ATI RN
ATI Proctored Nutrition Exam
1. Is the statement 'The metabolic rate is the highest after a few hours of sleep' true or false?
- A. True
- B. False
- C.
- D.
Correct answer: B
Rationale: The statement is false. The metabolic rate is actually lowest during sleep and increases upon waking. During sleep, the body conserves energy, leading to a lower metabolic rate. As the body wakes up and becomes active, the metabolic rate increases to support the body's functions and energy needs. Therefore, the metabolic rate is not the highest after a few hours of sleep, making the statement false.
2. Which of the following ethical principles refers to the duty to do good?
- A. Beneficence
- B. Fidelity
- C. Veracity
- D. Nonmaleficence
Correct answer: B
Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.
3. A nurse is planning care for a client who has osteoarthritis. Which of the following interventions should the nurse include?
- A. Administer opioids routinely for chronic pain.
- B. Instruct the client to avoid weight-bearing exercises.
- C. Apply heat to affected joints to reduce stiffness.
- D. Avoid physical activity to prevent joint damage.
Correct answer: C
Rationale: The correct intervention for a client with osteoarthritis is to apply heat to affected joints to reduce stiffness. Heat application helps improve circulation, relax muscles, and reduce discomfort in joints affected by osteoarthritis. Administering opioids routinely (Choice A) is not the first-line treatment for osteoarthritis and carries risks of dependency and side effects. Instructing the client to avoid weight-bearing exercises (Choice B) may lead to muscle weakness and reduced joint flexibility. Avoiding physical activity altogether (Choice D) can lead to further joint stiffness and compromised overall health.
4. A healthcare professional is preparing to administer vancomycin 1 g by intermittent IV bolus. Available is vancomycin 1 g in 100 mL of dextrose 5% in water (D5W) to infuse over 45 min. The drop factor of the manual IV tubing is 10 gtt/mL. How many gtt/min should the healthcare professional adjust the manual IV infusion to deliver?
- A. 22 gtt/min
- B. 24 gtt/min
- C. 20 gtt/min
- D. 18 gtt/min
Correct answer: A
Rationale: To calculate the flow rate, use the formula: (Volume in mL x Drop factor) / Time in minutes = Flow rate in gtt/min. In this case, (100 mL x 10 gtt/mL) / 45 min = 22 gtt/min. Thus, the healthcare professional should adjust the manual IV infusion to deliver 22 gtt/min. Choice B, 24 gtt/min, is incorrect because it miscalculates the flow rate. Choices C and D, 20 gtt/min and 18 gtt/min, are also incorrect as they do not accurately calculate the flow rate based on the given information.
5. Clinitest is used in testing the urine of a client for glucose. Which of the following, if committed by a nurse, indicates an error?
- A. Specimen is collected after meals
- B. The nurse puts the clingiest tablet into a test tube
- C. She added 5 drops of urine and 10 drops of water
- D. If the color becomes orange or red, It is considered
Correct answer: C
Rationale: When conducting a Clinitest for testing urinary glucose levels, it is essential to add the correct amounts of urine and Clinitest reagent as instructed. Adding more water than urine could dilute the sample, leading to inaccurate test results. It's important to follow the correct ratio of drops specified in the instructions for an accurate reading.