ATI RN
ATI RN Nutrition Online Practice 2019
1. Patients maintained using peritoneal dialysis may gain weight because:
- A. their appetite is increased
- B. physical activity is limited
- C. they absorb glucose from the dialysate
- D. they absorb amino acids from the dialysate
Correct answer: C
Rationale: Glucose from the peritoneal dialysis solution can be absorbed into the bloodstream, leading to weight gain if not balanced with diet and activity.
2. A nurse is caring for a client who has a new prescription for spironolactone. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the medication?
- A. Serum sodium.
- B. Serum calcium.
- C. Serum potassium.
- D. Serum glucose.
Correct answer: C
Rationale: Corrected Rationale: Spironolactone is a potassium-sparing diuretic, so serum potassium should be monitored to evaluate its effectiveness. Monitoring serum potassium levels is crucial because spironolactone can cause hyperkalemia as a side effect. Serum sodium, serum calcium, and serum glucose levels are not directly affected by spironolactone and would not provide an accurate assessment of the medication's effectiveness.
3. A client with diabetes mellitus is prescribed prednisone for a rash. Which statement by the client indicates the need for further teaching?
- A. I might have trouble falling asleep while taking prednisone
- B. I might feel emotional when I am on this medicine
- C. I might need to increase my regular insulin during this time
- D. I will gradually stop the prednisone when my rash goes away
Correct answer: D
Rationale: The correct answer is D. Prednisone should never be stopped abruptly; it must be tapered down. Stopping it suddenly can lead to adrenal insufficiency. Choices A, B, and C are all potential side effects or considerations when taking prednisone and do not indicate a need for further teaching.
4. A nurse is caring for a client who is prescribed warfarin. Which of the following laboratory tests should the nurse review to evaluate the therapeutic effect of this medication?
- A. aPTT
- B. INR
- C. Serum glucose
- D. Bilirubin
Correct answer: B
Rationale: The correct answer is B: INR. The International Normalized Ratio (INR) is the most reliable test for evaluating the therapeutic effects of warfarin therapy. INR measures the clotting ability of the blood and helps determine if the dosage of warfarin is within the therapeutic range. Choice A, aPTT, is not typically used to monitor the effects of warfarin. Choice C, Serum glucose, and choice D, Bilirubin, are not relevant to monitoring the therapeutic effect of warfarin.
5. What are the responsibilities of a nurse towards a patient?
- A. A registered nurse is responsible for a group of patients from their admission to their discharge
- B. A registered nurse only provides care for the patient with the assistance of nursing aides
- C. A nurse's only responsibility is to perform administrative duties in a healthcare setting
- D. A nurse's only responsibility is to maintain hospital equipment
Correct answer: A
Rationale: A registered nurse is responsible for a group of patients from their admission to their discharge. This responsibility encompasses assessing patient needs, formulating care plans, administering medications, monitoring patient progress, and coordinating with other members of the healthcare team. Choice B is not entirely accurate because, even though nurses often work with nursing aides, the nurses themselves hold the ultimate responsibility for the overall care of the patient. Choices C and D are incorrect as they depict an incomplete and inaccurate representation of a nurse's role, which extends beyond administrative duties and equipment maintenance to primarily focus on direct patient care.