ATI RN
ATI Nutrition Practice Test B 2019
1. What health instruction will enhance regulation of a colostomy (defecation) of clients?
- A. Irrigate after lunch everyday
- B. Eat fruits and vegetables in all three meals
- C. Eat balanced meals at regular intervals
- D. Restrict exercise to walking only
Correct answer: A
Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.
2. A nurse is assessing a client who reports muscle spasms in his calves and tingling in his hands. The client indicates consuming a low intake of milk products and green leafy vegetables. The nurse should identify that the client's findings indicate a deficiency in which of the following sources of nutrition?
- A. Iron
- B. Omega-3 fatty acids
- C. Vitamin C
- D. Calcium
Correct answer: D
Rationale: The correct answer is D, Calcium. Muscle spasms and tingling suggest a calcium deficiency, which is commonly associated with a low intake of milk products and green leafy vegetables. Iron (choice A) deficiency typically presents with fatigue and weakness, not muscle spasms and tingling. Omega-3 fatty acids (choice B) are essential for brain function and heart health, but their deficiency does not manifest as muscle spasms and tingling. Vitamin C (choice C) deficiency leads to scurvy with symptoms like bleeding gums and bruising, not muscle spasms and tingling.
3. A nurse is assessing the nutritional status of an infant who is 6 months old. The infant weighed 2.7 kg at birth. Which of the following indicates to the nurse that the infant is within the expected range?
- A. 5.5 kg
- B. 6.4 kg
- C. 4.5 kg
- D. 3.6 kg
Correct answer: B
Rationale: The correct answer is B, 6.4 kg. An infant's weight should approximately double by 6 months. In this case, starting from a birth weight of 2.7 kg, a weight of 6.4 kg at 6 months indicates normal growth. Choice A (5.5 kg) is below the expected range for a 6-month-old infant. Choices C (4.5 kg) and D (3.6 kg) are also below the expected weight gain, indicating inadequate growth.
4. What is the process of formal negotiations of working conditions between a group of registered nurses and employer?
- A. grievance
- B. arbitration
- C. collective bargaining
- D. strike
Correct answer: C
Rationale: The correct answer is 'collective bargaining.' Collective bargaining involves negotiations between a group of employees, in this case, registered nurses, and their employer to determine working conditions, wages, benefits, and other aspects of employment. Grievance refers to a formal complaint about a workplace issue, arbitration involves a neutral third party making a decision in a dispute, and a strike is a work stoppage by employees to protest against their employer.
5. A nurse is caring for a client who has cancer and is receiving total parenteral nutrition (TPN). Which of the following lab values indicates the treatment is effective?
- A. Hct 43%
- B. WBC 8,000/uL
- C. Albumin 4.2 g/dL
- D. Calcium 9.4 mg/dL
Correct answer: C
Rationale: The correct answer is Albumin 4.2 g/dL. Albumin is a protein produced by the liver and is a key indicator of nutritional status. In a client receiving total parenteral nutrition (TPN), an increase in albumin level indicates that the treatment is effective in providing adequate nutrition support. Hct (hematocrit), WBC (white blood cell count), and calcium levels are not direct indicators of the effectiveness of TPN in this context.
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