ATI RN
ATI Nutrition
1. A nurse is caring for a client who has cancer and is receiving total parenteral nutrition (TPN). Which of the following lab values indicates the treatment is effective?
- A. Hct 43%
- B. WBC 8,000/uL
- C. Albumin 4.2 g/dL
- D. Calcium 9.4 mg/dL
Correct answer: C
Rationale: The correct answer is Albumin 4.2 g/dL. Albumin is a protein produced by the liver and is a key indicator of nutritional status. In a client receiving total parenteral nutrition (TPN), an increase in albumin level indicates that the treatment is effective in providing adequate nutrition support. Hct (hematocrit), WBC (white blood cell count), and calcium levels are not direct indicators of the effectiveness of TPN in this context.
2. A client with type 1 diabetes mellitus asks a nurse for a sweetener recommendation. Which of the following recommendations should the nurse make?
- A. Corn syrup
- B. Natural honey
- C. Nonnutritive sugar substitute
- D. Guava nectar
Correct answer: C
Rationale: The correct recommendation for a client with type 1 diabetes mellitus looking for a sweetener is a nonnutritive sugar substitute. Nonnutritive sugar substitutes do not significantly affect blood glucose levels, making them a suitable option for individuals with diabetes. Corn syrup and natural honey are high in sugar and can lead to spikes in blood glucose levels, which is not ideal for someone with diabetes. Guava nectar, while natural, is also high in sugar content and not recommended for individuals with diabetes.
3. How many calories are contained in a food that has 15 grams of carbohydrates, 4 grams of protein, and 10 grams of fat?
- A. 106
- B. 124
- C. 166
- D. 202
Correct answer: C
Rationale: To calculate the total calories in a food item, you can use the following conversions: every 1 gram of carbohydrate provides 4 calories, 1 gram of protein provides 4 calories, and 1 gram of fat provides 9 calories. Therefore, for this food item, multiply 15 grams of carbohydrates by 4 calories/gram, 4 grams of protein by 4 calories/gram, and 10 grams of fat by 9 calories/gram. The calculation would be (15 * 4) + (4 * 4) + (10 * 9) = 60 + 16 + 90 = 166 calories. Choice A (106) is incorrect because it does not consider the calories from fat. Choice B (124) is incorrect as it underestimates the calories by not including all macronutrients. Choice D (202) is incorrect as it overestimates the calories by adding up the values incorrectly.
4. A nurse is caring for an antepartum client who has iron-deficiency anemia. When teaching the client about nutrition, the nurse should emphasize the need for an increased intake of which of the following foods?
- A. Milk and cheese
- B. Red meat and organ meat
- C. Fresh fruits
- D. Whole grain breads
Correct answer: B
Rationale: The correct answer is red meat and organ meat. These foods are rich sources of heme iron, which is more easily absorbed by the body compared to non-heme iron found in plant-based foods. Red meat and organ meat can significantly help in increasing the iron levels in individuals with iron-deficiency anemia, especially in antepartum clients. Fresh fruits, while nutritious, do not provide high amounts of iron. Milk and cheese are not the best sources of iron for individuals with iron-deficiency anemia. Whole grain breads also do not contain as much bioavailable iron as red meat and organ meat.
5. A nurse is reviewing the laboratory results for a client who has a history of atherosclerosis and notes elevated cholesterol levels. Which of the following statements by the client indicates the nurse should plan follow-up teaching on a low-cholesterol diet?
- A. "I flavor my meat with lemon juice."?
- B. "I eat two eggs for breakfast each morning."?
- C. "I cook my food with canola oil."?
- D. "I take an omega-3 supplement daily."?
Correct answer: B
Rationale: The correct answer is B. Eggs are high in cholesterol, so someone with elevated cholesterol levels, especially with a history of atherosclerosis, should be cautious about egg consumption. Choices A, C, and D are not as concerning for cholesterol levels. Lemon juice, canola oil, and omega-3 supplements do not significantly impact cholesterol levels compared to consuming eggs regularly.
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