ATI RN
Nutrition ATI Test
1. Which change during pregnancy is related to the slowing of the gastrointestinal tract?
- A. Diarrhea
- B. Constipation
- C. Decreased absorption of iron
- D. Decreased absorption of calcium
Correct answer: B
Rationale: During pregnancy, the gastrointestinal tract tends to slow down, leading to constipation. This is due to hormonal changes that relax the intestinal muscles, allowing more time for nutrient absorption and ultimately leading to constipation. Diarrhea is not typically associated with the slowing of the gastrointestinal tract during pregnancy. Decreased absorption of iron and calcium may occur during pregnancy due to increased demands, but they are not directly related to the slowing of the gastrointestinal tract.
2. An RN is working through an ethical dilemma involving a patient on his unit. He has just identified the decision makers involved. Which step best describes the current stage the RN is working through?
- A. Assessment
- B. Diagnosis
- C. Planning
- D. Implementation
Correct answer: C
Rationale: The correct answer is C: Planning. In the planning phase of addressing an ethical dilemma, the goals of treatment are established, decision makers are identified, and all available options are reviewed. The assessment phase involves collecting data and information, the diagnosis phase involves analyzing the information to identify the problem, and the implementation phase involves carrying out the chosen plan of action. Therefore, in this scenario, where decision makers are being identified, the RN is in the planning stage.
3. Is the following statement true: The anatomical position is lying down, as a cadaver would be positioned?
- A. True
- B. False
- C. Not Sure
- D. None of the above
Correct answer: False
Rationale: The correct answer is False. The anatomical position is a standardized way of describing the human body's orientation in a consistent manner. The anatomical position is standing upright, facing forward, with the arms at the sides and palms facing forward. This position serves as a reference point for anatomical descriptions and directional terms. Therefore, the statement that the anatomical position is lying down, as a cadaver would be positioned, is incorrect. Choice A is incorrect because the anatomical position is not lying down. Choices C and D are also incorrect as there is a definitive answer to the question.
4. What effect does the use of a hot compress have, as explained to Ronnie who has been prescribed pain medication?
- A. It produces an anesthetic effect
- B. It increases nutrition in the blood to promote wound healing
- C. It increases oxygenation to the injured tissues for better healing
- D. It induces vasoconstriction to prevent infection
Correct answer: A
Rationale: The correct answer is A: 'It produces an anesthetic effect.' Hot compresses can help alleviate pain by producing an anesthetic effect, which numbs the area. Choice B is incorrect because a hot compress does not directly increase nutrition in the blood to promote wound healing. Choice C is also incorrect because a hot compress primarily aids in pain relief rather than increasing oxygenation to the tissues for enhanced healing. Choice D is incorrect because hot compresses typically lead to vasodilation, not vasoconstriction, which aids in promoting blood flow rather than preventing infection. Safe and effective patient care relies on actions based on established nursing protocols that consider both the immediate and long-term needs of the patient.
5. A client with heart failure is receiving instructions about laxative use. The client should be advised to avoid which of the following laxatives?
- A. Sodium phosphate
- B. Psyllium
- C. Bisacodyl
- D. Polyethylene glycol
Correct answer: A
Rationale: Clients with heart failure often have sodium restrictions. Sodium phosphate can lead to fluid retention due to sodium absorption, which is harmful for individuals with heart failure. Therefore, it should be avoided in this population to prevent exacerbating fluid overload. Psyllium, Bisacodyl, and Polyethylene glycol are safer options for individuals with heart failure as they do not pose the risk of exacerbating fluid overload through sodium retention.