ATI RN
ATI RN Nutrition Online Practice 2019
1. 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.
2. While reviewing notes from a previous shift, a nurse finds incomplete documentation. What is the most appropriate action?
- A. Complete the missing documentation
- B. Notify the nurse manager of the issue
- C. Ask the nurse to complete the documentation
- D. Confront the nurse about the incomplete notes
Correct answer: B
Rationale: The most appropriate action when finding incomplete documentation is to notify the nurse manager of the issue. This ensures that accurate records are maintained and the situation can be addressed properly. Completing the missing documentation on behalf of someone else may lead to inaccuracies, asking the nurse to complete it may not guarantee timely correction, and confronting the nurse could create a confrontational situation that is not conducive to effective teamwork.
3. A nurse is assessing a client who is being admitted from the PACU following an abdominal hysterectomy. Which of the following assessments is the nurse's priority?
- A. Urinary output
- B. Pain level
- C. Oxygen saturation
- D. Abdominal dressing
Correct answer: C
Rationale: The correct answer is C: Oxygen saturation. Following abdominal surgery, the priority assessment is to ensure adequate oxygenation. Monitoring oxygen saturation is crucial as the client may be at risk of respiratory complications due to the effects of anesthesia, pain medications, and the surgical procedure itself. Assessing urinary output is important for monitoring kidney function but is not the priority immediately postoperatively. Pain level assessment is essential for the client's comfort but does not take precedence over ensuring oxygen saturation. Checking the abdominal dressing is important for wound assessment, but ensuring adequate oxygenation is the priority in the immediate postoperative period.
4. A nurse is observing the closed chest drainage system of a client who is 24 hr post thoracotomy. The nurse notes slow, steady bubbling in the suction control chamber. Which of the following actions should the nurse take?
- A. Check the tubing connections for leaks.
- B. Check the suction control outlet on the wall.
- C. Clamp the chest tube.
- D. Continue to monitor the client's respiratory status.
Correct answer: Continue to monitor the client's respiratory status.
Rationale: In a closed chest drainage system, slow, steady bubbling in the suction control chamber is an expected finding, indicating proper functioning of the system. There is no immediate need for intervention as this indicates the system is working as intended. The nurse should continue to monitor the client's respiratory status for any signs of distress or changes. Checking tubing connections for leaks or clamping the chest tube are unnecessary actions based on the information provided. Checking the suction control outlet on the wall is also not indicated in this scenario.
5. Alicia, 5 years old, knows that she will take a bath at 6:05, change clothes at 6:15, eat breakfast at 6:20, commute to school at 6:40, and join the assembly at 7:00. A child's awareness of his or her scripts or daily routine is classified under which type of memory?
- A. Semantic memory
- B. Nondeclarative memory
- C. Generic memory
- D. Autobiographical memory
Correct answer: D
Rationale: The correct answer is D, Autobiographical memory. Autobiographical memory refers to the memory of a person's life events, such as daily routines and personal experiences. In this scenario, Alicia's awareness of her daily routine falls under autobiographical memory as she remembers specific events related to her own life. Choices A, B, and C are incorrect. Semantic memory is related to general knowledge about the world, nondeclarative memory involves memories that are not consciously recalled, and generic memory is not a recognized memory classification.