ATI RN
ATI Nutrition 2024 NGN Exam
1. A client is prescribed a 1500 calorie diet. Thirty percent of the calories are to be derived from fat. How many grams of fat should the nurse tell the client to consume per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
- A. 21
- B. 49
- C. 60
- D. 50
Correct answer: D
Rationale: To calculate the grams of fat: 1500 calories x 30% = 450 calories from fat. Since 1 gram of fat = 9 calories, 450 / 9 = 50 grams of fat.
2. A nurse is planning care for a client who is experiencing acute mania. What intervention should the nurse include?
- A. Encourage the client to take frequent rest periods.
- B. Withdraw TV privileges if the client does not attend group therapy.
- C. Place the client in seclusion during periods of anxiety.
- D. Encourage the client to spend time in the day room.
Correct answer: A
Rationale: The correct answer is A: Encourage the client to take frequent rest periods. During acute mania, individuals often experience high levels of energy, decreased need for sleep, and increased activity levels. Encouraging the client to take frequent rest periods can help prevent exhaustion and promote better self-regulation. Choice B is incorrect because withdrawing TV privileges may not be directly related to managing acute mania. Choice C is incorrect as placing the client in seclusion can exacerbate feelings of anxiety and agitation. Choice D is incorrect as spending time in the day room may not address the need for rest and relaxation that is crucial during acute mania.
3. 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.
4. Monosaccharides are converted into glucose in the liver to provide an energy supply to the cells.
- A. Both statements are true
- B. Both statements are false
- C. The first statement is true; the second is false
- D. The first statement is false; the second is true
Correct answer: A
Rationale: Both statements are true. Monosaccharides are indeed converted into glucose in the liver. Glucose, in turn, serves as a primary energy source for cells in the body, providing the necessary fuel for various cellular functions. The liver plays a crucial role in regulating blood glucose levels by converting monosaccharides into glucose and releasing it into the bloodstream when needed. Therefore, option A is the correct choice. Options B, C, and D are incorrect because both statements are accurate in this context.
5. A nurse is reviewing the medical record of a client who is scheduled for surgery. Which of the following findings should the nurse report to the provider?
- A. Client reports taking warfarin
- B. Client has a history of hypertension
- C. Client ate a light breakfast 2 hours prior
- D. Client reports a history of smoking 10 cigarettes a day
Correct answer: A
Rationale: The correct answer is A. Warfarin is an anticoagulant that increases the risk of bleeding during surgery. It is crucial for the provider to be informed about the client taking warfarin to adjust the treatment plan accordingly. Choices B, C, and D are not as critical to report for surgical planning. A history of hypertension (B) is important but may not require immediate intervention for surgery. Eating a light breakfast 2 hours prior (C) is a normal preoperative instruction. Smoking history (D) is relevant for overall health assessment but is not as urgent as the use of warfarin before surgery.
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