ATI RN
ATI Gastrointestinal System Test
1. A client who has ulcerative colitis has persistent diarrhea. He is thin and has lost 12 pounds since the exacerbation of his ulcerative colitis. The nurse should anticipate that the physician will order which of the following treatment approaches to help the client meet his nutritional needs?
- A. Initiate continuous enteral feedings
- B. Encourage a high protein, high-calorie diet
- C. Implement total parenteral nutrition
- D. Provide six small meals a day.
Correct answer: C
Rationale: Implementing total parenteral nutrition helps meet the nutritional needs of a client with persistent diarrhea and significant weight loss due to ulcerative colitis.
2. Which physiologic role does vitamin C play in the body?
- A. Transcribing DNA to RNA
- B. Absorption and regulation of calcium
- C. Protects integrity of cellular membranes
- D. Catalyst for synthesis of blood-clotting factors
Correct answer: C
Rationale: Vitamin C plays a crucial role in protecting the integrity of cellular membranes. It is essential for collagen synthesis, which is important for wound healing and maintaining skin, blood vessels, and other tissues. Choice A is incorrect as the transcription of DNA to RNA is facilitated by vitamin A. Choice B is incorrect as calcium absorption and regulation are functions of vitamin D. Choice D is incorrect as vitamin K serves as a catalyst for the synthesis of blood-clotting factors, not vitamin C.
3. A patient who experienced an acute episode of gastritis should avoid which type of foods?
- A. Avoid foods high in potassium
- B. Avoid foods high in sodium
- C. Increase exercise to reduce stress
- D. Drink milk as a snack
Correct answer: A
Rationale: The correct answer is A: Avoid foods high in potassium. Potassium-rich foods can exacerbate gastritis symptoms by irritating the stomach lining. Sodium (choice B) is not directly related to gastritis symptoms. Increasing exercise (choice C) can be beneficial for overall health but may not directly impact gastritis. Drinking milk (choice D) can provide temporary relief for some individuals with gastritis due to its coating effect, but it is not a universal recommendation as it can worsen symptoms in some cases.
4. Which nutrient is most important for wound healing in a patient post-surgery?
- A. Vitamin C
- B. Protein
- C. Iron
- D. Calcium
Correct answer: B
Rationale: Protein is essential for tissue repair and wound healing.
5. A healthcare professional in a provider's office is reviewing the medical record of a client who is pregnant and is at her first prenatal visit. Which of the following immunizations may the healthcare professional administer safely to this client?
- A. Varicella vaccine
- B. Rubella vaccine
- C. Inactivated influenza vaccine
- D. Measles vaccine
Correct answer: C
Rationale: During pregnancy, it is safe for women to receive the inactivated influenza vaccine, which is recommended by healthcare providers to protect pregnant individuals from influenza. Vaccination with inactivated influenza vaccine during pregnancy not only provides protection to the pregnant individual but also confers passive immunity to the newborn during the vulnerable early months of life. The Varicella, Rubella, and Measles vaccines are live vaccines and are contraindicated during pregnancy due to the theoretical risk of transmission of the live virus to the fetus, which could potentially cause harm.
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