ATI RN
ATI Nutrition Proctored
1. Which of the following is a common sign of vitamin D deficiency?
- A. Brittle nails
- B. Muscle weakness
- C. Night blindness
- D. Hair loss
Correct answer: B
Rationale: Muscle weakness is a common sign of vitamin D deficiency. Vitamin D is essential for calcium absorption and bone health, and its deficiency can lead to muscle weakness. Brittle nails (Choice A) are not typically associated with vitamin D deficiency. Night blindness (Choice C) is related to vitamin A deficiency, not vitamin D deficiency. Hair loss (Choice D) can be linked to various factors, but it is not a common sign of vitamin D deficiency.
2. A client with schizophrenia is prescribed an antipsychotic medication. Which of the following side effects should the nurse monitor for? Select one that does not apply.
- A. Tardive dyskinesia
- B. Neuroleptic malignant syndrome
- C. Mindfulness meditation
- D. Hyperglycemia
Correct answer: C
Rationale: The correct answer is C, 'Mindfulness meditation.' Side effects of antipsychotic medications include tardive dyskinesia, neuroleptic malignant syndrome, orthostatic hypotension, and hyperglycemia. Mindfulness meditation is not a side effect of antipsychotic medications. Choices A, B, and D are all potential side effects of antipsychotic medications. Tardive dyskinesia is a movement disorder characterized by repetitive, involuntary movements. Neuroleptic malignant syndrome is a rare but life-threatening reaction to antipsychotic medication. Hyperglycemia can occur as a side effect of some antipsychotic medications, particularly the second-generation ones.
3. A parent of a child with attention deficit hyperactivity disorder (ADHD) is being taught by a nurse. Which instruction should the nurse include in the teaching?
- A. Administer methylphenidate at bedtime.
- B. Increase stimuli in the child's environment.
- C. Administer an extra dose of medication if the child is overactive.
- D. Maintain a consistent bedtime routine.
Correct answer: D
Rationale: Maintaining a consistent bedtime routine is essential for children with ADHD as it helps in managing their symptoms effectively. Consistency in bedtime routines aids in regulating the child's sleep patterns, promoting better rest, and ultimately improving their behavior and focus during the day.
4. Which of the following is the best indicator of a child's nutritional status?
- A. Weight
- B. Height
- C. Head circumference
- D. Mid-upper arm circumference
Correct answer: D
Rationale: Mid-upper arm circumference is a good indicator of muscle mass and fat stores, reflecting a child's nutritional status. It is particularly useful in assessing malnutrition, as it is less affected by fluid retention or dehydration compared to other anthropometric measurements. Weight can fluctuate due to factors like hydration status, making it less reliable as a sole indicator of nutritional status. Height reflects growth but may not directly indicate current nutritional status. Head circumference is more related to brain growth and development rather than overall nutritional status.
5. A community health nurse is reviewing primary prevention strategies for West Nile virus with a group of clients in a rural health clinic. Which of the following instructions should the nurse include?
- A. Avoid exposure to deer ticks.
- B. Eliminate areas of standing water.
- C. Use a respiratory mask when cleaning bird coops.
- D. Plan outdoor activities after dusk.
Correct answer: B
Rationale: The correct answer is B: 'Eliminate areas of standing water.' This is an essential primary prevention strategy for West Nile virus as it helps prevent the breeding of mosquitoes that spread the virus. Choices A, C, and D are incorrect. Avoiding exposure to deer ticks is more relevant for Lyme disease, using a respiratory mask when cleaning bird coops is not a primary prevention strategy for West Nile virus, and planning outdoor activities after dusk does not directly address the prevention of West Nile virus transmission.