ATI RN
Nutrition ATI Proctored Exam 2023
1. The nurse interprets the statement “Bow down before me! I am the holy mother of Christ! I am the blessed Virgin Mary!†as important in documenting in which of the following areas of mental status examination?
- A. Thought content
- B. Mood
- C. Affect
- D. Attitude
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 planning care for a toddler who has burns over 50% total body surface area. Which of the following actions should the nurse include in the plan of care?
- A. Administer enteral feedings
- B. Limit intake of vitamin C
- C. Limit dietary protein
- D. Administer insulin prior to meals
Correct answer: A
Rationale: Administering enteral feedings is crucial for ensuring adequate nutrition and supporting healing in toddlers with extensive burns. Burns over 50% total body surface area can lead to increased metabolic demands, making it essential to provide nutrition through enteral feedings to meet the child's needs for healing and recovery. Limiting intake of vitamin C or dietary protein would be detrimental in this scenario as the child requires increased amounts of nutrients to support healing. Administering insulin prior to meals is not indicated in this case as the priority is to provide adequate nutrition to promote healing.
3. The nurse is completing a nutritional assessment on a client. Which statement made by the client is most concerning to the nurse?
- A. "I notice when I take a vitamin E supplement, I bruise more easily."
- B. "I work nights and rarely go outside during the day."
- C. "I take warfarin, so I need to limit the amount of green leafy vegetables I eat."
- D. "My vitamin supplement has the recommended daily allowance of vitamin A."
Correct answer: A
Rationale: The correct answer is A. Excessive intake of vitamin E can increase the risk of bleeding as it acts as a blood thinner. Bruising easily may indicate too much vitamin E. Choice B is not as concerning as it describes a lifestyle that may lead to vitamin D deficiency due to lack of sunlight exposure. Choice C shows awareness of the interaction between warfarin and vitamin K, which is expected. Choice D indicates knowledge of the vitamin A content in the supplement, which is not a cause for concern.
4. The PACU nurse will maintain postoperative T and A client in what position?
- A. Supine with neck hyperextended and supported with pillow
- B. Prone with the head on pillow and turned to the side
- C. Semi-fowler’s with neck flexed
- D. Reverse trendelenburg with extended neck
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.
5. As Leda’s nurse, you plan to set up an emergency equipment at her beside following thyroidectomy. You should include:
- A. An airway and rebreathing tube
- B. A tracheostomy set and oxygen
- C. A crush cart with bed board
- D. Two ampules of sodium bicarbonate
Correct answer: A
Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.