanyl epidural analgesia is given during hip surgeries is to assess the respiratory rate carefully. Respiratory depression is a potential side effect of Fentanyl, especially when administered epidurally. Monitoring the respiratory rate is crucial to detect any signs of respiratory distress promptly. Instructing the client to observe strict bed rest (Choice A) may be necessary but is not the priority over ensuring respiratory function. Checking for epidural catheter drainage (Choice B) and administering analgesia through the epidural catheter as prescribed (Choice C) are important aspects of care, but ensuring adequate ventilation takes precedence to prevent complications.
2. Men generally have a higher RDA than women, except during pregnancy and lactation when women’s nutritional needs increase significantly.
- A. TRUE
- B. FALSE
- C.
- D.
Correct answer: A
Rationale: The statement is TRUE. Men typically require a higher Recommended Dietary Allowance (RDA) than women due to physiological differences. However, during pregnancy and lactation, women's nutritional needs increase significantly to support the growth and development of the baby. Therefore, during these stages, women may require a higher RDA compared to men. This exception is crucial to consider when evaluating nutritional requirements based on gender.
3. The nurse understands that malnutrition is a prevalent issue among hospitalized individuals. What is it commonly associated with?
- A. Decreased health care expenses
- B. Elevated blood pressure
- C. Decreased mortality rates
- D. A compromised immune system
Correct answer: D
Rationale: Malnutrition is often associated with a weakened immune system. This is because when the body is not sufficiently nourished, it lacks the necessary nutrients to maintain a well-functioning immune system, making patients more vulnerable to infections and other health complications. This can potentially increase mortality rates and prolong hospital stays, contrary to choice C. Choices A and B are incorrect as malnutrition does not lead to decreased health care costs or high blood pressure. In fact, it may increase health care costs due to the potential for increased complications and extended hospital stays.
4. The goal of remotivation therapy is to facilitate:
- A. Insight C. Socialization
- B. Productivity D. Intimacy
- C.
- D.
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. Maternal malnutrition at a critical period of development may have lifelong effects on an individual's pattern of genetic expression and on the tendency to develop obesity, which is a concept known as _____.
- A. genetic determination
- B. metabolic tolerance
- C. chromosomal influence
- D. fetal programming
Correct answer: D
Rationale: Fetal programming refers to the concept that maternal nutrition during critical periods of development can have long-term effects on an individual's health and risk of diseases like obesity.