ATI RN
Nutrition ATI Proctored Exam 2023
1. To prevent recurrent attacks on client with glomerulonephritis, the nurse instructs the client to:
- A. Take a shower instead of tub baths
- B. Avoid situations that involve physical activity
- C. Continue the same restriction on fluid intake
- D. Seek early treatment for respiratory infection
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 factor contributing to the risk for dehydration in the older adult is that _____.
- A. drinking fluids causes loss of bladder control
- B. older adults do not seem to notice mouth dryness as readily as younger people
- C. increased fluid intake will decrease the intake of nutrient-dense foods
- D. changes in intestinal motility contribute to excess fluid loss
Correct answer: C
Rationale: Older adults may not notice mouth dryness as readily as younger individuals, increasing their risk for dehydration, especially if they do not consciously increase fluid intake.
3. Why is atherosclerosis dangerous to arterial function?
- A. It diminishes central circulation
- B. It causes decreased blood pressure on artery walls
- C. It narrows the arterial lumen so a clot can easily block it
- D. It increases arterial elasticity
Correct answer: C
Rationale: Atherosclerosis is dangerous to arterial function because it narrows the arterial lumen, increasing the risk of a clot completely blocking the blood flow. This can lead to severe cardiovascular events such as heart attacks or strokes. Choice A is incorrect since atherosclerosis does not primarily diminish central circulation, but rather, it impedes local blood flow where the plaque is present. Choice B is also incorrect as atherosclerosis increases the pressure on artery walls due to the narrowed space for blood flow, not decrease it. Lastly, choice D is incorrect as atherosclerosis causes the arteries to lose their elasticity, not increase it.
4. You are to apply a transdermal patch of nitoglycerin to your client. The following are important guidelines to observe EXCEPT:
- A. Apply to hairless clean area of the skin not subject to much wrinkling
- B. Patches may be applied to distal part of the extremities like forearm
- C. Change application and site regularly to prevent irritation of the skin
- D. Wear gloves to avoid any medication on your hand
Correct answer: D
Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.
5. What is the most likely demonstration of cardiac cachexia?
- A. Decreased physical activity
- B. Weight loss and tissue wasting
- C. Poor urine output and tissue edema
- D. Cardiac arrhythmia and wet lung sounds
Correct answer: B: Weight loss and tissue wasting
Rationale: Cardiac cachexia is a condition characterized by severe weight loss and tissue wasting. This typically occurs in patients suffering from heart failure due to an increased energy expenditure and reduced appetite, which is why choice B is the correct answer. The other choices are incorrect as they do not accurately describe the symptoms of cardiac cachexia. Decreased physical activity (choice A) can be a result of many conditions, not specifically cardiac cachexia. Poor urine output and tissue edema (choice C) are more indicative of kidney problems rather than cardiac cachexia. Finally, cardiac arrhythmia and wet lung sounds (choice D) are symptoms related to other cardiac conditions, not specifically to cardiac cachexia.