ATI RN
ATI Nutrition Practice Test B 2019
1. When doing an initial assessment, the best way for you to identify the client’s priority problem is to:
- A. Interview the client for chief complaints and other symptoms
- B. Talk to the relatives to gather data about history of illness
- C. Do auscultation to check for chest congestion
- D. Do a physical examination while asking the client relevant questions
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.
2. Which disorder is caused by a Staphylococcus aureus organism producing a toxin leading to exfoliation and large blister formation?
- A. Herpes simplex I virus
- B. Bullous impetigo
- C. Necrotizing fasciitis
- D. Cellulitis
Correct answer: B
Rationale: Bullous impetigo is the correct answer because it is caused by a Staphylococcus aureus toxin that leads to exfoliation and the formation of large blisters. Herpes simplex I virus (Choice A) causes cold sores and is not associated with exfoliation and blister formation. Necrotizing fasciitis (Choice C) is a severe skin infection involving the deeper layers of skin and subcutaneous tissues, typically caused by bacteria such as Streptococcus or Clostridium species, not Staphylococcus aureus. Cellulitis (Choice D) is a common bacterial skin infection, but it does not involve exfoliation and blister formation as seen in bullous impetigo.
3. A client has been given instructions about ferrous sulfate. Which statement made by the client would indicate the client needs further education?
- A. I will take this medication on an empty stomach.
- B. I will take the morning dose 1 hour before breakfast.
- C. I will need to avoid taking this medication with coffee.
- D. I will take antacids if needed, 2 hours after I take ferrous sulfate.
Correct answer: A
Rationale: The correct answer is A. Ferrous sulfate should be taken on an empty stomach to improve absorption. Choice A is incorrect as taking the medication with a full glass of milk would impair iron absorption. Choices B, C, and D are all correct statements regarding the administration of ferrous sulfate. Choice B ensures proper timing before breakfast, choice C highlights avoiding coffee due to interference with iron absorption, and choice D correctly suggests taking antacids a few hours after ferrous sulfate to prevent potential interactions.
4. A client has been diagnosed with paranoid personality disorder. Which of the following behaviors should the nurse expect?
- A. Distrust of others
- B. Reluctance to confide in others
- C. Suspiciousness of others
- D. Jealousy of others
Correct answer: A
Rationale: Individuals with paranoid personality disorder commonly display a pervasive distrust of others. They often interpret benign actions of others as hostile or malicious, leading to suspicion and a belief that others have malevolent intentions. While choices B, C, and D may be present in individuals with different personality disorders or issues, distrust of others is a hallmark feature of paranoid personality disorder, making it the correct behavior to expect in these clients.
5. The nurse will be using the Braden Scale with each admit to the long-term care center. Which of these will NOT be utilized in a Braden Scale Assessment?
- A. Mental state
- B. Friction and shear
- C. Nutrition
- D. Sensory perception
Correct answer: Mental state
Rationale: