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ATI Nutrition
1. A client has acute dysphagia. Which of the following nursing interventions should be included in the plan of care?
- A. Providing a straw for consumption of liquids
- B. Encouraging larger bites
- C. Placing the client in semi-Fowler's position during meals
- D. Instructing the client to tilt head forward when swallowing
Correct answer: C
Rationale: Placing the client in semi-Fowler's position during meals is the correct intervention for a client with acute dysphagia. This position helps prevent aspiration by facilitating swallowing. Providing a straw for consumption of liquids (Choice A) can increase the risk of aspiration and is not recommended for clients with dysphagia. Encouraging larger bites (Choice B) can also increase the risk of choking and aspiration. Instructing the client to tilt the head forward when swallowing (Choice D) is not the recommended technique for managing dysphagia as it does not address the underlying issue effectively.
2. Which of the following is not true about Pure Experimental research?
- A. There is a control group
- B. There is an experimental group
- C. Selection of subjects in the control group is randomized
- D. There is a careful selection of subjects in the experimental group
Correct answer: D
Rationale: In Pure Experimental research, subjects in the experimental group are typically selected randomly to minimize bias and ensure that the results are attributable to the intervention being studied. Therefore, the statement 'There is a careful selection of subjects in the experimental group' is not true. This careful selection would introduce bias and compromise the validity of the experimental results. Choices A, B, and C are true for Pure Experimental research as it involves both a control group, an experimental group, and randomization of subject selection in the control group to ensure comparability.
3. What stimulates bile secretion from the liver to the small intestine?
- A. Pepsin
- B. Salivary Amylase
- C. CCK
- D. Secretin
Correct answer: C
Rationale: Cholecystokinin (CCK) is the hormone that stimulates the release of bile from the gallbladder into the small intestine, aiding in fat digestion. Pepsin is an enzyme in the stomach that breaks down proteins into smaller peptides, not involved in bile secretion. Salivary Amylase is an enzyme in saliva that initiates starch digestion in the mouth, not related to bile secretion. Secretin is a hormone that regulates the release of gastric juice in the stomach and triggers the pancreas to neutralize stomach acid in the small intestine, but it does not stimulate bile secretion.
4. Stimulates secretion of bicarbonate ions and digestive enzymes from the pancreas to the small intestine:
- A. pepsin
- B. salivary amylase
- C. CCK
- D. secretin
Correct answer: D
Rationale: Secretin stimulates the pancreas to release bicarbonate ions to neutralize stomach acid and digestive enzymes into the small intestine.
5. Begins carb digestion in the mouth:
- A. pepsin
- B. salivary amylase
- C. CCK
- D. secretin
Correct answer: B
Rationale: Salivary amylase is the enzyme that begins the digestion of carbohydrates in the mouth by breaking down starches into simpler sugars.
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