a community health nurse is conducting a class on what to expect during pregnancy what instruction should the nurse include on weight gain

ATI RN

ATI Nutrition Practice Test B 2019

1. A community health nurse is conducting a class on what to expect during pregnancy. What instruction should the nurse include on weight gain?

A. Failure to obtain the required weight gain during pregnancy will increase the risk of preterm birth.
B. An obese client should not gain as much weight as a client with a normal body mass index.
C. A client with a normal body mass index should plan on gaining 50 pounds.
D. Clients do not need to eat for two when they are pregnant.

Correct answer: A

Rationale: Adequate weight gain during pregnancy is essential as failure to obtain the required weight gain can increase the risk of preterm birth. Choice B is incorrect because it is important for obese clients to gain an appropriate amount of weight during pregnancy, not the same as those with a normal body mass index. Choice C is incorrect as gaining 50 pounds for a client with a normal body mass index is excessive. Choice D is incorrect as the common saying 'eating for two' during pregnancy is a misconception; pregnant individuals do not need to double their caloric intake.

2. Where should a nurse auscultate the apex beat?

A. At the fifth intercostal space, along the midclavicular line
B. At the mid-sternum
C. 2 inches to the left of the lower end of the sternum
D. 1 inch to the left of the xiphoid process

Correct answer: A

Rationale: The correct location to auscultate the apex beat is at the fifth intercostal space, along the midclavicular line. This is where the apical impulse, also known as the point of maximal impulse (PMI), can be best heard. Choices B, C, and D are incorrect anatomical locations for auscultating the apex beat, which makes them incorrect choices. Auscultating at the correct location allows healthcare providers to assess the heart's function and detect any abnormalities in heart sounds, which is crucial for comprehensive patient care.

3. Why are blood glucose levels high in type 1 diabetes?

A. The urinary excretion of glucose is impaired
B. The lean body mass is metabolized to produce glucose via gluconeogenesis
C. The absorption of glucose from the gastrointestinal tract is more efficient
D. There is insufficient insulin to facilitate the transport of glucose into the cells

Correct answer: D

Rationale: In type 1 diabetes, the body's immune system destroys the beta cells in the pancreas that produce insulin. This leads to an insufficient amount of insulin, which is required to facilitate the transport of glucose into the cells. Consequently, blood glucose levels remain high. The other options are incorrect. Option A is incorrect because urinary excretion of glucose does not directly contribute to blood glucose levels. Option B is incorrect because, while gluconeogenesis does produce glucose, it is not the cause of high glucose levels in type 1 diabetes. Option C is incorrect because absorption efficiency of glucose from the gastrointestinal tract does not affect the amount of insulin available to transport glucose into cells.

4. A client with chronic pancreatitis is receiving discharge teaching from a nurse. Which of the following statements should the nurse make?

A. "You should decrease your caloric intake when experiencing abdominal pain."?
B. "You should increase your daily intake of protein."?
C. "You should increase fat intake when experiencing loose stools."?
D. "You should limit alcohol intake to 2-3 drinks per week."?

Correct answer: B

Rationale: In chronic pancreatitis, it is important to increase protein intake to support healing and prevent malnutrition. Choice A is incorrect because decreasing caloric intake during abdominal pain may lead to further nutritional deficiencies. Choice C is incorrect as increasing fat intake can exacerbate symptoms due to the impaired fat digestion in chronic pancreatitis. Choice D is incorrect as alcohol should be completely avoided in chronic pancreatitis to prevent further damage to the pancreas.

5. A client scheduled for hysterosalpingography needs health teaching before the procedure. The nurse is correct in telling the patient that:

A. She needs to void prior to the procedure
B. A full bladder is needed prior to the procedure
C. Painful sensation is felt as the needle is inserted
D. Flushing sensation is felt as the dye in injected

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.