ATI RN
Nutrition ATI Test
1. After bronchoscopy, the nurse's priority is to check which of the following before feeding?
- A. Gag reflex
- B. Wearing off of anesthesia
- C. Swallowing reflex
- D. Peristalsis
Correct answer: A
Rationale: After a bronchoscopy procedure, the nurse's priority is to check the patient's gag reflex before allowing them to eat to prevent aspiration. The gag reflex helps protect the airway by triggering a cough or gag response if something touches the back of the throat. This is crucial to ensure that the patient can protect their airway and prevent food or fluids from entering the lungs, especially when the throat may be sensitive or compromised post-bronchoscopy. Checking for the wearing off of anesthesia, swallowing reflex, or peristalsis are important assessments but not the immediate priority before feeding in this context.
2. Which statement by a client indicates a need for further teaching about food safety?
- A. I will use the food before the expiration date listed on the package.
- B. I will wash my strawberries before I eat them.
- C. I will drink unpasteurized milk as it has many gut-healthy probiotics.
- D. I will wash my hands after I prepare raw chicken.
Correct answer: C
Rationale: The correct answer is C because drinking unpasteurized milk can contain harmful bacteria, which poses a risk to food safety. Choice A is correct as it emphasizes using food before the expiration date. Choice B is also correct as washing fruits before consumption is a good food safety practice. Choice D is correct as well since washing hands after handling raw chicken is crucial to prevent cross-contamination. Therefore, choice C is the only statement that indicates a need for further teaching on food safety.
3. A diet high in which nutrient can lead to increased risk of developing kidney stones?
- A. Fiber
- B. Protein
- C. Carbohydrates
- D. Unsaturated fats
Correct answer: B
Rationale: High protein intake can increase the risk of kidney stones due to elevated calcium excretion.
4. In some hip surgeries, an epidural catheter for Fentanyl epidural analgesia is given. What is your nursing priority care in such a case?
- A. Instruct the client to observe strict bed rest
- B. Check for epidural catheter drainage
- C. Administer analgesia through the epidural catheter as prescribed
- D. Assess respiratory rate carefully
Correct answer: D
Rationale: The nursing priority care in a case where an epidural catheter for Fentanyl epidural analgesia is given during hip surgeries is to assess the respiratory rate carefully. Respiratory depression is a potential side effect of Fentanyl, especially when administered epidurally. Monitoring the respiratory rate is crucial to detect any signs of respiratory distress promptly. Instructing the client to observe strict bed rest (Choice A) may be necessary but is not the priority over ensuring respiratory function. Checking for epidural catheter drainage (Choice B) and administering analgesia through the epidural catheter as prescribed (Choice C) are important aspects of care, but ensuring adequate ventilation takes precedence to prevent complications.
5. A client who 1) _____ diet requires 2) ___ amounts of vitamin C.
- A. A) Follows a vegan diet, B) More
- B. B) Smokes cigarettes, B) More
- C. A) Follows a vegan diet, C) The same
- D. B) Smokes cigarettes, C) The same
Correct answer: B
Rationale: The correct answer is B) Smokes cigarettes, More. Smoking increases the need for vitamin C as it can deplete the body's vitamin C levels. Vegan diets, on the other hand, require more vitamin C for optimal absorption due to the absence of heme iron, which enhances non-heme iron absorption. Choices A and C are incorrect because vegan diets require more vitamin C, while smoking increases the need for vitamin C.