ATI RN
ATI Nurs 105 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is providing dietary teaching to the parents of a newborn who is being breastfed. The nurse should instruct that the transition to whole milk can occur at which of the following ages?
Correct Answer: C
Rationale: The correct answer is C: 12 months. At 12 months, a child's digestive system is more mature and can handle cow's milk. Transitioning to whole milk before 12 months can lead to iron deficiency anemia, as cow's milk is low in iron and can interfere with the absorption of iron. Additionally, whole milk is not recommended before 1 year of age due to its high protein and fat content, which can strain the infant's kidneys and lead to obesity.
Choices A, B, and D are incorrect because they suggest transitioning to whole milk before the recommended age of 12 months, which can pose health risks to the infant.
Question 2 of 5
A nurse is caring for a client who has anorexia nervosa and overexercises to avoid gaining weight. Which of the following nursing actions should the nurse take?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale:
1. Asking the client to agree to talk to a nurse whenever she feels the urge to exercise promotes open communication and support.
2. This action helps the nurse monitor the client's behavior and provide timely intervention to prevent excessive exercise.
3. It demonstrates empathy and understanding towards the client's struggle with anorexia nervosa.
4. Reprimanding the client (choice
A) may worsen the client's condition by increasing guilt and shame.
5. Praising the client for looking at herself in a mirror (choice
C) may reinforce unhealthy behaviors.
6. Restricting the client from being weighed (choice
D) does not address the underlying issue of overexercising.
Question 3 of 5
A nurse is caring for a client who has impaired mobility. Which of the following support devices should the nurse plan to use to prevent the client from developing plantar flexion contractures?
Correct Answer: A
Rationale: The correct answer is A: Footboard. A footboard helps prevent plantar flexion contractures by maintaining the client's feet in a neutral position, preventing the toes from pointing downward. This positioning helps stretch the calf muscles and prevents shortening of the Achilles tendon. The other options are not specifically designed to prevent plantar flexion contractures. B: Sheepskin heel pad provides cushioning and may help prevent pressure ulcers but does not address contractures. C: Trochanter roll is used for hip abduction and positioning, not foot positioning. D: Abduction pillow is used to maintain proper hip alignment, not foot positioning.
Question 4 of 5
A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide?
Correct Answer: A
Rationale: The correct answer is A. Metoclopramide relieves nausea by promoting gastric emptying. It works by increasing the contractions of the stomach and small intestines, which helps food move more quickly through the digestive system. This action reduces the feeling of fullness and nausea.
Choice B is incorrect because slowing peristalsis would actually worsen nausea by delaying the movement of food through the digestive tract.
Choice C is incorrect because relaxing gastric muscles would not help with nausea relief, as the goal is to improve gastric emptying.
Choice D is incorrect because metoclopramide does not directly affect gastric acid secretions, but rather focuses on improving motility.
Therefore, the correct explanation for the client is that metoclopramide helps relieve nausea by promoting gastric emptying.
Question 5 of 5
A nurse is discussing comorbidities associated with eating disorders with a newly admitted client. Which of the following conditions should the nurse include in the discussion? (Select all that apply.)
Correct Answer: A,B,D
Rationale: The correct answer is A, B, and D. Eating disorders often coexist with anxiety, as individuals may experience high levels of stress related to food and body image. Obsessive-compulsive disorder is also common, as individuals may have obsessive thoughts about food and rituals related to eating. Depression is frequently seen alongside eating disorders due to the emotional distress and low self-esteem associated with the condition.
Choices C and E are incorrect as breathing related sleep disorder and schizophrenia are not typically associated with eating disorders.