ATI RN
ATI Nutrition Proctored Exam 2023
1. What is the first thing you should do before sharing information with a patient?
- A. Provide background knowledge
- B. Ask for permission
- C. Remove personal protective equipment (PPE)
- D. Remind the patient that you are the authority
Correct answer: B: Ask for permission
Rationale: Before sharing information with a patient, it is essential to ask for their permission. This action respects the patient's autonomy and encourages their participation in the learning process. Asking for permission establishes a foundation of trust and partnership between the healthcare provider and the patient. Providing background knowledge (Choice A) is important, but it should come after receiving consent to share information. Removing personal protective equipment (Choice C) is not related to the communication process. Reminding the patient that you are the authority (Choice D) is inappropriate as it can undermine the patient's autonomy and hinder effective communication in a patient-centered care approach.
2. While a team effort is necessary in the operating room (OR) for efficient and quality patient care delivery, the number of people in the room should be limited for infection control purposes. Which roles comprise this team?
- A. Surgeon, anesthesiologist, scrub nurse, radiologist, orderly
- B. Surgeon, assistants, scrub nurse, circulating nurse, anesthesiologist
- C. Surgeon, assistant surgeon, anesthesiologist, scrub nurse, pathologist
- D. Surgeon, assistant surgeon, anesthesiologist, intern, scrub nurse
Correct answer: B
Rationale: The roles typically present in an operating room team include the surgeon, assistants (which may include an assistant surgeon), scrub nurse, circulating nurse, and anesthesiologist. These roles are directly involved in the operation and patient care. Choice B is correct. Choice A includes a radiologist and an orderly, who are not typically part of the immediate surgical team in the OR. Choice C includes a pathologist, who usually works in a laboratory outside of the OR. Choice D includes an intern, who may or may not be part of the team, depending on the specific circumstances and hospital policy. These explanations make choices A, C, and D incorrect.
3. Mang David, A 27 year old psychiatric client was admitted with a diagnosis of schizophrenia. During the morning assessment, Mang David shouted “Did you know that I am the top salesman in the world? Different companies want me!†As a nurse, you know that this is an example of:
- A. Hallucination
- B. Delusion
- C. Confabulation
- D. Flight of Ideas
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.
4. A healthcare professional is reviewing the lab findings of a client who has Clostridium Difficile. Which of the following findings should indicate to the healthcare professional that the client is experiencing Fluid Volume Deficit?
- A. Hct 53%
- B. Potassium 3.5
- C. Sodium 145
- D. HbA1c 5
Correct answer: A
Rationale: An elevated hematocrit level (Hct 53%) indicates hemoconcentration, a sign of fluid volume deficit. Hct measures the percentage of red blood cells in the blood and increases when there is a decrease in plasma volume, as seen in fluid volume deficit. Choices B, C, and D do not directly relate to fluid volume status. Potassium and sodium levels are more indicative of electrolyte imbalances, while HbA1c reflects average blood sugar levels over the past 2-3 months and is not specific to fluid volume status.
5. As Leda’s nurse, you plan to set up an emergency equipment at her beside following thyroidectomy. You should include:
- A. An airway and rebreathing tube
- B. A tracheostomy set and oxygen
- C. A crush cart with bed board
- D. Two ampules of sodium bicarbonate
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.