ATI RN
ATI Proctored Nutrition Exam 2019
1. Mr. CKK is unconscious and was brought to the E.R. Who among the following can give consent for CKK's operation?
- A. Doctor
- B. Nurse
- C. Next of Kin
- D. The Patient
Correct answer: A
Rationale: In the scenario described, when a patient is unconscious and unable to provide consent, the responsibility usually falls on the physician to make decisions regarding the patient's treatment, including obtaining consent for an operation. While nurses play a crucial role in patient care, they typically do not have the authority to provide consent for a major procedure. The next of kin may be consulted for input, but the ultimate decision-making authority lies with the physician. The patient, being unconscious, is unable to provide consent in this situation.
2. Which systolic blood pressure measurement is classified as prehypertension?
- A. 106 mmHg
- B. 119 mmHg
- C. 130 mmHg
- D. 141 mmHg
Correct answer: B
Rationale: According to the blood pressure classification, a systolic blood pressure between 120-139 mmHg is considered prehypertension. This range indicates an increased risk for developing hypertension if not managed appropriately. Therefore, a systolic blood pressure of 119 mmHg falls into the prehypertension category. A systolic pressure of 106 mmHg is within the normal range, while 130 mmHg and above would be classified as stage 1 and stage 2 hypertension respectively, not prehypertension.
3. Transmission of HIV from an infected individual to another person occurs:
- A. Most frequently in nurses with needlesticks
- B. Only if there is a large viral load in the blood
- C. Most commonly as a result of sexual contact
- D. In all infants born to women with HIV infection
Correct answer: D
Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.
4. What would a diet manual most likely contain?
- A. Procedures for disinfecting cooking surfaces
- B. Staff sanitation guidelines
- C. Information on specific patients' resting metabolic rates
- D. Specific food preparation methods
Correct answer: D
Rationale: A diet manual typically contains guidance on specific food preparation methods to ensure proper nutrition and health for individuals following the diet. Therefore, choice D is correct. Choices A and B refer to sanitation procedures and staff hygiene issues, which are important but not typically the focus of a diet manual. Choice C, regarding specific patients' resting metabolic rates, is too individualized and detailed for a general diet manual, as it would be part of a personalized dietary plan developed with a healthcare professional.
5. When doing an initial assessment, the best way for you to identify the client’s priority problem is to:
- A. Interview the client for chief complaints and other symptoms
- B. Talk to the relatives to gather data about history of illness
- C. Do auscultation to check for chest congestion
- D. Do a physical examination while asking the client relevant questions
Correct answer: B
Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.