ATI RN
ATI Nutrition
1. A nurse is instructing a group of clients regarding calcium-rich foods. Which of the following foods should the nurse include in the teaching as the best source of calcium?
- A. 1?2 cup ice cream
- B. 1 ounce Swiss cheese
- C. 1 cup milk
- D. 1 cup cottage cheese
Correct answer: D
Rationale: Cottage cheese is the best source of calcium among the options provided. It is rich in calcium and provides a significant amount per serving. 1 cup of cottage cheese contains more calcium compared to 1?2 cup of ice cream, 1 ounce of Swiss cheese, or 1 cup of milk. Ice cream is not a significant source of calcium and is often high in sugar and fat. Swiss cheese and milk contain calcium, but cottage cheese has a higher calcium content per serving, making it the best choice for meeting calcium needs.
2. A client with Crohn's disease is being cared for by a nurse. Which of the following food choices aligns with the recommended diet for clients with Crohn's disease?
- A. Vanilla milkshake
- B. Buttered popcorn
- C. Tossed green salad
- D. Toast with jelly
Correct answer: C
Rationale: The correct answer is a 'Tossed green salad.' Clients with Crohn's disease often benefit from a low-residue diet, which includes easily digestible foods like leafy green vegetables found in a tossed green salad. This type of diet helps minimize gastrointestinal symptoms. Choices A, B, and D are not ideal for clients with Crohn's disease. Vanilla milkshake, buttered popcorn, and toast with jelly may exacerbate symptoms due to their high fat, fiber, or sugar content, which can be harder to digest.
3. A nurse is providing teaching to a group of older adults about oil-rich foods. Which of the following foods should be included as the equivalent of 6 tsp of oil?
- A. 1 tbsp soft margarine
- B. 1?2 oz of nuts
- C. 2 tbsp peanut butter
- D. 1 oz sunflower seeds
Correct answer: C
Rationale: The correct answer is 2 tbsp peanut butter. 6 teaspoons of oil are equivalent to 2 tablespoons of oil. Peanut butter is a good source of oil and healthy fats. Choice A, 1 tbsp soft margarine, is incorrect because 1 tablespoon is not equivalent to 6 teaspoons. Choice B, 1?2 oz of nuts, is incorrect as nuts are not equivalent to oil-rich foods in this context. Choice D, 1 oz sunflower seeds, is incorrect because 1 ounce of sunflower seeds is not equivalent to 6 teaspoons of oil.
4. A nurse is providing dietary teaching for a client who has just learned that she has type 2 diabetes mellitus. The nurse should explain that which of the following sweeteners will add calories to the client's carbohydrate count?
- A. Sorbitol
- B. Sucralose
- C. Aspartame
- D. Acesulfame potassium
Correct answer: A
Rationale: Sorbitol is a sweetener that will add calories to the client's carbohydrate count. It is a sugar alcohol that provides about 2.6 calories per gram. Sucralose, aspartame, and acesulfame potassium are all non-nutritive sweeteners that do not contribute significant calories to the diet. Sucralose is about 600 times sweeter than sucrose but does not add calories. Aspartame is a low-calorie sweetener that is approximately 200 times sweeter than sucrose, and acesulfame potassium is a calorie-free sweetener.
5. A nurse is preparing a teaching plan for a client who has neutropenia as a result of radiation therapy for the treatment of lung cancer. Which of the following should the nurse plan to include in the teaching?
- A. Bottled water is an appropriate choice to increase fluid intake.
- B. The salad bar is a healthy choice when dining out.
- C. Soft-boiled eggs are an appropriate source of protein.
- D. Eating at a buffet is a good choice to increase caloric intake.
Correct answer: A
Rationale: In neutropenia, which is a low count of neutrophils, the client is at a high risk of infection. It is crucial to emphasize the importance of proper hydration to maintain overall health. Bottled water is a safe choice as it reduces the risk of exposure to contaminants that could further compromise the client's immune system. The other options, like the salad bar, soft-boiled eggs, and eating at a buffet, may not be suitable for a client with neutropenia due to the risk of bacterial contamination or exposure to pathogens that could lead to infections, which should be avoided.
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