ATI RN
ATI Proctored Nutrition Exam
1. What nursing diagnosis would be most appropriate for a patient with heart failure?
- A. risk for infection
- B. fluid volume excess
- C. impaired body temperature
- D. ineffective airway clearance
Correct answer: B
Rationale: The most appropriate nursing diagnosis for a patient with heart failure is 'fluid volume excess.' In heart failure, the heart's reduced pumping ability leads to fluid retention, causing an excess of fluid in the body. This can result in symptoms such as edema, shortness of breath, and weight gain. 'Risk for infection,' 'impaired body temperature,' and 'ineffective airway clearance' are not the most appropriate nursing diagnoses for a patient with heart failure as they do not directly relate to the pathophysiology and common issues seen in heart failure patients.
2. Furosemide (Lasix) is a drug used to _____.
- A. activate vitamin D
- B. stimulate appetite
- C. lower cholesterol
- D. mobilize fluids
Correct answer: D
Rationale: Furosemide is a diuretic that helps mobilize fluids by increasing urine output, often used to treat conditions like edema and heart failure.
3. The mechanism behind most CKD in patients without diabetes is mediated by:
- A. enzyme systems
- B. immune systems
- C. catabolic systems
- D. hormonal systems
Correct answer: B
Rationale: In non-diabetic patients, CKD is often mediated by immune system responses. Chronic inflammation triggered by immune system dysfunction can contribute to progressive kidney damage. Therefore, the correct answer is 'immune systems.' Choices A, C, and D are incorrect because CKD in non-diabetic patients is primarily associated with immune system abnormalities rather than enzyme, catabolic, or hormonal systems.
4. Sam is trying to lose weight by skipping lunch. By the middle of the afternoon, Sam is very uncomfortable and feels that they "have" to eat. Sam is experiencing:
- A. appetite
- B. satiety
- C. satiation
- D. hunger
Correct answer: D
Rationale: Hunger is the physiological need to eat, which Sam is experiencing due to skipping a meal and the body signaling the need for nutrients.
5. The two members of the health care team who work closely to monitor drug-nutrient interactions are the:
- A. physician and nurse
- B. physician and pharmacist
- C. nurse and clinical dietitian
- D. clinical dietitian and pharmacist
Correct answer: D
Rationale: The correct answer is D: clinical dietitian and pharmacist. Clinical dietitians and pharmacists work closely together to monitor and manage drug-nutrient interactions. While physicians and nurses play essential roles in patient care, they are not typically the primary professionals involved in monitoring drug-nutrient interactions. Therefore, choices A, B, and C are incorrect.
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