ATI RN
ATI Nutrition
1. A client with stomatitis is receiving teaching from a nurse. Which of the following client statements indicates a need for further teaching?
- A. "I will drink liquids through a straw."?
- B. "I will season foods with dried spices before cooking."?
- C. "I will rinse my mouth with baking soda and water frequently."?
- D. "I will eat frozen bananas as a snack."?
Correct answer: C
Rationale: The correct answer is, "I will rinse my mouth with baking soda and water frequently."? Stomatitis is an inflammation of the mucous lining in the mouth, and rinsing with baking soda and water can be too abrasive and further irritate the condition. Choices A, B, and D are appropriate self-care measures for a client with stomatitis and do not indicate a need for further teaching.
2. Which of the following has the greatest effect on an increase in body weight?
- A. Carbohydrate intake
- B. Protein intake
- C. Fat intake
- D. Total kilocalories
Correct answer: D
Rationale: Total kilocalories have the greatest effect on body weight as they represent the overall energy intake from all macronutrients combined. While the consumption of specific macronutrients like carbohydrates, proteins, and fats can affect weight management, the total calories consumed play the most significant role in determining body weight. Therefore, choices A, B, and C are incorrect as they focus on individual macronutrients rather than the overall energy balance provided by total kilocalories.
3. Nutritional goals for a patient wishing to modify eating patterns should adhere to each, except one. Which is the exception?
- A. Measurable
- B. Immediate
- C. Realistic
- D. Achievable
Correct answer: B
Rationale: Nutritional goals should be measurable, realistic, and achievable. They should not be immediate, as sustainable changes take time.
4. A common side effect of diuretic medications is _____.
- A. dry mouth
- B. urinary tract infection
- C. increased taste perception
- D. nausea
Correct answer: A
Rationale: Diuretic medications can lead to dry mouth due to increased fluid loss through urination, reducing saliva production.
5. Which enzyme is most essential for hydrolyzing large protein molecules?
- A. Gastric lipase
- B. Pepsin
- C. Mucus
- D. Intrinsic factor
Correct answer: B
Rationale: Pepsin, choice B, is the correct answer as it is a proteolytic enzyme that is essential for the breakdown of large protein molecules in the stomach. Gastric lipase, choice A, is incorrect because it primarily targets fats, not proteins, hence it is not involved in protein hydrolysis. Mucus, choice C, is incorrect as it serves to protect the stomach lining from acidic gastric juices and does not play a direct role in protein digestion. Intrinsic factor, choice D, is incorrect as it is vital for the absorption of Vitamin B12 in the small intestine and doesn't participate in the process of hydrolyzing proteins.
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