ATI RN
ATI RN Nutrition Online Practice 2019
1. The stages of grieving identified by Elizabeth Kubler-Ross are:
- A. Numbness, anger, resolution and reorganization
- B. Denial, anger, identification, depression and acceptance
- C. Anger, loneliness, depression and resolution
- D. Denial, anger, bargaining, depression and acceptance
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. What is the primary food safety concern for a patient undergoing chemotherapy?
- A. Possible food allergy reactions
- B. Possible food-drug interactions
- C. Possible pesticide residue
- D. Potential risk of foodborne illness
Correct answer: D
Rationale: The correct answer is D: Potential risk of foodborne illness. Patients undergoing chemotherapy have compromised immune systems, making them more susceptible to foodborne illnesses. Chemotherapy can reduce the count of white blood cells, which impairs the body's ability to fight off infections from bacteria or other pathogens that might be present in food. Therefore, the prevention of foodborne illnesses is a critical concern for these patients. Choices A, B, and C, while they represent valid concerns for food safety in general, are not the primary concern for patients undergoing chemotherapy. These patients are at a heightened risk of experiencing severe complications from foodborne illnesses, making it a more significant concern than potential food allergies, food-drug interactions, or pesticide residues.
3. When carbohydrates are eliminated from the diet to lose weight, which nutrients are most likely to become insufficient?
- A. Iron, fiber, and protein
- B. Iron, fiber, and vitamin K
- C. Vitamin A and vitamin C
- D. Iron, fiber, and B vitamins
Correct answer: D
Rationale: Iron, fiber, and B vitamins are most likely to become insufficient when carbohydrates are eliminated from the diet to lose weight. Carbohydrates are a primary source of B vitamins and fiber in the diet. Iron can also be obtained from plant-based sources like legumes and whole grains, which are often eliminated when carbohydrates are restricted. Choices A, B, and C are incorrect because protein, vitamin K, vitamin A, and vitamin C are not primarily sourced from carbohydrates and are less likely to become insufficient solely due to carbohydrate elimination.
4. Diet therapy for Rudy, who has acute renal failure is low-protein, low potassium and low sodium. The nutrition instructions should include:
- A. Recommend protein of high biologic value like eggs, poultry and lean meats
- B. Encourage client to include raw cucumbers, carrot, cabbage, and tomatoes
- C. Allowing the client cheese, canned foods and other processed food
- D. Bananas, cantaloupe, orange and other fresh fruits can be included in the diet
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. During blood administration, what is essential for the nurse to do in order to carefully monitor for adverse reactions?
- A. Stay with the client for the first 15 minutes of blood administration
- B. Stay with the client for the entire period of blood administration
- C. Run the infusion at a faster rate during the first 15 minutes
- D. Inform the client to notify the staff immediately for any adverse reaction
Correct answer: A
Rationale: In the context of blood administration, it's crucial for the nurse to stay with the client for the first 15 minutes. This is because most adverse reactions are likely to occur within this initial period. Monitoring the client closely during this time allows for immediate detection and response to any potential reactions. Choice B, staying with the client for the entire period of blood administration, is not typically feasible or necessary, although regular checks should be conducted. Running the infusion at a faster rate during the first 15 minutes (Choice C) is incorrect as this can actually increase the risk of adverse reactions. Informing the client to notify the staff immediately for any adverse reaction (Choice D) is an important practice, but it is not the most direct way for the nurse to monitor for adverse reactions.
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