ATI RN
ATI Nutrition 2024 NGN Exam Questions
Question 1 of 5
A nurse is preparing to remove a client's clogged NG tube prior to re-inserting a new tube. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: In this scenario, the correct action for the nurse to take first is option D: Disconnect the tube from the suction source. This is crucial because before removing the clogged NG tube, it is essential to first disconnect it from the suction source to prevent injury or aspiration of gastric contents into the lungs during removal. Option A, assisting the client to blow her nose, is incorrect as it is not a necessary step in the process of removing a clogged NG tube. Option B, asking the client to take a deep breath and hold it, is also incorrect as it does not address the immediate safety concern of disconnecting the tube from the suction source. Option C, pinching the proximal end of the tube, is incorrect as well because this step should be taken after disconnecting the tube from the suction source to prevent spillage of gastric contents. In an educational context, it is important for nurses to understand the proper sequence of steps when dealing with NG tubes to ensure patient safety and prevent complications. Emphasizing the correct order of actions in scenarios like tube removal can help nurses provide effective and safe care to their patients.
Question 2 of 5
A nurse is caring for a client who is lactose intolerant. Which of the following clinical manifestations should the nurse assess be?
Correct Answer: C
Rationale: In this scenario, the correct answer is "C) Cramping." When a client is lactose intolerant, it means their body cannot properly digest lactose, a sugar found in milk and dairy products. As a result, when they consume lactose-containing foods, they may experience symptoms like cramping, bloating, gas, and diarrhea. Option A) Fever is not typically a direct symptom of lactose intolerance but may occur if there is an underlying infection or inflammatory process. Option B) Blood in stools is not a common symptom of lactose intolerance. It is more indicative of conditions like gastrointestinal bleeding or inflammatory bowel disease. Option D) Steatorrhea, which refers to fatty, greasy stools, is not a typical symptom of lactose intolerance but is more commonly associated with conditions affecting fat digestion and absorption. Educationally, understanding the clinical manifestations of lactose intolerance is crucial for nurses to provide appropriate care and education to clients with this condition. Recognizing these symptoms can help in making dietary recommendations and managing discomfort for lactose-intolerant individuals.
Question 3 of 5
A nurse is planning care for a client who reports following Seventh-Day Adventist dietary laws. Which of the following dietary guidelines should the nurse include in the plan of care?
Correct Answer: B
Rationale: In this scenario, the correct answer is option B: Request that coffee is removed from meal trays. The Seventh-Day Adventist dietary laws prohibit the consumption of coffee and other stimulants. By excluding coffee from the client's meal tray, the nurse respects and supports the client's religious dietary preferences. Option A, replacing salt with pepper when seasoning water, is incorrect as it does not align with Seventh-Day Adventist dietary laws. While reducing salt intake is generally a healthy practice, it is not a specific requirement of this particular dietary guideline. Option C, offering pork with two meals per week, is also incorrect. Pork is typically not consumed by individuals following Seventh-Day Adventist dietary laws, as it is considered unclean according to their beliefs. Option D, providing a high-protein snack between meals, is not directly related to Seventh-Day Adventist dietary laws. While protein intake is important for overall health, it is not a specific requirement outlined in this dietary guideline. Educationally, this question highlights the importance of respecting and accommodating clients' cultural and religious beliefs when planning their care, including their dietary preferences. Understanding and adhering to these guidelines can enhance the nurse-client relationship and contribute to the client's overall well-being and satisfaction with their care.
Question 4 of 5
A nurse is assessing a client who reports muscle spasms in his calves and tingling in his hands. The client indicates consuming a low intake of milk products and green leafy vegetables. The nurse should identify that the client's findings indicate a deficiency in which of the following sources of nutrition?
Correct Answer: D
Rationale: In this scenario, the correct answer is D) Calcium. The client's symptoms of muscle spasms in the calves and tingling in the hands are indicative of hypocalcemia, which is a deficiency of calcium in the body. Calcium is essential for muscle contraction, nerve function, and overall bone health. Option A) Iron is responsible for oxygen transport in the blood and is not directly related to the symptoms described by the client. Option B) Omega-3 fatty acids are important for heart health and brain function but do not directly cause muscle spasms and tingling. Option C) Vitamin C is necessary for collagen production and immune function, but it does not cause the symptoms presented by the client. From an educational perspective, it is crucial for nurses to understand the role of different nutrients in the body and how deficiencies can manifest in various symptoms. By recognizing these signs, healthcare professionals can provide appropriate interventions to address nutrient deficiencies and improve the client's health outcomes.
Question 5 of 5
A nurse is teaching a nutrition class for clients who have type 2 diabetes mellitus. Which of the following statements should the nurse include about management of acute illness?
Correct Answer: A
Rationale: In teaching a nutrition class for clients with type 2 diabetes mellitus, the nurse should emphasize the importance of consuming carbohydrates every 3-4 hours during acute illness. This is because maintaining regular carbohydrate intake helps prevent hypoglycemia and provides the necessary energy for the body to combat the illness. Option A is correct because regular carbohydrate consumption helps stabilize blood glucose levels and prevents complications associated with diabetes during acute illness. It is crucial for individuals with diabetes to manage their blood sugar levels effectively, especially during times of illness. Options B, C, and D are incorrect for managing acute illness in clients with type 2 diabetes mellitus. Decreasing fluid intake to 1000 mL per day (Option B) can lead to dehydration, which is particularly dangerous during illness. Monitoring blood glucose only twice per day (Option C) may not provide adequate information to adjust insulin doses or dietary intake during acute illness. Checking urine for ketones every 24 hours (Option D) is not as immediate or accurate as monitoring blood glucose levels directly. For educational context, it is vital for nurses to provide evidence-based information to empower individuals with diabetes to manage their condition effectively, especially during times of acute illness. Understanding the rationale behind specific dietary recommendations can help clients make informed choices to support their health and well-being.