lOMoAR cPSD| 24815199
ATI NUTRITION PROCTORED EXAM 2019
RETAKE.QUESTIONS WITH VERIFIED ANSWER
GI and Neuro ONLY
Adult Health II (Chamberlain University)
,
, lOMoAR cPSD| 24815199
Detailed Answer Key
GI/Neuro Med Surg
1. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The pharmacy is delayed in
supplying the client’s next container of TPN. Which of the following fluids should the nurse infuse until the next
container arrives?
A. Dextrose 5% in water
Rationale: TPN contains high concentrations of certain nutrients. Infusing dextrose 5% in water
B. 0.9% sodium chloride
Rationale: TPN contains high concentrations of certain nutrients. Infusing 0.9% sodium chloride
could cause rapid shifts in serum levels of some substances.
C. Dextrose 10% in water
Rationale: TPN contains high concentrations of dextrose and proteins. To avoid hypoglycemia,
the nurse should infuse dextrose 10% or 20% in water until the next container of
TPN solution arrives.
D. Lactated Ringer’s solution
Rationale: TPN contains high concentrations of certain nutrients. Infusing lactated Ringer’s
solution could cause rapid shifts in serum levels of some substances.
2. A nurse is providing discharge teaching for a client who has chronic pancreatitis. Which of the following
statements by the nurse is appropriate?
A. “You should decrease your caloric intake when abdominal pain is present.”
Rationale: Clients who have chronic pancreatitis are at risk for malnutrition and should increase
their caloric intake in order to maintain weight.
B. “You should increase your daily intake of protein.”
could cause rapid shifts in serum levels of some substances.
Rationale: Clients who have chronic pancreatitis should consume a diet that is high in protein.
C. “You should increase fat intake when experiencing loose stools.”
Rationale: Clients who have chronic pancreatitis should consume a low-fat diet to prevent
stimulation of the pancreas and steatorrhea.
page 1 of 53
, lOMoAR cPSD| 24815199
Detailed Answer Key
GI/Neuro Med Surg
D. “You should limit alcohol intake to 2-3 drinks per week.”
Rationale: Clients who have chronic pancreatitis should avoid alcohol intake to prevent
stimulation of the pancreas.
3. A nurse monitors for increased intracranial pressure (ICP) on a client who has a leaking cerebral aneurysm. If the
client manifests increased intracranial pressure, which of the following findings should the nurse expect?
(Select all that apply)
A. Violent headache
B. Neck pain and stiffness
C. Slurred speech
D. Projectile vomiting
E. Rapid loss of consciousness
Rationale: Violent headache is correct. The client who manifests ICP should display a violent
headache
Neck pain and stiffness is incorrect. The client who manifests ICP should not
display neck pain and stiffness
Slurred speech is correct. The client who manifests ICP may display slurred
speech.
Projectile vomiting is correct. The client who manifests ICP may display sudden
onset of projectile vomiting.
Rapid loss of consciousness is correct. The client who manifests ICP may display a
sudden rapid loss of consciousness.
4. A nurse is assessing an adult who has meningococcal meningitis. Which of the following is an appropriate
finding by the nurse?
A. Severe headache
Rationale: The nurse should find as a sign of meningococcal meningitis severe headache due
to meningeal inflammation.
B. Bradycardia
Rationale: The nurse should find as a sign of meningococcal meningitis tachycardia not
bradycardia.
page 2 of 53
ATI NUTRITION PROCTORED EXAM 2019
RETAKE.QUESTIONS WITH VERIFIED ANSWER
GI and Neuro ONLY
Adult Health II (Chamberlain University)
,
, lOMoAR cPSD| 24815199
Detailed Answer Key
GI/Neuro Med Surg
1. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The pharmacy is delayed in
supplying the client’s next container of TPN. Which of the following fluids should the nurse infuse until the next
container arrives?
A. Dextrose 5% in water
Rationale: TPN contains high concentrations of certain nutrients. Infusing dextrose 5% in water
B. 0.9% sodium chloride
Rationale: TPN contains high concentrations of certain nutrients. Infusing 0.9% sodium chloride
could cause rapid shifts in serum levels of some substances.
C. Dextrose 10% in water
Rationale: TPN contains high concentrations of dextrose and proteins. To avoid hypoglycemia,
the nurse should infuse dextrose 10% or 20% in water until the next container of
TPN solution arrives.
D. Lactated Ringer’s solution
Rationale: TPN contains high concentrations of certain nutrients. Infusing lactated Ringer’s
solution could cause rapid shifts in serum levels of some substances.
2. A nurse is providing discharge teaching for a client who has chronic pancreatitis. Which of the following
statements by the nurse is appropriate?
A. “You should decrease your caloric intake when abdominal pain is present.”
Rationale: Clients who have chronic pancreatitis are at risk for malnutrition and should increase
their caloric intake in order to maintain weight.
B. “You should increase your daily intake of protein.”
could cause rapid shifts in serum levels of some substances.
Rationale: Clients who have chronic pancreatitis should consume a diet that is high in protein.
C. “You should increase fat intake when experiencing loose stools.”
Rationale: Clients who have chronic pancreatitis should consume a low-fat diet to prevent
stimulation of the pancreas and steatorrhea.
page 1 of 53
, lOMoAR cPSD| 24815199
Detailed Answer Key
GI/Neuro Med Surg
D. “You should limit alcohol intake to 2-3 drinks per week.”
Rationale: Clients who have chronic pancreatitis should avoid alcohol intake to prevent
stimulation of the pancreas.
3. A nurse monitors for increased intracranial pressure (ICP) on a client who has a leaking cerebral aneurysm. If the
client manifests increased intracranial pressure, which of the following findings should the nurse expect?
(Select all that apply)
A. Violent headache
B. Neck pain and stiffness
C. Slurred speech
D. Projectile vomiting
E. Rapid loss of consciousness
Rationale: Violent headache is correct. The client who manifests ICP should display a violent
headache
Neck pain and stiffness is incorrect. The client who manifests ICP should not
display neck pain and stiffness
Slurred speech is correct. The client who manifests ICP may display slurred
speech.
Projectile vomiting is correct. The client who manifests ICP may display sudden
onset of projectile vomiting.
Rapid loss of consciousness is correct. The client who manifests ICP may display a
sudden rapid loss of consciousness.
4. A nurse is assessing an adult who has meningococcal meningitis. Which of the following is an appropriate
finding by the nurse?
A. Severe headache
Rationale: The nurse should find as a sign of meningococcal meningitis severe headache due
to meningeal inflammation.
B. Bradycardia
Rationale: The nurse should find as a sign of meningococcal meningitis tachycardia not
bradycardia.
page 2 of 53
