ATI LPN
ATI Nutrition Proctored Exam 2019 Answers
1. What are oligosaccharides composed of?
- A. 3 to 10 monosaccharide units.
- B. large portions of partially digested starch.
- C. nonnutritive sweeteners.
- D. used for weight management.
Correct answer: A
Rationale: Oligosaccharides are carbohydrates composed of 3 to 10 monosaccharide units, making choice A the correct answer. Choice B is incorrect as oligosaccharides do not contain partially digested starch. Choice C is incorrect as nonnutritive sweeteners are a different category of compounds. Choice D is incorrect as oligosaccharides are not primarily used for weight management.
2. When teaching a client about the use of risperidone, which of the following should be included?
- A. It is an SSRI
- B. Monitor for metabolic syndrome
- C. It has no side effects
- D. It can be taken with alcohol
Correct answer: B
Rationale: The correct answer is B: 'Monitor for metabolic syndrome.' Risperidone is not an SSRI but an atypical antipsychotic. Choice A is incorrect. Choice C is also incorrect as risperidone, like any medication, can have side effects. Choice D is wrong because alcohol consumption should generally be avoided while taking risperidone. Educating clients about monitoring for metabolic syndrome, weight gain, and other potential side effects is crucial in managing their health effectively while on this medication.
3. Which pain assessment tool is most appropriate for a 3-month-old hospitalized with a fractured femur?
- A. FLACC scale
- B. Poker chip tool
- C. Number scale
- D. Visual analog scale
Correct answer: A
Rationale: The FLACC scale, which stands for Face, Legs, Activity, Cry, and Consolability, is specifically designed for nonverbal patients like infants and young children. It assesses pain based on observable behaviors such as facial expressions, leg movement, activity level, cry, and the ability to be consoled. In this case, a 3-month-old infant who is unable to communicate verbally would best be assessed using the FLACC scale to determine the level of pain experienced due to a fractured femur. The Poker chip tool, Number scale, and Visual analog scale are not suitable for nonverbal infants and young children as they rely on self-reporting or cognitive abilities that are not yet developed at this age.
4. A nurse is planning to administer an injection of morphine to a client. Which of the following actions should the nurse take to ensure client safety?
- A. Instruct the client to take a deep breath during administration.
- B. Administer the medication over 30 seconds.
- C. Verify the client’s pain level.
- D. Have naloxone available in case of respiratory depression.
Correct answer: D
Rationale: The correct answer is to have naloxone available in case of respiratory depression. Morphine is an opioid that can lead to respiratory depression, especially in higher doses. Naloxone is the antidote for opioid overdose and should be readily accessible when administering morphine to reverse respiratory depression if it occurs. Instructing the client to take a deep breath during administration (choice A) is not directly related to ensuring safety in this scenario. Administering the medication over 30 seconds (choice B) may help with the comfort of the client but does not address the potential risk of respiratory depression. Verifying the client's pain level (choice C) is important but not the primary action to ensure safety when administering morphine.
5. The preceptor is orienting a new graduate nurse to the critical care unit. The preceptor asks the new graduate to state symptoms that most likely indicate the beginning of a shock state in a critically ill client. What findings should the new graduate nurse identify?
- A. Warm skin, hypertension, and constricted pupils.
- B. Bradycardia, hypotension, and respiratory acidosis.
- C. Mottled skin, tachypnea, and hyperactive bowel sounds.
- D. Tachycardia, mental status change, and low urine output.
Correct answer: D
Rationale: Tachycardia, mental status change, and low urine output are early indicators of shock. In a critically ill client, these findings suggest a decrease in tissue perfusion. Prompt recognition and intervention are crucial to prevent the progression of shock and its complications.
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