ATI LPN
PN Nutrition Assessment ATI
1. Which nutrient group provides the primary source of energy for the body?
- A. Carbohydrates.
- B. Fats.
- C. Proteins.
- D. Vitamins.
Correct answer: A
Rationale: Carbohydrates are the body's primary source of energy. When carbohydrates are consumed, they are broken down into glucose, which is used by the body's cells for energy production. Fats and proteins are also essential nutrients, but carbohydrates are the preferred energy source for the body due to their quick conversion into fuel. Vitamins are not a direct source of energy but play crucial roles in various bodily functions.
2. A nurse is caring for a client recovering from bowel surgery who has a nasogastric (NG) tube connected to low intermittent suction. Which of the following assessment findings should indicate to the nurse that the NG tube may not be functioning properly?
- A. Drainage fluid is greenish-yellow
- B. Aspirate pH of 3
- C. Abdominal rigidity
- D. Air bubbles noted in the NG tube
Correct answer: C
Rationale: Abdominal rigidity can indicate a serious complication, such as a blockage or infection, requiring immediate intervention to determine if the NG tube is functioning properly. Choices A, B, and D are not indicative of a malfunctioning NG tube. Greenish-yellow drainage fluid may be normal, an aspirate pH of 3 is within the expected range for gastric contents, and air bubbles in the NG tube are not abnormal as long as they are moving.
3. A nurse is caring for a client with hepatic encephalopathy. Which food selection indicates an understanding of dietary teaching?
- A. Cottage cheese
- B. Tuna salad
- C. Rice with black beans
- D. Three-egg omelet
Correct answer: C
Rationale: The correct answer is C: 'Rice with black beans.' Clients with hepatic encephalopathy should limit animal proteins due to their high ammonia content, which can exacerbate symptoms. Plant-based proteins like beans are preferred as they help reduce ammonia levels. Choices A, B, and D contain animal proteins that are not ideal for clients with hepatic encephalopathy.
4. What is the nurse's responsibility when caring for a client with a chest tube?
- A. Check for air leaks in the tubing every 4 hours
- B. Clamp the chest tube for 30 minutes every 4 hours
- C. Encourage deep breathing and coughing every 2 hours
- D. Keep the client in a high Fowler's position
Correct answer: A
Rationale: The correct answer is to check for air leaks in the tubing every 4 hours when caring for a client with a chest tube. This responsibility is crucial because it ensures proper chest tube function and helps prevent complications such as pneumothorax or hemothorax. Clamping the chest tube (Choice B) can lead to serious issues by causing a tension pneumothorax. Encouraging deep breathing and coughing (Choice C) is important for respiratory hygiene but is not directly related to chest tube care. Keeping the client in a high Fowler's position (Choice D) may be beneficial for some conditions but is not specific to chest tube management.
5. RA 1054 is also known as the Occupational Health Act. Besides the number of employees, what other factor must be considered in determining the occupational health privileges to which the workers will be entitled?
- A. Type of occupation: agriculture, commercial, industrial
- B. Location of the workplace in relation to health facilities
- C. Classification of the business enterprise based on net profit
- D. Sex and age composition of employees
Correct answer: B
Rationale: According to R.A. 1054, the key factor to consider, apart from the number of employees, is the location of the workplace concerning health facilities. Specifically, an occupational nurse must be employed when there are 30 to 100 employees, and the workplace is more than 1 km away from the nearest health center. This ensures timely access to health services for employees in case of emergencies or health needs.
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