Community ATI Questions with
Accurate Answers
correct answer NURSING ACTIONS
●● Encourage clients to eat more on days when feeling
better (on "good" days).
●● Encourage nutritional supplements that are high in
protein and/or calories as between-meal snacks. When
necessary, use as a meal replacement.
●● Increase protein and caloric content of foods.
◯◯ Substitute whole milk for water in recipes.
◯◯ Add milk, cheese, yogurt, or ice cream to dishes.
◯◯ Use peanut butter as a spread for fruits.
◯◯ Use yogurt as a topping for fruit.
◯◯ Dip meats in eggs, milk, and bread crumbs
before cooking.
●● Use semisolid, thickened foods for clients who have
dysphagia, and instruct them to sit upright and tilt their
head forward when swallowing.
correct answer THERAPEUTIC NUTRITION
●● Cancer can cause anorexia, increased metabolism, and
negative nitrogen balance.
●● Systemic effects result in poor food intake, increased
,nutrient and energy needs, and catabolism of
body tissues.
●● Creating an individualized plan for the client who has
cancer is based on the following.
◯◯ Increased caloric needs ranging from 25 to 35 cal/kg
(depending on metabolism, activity level, disease
state, and ability to absorb nutrients).
◯◯ Protein needs are increased to 1.0 to 2.5 g/kg.
◯◯ Vitamin and mineral supplementation is based upon
the client's needs.
**Osteoarthritis: Teaching About Disease Management (RM AMS RN 9.0 Chp 73,
Active Learning Template - System
Disorder) correct answer Osteoarthritis
●● Encourage the client to use joint-saving measures (good
body mechanics, labor-saving devices).
●● Encourage the client to maintain a healthy weight to
decrease joint degeneration of the hips and knees.
●● Recommend that the client stop smoking to reduce
cartilage loss, especially if there is a family history of OA.
●● Encourage the client to avoid or limit repetitive strain
on joints (jogging, contact sports, risk-taking activities).
●● Recommend wearing well-fitted shoes with supports to
prevent falls.
,Barriers to Adequate Nutrition: Nonpharmacological Interventions to Manage
Nausea (RM Nutrition 5.0 Chp 11, Active
Learning Template - System Disorder) correct answer CLIENT EDUCATION
●● Eat cold or room-temperature foods.
●● Try high-carbohydrate, low-fat foods.
●● Avoid fried foods.
●● Do not eat prior to chemotherapy or radiation.
●● Take prescribed antiemetic medication.
●● Sit up for 1 hr after a meal.
Cancer Disorders: Promoting Nutrition for Esophageal Cancer (RN QSEN - Safety ,
RM AMS RN 9.0 Chp 93, Active
Learning Template - System Disorder) correct answer Inadequate nutrition
Clients who have cancer are at risk for inadequate
nutrition related to diagnosis or treatment. (Refer to
the NUTRITION FOR NURSING REVIEW MODULE: CHAPTER 16:
CANCER AND IMMUNOSUPPRESSION DISORDERS.)
NURSING CONSIDERATIONS
●● Administer nutritional supplements or substitutes
as prescribed.
●● Monitor feeding tube or central line as appropriate.
●● Encourage the addition of protein- and calorie-dense foods.
●● Monitor for effectiveness of nutrition modifications
(laboratory values, urine and bowel elimination, absence
, of GI upset).
●● Monitor weight.
●● Consult nutrition services.
Cardiac Glycosides and Heart Failure: Indications of Digoxin Toxicity (RN QSEN -
Safety , RM Pharm RN 6.0 Chp 21,
Active Learning Template - Medication) correct answer Advise clients to take the
medication as prescribed. If a dose is missed, the next dose should not
be doubled.
●● Check pulse rate and rhythm before administration of digoxin and record.
Notify the provider if heart
rate is less than 60/min in an adult, less than 70/min in children, and less than
90/min in infants.
●● Administer digoxin at the same time daily.
●● Monitor digoxin levels periodically during treatment and maintain therapeutic
levels between 0.5 to
2.0 ng/mL to prevent digoxin toxicity.
●● Avoid taking OTC medications to prevent adverse effects and medication
interactions.
●● Instruct clients to observe for manifestations of hypokalemia, such as muscle
weakness, and to notify
the provider if they occur.
●● Instruct clients to observe for indications of digoxin toxicity (fatigue,
weakness, vision changes, GI effects),
and to notify the provider if they occur.
●● If administering IV digoxin, infuse over at least 5 min, and monitor client for
dysrhythmias.
