ATI RN
ATI Nutrition
1. A nurse is providing dietary teaching for a client who has just learned that she has type 2 diabetes mellitus. The nurse should explain that which of the following sweeteners will add calories to the client's carbohydrate count?
- A. Sorbitol
- B. Sucralose
- C. Aspartame
- D. Acesulfame potassium
Correct answer: A
Rationale: Sorbitol is a sweetener that will add calories to the client's carbohydrate count. It is a sugar alcohol that provides about 2.6 calories per gram. Sucralose, aspartame, and acesulfame potassium are all non-nutritive sweeteners that do not contribute significant calories to the diet. Sucralose is about 600 times sweeter than sucrose but does not add calories. Aspartame is a low-calorie sweetener that is approximately 200 times sweeter than sucrose, and acesulfame potassium is a calorie-free sweetener.
2. Which of the following statements are true about iron?
- A. The iron needs of vegans are 20% higher, and the needs of endurance athletes are 10% lower.
- B. It is one of the most common nutrient deficiencies in the world.
- C. Its absorption is increased by Vitamin C and during pregnancy.
- D. Its absorption is increased by tannic acid and calcium in milk.
Correct answer: C
Rationale: Choice C is correct because iron absorption is indeed increased by Vitamin C and during pregnancy. The other choices are incorrect. Choice A is wrong as there are no universally accepted percentages for the iron needs of vegans and endurance athletes. Choice B is inaccurate as iron deficiency is actually one of the most common nutritional deficiencies worldwide. Choice D is incorrect because tannic acid and calcium in milk actually inhibit iron absorption rather than increasing it.
3. The stages of grieving identified by Elizabeth Kubler-Ross are:
- A. Numbness, anger, resolution and reorganization
- B. Denial, anger, identification, depression and acceptance
- C. Anger, loneliness, depression and resolution
- D. Denial, anger, bargaining, depression and acceptance
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.
4. What is the role of fat in digestion?
- A. Digest fats in the stomach
- B. Emulsify fats in the small intestine
- C. Transport fats through the circulatory system
- D. Split fats into smaller components
Correct answer: B
Rationale: The correct answer is B: Emulsify fats in the small intestine. Bile emulsifies fats in the small intestine, breaking them down into smaller droplets that can be more easily digested by enzymes like lipase. Choice A is incorrect as fats are not digested in the stomach but rather in the small intestine. Choice C is incorrect as fats are transported through the lymphatic system instead of the circulatory system. Choice D is incorrect as fats are broken down into smaller components through emulsification, not splitting.
5. A client is on a 2,000-calorie American Diabetes Association (ADA) diet and substitutes whole milk with skim milk. Which of the following items can the client add to the oatmeal on his breakfast tray?
- A. One 1/8 teaspoon of salt
- B. One ounce of raisins
- C. One tablespoon of low-fat margarine
- D. One teaspoon of brown sugar
Correct answer: B
Rationale: The correct answer is one ounce of raisins. Raisins are a healthy option to add to oatmeal as they provide natural sweetness without added sugars. They are a good source of fiber and essential nutrients. Option A, one 1/8 teaspoon of salt, is not necessary for flavoring oatmeal. Option C, one tablespoon of low-fat margarine, may add unnecessary fat to the meal. Option D, one teaspoon of brown sugar, adds extra sugar, which should be limited in a diabetes-friendly diet.
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