ATI RN
ATI Nutrition Practice Test A 2019
1. Miss CEE is admitted for treatment of major depression. She appears withdrawn, disheveled, and states 'Nobody wants me'. What does the nurse most likely expect that Miss CEE is to be placed on?
- A. Neuroleptics medication
- B. Special diet
- C. Suicide precaution
- D. Anxiolytics medication
Correct answer: C
Rationale: Given Miss CEE's state of major depression and her expressed feelings of worthlessness ('Nobody wants me'), the nurse would most likely expect her to be placed on suicide precaution. This means that measures would be taken to ensure her safety and to prevent her from harming herself. While medications like neuroleptics (Choice A) and anxiolytics (Choice D) might be employed as part of her overall treatment, these medicines are primarily used for conditions like psychosis and anxiety respectively, not specifically for depression or suicidal ideation. A special diet (Choice B) may be part of a comprehensive treatment plan, but it is not as immediate or as directly related to her current emotional and psychological state as suicide precaution is.
2. Which type of assessment evaluates a person's risk of malnutrition by ranking key variables from the medical history and physical examination?
- A. Katz index
- B. integrated assessment
- C. subjective global assessment
- D. nutrition care plan
Correct answer: C
Rationale: The Subjective Global Assessment (SGA) is the correct choice. SGA is a comprehensive tool used to assess an individual's risk of malnutrition by integrating key variables from the medical history, physical examination, and other relevant factors. The Katz index is used to assess activities of daily living, not malnutrition risk. An integrated assessment refers to the overall evaluation process involving multiple assessments. A nutrition care plan is a personalized plan developed based on assessment findings, not the assessment itself.
3. Uric acid kidney stones are most commonly associated with what condition?
- A. diabetes
- B. hypercalcemia
- C. gout
- D. diarrhea
Correct answer: C
Rationale: Gout is a condition characterized by high levels of uric acid, which can lead to the formation of uric acid kidney stones due to the crystallization of uric acid in the kidneys.
4. Which step of the management process is concerned with Policy making and Stating the goals and objective of the institution?
- A. Planning
- B. Organizing
- C. Directing
- D. Controlling
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.
5. What is the glomerular filtration rate for patients with stage 5 chronic kidney disease (CKD)?
- A. Less than 15 mL/min/1.73 m²
- B. Less than 30 mL/min/1.73 m²
- C. Less than 90 mL/min/1.73 m²
- D. Less than 125 mL/min/1.73 m²
Correct answer: A: Less than 15 mL/min/1.73 m²
Rationale: In patients with stage 5 chronic kidney disease (CKD), also known as end-stage renal disease, the kidney function is significantly compromised. This severe condition is characterized by a glomerular filtration rate (GFR) of less than 15 mL/min/1.73 m², as correctly stated in choice A. Choices B, C, and D suggest higher GFR values, which are not indicative of stage 5 CKD. Specifically, a GFR of less than 30 mL/min/1.73 m² indicates stage 4 CKD, less than 90 mL/min/1.73 m² signifies stage 3 CKD, and a typical healthy individual usually has a GFR of around 125 mL/min/1.73 m², which is far above the GFR for stage 5 CKD.