ATI RN
ATI Custom T1 PM Summer 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse is calculating the protein needs of a client who is a physical trainer. The client weighs 220 lb and requires an increase of protein by 2.0 g/kg/day. The client has taken 0.8 g of protein/kg/day in the past. How much total protein/day should the nurse recommend?
Correct Answer: C
Rationale:
To calculate the total protein/day for the client, we first convert their weight from pounds to kilograms by dividing 220 lb by 2.2 (1 kg = 2.2 lb) = 100 kg. The client's previous protein intake was 0.8 g/kg/day, so they were consuming 0.8 x 100 = 80 g/day. The client requires an increase of 2.0 g/kg/day, so the additional protein needed is 2.0 x 100 = 200 g/day. Adding this to the previous intake of 80 g, the total protein/day should be 80 + 200 = 280 g/day.
Therefore, choice C, 280 g of protein/day, is the correct answer.
Choices A, B, and D are incorrect because they do not consider the client's weight, previous protein intake, and the required increase in protein intake.
Question 2 of 5
A nurse is contributing to the plan of care for a client who has a spinal cord injury and paralysis. Which of the following actions should the nurse include in the plan to decrease the client's risk of skin breakdown?
Correct Answer: B
Rationale: The correct answer is B: Minimize skin exposure to moisture. Moisture can lead to skin breakdown, especially in clients with limited mobility. Keeping the skin dry helps prevent breakdown. Turning the client every 4 hours (
A) helps with pressure relief but does not specifically address moisture. Massaging erythematous bony prominences (
C) can cause further damage to fragile skin. Environmental humidity less than 30% (
D) is not directly related to skin breakdown. Using pillows to keep heels off the bed surface (E) helps with pressure redistribution but does not address moisture.
Question 3 of 5
A nurse is assisting with the food tray for a client who is partially blind following a left-sided stroke. Which of the following nursing interventions promotes client independence?
Correct Answer: D
Rationale:
Correct
Answer: D. Describing to the client the location of the food on the tray promotes client independence by empowering them to locate and feed themselves. By providing specific instructions, the client can use their remaining senses to identify and consume the food. This intervention encourages self-reliance and fosters a sense of control over their own care.
Incorrect
Choices:
A: Placing the client's hands on the tray does not promote independence as it involves physical assistance rather than empowering the client to do it themselves.
B: Assigning assistive personnel to feed the client removes the client's autonomy and does not encourage self-care.
C: Asking if the client prefers a liquid diet addresses dietary preferences but does not directly promote independence in feeding.
Question 4 of 5
A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B: Administer antibiotics when available. Administering antibiotics promptly is crucial in bacterial meningitis to prevent further complications and improve the child's prognosis. Delay in antibiotic administration can lead to serious consequences such as brain damage or death. Documenting intake and output (
A) is important but not the priority in this acute situation. Maintaining seizure precautions (
C) is vital for a child with a seizure disorder but not the priority in bacterial meningitis. Reducing environmental stimuli (
D) may help in managing symptoms, but administering antibiotics takes precedence in treating the underlying infection.
Question 5 of 5
A nurse is reinforcing teaching with a client who has diabetic neuropathy about foot care. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Avoid walking barefoot. Walking barefoot can increase the risk of injury and infection for a client with diabetic neuropathy due to decreased sensation in the feet. This instruction helps prevent complications like foot ulcers.
Choice A is incorrect as open-toed shoes do not provide adequate protection.
Choice B is incorrect as hot water can cause burns or skin damage.
Choice D is incorrect as applying lotion between the toes can create a moist environment, promoting fungal growth.