ATI RN
Nutrition ATI Proctored Exam 2023
1. Legally, Patients chart are:
- A. Owned by the government since it is a legal document
- B. Owned by the doctor in charge and should be kept from the administrator for whatever reason
- C. Owned by the hospital and should not be given to anyone who request it other than the doctor in charge
- D. Owned by the patient and should be given by the nurse to the client as requested
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 pre-dialysis end-stage kidney disease is being taught about diet. Which of the following instructions should the nurse include?
- A. Increase intake of dietary phosphorus.
- B. Eliminate foods high in protein from your diet.
- C. Reduce intake of foods high in potassium.
- D. Increase intake of sodium-containing foods.
Correct answer: C
Rationale: In pre-dialysis end-stage kidney disease, reducing intake of foods high in potassium is crucial as impaired kidney function can lead to potassium buildup in the blood, which can be dangerous. High potassium levels can cause irregular heartbeats and even cardiac arrest. Therefore, advising the client to reduce potassium-rich foods is essential to prevent complications. Choices A, B, and D are incorrect. Increasing dietary phosphorus, eliminating foods high in protein, or increasing sodium-containing foods are not appropriate recommendations for a client with pre-dialysis end-stage kidney disease as they can exacerbate the condition.
3. Medications that reduce stomach acidity can impair the absorption of _____.
- A. calcium
- B. iron
- C. vitamin D
- D. vitamin C
Correct answer: B
Rationale: Reduced stomach acidity impairs the absorption of iron, as an acidic environment is necessary for optimal iron absorption in the stomach. Choices A, C, and D are incorrect as medications that reduce stomach acidity typically do not significantly affect the absorption of calcium, vitamin D, or vitamin C.
4. What best describes a task of the registered dietitian?
- A. administering total parenteral nutrition
- B. administering formula through feeding tubes
- C. prescribing diet orders
- D. conducting nutrition assessments
Correct answer: D
Rationale: The correct answer is D, conducting nutrition assessments. Registered dietitians are responsible for assessing an individual's nutritional status, dietary intake, and health needs. This assessment forms the basis for developing personalized nutrition care plans. Choices A and B involve the administration of specialized nutrition support, which is typically done by healthcare providers with specific training in those areas. Choice C, prescribing diet orders, may fall outside the scope of practice for a dietitian as they focus more on assessment, education, and counseling related to nutrition rather than prescribing medical treatments.
5. In an extreme situation and when no other resident or intern is available, should a nurse receive telephone orders, the order has to be correctly written and signed by the physician within:
- A. 24 hours
- B. 36 hours
- C. 48 hours
- D. 12 hours
Correct answer: B
Rationale: In an extreme situation where no other resident or intern is available, if a nurse receives telephone orders, the order has to be correctly written and signed by the physician within 36 hours. This time frame ensures timely documentation and validation of the orders. Choice A (24 hours) is too short a period for busy physicians to fulfill the task. Choice C (48 hours) is too long and delays the incorporation of physician orders into the patient's care plan. Choice D (12 hours) may not provide enough time for the physician to review and sign the order, especially in situations where immediate attention is not required.
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