ATI RN
Nutrition ATI Proctored Exam
1. What are the manifestations of nephrotic syndrome?
- A. Dehydration
- B. Uremia
- C. Infection
- D. Low blood lipids
Correct answer: C
Rationale: Infection is a common manifestation of nephrotic syndrome. This is due to the loss of immunoglobulins in the urine, which weakens the body's immune defenses. Dehydration (Choice A) and uremia (Choice B) can be symptoms of kidney dysfunction but are not specific manifestations of nephrotic syndrome. Low blood lipids (Choice D) is incorrect as nephrotic syndrome typically results in high, not low, blood lipid levels due to the body's attempt to replace lost proteins.
2. A client complains every morning that the night shift nursing staff does not answer his call light promptly to assist his elimination needs. His concerns are not shared with the Nurse Manager, and he falls while trying to walk to the bathroom. This fall could be attributed to which of the following?
- A. Breakdown in communication
- B. Lack of staff
- C. Lack of concern
- D. Breakdown in management
Correct answer: A
Rationale: The correct answer is A: Breakdown in communication. In this scenario, the client's complaints about the night shift nursing staff not responding promptly to his call light indicate a lack of effective communication. If the client's concerns were properly communicated to the Nurse Manager, steps could have been taken to address the issue and prevent the fall. Choice B, Lack of staff, is incorrect as the issue here is not related to staffing levels but rather to communication breakdown. Choice C, Lack of concern, is not the primary cause of the fall; the root cause lies in communication failure. Choice D, Breakdown in management, while related, is not as direct a cause as the breakdown in communication which led to the fall.
3. A nurse is caring for a client post-myocardial infarction (MI). What is the priority assessment for this client?
- A. Monitoring urine output
- B. Checking blood glucose levels
- C. Assessing for chest pain
- D. Monitoring electrolyte levels
Correct answer: C
Rationale: Assessing for chest pain is crucial in post-MI clients as it can indicate complications such as reinfarction or ischemia.
4. The activities of an anatomist consist of ______, whereas those of a physiologist consist of _____.
- A. observing body parts; studying functions of body parts
- B. conducting experiments; making microscopic examinations
- C. studying molecules; observing forms of the body parts
- D. sketching; dissecting
Correct answer: observing body parts; studying functions of body parts
Rationale: An anatomist focuses on observing the structure and morphology of body parts, such as organs, tissues, and cells, to understand their organization. On the other hand, a physiologist is more concerned with studying the functions and processes of these body parts, including how they work individually and together to maintain homeostasis. Therefore, the correct answer is 'observing body parts; studying functions of body parts.' Choices B, C, and D are incorrect as they do not accurately reflect the primary activities of anatomists and physiologists.
5. What is the initial action for a healthcare provider when a patient presents with shortness of breath?
- A. Administer oxygen
- B. Reposition the patient
- C. Check for abnormal breath sounds
- D. Check oxygen saturation
Correct answer: A
Rationale: Administering oxygen is the initial action for a healthcare provider when a patient presents with shortness of breath because it helps alleviate the patient's symptoms by improving oxygenation. Providing oxygen takes precedence over other actions such as repositioning the patient, checking for abnormal breath sounds, or assessing oxygen saturation. While these actions are important, ensuring the patient has an adequate oxygen supply is crucial in the initial management of shortness of breath.