ATI RN
ATI Nutrition Practice A
1. Who most often prescribes a patient's diet order?
- A. Registered Nurse
- B. Physician
- C. Registered Dietetic Technician
- D. Occupational Therapist
Correct answer: Physician
Rationale: A patient's dietary order is most frequently prescribed by a physician. This is because the physician has a comprehensive understanding of the patient's medical condition and can thus determine the most suitable dietary plan. Registered dietitians often collaborate with physicians in this process, but the final prescription is made by the physician. Although registered nurses, dietetic technicians, and occupational therapists play significant roles in patient care, they typically do not prescribe diet orders.
2. In order for one to be diagnosed with panic disorder, the panic attacks must?
- A. Suddenly; unexpectedly
- B. Suddenly; gradually
- C. Gradually; unexpectedly
- D. Unexpectedly; suddenly
Correct answer: A
Rationale: The correct answer is A: 'Suddenly; unexpectedly.' Panic disorder is diagnosed when panic attacks occur unexpectedly, not gradually. Panic attacks are characterized by their sudden onset and are unpredictable. Choice B is incorrect because panic attacks do not manifest gradually. Choice C is incorrect because panic attacks are not expected or predicted. Choice D is incorrect as well because the unexpected nature of panic attacks is a key criterion for diagnosing panic disorder.
3. A client with chronic obstructive pulmonary disease (COPD) is being assessed by a nurse. Which finding indicates the condition is worsening?
- A. Increased shortness of breath
- B. Decreased wheezing
- C. Productive cough with green sputum
- D. Slight increase in fatigue
Correct answer: A
Rationale: The correct answer is A: Increased shortness of breath. In COPD, worsening symptoms often include increased shortness of breath due to impaired lung function. This indicates a decline in respiratory status and the need for prompt intervention. Choice B, decreased wheezing, is not indicative of worsening COPD as it could suggest better airflow. Choice C, productive cough with green sputum, may indicate an infection but not necessarily worsening COPD. Choice D, a slight increase in fatigue, is non-specific and may not directly correlate with the worsening of COPD.
4. A client with osteoporosis is being taught about dietary choices by a nurse. Which of the following foods should the nurse recommend?
- A. Carrots
- B. Milk
- C. Leafy green vegetables
- D. Bananas
Correct answer: C
Rationale: The correct answer is C: Leafy green vegetables. Leafy green vegetables are rich in calcium, which is essential for bone health and can help prevent bone loss in clients with osteoporosis. Carrots (choice A), while nutritious, are not as high in calcium as leafy green vegetables. Milk (choice B) is also a good source of calcium but may not be suitable for clients who are lactose intolerant. Bananas (choice D) are a healthy fruit choice but do not provide significant amounts of calcium needed for osteoporosis.
5. A school nurse is providing care for students in an elementary education facility. Which of the following interventions by the nurse addresses the primary level of prevention?
- A. Design interventions for a student's individual education plan (IEP).
- B. Teach students about healthy food choices.
- C. Perform first aid for minor injuries.
- D. Perform scoliosis screenings for students.
Correct answer: B
Rationale: The correct answer is B because teaching students about healthy food choices is a primary prevention strategy that aims to prevent future health issues by promoting healthy behaviors. Choice A, designing interventions for an individual education plan (IEP), is more related to addressing specific educational needs rather than preventing health issues. Choice C, performing first aid for minor injuries, is a form of secondary prevention aimed at reducing the impact of existing health problems. Choice D, performing scoliosis screenings for students, falls under secondary prevention by detecting health issues early rather than preventing them.