ATI RN
ATI RN Nutrition Online Practice 2019
1. When injecting subcutaneous injection in an obese patient, It should be angled at around:
- A. 45 °
- B. 90 °
- C. 180 °
- D. Parallel to the skin
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. 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.
3. By the age of three, which age-appropriate food skill can a child typically perform?
- A. Using utensils and a napkin
- B. Spearing food with a fork
- C. Measuring liquids
- D. Displaying proper table manners
Correct answer: B
Rationale: By the age of three, a child typically develops the motor skills needed to spear food with a fork. This is a critical milestone in self-feeding as it shows progress in fine motor coordination. Choice 'A' is incorrect because using utensils and a napkin properly is a skill that may take longer to develop and refine. Choice 'C' is not correct as measuring liquids requires a higher level of motor skills and understanding of quantities that a three-year-old child might not possess. Choice 'D' is also incorrect as the proper display of table manners is a complex skill that is typically learned over a longer period and involves social and cultural norms.
4. A client who is 2 days postoperative following abdominal surgery is about to progress from a clear liquid diet to full liquids. Which of the following items should the nurse tell the client he may now request to have on his meal tray?
- A. Cranberry juice
- B. Flavored gelatin
- C. Skim milk
- D. Chicken broth
Correct answer: A
Rationale: Cranberry juice is an appropriate choice for a client transitioning from a clear liquid diet to full liquids post abdominal surgery. It provides hydration and some essential nutrients. Flavored gelatin is usually allowed on a clear liquid diet and may not be suitable for a full liquids phase. Skim milk and chicken broth are typically introduced in a later stage of the diet progression, closer to a soft diet, due to their higher protein and fat content.
5. Which food should the nurse recommend for a client deficient in vitamin A?
- A. Orange slices
- B. Steamed carrots
- C. Apple sauce
- D. Baked potato
Correct answer: B
Rationale: The correct answer is B, steamed carrots, as they are high in vitamin A. Carrots are rich in beta-carotene, a precursor to vitamin A, which is essential for good vision, a healthy immune system, and cell growth. Oranges (choice A) are a good source of vitamin C but not vitamin A. Apple sauce (choice C) and baked potato (choice D) do not provide significant amounts of vitamin A compared to steamed carrots, making them less suitable recommendations for a client deficient in this specific nutrient.
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