ATI RN
Nutrition ATI Test
1. Tony is to be discharged in the afternoon of the same day after tonsillectomy and adenoidectomy. You, as the RN, will make sure that the family knows to:
- A. offer pureed foods
- B. offer soft foods for a week to minimize discomfort while swallowing
- C. supplement his diet with Vitamin C-rich foods to enhance healing
- D. offer clear liquids for 3 days to prevent irritation
Correct answer: B
Rationale: After tonsillectomy and adenoidectomy, it is crucial to provide soft foods for a week to minimize discomfort while swallowing. This helps prevent irritation to the surgical site and allows for easier healing. Offering pureed foods (Choice A) may not be necessary as soft foods are usually sufficient. While Vitamin C is beneficial for healing, it is not necessary to supplement it immediately after surgery with Vitamin C-rich juices (Choice C). Clear liquids are typically recommended before surgery and not after, as the focus shifts to soft foods to aid in recovery, making Choice D incorrect.
2. A child diagnosed with a soft tissue tumor is being treated with chemotherapy. Prior to administering the chemotherapy, which laboratory test should the nurse monitor to determine if the child has any capability of fighting infections?
- A. Hemoglobin
- B. Red blood cell count
- C. Platelets
- D. Absolute neutrophil count (ANC)
Correct answer: D
Rationale: The Absolute Neutrophil Count (ANC) is crucial for determining the child's ability to fight infections. Neutrophils play a key role in combating bacterial infections. Monitoring the ANC is essential before administering chemotherapy, as a low ANC indicates an increased risk of infection. Hemoglobin, red blood cell count, and platelets are important for assessing oxygen-carrying capacity, anemia, and clotting function, respectively, but they do not directly reflect the child's capability to fight infections.
3. The nurse evaluates the client’s stoma during the initial post-op period. Which of the following observations should be reported immediately to the physician?
- A. The stoma is slightly edematous
- B. The stoma is dark red to purple
- C. The stoma oozes a small amount of blood
- D. The stoma does not expel stool
Correct answer: B
Rationale: A dark red to purple stoma may indicate compromised blood flow or ischemia, which requires immediate medical attention. This color change could be a sign of inadequate blood supply to the stoma tissue, leading to tissue damage or necrosis. Reporting this observation promptly is crucial to prevent further complications. Choices A, C, and D are not indicative of immediate medical concern. A slightly edematous stoma, oozing a small amount of blood, or not expelling stool may not be uncommon findings during the initial post-op period and can be managed without urgent intervention.
4. A client has a new prescription for Warfarin. Which of the following instructions should the nurse include?
- A. Avoid consuming foods high in vitamin K.
- B. Monitor your blood pressure regularly.
- C. Increase your intake of green, leafy vegetables.
- D. Take the medication with a high-fat meal.
Correct answer: A
Rationale: The correct answer is to advise the client to avoid consuming foods high in vitamin K. Warfarin's effectiveness can be affected by vitamin K intake. Clients should maintain a consistent intake of vitamin K and avoid sudden increases in foods high in vitamin K to ensure the medication works properly and consistently. Choices B, C, and D are incorrect. Monitoring blood pressure, increasing intake of green, leafy vegetables, or taking the medication with a high-fat meal are not specific instructions related to Warfarin therapy.
5. Alicia, 5 years old, knows that she will take a bath at 6:05, change clothes at 6:15, eat breakfast at 6:20, commute to school at 6:40, and join the assembly at 7:00. A child's awareness of his or her scripts or daily routine is classified under which type of memory?
- A. Semantic memory
- B. Nondeclarative memory
- C. Generic memory
- D. Autobiographical memory
Correct answer: D
Rationale: The correct answer is D, Autobiographical memory. Autobiographical memory refers to the memory of a person's life events, such as daily routines and personal experiences. In this scenario, Alicia's awareness of her daily routine falls under autobiographical memory as she remembers specific events related to her own life. Choices A, B, and C are incorrect. Semantic memory is related to general knowledge about the world, nondeclarative memory involves memories that are not consciously recalled, and generic memory is not a recognized memory classification.