ATI RN
ATI Nutrition Proctored Exam 2019
1. A nurse is teaching a nutrition class for clients who have type 2 diabetes mellitus. Which of the following statements should the nurse include about management of acute illness?
- A. Consume carbs every 3-4 hrs
- B. Decrease fluid intake to 1000 mL per day
- C. Monitor blood glucose twice per day
- D. Check urine for ketones every 24 hrs
Correct answer: A
Rationale: The correct statement is to 'Consume carbs every 3-4 hours.' During acute illness, it is important to maintain a consistent carbohydrate intake to help manage blood glucose levels for clients with type 2 diabetes. This frequent consumption can prevent hypoglycemia and provide energy needed during illness. Decreasing fluid intake (choice B) is not recommended during acute illness, as hydration is crucial to prevent complications. Monitoring blood glucose (choice C) more frequently than twice a day is necessary during acute illness. Checking urine for ketones (choice D) should be done more frequently than once every 24 hours during illness to monitor for diabetic ketoacidosis.
2. A healthcare professional has just inserted an NG tube for a client who is to start enteral tube feedings. Which of the following actions should the healthcare professional take to verify tube placement?
- A. Measure the tube length.
- B. Obtain an abdominal x-ray.
- C. Flush the tube with 20 mL of water.
- D. Auscultate the client’s lungs.
Correct answer: B
Rationale: Obtaining an abdominal x-ray is the most accurate method to verify the correct placement of an NG tube. Measuring the tube length is not a reliable method to confirm placement as it may vary among individuals. Flushing the tube with water and auscultating the client's lungs are not definitive methods to ensure proper NG tube placement.
3. A healthcare professional is reviewing the lab results of a client who has bulimia nervosa. The professional should notify the provider of which of the following results?
- A. White Blood Cells 5,200/mm³
- B. Hemoglobin 14 g/dL
- C. Magnesium 1.6 mg/dL
- D. Potassium 3.2 mEq/L
Correct answer: D
Rationale: A potassium level of 3.2 mEq/L is below normal and requires provider notification, especially in clients with bulimia nervosa who are at risk of electrolyte imbalances. Low potassium levels can lead to serious complications like cardiac arrhythmias. The other options are within or close to the normal range and would not be a priority for notification.
4. A healthcare professional is reviewing the laboratory findings of a client who has heart failure. Which of the following findings indicates that the client is experiencing fluid volume excess?
- A. BUN 8 mg/dL
- B. Hgb 15 g/dL
- C. Creatinine 0.8 mg/dL
- D. Sodium 140 mEq/L
Correct answer: A
Rationale: A BUN level of 8 mg/dL indicates fluid volume excess in a client with heart failure. BUN (Blood Urea Nitrogen) levels can be low in fluid overload due to hemodilution, a common occurrence in heart failure. High levels of BUN usually indicate dehydration or impaired renal function, which are not the case in fluid volume excess. Choices B, C, and D are within normal ranges and do not specifically indicate fluid volume excess.
5. A nurse is completing a nutritional assessment of an adult female client. Which of the following findings should indicate to the nurse that the client is at an increased risk of developing cancer?
- A. Eats at least 5 servings of fruits and vegetables daily.
- B. Eats 6 servings of whole grains daily.
- C. Limits alcohol consumption to 2 drinks per day.
- D. Limits red meat intake to 3oz per day.
Correct answer: C
Rationale: The correct answer is C because limiting alcohol consumption to 2 drinks per day is still above the recommended limit for reducing cancer risk. The recommended limit for women is 1 drink per day to lower the risk of developing cancer. Choices A, B, and D are not indicative of an increased risk of developing cancer as they all align with a healthy diet and lifestyle, which can actually help reduce the risk of cancer.
Similar Questions
Access More Features
ATI RN Basic
$69.99/ 30 days
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI RN Premium
$149.99/ 90 days
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $149.99