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. A client has a new prescription for Levodopa/Carbidopa for Parkinson's disease. Which of the following instructions should the nurse include?
- A. Increase intake of protein-rich foods.
- B. Expect muscle twitching to occur.
- C. Take this medication with food.
- D. Anticipate relief of manifestations in 24 hours.
Correct answer: C
Rationale: The correct instruction the nurse should include is to take Levodopa/Carbidopa with food. Taking this medication with food helps reduce gastrointestinal side effects. Instructing the client to take the medication with food promotes better tolerance and absorption of the drug. Choice A is incorrect because increasing protein-rich foods is not specifically related to the administration of this medication. Choice B is incorrect as muscle twitching is not a common side effect of Levodopa/Carbidopa. Choice D is incorrect because relief of manifestations may take longer than 24 hours to occur.
3. John Bowlby's attachment theory emphasized ________.
- A. the social environment in forming attachments.
- B. the quality of parental care in forming attachments.
- C. the quality of early reinforcers and stimulation in forming attachments.
- D. the necessity of independence from parental figures in forming attachments.
Correct answer: B
Rationale: John Bowlby's attachment theory emphasized the quality of parental care in forming attachments. This is because Bowlby believed that a child's early experiences with their primary caregiver, especially the quality of care and responsiveness received, significantly influence the child's ability to form secure attachments. Choice A is incorrect because while the social environment plays a role, Bowlby's theory focused more on the caregiver-child relationship. Choice C is incorrect as it does not capture the central role of parental care highlighted in Bowlby's theory. Choice D is also incorrect as Bowlby's theory actually emphasized the importance of a secure attachment to parental figures for healthy emotional development.
4. A patient is prescribed sildenafil (Viagra) for erectile dysfunction. What critical contraindication should the nurse review with the patient?
- A. Use of nitrates
- B. Use of antihypertensive medications
- C. History of hypertension
- D. History of peptic ulcer disease
Correct answer: A
Rationale: The correct answer is A: Use of nitrates. Sildenafil (Viagra) is contraindicated in patients taking nitrates due to the risk of severe hypotension. Nitrates and sildenafil both cause vasodilation, which can lead to a dangerous drop in blood pressure. Choice B (Use of antihypertensive medications) is incorrect because antihypertensive medications are not a critical contraindication for sildenafil use. Choice C (History of hypertension) is incorrect as it is not a contraindication for sildenafil; in fact, sildenafil is sometimes used in patients with hypertension. Choice D (History of peptic ulcer disease) is also incorrect as it is not a critical contraindication for sildenafil use.
5. Which statement is not part of the developmental care approach?
- A. Family-centered care
- B. Care on a sliding payment scale
- C. Healing environment
- D. Protected sleep
Correct answer: B
Rationale: The developmental care approach emphasizes creating an environment that supports the infant's developmental needs, including family-centered care, a healing environment, and promoting protected sleep. Payment scale considerations are not a component of developmental care.