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Nutrition ATI Proctored Exam
1. In a patient with liver cirrhosis, weight gain due to fluid retention can mask the symptoms of what condition?
- A. Liver failure
- B. Gallbladder disease
- C. Heart failure
- D. Protein-Energy Malnutrition (PEM)
Correct answer: D
Rationale: In a patient with liver cirrhosis, weight gain due to fluid retention can mask Protein-Energy Malnutrition (PEM) symptoms. This can lead to an increase in weight, making it challenging to identify weight loss or muscle wasting associated with PEM. Therefore, option D is correct. Options A, B, and C are incorrect because fluid retention and weight gain related to liver cirrhosis do not necessarily hide the symptoms of liver failure, gallbladder disease, or heart failure.
2. The sugar to which all other sugars are converted during human metabolism is:
- A. sucrose
- B. fructose
- C. glucose
- D. maltose
Correct answer: C
Rationale: Glucose is the primary sugar used by the body for energy and is converted from other sugars during metabolism. Sucrose is a disaccharide composed of glucose and fructose, not the end product of sugar metabolism. Fructose is a simple sugar found in fruits but needs to be converted to glucose for cellular energy. Maltose is a disaccharide composed of two glucose units and is not the final product of sugar metabolism in humans.
3. What goal should an overweight woman include in her lifestyle for a healthy pregnancy?
- A. Aim to lose 11 to 20 pounds during pregnancy
- B. Increase protein intake to 35% of total calories
- C. Delay weight loss until after pregnancy
- D. Increase daily energy intake by 550 calories
Correct answer: C
Rationale: The healthiest approach for an overweight pregnant woman is to delay weight loss until after pregnancy. During pregnancy, the body needs sufficient nutrition and energy to support the growth and development of the baby. Attempting to lose weight during pregnancy, especially significant amounts, may compromise the health of both the mother and the baby. Increasing protein intake to 35% of total calories or energy intake by 550 calories per day without professional guidance may lead to an unbalanced diet, which is not optimal for pregnancy. The focus should be on maintaining a balanced, nutrient-rich diet and appropriate weight gain during pregnancy.
4. When counseling a teenager about fast food, a dental hygienist could correctly cite which of the following facts, with one exception. Which is the exception?
- A. Most fast food menus lack a rich source of vitamin A
- B. Consumer demands have driven the establishment of salads and other healthy menu items
- C. Shortages of biotin, folate, pantothenic acid, and copper are reported in fast foods
- D. Studies reveal that protein is lacking in most menu items
Correct answer: D
Rationale: The correct answer is 'D'. Fast food is generally not deficient in protein since it often contains meat, a significant source of protein. On the other hand, fast food is known to lack essential nutrients like Vitamin A and certain minerals, as mentioned in choices 'A' and 'C'. Choice 'B' is also accurate as many fast food establishments have started offering healthier options such as salads due to customer demands. Therefore, all options are true except 'D', which makes it the exception.
5. Which organ produces and secretes bicarbonate ions and insulin?
- A. Stomach
- B. Pancreas
- C. Large intestine
- D. Small intestine
Correct answer: B
Rationale: The pancreas is the correct answer because it performs two vital functions: producing bicarbonate ions to neutralize stomach acid in the small intestine and secreting insulin to regulate blood glucose levels. The stomach is incorrect because its primary function is to break down and digest food, not produce bicarbonate ions or insulin. The large and small intestines are also incorrect because their primary functions are to absorb nutrients and water from food, rather than producing bicarbonate ions or insulin.
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