ATI RN
ATI Nutrition Practice A
1. An elderly man is hospitalized with a diagnosis of malnutrition three months following his wife's death. What risk factor for malnutrition does this scenario illustrate?
- A. A history of chronic illness
- B. Depression or social isolation
- C. Age
- D. Impaired mobility
Correct answer: B
Rationale: This scenario illustrates depression or social isolation as a risk factor for malnutrition. After the death of his wife, the elderly man may have experienced depression or social isolation, which can lead to decreased food intake and poor nutritional status. Although age, chronic illness, and impaired mobility can also contribute to malnutrition, they are not the primary factors described in this scenario. The history of chronic illness (Choice A) and impaired mobility (Choice D) were not mentioned in the scenario, and while age (Choice C) is a factor, it's not the main factor depicted in this case.
2. What is the most likely demonstration of cardiac cachexia?
- A. Decreased physical activity
- B. Weight loss and tissue wasting
- C. Poor urine output and tissue edema
- D. Cardiac arrhythmia and wet lung sounds
Correct answer: B
Rationale: Cardiac cachexia is a condition characterized by severe weight loss and tissue wasting. This typically occurs in patients suffering from heart failure due to an increased energy expenditure and reduced appetite, which is why choice B is the correct answer. The other choices are incorrect as they do not accurately describe the symptoms of cardiac cachexia. Decreased physical activity (choice A) can be a result of many conditions, not specifically cardiac cachexia. Poor urine output and tissue edema (choice C) are more indicative of kidney problems rather than cardiac cachexia. Finally, cardiac arrhythmia and wet lung sounds (choice D) are symptoms related to other cardiac conditions, not specifically to cardiac cachexia.
3. For a patient with GERD (gastroesophageal reflux disease), which dietary advice is most appropriate?
- A. Increase spicy foods
- B. Avoid fatty foods
- C. Increase citrus fruits
- D. Reduce water intake
Correct answer: B
Rationale: Avoiding fatty foods can help reduce the symptoms of GERD.
4. Select all that apply. Which of the following are true about protein digestion?
- A. the end products of protein digestion are amino acids
- B. protein/polypeptides are digested in the large intestine by trypsin
- C. A, D
- D. protein/polypeptides are digested in the stomach by pepsin
Correct answer: C
Rationale: Protein digestion begins in the stomach with the enzyme pepsin, which breaks down proteins into smaller polypeptides. The end products of protein digestion are amino acids.
5. What is the most important concern immediately after a myocardial infarction?
- A. Reducing cholesterol intake
- B. Allowing cardiac rest for healing
- C. Reducing saturated fat intake
- D. Eating several small meals each day
Correct answer: B
Rationale: Immediately after a myocardial infarction, the primary concern is to allow the heart to rest and heal to prevent further damage. This is why choice B is the correct answer. While choices A, C, and D might be a part of the long-term management plan following a myocardial infarction, they are not the immediate priority. Reducing cholesterol and saturated fat intake, as well as adjusting eating habits can help prevent future heart issues, but do not directly contribute to the immediate recovery post-myocardial infarction.
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