ATI RN
ATI Nutrition Practice Test B 2019
1. You would expect that after an abdominal perineal resection, the type of colostomy that will be use is?
- A. Double barrel colostomy
- B. Temporary colostomy
- C. Permanent colostomy
- D. An Ileostomy
Correct answer: D
Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.
2. In emphysema, what features result in impaired oxygenation?
- A. The bronchioles are inflamed and filled with mucus
- B. The alveoli have lost surfactant and collapse
- C. Enlarged, permanently inflated alveoli
- D. The accumulation of purulent fluid in the bronchioles
Correct answer: C
Rationale: The correct answer is C. In emphysema, impaired oxygenation results from enlarged and permanently inflated alveoli, leading to reduced surface area for gas exchange. Choices A, B, and D are incorrect. In emphysema, bronchioles are not typically filled with mucus, alveoli losing surfactant and collapsing is more characteristic of conditions like atelectasis, and purulent fluid accumulation in the bronchioles is commonly seen in conditions like pneumonia, not emphysema.
3. Which of the following statements by a client with human immunodeficiency virus (HIV) does NOT requires further teaching?
- A. ‘I can spread this through contact with surfaces, so I need to wear gloves in public.’
- B. ‘Because I have HIV, that means I’m an AIDS patient’
- C. ‘I need to ensure that I place my needles in a proper needle disposal container.’
- D. ‘I can still have unprotected intercourse with my partner since he does not have HIV.’
Correct answer: ‘I need to ensure that I place my needles in a proper needle disposal container.’
Rationale:
4. A nurse in a mental health unit is planning room assignments for four clients. Which of the following clients should be closest to the nurse's station?
- A. A client who has an anxiety disorder and is experiencing moderate anxiety.
- B. A client who has somatic symptom disorder and reports chronic pain.
- C. A client who has depressive disorder and reports feeling hopeless.
- D. A client who has bipolar disorder and impaired social interactions.
Correct answer: D
Rationale: A client with bipolar disorder and impaired social interactions should be placed closest to the nurse's station for closer monitoring. Clients with bipolar disorder may experience mood swings, including manic episodes that can lead to impulsive behaviors or aggression. Placing such a client near the nurse's station allows for quick intervention and monitoring of their social interactions, especially if they are impaired. The other options, such as anxiety disorder, somatic symptom disorder, and depressive disorder, do not inherently require immediate proximity to the nurse's station based on the information provided.
5. A client has a new prescription for digoxin. Which of the following instructions should the nurse include?
- A. Take this medication with food to prevent nausea.
- B. Notify your provider if you experience visual disturbances.
- C. Take an antacid with this medication if indigestion occurs.
- D. Avoid taking this medication if your heart rate is less than 60/min.
Correct answer: B
Rationale: The correct instruction for a client taking digoxin is to notify their provider if they experience visual disturbances. Visual disturbances can be a sign of digoxin toxicity, and prompt notification to the healthcare provider is essential for timely intervention. Choice A is incorrect because digoxin should be taken on an empty stomach for better absorption. Choice C is incorrect because antacids can interfere with the absorption of digoxin. Choice D is incorrect because a heart rate less than 60/min is not a sole reason to avoid taking digoxin; rather, it is important to monitor the heart rate and consult with the healthcare provider if there are concerns.