ATI RN
ATI Nutrition Practice Test B 2019
1. You are caring for Conrad who has a brain tumor and increased Intracranial Pressure (ICP). Which intervention should you include in your plan to reduce ICP?
- A. Administer bowel softener
- B. Position Conrad with his head turned toward the side of the tumor
- C. Provide sensory stimulation
- D. Encourage coughing and deep breathing
Correct answer: C
Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.
2. Which of the following is NOT a part of the community assessment process?
- A. Identifying available resources such as time, money, and team skills
- B. Setting action priorities based on the needs of the community and available resources
- C. Withholding results from the community until they can be statistically confirmed to avoid alarming people
- D. Collecting and analyzing information
Correct answer: C
Rationale: In the community assessment process, it is essential to involve the community and share information transparently. Withholding results until they are statistically confirmed can lead to misinformation or unnecessary delays in addressing community needs. Therefore, option C, which suggests withholding results, is NOT a standard practice in the community assessment process.
3. Which part of the nephron is closest to the collecting duct?
- A. Distal convoluted tubule (DCT)
- B. Bowman's Capsule
- C. Afferent Arteriole
- D. Proximal Convoluted Tubule (PCT)
Correct answer: Distal convoluted tubule (DCT)
Rationale: The correct answer is the Distal convoluted tubule (DCT). The DCT is the part of the nephron closest to the collecting duct, where the final adjustments to electrolyte and fluid balance are made. Bowman's Capsule is located at the beginning of the nephron, where filtration of blood occurs. The Afferent Arteriole brings blood to the glomerulus for filtration. The Proximal Convoluted Tubule (PCT) is situated after the Bowman's Capsule and is not the part closest to the collecting duct.
4. When managing blood pressure at home, which statement by the client indicates an understanding of the teaching provided by a nurse for hypertension?
- A. I will take my medication only when I feel dizzy.
- B. I will check my blood pressure at least once a week.
- C. I will stop taking my medication once my blood pressure is within normal range.
- D. I will sit quietly for 5 minutes before measuring my blood pressure.
Correct answer: D
Rationale: The correct answer is D because sitting quietly for 5 minutes before measuring blood pressure ensures an accurate reading and helps monitor hypertension. Choice A is incorrect as medications for hypertension should be taken as prescribed, not based on symptoms like dizziness. Choice B is not ideal as blood pressure should be checked more frequently, preferably daily. Choice C is incorrect as stopping medication abruptly once blood pressure is normal can lead to rebound hypertension.
5. Which nursing action(s) can result in disciplinary action by state boards of nursing?
- A. Release of client health information to a client’s neighbor
- B. Delegation of a dressing change to unlicensed assistive personnel (UAP)
- C. Release of client health information to the client’s durable power of attorney
- D. A, B
Correct answer: D
Rationale: The correct answer is D. Disclosing client health information to unauthorized individuals, such as a client's neighbor (choice A) or improper delegation of nursing tasks to unlicensed personnel like UAPs (choice B), are violations of patient confidentiality and safety. Releasing client health information to the client's durable power of attorney (choice C) is a legal and appropriate action, not warranting disciplinary action. Therefore, choices A and B can result in disciplinary action by state boards of nursing, making option D the correct answer.