Accurate Answers
correct answer NURSING ACTIONS
●● Encourage clients to eat more on days when feeling
better (on "good" days).
●● Encourage nutritional supplements that are high in
protein and/or calories as between-meal snacks. When
necessary, use as a meal replacement.
●● Increase protein and caloric content of foods.
◯◯ Substitute whole milk for water in recipes.
◯◯ Add milk, cheese, yogurt, or ice cream to dishes.
◯◯ Use peanut butter as a spread for fruits.
◯◯ Use yogurt as a topping for fruit.
◯◯ Dip meats in eggs, milk, and bread crumbs
before cooking.
●● Use semisolid, thickened foods for clients who have
dysphagia, and instruct them to sit upright and tilt their
head forward when swallowing.
correct answer THERAPEUTIC NUTRITION
●● Cancer can cause anorexia, increased metabolism, and
negative nitrogen balance.
●● Systemic effects result in poor food intake, increased
,nutrient and energy needs, and catabolism of
body tissues.
●● Creating an individualized plan for the client who has
cancer is based on the following.
◯◯ Increased caloric needs ranging from 25 to 35 cal/kg
(depending on metabolism, activity level, disease
state, and ability to absorb nutrients).
◯◯ Protein needs are increased to 1.0 to 2.5 g/kg.
◯◯ Vitamin and mineral supplementation is based upon
the client's needs.
**Osteoarthritis: Teaching About Disease Management (RM AMS RN 9.0 Chp 73,
Active Learning Template - System
Disorder) correct answer Osteoarthritis
●● Encourage the client to use joint-saving measures (good
body mechanics, labor-saving devices).
●● Encourage the client to maintain a healthy weight to
decrease joint degeneration of the hips and knees.
●● Recommend that the client stop smoking to reduce
cartilage loss, especially if there is a family history of OA.
●● Encourage the client to avoid or limit repetitive strain
on joints (jogging, contact sports, risk-taking activities).
●● Recommend wearing well-fitted shoes with supports to
prevent falls.
,Barriers to Adequate Nutrition: Nonpharmacological Interventions to Manage
Nausea (RM Nutrition 5.0 Chp 11, Active
Learning Template - System Disorder) correct answer CLIENT EDUCATION
●● Eat cold or room-temperature foods.
●● Try high-carbohydrate, low-fat foods.
●● Avoid fried foods.
●● Do not eat prior to chemotherapy or radiation.
●● Take prescribed antiemetic medication.
●● Sit up for 1 hr after a meal.
Cancer Disorders: Promoting Nutrition for Esophageal Cancer (RN QSEN - Safety ,
RM AMS RN 9.0 Chp 93, Active
Learning Template - System Disorder) correct answer Inadequate nutrition
Clients who have cancer are at risk for inadequate
nutrition related to diagnosis or treatment. (Refer to
the NUTRITION FOR NURSING REVIEW MODULE: CHAPTER 16:
CANCER AND IMMUNOSUPPRESSION DISORDERS.)
NURSING CONSIDERATIONS
●● Administer nutritional supplements or substitutes
as prescribed.
●● Monitor feeding tube or central line as appropriate.
●● Encourage the addition of protein- and calorie-dense foods.
●● Monitor for effectiveness of nutrition modifications
(laboratory values, urine and bowel elimination, absence
, of GI upset).
●● Monitor weight.
●● Consult nutrition services.
Cardiac Glycosides and Heart Failure: Indications of Digoxin Toxicity (RN QSEN -
Safety , RM Pharm RN 6.0 Chp 21,
Active Learning Template - Medication) correct answer Advise clients to take the
medication as prescribed. If a dose is missed, the next dose should not
be doubled.
●● Check pulse rate and rhythm before administration of digoxin and record.
Notify the provider if heart
rate is less than 60/min in an adult, less than 70/min in children, and less than
90/min in infants.
●● Administer digoxin at the same time daily.
●● Monitor digoxin levels periodically during treatment and maintain therapeutic
levels between 0.5 to
2.0 ng/mL to prevent digoxin toxicity.
●● Avoid taking OTC medications to prevent adverse effects and medication
interactions.
●● Instruct clients to observe for manifestations of hypokalemia, such as muscle
weakness, and to notify
the provider if they occur.
●● Instruct clients to observe for indications of digoxin toxicity (fatigue,
weakness, vision changes, GI effects),
and to notify the provider if they occur.
●● If administering IV digoxin, infuse over at least 5 min, and monitor client for
dysrhythmias.
