ATI RN Custom Exams Set 3

ATI RN Custom Exams Set 3 Related

Review ATI RN Custom Exams Set 3 related questions and content

A patient with diabetes should be advised to avoid which type of carbohydrate?

  • A. Simple carbohydrates
  • B. Complex carbohydrates
  • C. Fiber-rich carbohydrates
  • D. All carbohydrates
Correct Answer: A

Rationale: The correct answer is A: Simple carbohydrates. Simple carbohydrates can cause rapid spikes in blood glucose levels, which can be problematic for patients with diabetes. These carbohydrates are quickly broken down and absorbed by the body, leading to sharp increases in blood sugar levels. In contrast, complex carbohydrates and fiber-rich carbohydrates are generally better choices for individuals with diabetes because they are digested more slowly, resulting in a more gradual rise in blood glucose levels. Choice B, complex carbohydrates, are a better option for diabetic patients compared to simple carbohydrates. Choice C, fiber-rich carbohydrates, can also be beneficial for individuals with diabetes as they help in regulating blood sugar levels. Choice D, all carbohydrates, is too broad of a statement as not all carbohydrates have the same impact on blood glucose levels.

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Protecting the rights and privacy of the patient and their family is a part of which of the following steps for determining and fulfilling the nursing care needs of the patient?

  • A. Evaluation
  • B. Planning
  • C. Implementation
  • D. Assessment
Correct Answer: C

Rationale: In nursing care, implementation involves putting the nursing care plan into action. This step includes safeguarding the rights and privacy of the patient and their family by providing care in a respectful and confidential manner. Evaluation (A) is about assessing the effectiveness of the care provided. Planning (B) is the stage where specific interventions are designed. Assessment (D) is the initial step where data is collected to identify the patient's needs.

A client is at risk for excess fluid volume. Which nursing intervention ensures the most accurate monitoring of the client's fluid status?

  • A. Measuring and recording fluid intake and output
  • B. Weighing the client daily at the same time each day
  • C. Assessing the client's vital signs every 4 hours
  • D. Checking the client's lungs for crackles during every shift
Correct Answer: B

Rationale: The correct answer is B. Weighing the client daily at the same time each day is the most accurate method for monitoring fluid balance. Changes in body weight can indicate fluid retention or loss. Measuring and recording fluid intake and output (choice A) is important but may not reflect total body fluid status accurately. Assessing vital signs (choice C) and checking the client's lungs for crackles (choice D) are important assessments but do not directly provide the most accurate monitoring of fluid status.

A 31-year-old client is seeking contraceptive information. Before responding to the client's questions about contraceptives, the nurse obtains a health history. What factor in the client's history indicates to the nurse that oral contraceptives are contraindicated?

  • A. More than 30 years of age
  • B. Had two multiple pregnancies
  • C. Smokes 1 pack of cigarettes a day
  • D. Has a history of borderline hypertension
Correct Answer: C

Rationale: The correct answer is C. Smoking, especially in clients over 30, increases the risk of thromboembolic events, making oral contraceptives contraindicated. Choice A is incorrect as age alone is not a contraindication for oral contraceptives. Choice B is incorrect as having multiple pregnancies is not a contraindication for oral contraceptives. Choice D is incorrect as borderline hypertension is not a strict contraindication for oral contraceptives.

The nurse supervises care of a client who is receiving enteral feeding via a nasogastric tube. The nurse determines that care is appropriate if which of the following is observed? (Select all that apply)

  • A. The nursing assistant aspirates and measures the amount of gastric aspirate
  • B. The nursing assistant elevates the head of the client's bed 30 degrees
  • C. The nursing assistant warms the formula to room temperature
  • D. B, C
Correct Answer: D

Rationale: The correct answer is D because elevating the head of the bed reduces the risk of aspiration, and warming the formula to room temperature helps prevent discomfort and complications. Choice A is incorrect as only licensed healthcare professionals should aspirate and measure the amount of gastric aspirate. Choice B is correct as it helps prevent aspiration. Choice C is correct as warming the formula can prevent discomfort.

Which dietary change is most beneficial for a patient with hypertension?

  • A. Increased sodium intake
  • B. Decreased potassium intake
  • C. Increased fiber intake
  • D. Increased cholesterol intake
Correct Answer: C

Rationale: The correct answer is C: Increased fiber intake. A diet high in fiber is beneficial for patients with hypertension as it helps lower blood pressure. Increasing fiber intake can aid in managing hypertension by promoting heart health and overall well-being. Choices A, B, and D are incorrect. Increased sodium intake is not recommended for hypertension as it can elevate blood pressure. Decreasing potassium intake is also not advised as potassium is essential for regulating blood pressure. Lastly, increasing cholesterol intake is detrimental for hypertension as it can contribute to cardiovascular issues and worsen the condition.

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