ATI RN
ATI Proctored Nutrition Exam 2019
1. The following mechanisms can be utilized as part of the quality assurance program of your hospital EXCEPT:
- A. Patient satisfaction surveys
- B. Peer review to assess care provided
- C. Review of clinical records of care of client
- D. Use of Nursing Interventions Classification
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.
2. A nurse is caring for a client who has a history of alcohol use disorder and is experiencing withdrawal. Which of the following medications should the nurse expect to administer?
- A. Metoclopramide
- B. Lorazepam
- C. Haloperidol
- D. Methadone
Correct answer: B
Rationale: Lorazepam is the correct medication to administer in this situation. It is used to manage the symptoms of alcohol withdrawal and prevent complications like seizures and delirium tremens. Metoclopramide is primarily used to treat gastrointestinal issues, Haloperidol is an antipsychotic medication used for conditions like schizophrenia, and Methadone is typically used in managing opioid dependence. These medications are not the first-line treatment for alcohol withdrawal.
3. A major limitation of systematic observation is that it __________.
- A. provides little information on how participants actually behave
- B. tells investigators little about the reasoning behind responses and behaviors
- C. underestimates the capacities of individuals who have difficulty putting their thoughts into words
- D. ignores participants with poor memories, who may have trouble recalling exactly what happened
Correct answer: B
Rationale: A major limitation of systematic observation is that it tells investigators little about the reasoning behind responses and behaviors. Systematic observation focuses more on recording observable behaviors rather than delving into the underlying reasons or thought processes driving those behaviors. Choices A, C, and D are incorrect because systematic observation can indeed provide detailed information on how participants actually behave, it doesn't necessarily underestimate the capacities of individuals who struggle with verbal expression, and it doesn't solely ignore participants with poor memories as it can capture behavior in real-time regardless of memory recall.
4. The patient has been in bed for several days and needs to be ambulated. What action should the nurse take first?
- A. Dangle the patient at the bedside.
- B. Encourage isometric exercises.
- C. Suggest a high-calcium diet.
- D. Maintain a narrow base of support.
Correct answer: A
Rationale: The correct answer is A: 'Dangle the patient at the bedside.' When a patient has been in bed for an extended period and needs to be ambulated, it is essential to dangle the patient at the bedside first. Dangling involves helping the patient sit on the edge of the bed with their legs over the side before standing up. This action helps prevent orthostatic hypotension, a sudden drop in blood pressure when moving from lying down to standing up, which can lead to dizziness or fainting. Encouraging isometric exercises (choice B) or suggesting a high-calcium diet (choice C) are not the first actions to take before ambulating a patient. Maintaining a narrow base of support (choice D) is related to assisting with ambulation but is not the initial step that should be taken.
5. Which drugs may cause weight gain?
- A. Amphetamines
- B. Steroids
- C. Antibiotics
- D. Nonsteroidal anti-inflammatory drugs
Correct answer: B
Rationale: Steroids are known to cause weight gain as a side effect. Amphetamines, antibiotics, and nonsteroidal anti-inflammatory drugs are not typically associated with weight gain. Amphetamines are more likely to cause weight loss due to their stimulant effects, antibiotics are not commonly linked to weight gain, and nonsteroidal anti-inflammatory drugs usually do not lead to significant weight changes.