ATI RN
Nutrition ATI Test
1. What is the most effective way to limit the number of microorganisms in the hospital?
- A. Using strict aseptic technique in all procedures
- B. Wearing a mask and gown when caring for all patients with communicable diseases
- C. Sterilizing all instruments
- D. Handwashing
Correct answer: A
Rationale: The most effective way to limit the number of microorganisms in the hospital is by using strict aseptic technique in all procedures. This approach ensures that the risk of introducing harmful microorganisms into the hospital environment or patients is minimized. Choice B, wearing a mask and gown when caring for patients with communicable diseases, is important but not as comprehensive as using aseptic technique in all procedures. Sterilizing all instruments (Choice C) is crucial for preventing infections but may not address all avenues of microorganism transmission. Handwashing (Choice D) is a fundamental practice in infection control but alone may not be as effective as utilizing aseptic techniques in all procedures to limit microorganisms in the hospital.
2. Which of the following statements made by a client diagnosed with human immunodefiency virus (HIV) would require further teaching?
- A. “I will have to be careful and avoid crowds.”
- B. “I will take prescribed medications.”
- C. “I will have to take medications for the rest of my life.”
- D. “I will only need to take HIV medications for 6 months, and I will be cured
Correct answer: “I will only need to take HIV medications for 6 months, and I will be cured
Rationale:
3. What is the priority nursing diagnosis for a client with metastatic bone disease?
- A. Chronic pain
- B. Impaired mobility
- C. Risk for falls
- D. Risk for infection
Correct answer: C
Rationale: The correct answer is 'Risk for falls.' In clients with metastatic bone disease, weakened bones can lead to an increased risk of falls, making it a priority nursing diagnosis. Chronic pain (choice A) may be present but addressing the risk for falls is more critical in this situation. While impaired mobility (choice B) can be a consequence of metastatic bone disease, preventing falls takes precedence. Risk for infection (choice D) is not the priority in this case, as falls pose a more immediate threat to the client's safety.
4. The mother of a 3-month-old breastfed infant asks about giving her baby water because it is summer and very warm. What should the nurse tell her?
- A. Fluids in addition to breast milk are not needed.
- B. Water should be given if the infant seems to nurse longer than usual.
- C. Clear juices are better than water to promote adequate fluid intake.
- D. Water once or twice a day will make up for losses resulting from environmental temperature.
Correct answer: A
Rationale: Breast milk provides adequate hydration, even in warm weather, so additional fluids like water are not necessary and can interfere with breastfeeding.
5. The client is on dobutamine. Adverse effects of Dobutrex (dobutamine) include the following: Select all that apply.
- A. Heart failure
- B. Bradycardia
- C. Tachycardia
- D. Respiratory distress
Correct answer: C
Rationale: The correct answer is C: Tachycardia. Dobutamine is a medication that primarily increases heart rate (tachycardia) and blood pressure. Therefore, the adverse effects of dobutamine include tachycardia. Choices A, B, and D are incorrect. Heart failure is not an adverse effect of dobutamine; in fact, it is used to treat heart failure by increasing heart contractility. Bradycardia (slow heart rate) is not an expected adverse effect of dobutamine, as it usually increases heart rate. Respiratory distress is not a common adverse effect of dobutamine.