ATI RN
ATI Nurse 142 Final Questions
Extract:
Question 1 of 5
Some of the factors that negatively affect nutrition in the older adult include which of the following? (Select all that apply)
Correct Answer: A,B,D
Rationale: Low economic status, self-care deficits, and dental problems can negatively affect nutrition in older adults by limiting access to food, impairing the ability to prepare or consume food, or affecting chewing and digestion. A healthy diet is a positive factor and does not negatively impact nutrition.
Question 2 of 5
The patient reports an inability to taste. What is the most appropriate action for the nurse to take?
Correct Answer: D
Rationale: The sense of taste is primarily mediated by the facial nerve (cranial nerve VII) and the glossopharyngeal nerve (cranial nerve IX). Evaluating sensory function, including taste, is the most appropriate action to assess the patient's complaint. Testing specific cranial nerves like the hypoglossal (XII) or spinal accessory (XI) is not directly related to taste.
Question 3 of 5
The nurse is mapping the client's abdomen into four quadrants. Which landmarks should the nurse use to perform this assessment? (Select all that apply)
Correct Answer: A
Rationale:
To map the abdomen into four quadrants, the nurse uses the umbilicus as the central landmark, drawing imaginary lines vertically and horizontally through it. The midclavicular lines, sternum, and lower border of the ribs are not used for this purpose.
Question 4 of 5
The nurse is performing a nutritional assessment. Which of the following would be considered objective data?
Correct Answer: C
Rationale: Objective data are measurable and observable findings that can be obtained through physical examination, laboratory tests, or other diagnostic procedures. Body Mass Index (BMI) is a calculated value based on height and weight, making it objective. Dietary history, patient complaints, and history of alcohol intake are subjective as they rely on the patient's self-report and may not be entirely accurate.
Question 5 of 5
A 70-year-old male complains of ringing in the ears. The nurse describes this as:
Correct Answer: A
Rationale: Tinnitus is the perception of sound, such as ringing, in the ears when no external sound is present. It can be caused by age-related hearing loss, loud noise exposure, ear infections, or other medical conditions. Xerostomia is dry mouth, myopia is nearsightedness, and anosmia is loss of smell.