ATI RN
Nutrition ATI Proctored Exam 2023
1. Which of the following methods is the best method for determining nasogastric tube placement in the stomach?
- A. X-ray
- B. Observation of gastric aspirate
- C. Testing of pH of gastric aspirate
- D. Placement of external end of tube under water
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.
2. A nurse is assessing a client who is receiving a blood transfusion. Which of the following findings indicates the client might be experiencing an acute hemolytic reaction?
- A. Low back pain
- B. Distended neck veins
- C. Chills and fever
- D. Headache
Correct answer: C
Rationale: Chills and fever are classic signs of an acute hemolytic reaction, where the body is reacting to the transfused blood. This reaction can be life-threatening and requires immediate intervention. Low back pain, distended neck veins, and headache are not typical signs of an acute hemolytic reaction. Low back pain may be associated with kidney issues, distended neck veins with fluid overload or heart failure, and headache with various causes such as stress, dehydration, or migraines.
3. Which term describes an abnormal heartbeat that can be either too fast or too slow?
- A. Arrhythmia
- B. Bradycardia
- C. Tachycardia
- D. Conductivity
Correct answer: A
Rationale: The correct answer is A: Arrhythmia. Arrhythmia is a broad term that refers to any irregularity in the heart's rhythm, which can manifest as a heartbeat that is too fast (tachycardia), too slow (bradycardia), or irregular. Choice B, Bradycardia, specifically denotes a slow heart rate, while choice C, Tachycardia, refers to a fast heart rate. Choice D, Conductivity, is not the correct term to describe an abnormal heartbeat characterized by speed irregularities.
4. A child is being assessed for Kawasaki disease. Which of the following findings should be expected?
- A. Decreased heart rate
- B. Dry, scaly skin
- C. Fever unresponsive to antipyretics
- D. Nontender cervical lymphadenopathy
Correct answer: C
Rationale: In Kawasaki disease, a child typically presents with a fever that is unresponsive to antipyretics because the disease is characterized by systemic inflammation. The persistent fever is a hallmark feature of the disease and can last for more than five days despite treatment with antipyretics.
5. Donna needs further teaching about the use of partograph if she said to her CI that:
- A. I will start using the partograph if the patient's cervix is already 4 cm dilated.
- B. I can use the partograph in all pregnant women.
- C. I will plot the cervical dilatation using 'x'.
- D. I need to refer my patient to the hospital if the cervical dilatation reaches the action line.
Correct answer: B
Rationale: Donna needs further teaching because using a partograph in all pregnant women is incorrect. The partograph is specifically used when labor is established to monitor the progress of labor and identify deviations from normal patterns. It is not meant to be used indiscriminately in all pregnant women, but rather in those who are in labor to enhance safe delivery practices.