ATI RN
ATI RN Nutrition Online Practice 2019
1. 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.
2. When preparing to administer parenteral acyclovir (Zovirax) to an 80-year-old patient with chronic renal failure and herpes simplex, what would the nurse expect in regard to the dose?
- A. The dose is smaller due to the herpes simplex infection.
- B. The dose is smaller based on the patient's kidney function.
- C. The dose is higher in treating genital herpes.
- D. The dose is higher if the creatinine clearance is above 4.0 mg/dL.
Correct answer: B
Rationale: In patients with chronic renal failure, especially in older adults, dosages of medications excreted renally need to be adjusted based on kidney function. Acyclovir is primarily eliminated by the kidneys, so in a patient with chronic renal failure, the dose would need to be smaller to prevent drug accumulation and toxicity. Choice A is incorrect because the dose adjustment is more related to the patient's kidney function than the presence of herpes simplex. Choice C is incorrect because the type of herpes infection does not determine the dose adjustment for acyclovir. Choice D is incorrect as the creatinine clearance is a more accurate measure of kidney function compared to creatinine levels.
3. What is the primary function of a written nursing care plan?
- A. Evaluates whether nursing care goals have been achieved
- B. Ensures the provision of quality nursing care
- C. Assists in selecting the appropriate nursing interventions
- D. Facilitates the creation of a nursing diagnosis
Correct answer: D
Rationale: A written nursing care plan fundamentally serves to facilitate the development of a nursing diagnosis. This procedure involves analyzing patient data and identifying health problems that nurses can address independently. This analysis then aids in determining the most appropriate nursing interventions for the identified health issues. Although evaluating the achievement of nursing care goals is an important aspect, it is not the primary function of a nursing care plan. Similarly, while delivering quality nursing care is crucial, it is a broader concept that includes many other facets beyond just the initial nursing diagnosis and interventions.
4. Clients may benefit from slightly higher fat intakes than are normally recommended if they have:
- A. congestive heart failure
- B. cerebrovascular accident
- C. peripheral vascular disease
- D. chronic obstructive pulmonary disease
Correct answer: D
Rationale: In chronic obstructive pulmonary disease (COPD), higher fat intake can be beneficial because it provides more calories with less respiratory burden compared to carbohydrates. Choices A, B, and C are incorrect because congestive heart failure, cerebrovascular accident, and peripheral vascular disease do not specifically benefit from higher fat intakes as in COPD.
5. How is binge-eating disorder different from bulimia?
- A. Typically eat much smaller portions before purging the food.
- B. Do not typically purge the food they eat.
- C. Only purge their food after several binge sessions.
- D. Often resort to anorexic methods to rid themselves of the food they have eaten.
Correct answer: B
Rationale: The correct answer is B because individuals with binge-eating disorder do not typically engage in purging behavior, unlike those with bulimia. Choice A is incorrect as individuals with binge-eating disorder do not purge the food they eat, so they do not eat smaller portions before doing so. Choice C is incorrect as they do not purge their food after several binge sessions. Choice D is incorrect as individuals with binge-eating disorder do not resort to anorexic methods to rid themselves of the food they have eaten.