ATI RN
ATI Nutrition Proctored Exam 2023
1. A condition that often progresses to become type 2 diabetes mellitus is:
- A. type 1 diabetes mellitus
- B. high blood pressure
- C. chronic pancreatitis
- D. impaired glucose tolerance
Correct answer: D
Rationale: Impaired glucose tolerance is a pre-diabetic state characterized by higher than normal blood sugar levels. It is often associated with insulin resistance and can progress to type 2 diabetes mellitus. Type 1 diabetes mellitus (Choice A) is an autoimmune condition where the body attacks insulin-producing cells, leading to a lack of insulin production. High blood pressure (Choice B) and chronic pancreatitis (Choice C) are not directly linked to the progression to type 2 diabetes mellitus.
2. What is a likely effect on a patient whose lab results reveal hypoalbuminemia?
- A. Infection
- B. Rickets
- C. Hypertension
- D. Edema
Correct answer: D
Rationale: Hypoalbuminemia, which refers to low albumin levels in the blood, is often associated with edema. Albumin helps maintain oncotic pressure, which keeps fluid within blood vessels. When albumin levels are low, this pressure decreases, leading to fluid leakage from the blood vessels into the surrounding tissues, resulting in edema. The other choices are less likely effects of hypoalbuminemia. Hypoalbuminemia doesn't directly cause infections (Choice A), rickets (Choice B) caused by vitamin D deficiency, or hypertension (Choice C) associated with factors like high sodium intake, obesity, and genetic predisposition.
3. What instruction should the nurse include on weight gain during pregnancy?
- A. Failure to obtain the required weight gain during pregnancy will increase the risk of preterm birth.
- B. An obese client needs to 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 will need to eat for two when they are pregnant.
Correct answer: A
Rationale: Appropriate weight gain is crucial for reducing the risk of preterm birth.
4. Are the following statements both true: 'Most excess energy intake, whether from protein, carbohydrate, alcohol, or fat, is stored in the liver' and 'Fat is a good source of energy, but the preferred fuel is protein'?
- A. Both statements are true
- B. Both statements are false
- C. The first statement is true, but the second is false
- D. The first statement is false, but the second is true
Correct answer: B: Both statements are false
Rationale: Both of the given statements are false. The first statement is inaccurate because the primary location for excess energy storage is not the liver, but rather adipose tissue where it is stored as fat. While the liver does have a role in energy storage and metabolism, it is not the main storage site for excess intake. The second statement is also incorrect. Although fat and protein can be used as sources of energy, the body's preferred source of energy is carbohydrates. They break down more efficiently and are easier for the body to use. The body prefers to conserve protein for other essential functions, such as tissue repair and the production of enzymes. Therefore, protein is not the preferred fuel source.
5. As the head nurse in the OR, how can you improve the effectiveness of clinical alarm systems?
- A. Limit suppliers to a few so that quality is maintained
- B. Implement a regular inventory of supplies and equipment
- C. Adherence to manufacturer’s recommendation
- D. Implement a regular maintenance and testing of alarm systems
Correct answer: C
Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.