ATI RN
ATI Nutrition Proctored Exam
1. Each statement regarding the correlation between vitamin D and sun exposure is accurate, except one. Which is the exception?
- A. The body can produce sufficient amounts of vitamin D from sunlight.
- B. UV radiation can convert a precursor of vitamin D to vitamin D3 by penetrating uncovered skin.
- C. Sunscreen blocks the formation of vitamin D3.
- D. By the age of 70 years, the skin generally produces vitamin D at only half the level it did at the age of 20 years.
Correct answer: C
Rationale: While UV radiation can penetrate uncovered skin and convert a precursor of vitamin D to vitamin D3, sunscreen does block the formation of vitamin D3. Sunscreen is recommended by dermatologists to prevent sunburn and reduce the risk of skin cancer. The other choices are correct: the body can produce sufficient vitamin D from sunlight, UV radiation can convert a precursor of vitamin D to vitamin D3, and skin generally produces less vitamin D as a person ages.
2. An imbalance of which nutrient may elicit delayed tooth eruption, enlarged tongue, stillbirths, altered craniofacial growth, sensitivity to cold, dry skin, depression, and goiter?
- A. Zinc
- B. Iron
- C. Sodium
- D. Potassium
Correct answer: B
Rationale: The correct answer is B: Iron. The provided extract mentions that iodine deficiency can cause delayed tooth eruption, enlarged tongue, stillbirths, altered craniofacial growth, sensitivity to cold, dry skin, depression, and goiter. Zinc, Sodium, and Potassium are not associated with these specific symptoms. Zinc deficiency can lead to other health issues but not the ones mentioned. Sodium and Potassium imbalances do not typically result in the symptoms described in the question.
3. Each statement is true of calcium within saliva, except one. Which is the exception?
- A. Saliva is supersaturated with calcium.
- B. Saliva is a source of calcium to mineralize an immature or demineralized enamel surface.
- C. Calcium and phosphate in saliva provide a buffering action.
- D. Calcium within saliva increases dental caries.
Correct answer: D
Rationale: The correct answer is D. Calcium within saliva does not increase dental caries; in fact, the buffering action provided by calcium and phosphate in saliva inhibits caries formation by preventing the dissolution of enamel by plaque biofilm. Choice A is correct as saliva is indeed supersaturated with calcium. Choice B is correct as saliva serves as a source of calcium to mineralize an immature or demineralized enamel surface. Choice C is correct as calcium and phosphate in saliva do provide a buffering action to protect teeth from acids.
4. Each statement is true of vitamin K, except one. Which is the exception?
- A. Vitamin K is produced in the gut.
- B. Vitamin K functions as a catalyst for the synthesis of blood-clotting factors.
- C. Vitamin K maintains prothrombin levels.
- D. Vitamin K absorption increases with high levels of vitamin E supplementation.
Correct answer: D
Rationale: The correct answer is D. Vitamin K absorption decreases with high levels of vitamin E supplementation because in larger amounts, vitamin E acts as an anticoagulant. Vitamin K is not produced in the gut but can be obtained from food sources or supplements. Vitamin K is essential for the synthesis of blood-clotting factors and is crucial in maintaining prothrombin levels, which is vital for proper blood clotting. The incorrect choice, D, is misleading as high levels of vitamin E supplementation hinder vitamin K absorption due to its anticoagulant properties. Dental hygienists should be aware of the importance of vitamin K in blood clotting, especially when treating patients who are on anticoagulant medications for conditions like stroke prevention.
5. Each statement is true of water-soluble vitamins, except one. Which is it?
- A. Act as coenzymes
- B. Deficiencies develop rapidly
- C. Daily intake is necessary
- D. Absorbed in the jejunum
Correct answer: B
Rationale: The correct answer is B. Water-soluble vitamins do not develop deficiencies rapidly because the body does not store them for long periods. They must be obtained through food constantly. Choice A is correct because water-soluble vitamins often act as coenzymes in various metabolic reactions. Choice C is correct as daily intake of water-soluble vitamins is necessary since they are not stored in the body. Choice D is incorrect as water-soluble vitamins are absorbed primarily in the small intestine, particularly in the duodenum and ileum, not the jejunum.
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