ATI RN
Fundamentals of Nursing Nursing Process Questions Questions
Question 1 of 5
Which food choice contains the highest kilocalorie?
Correct Answer: C
Rationale: The correct answer is C: Bacon. Bacon contains the highest kilocalorie among the given choices due to its high fat content. Fat provides 9 kilocalories per gram, while carbohydrates (like in bread and apple) provide 4 kilocalories per gram and protein (like in chicken) provides 4 kilocalories per gram. Bacon, being high in fat, has more kilocalories compared to the other choices.
Summary:
A: Apple - Low in fat, primarily consists of carbohydrates, hence lower in kilocalories.
B: Chicken - Contains protein, lower in kilocalories compared to fat, hence not the highest kilocalorie choice.
D: Bread - Mainly consists of carbohydrates, lower in kilocalories compared to fat, making it not the highest kilocalorie choice.
Question 2 of 5
Which nursing diagnosis takes highest priority for a client with hyperparathyroidism?
Correct Answer: B
Rationale: The correct answer is B: Risk for impaired skin integrity related to edema, skin fragility, and poor wound healing. This nursing diagnosis takes highest priority for a client with hyperparathyroidism because the client is at risk for skin breakdown due to edema, skin fragility, and poor wound healing caused by the condition. Skin integrity is crucial for preventing infection and promoting overall health.
Choice A is incorrect because hyperparathyroidism is not related to thyroid hormone excess, but rather to parathyroid hormone excess.
Choice C is incorrect because body image disturbance is not the highest priority compared to the risk of skin breakdown.
Choice D is incorrect because hyperparathyroidism typically leads to hypercalcemia and not imbalanced nutrition related to thyroid hormone excess.
Question 3 of 5
A client is scheduled for a prostatectomy, and the anesthesiologist plans to use a spinal (sub-arachnoid) block during surgery. In the operating room, the nurse positions the client according to the anesthesiologist’s instructions. Why does the client require special positioning for this type of anesthesia?
Correct Answer: B
Rationale: The correct answer is B:
To prevent cerebrospinal fluid (CSF) leakage.
1. Positioning is crucial to prevent CSF leakage as the spinal block is administered into the sub-arachnoid space where CSF is present.
2. Incorrect Answers:
A: Positioning is not related to preventing confusion in this context.
C: Seizures are not typically associated with spinal block anesthesia.
D: Cardiac arrhythmias are not directly impacted by the client's positioning for a spinal block.
Question 4 of 5
The normal life expectancy for 50% of patients ith amyotropic lateral sclerosis (ALS) is:
Correct Answer: C
Rationale: The correct answer is C (5 years) because ALS is a progressive and fatal neurodegenerative disease. The median life expectancy for most ALS patients is around 3-5 years from the onset of symptoms.
Choice A (3 years) is too short for 50% of patients.
Choice B (10 years) and
Choice D (20 years) are longer than the typical life expectancy for ALS patients, making them incorrect. The progression of ALS varies among individuals, but statistically, 50% of patients would be expected to live around 5 years after diagnosis.
Question 5 of 5
Emil, just had a thyroidectomy this morning. Upon awakening, he complains of circumoral tingling, has a positive Chvostek’s sign and positive Trousseau’s sign. Nurse Ofel assesses this to be an indication of:
Correct Answer: A
Rationale:
Rationale: The correct answer is A, overstimulation of the parathyroid hormone. After a thyroidectomy, there is a risk of unintentional damage to the parathyroid glands, leading to hypoparathyroidism. Circumoral tingling, positive Chvostek’s sign, and positive Trousseau’s sign are classic signs of hypocalcemia resulting from parathyroid insufficiency.
Choices B, C, and D are incorrect because they do not explain the specific symptoms observed in Emil, which are indicative of low calcium levels due to parathyroid dysfunction.