ATI RN
ATI Nutrition Practice A
1. All of the following are electrolytes except:
- A. chloride
- B. potassium
- C. sodium
- D. iron
Correct answer: D
Rationale: Iron is not an electrolyte; electrolytes like sodium, potassium, and chloride help maintain fluid balance and are critical for nerve and muscle function.
2. The nurse understands that malnutrition is a prevalent issue among hospitalized individuals. What is it commonly associated with?
- A. Decreased health care expenses
- B. Elevated blood pressure
- C. Decreased mortality rates
- D. A compromised immune system
Correct answer: D
Rationale: Malnutrition is often associated with a weakened immune system. This is because when the body is not sufficiently nourished, it lacks the necessary nutrients to maintain a well-functioning immune system, making patients more vulnerable to infections and other health complications. This can potentially increase mortality rates and prolong hospital stays, contrary to choice C. Choices A and B are incorrect as malnutrition does not lead to decreased health care costs or high blood pressure. In fact, it may increase health care costs due to the potential for increased complications and extended hospital stays.
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. Which factor has been shown to increase the risk of development of atherosclerosis?
- A. Menopause
- B. Age older than 35
- C. Increased levels of arachidonic acid
- D. Elevated HDL cholesterol
Correct answer: A
Rationale: The correct answer is A: Menopause. Menopause is associated with an increased risk of atherosclerosis due to hormonal changes that affect lipid profiles and vascular health. Conversely, B: Age older than 35 is not necessarily a risk factor for atherosclerosis on its own, though atherosclerosis risk does generally increase with age. C: Increased levels of arachidonic acid is not specifically linked to atherosclerosis; it's a fatty acid that can be both beneficial and harmful to health depending on its metabolic pathway. D: Elevated HDL cholesterol is actually beneficial rather than harmful because HDL cholesterol is known as 'good' cholesterol that helps to reduce the risk of heart disease and atherosclerosis.
5. Why are blood glucose levels high in type 1 diabetes?
- A. The urinary excretion of glucose is impaired
- B. The lean body mass is metabolized to produce glucose via gluconeogenesis
- C. The absorption of glucose from the gastrointestinal tract is more efficient
- D. There is insufficient insulin to facilitate the transport of glucose into the cells
Correct answer: D
Rationale: In type 1 diabetes, the body's immune system destroys the beta cells in the pancreas that produce insulin. This leads to an insufficient amount of insulin, which is required to facilitate the transport of glucose into the cells. Consequently, blood glucose levels remain high. The other options are incorrect. Option A is incorrect because urinary excretion of glucose does not directly contribute to blood glucose levels. Option B is incorrect because, while gluconeogenesis does produce glucose, it is not the cause of high glucose levels in type 1 diabetes. Option C is incorrect because absorption efficiency of glucose from the gastrointestinal tract does not affect the amount of insulin available to transport glucose into cells.
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