ATI RN
ATI Nutrition Proctored
1. Symptoms of irritable bowel syndrome are most likely associated with disturbed defecation, bloating, and _____.
- A. rectal bleeding
- B. abdominal pain
- C. rectal fissures
- D. esophageal paralysis
Correct answer: B
Rationale: Abdominal pain is a common symptom of irritable bowel syndrome (IBS), along with bloating and changes in bowel habits. Rectal bleeding (choice A) is more commonly associated with conditions like inflammatory bowel disease or colorectal cancer. Rectal fissures (choice C) may cause rectal bleeding but are not typically considered a core symptom of IBS. Esophageal paralysis (choice D) is unrelated to the symptoms of IBS, which primarily affect the lower gastrointestinal tract.
2. A nurse is preparing to administer a gavage feeding via a nasogastric tube to a preterm newborn who is receiving supplemental oxygen. Which of the following actions should the nurse take?
- A. Stabilize the tube with tape to the newborn’s cheek.
- B. Remove supplemental oxygen during the feeding.
- C. Measure the stomach aspirate prior to the feeding.
- D. Place the newborn on their left side for 30 minutes after the feeding.
Correct answer: C
Rationale: Measuring the stomach aspirate prior to the feeding is crucial to ensure the correct placement and function of the nasogastric tube. This step helps prevent complications such as aspiration or improper feeding. Choice A is incorrect as stabilizing the tube with tape to the newborn’s cheek can cause discomfort and skin irritation. Choice B is incorrect because removing supplemental oxygen during the feeding may compromise the newborn's respiratory status. Choice D is incorrect because placing the newborn on their left side for 30 minutes after the feeding is not a standard practice and is unnecessary for administering gavage feeding.
3. Most nurses regard this conventional recording of the date, time, and mode by which the patient leaves a healthcare unit but this record includes importantly, directs of planning for discharge that starts soon after the person is admitted to a healthcare institution. It is accepted that collaboration or multidisciplinary involvement (of all members of the health team) in discharge results in comprehensive care. What do you call this?
- A. Discharge Summary
- B. Nursing Kardex
- C. Medicine and Treatment Record
- D. Nursing Health History and Assessment Worksheet
Correct answer: C
Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.
4. What is the form in which energy from excess intake of proteins, fats, alcohol, and carbohydrates is stored?
- A. Protein
- B. Fat
- C. Carbohydrates
- D. Alcohol
Correct answer: B
Rationale: When the body consumes more energy than it needs, the surplus is stored as fat, regardless of whether the energy source was proteins, fats, alcohol, or carbohydrates. This is why the correct answer is 'Fat'. Other choices are incorrect because, in excess intake situations, the body does not store surplus energy as proteins, carbohydrates, or alcohol.
5. How is the stomach protected from damage by gastric acid?
- A. enzymes present in the stomach
- B. a protective bacteria in the stomach
- C. bicarbonate present in the stomach
- D. the mucus lining of the stomach
Correct answer: D
Rationale: The correct answer is D. The stomach is protected from gastric acid by a thick mucus lining that acts as a physical barrier, preventing the acid from eroding the stomach walls. Enzymes in the stomach help with digestion but do not play a significant role in protecting the stomach from acid damage, so choice A is incorrect. While some bacteria in the stomach can be beneficial, they do not primarily protect the stomach from gastric acid, making choice B incorrect. Bicarbonate, a base, can neutralize acid, but it is not the primary defense mechanism against gastric acid in the stomach, so choice C is also incorrect.