ATI RN
Nutrition ATI Proctored Exam 2023
1. After a vaginal examination, the nurse determines that the client’s fetus is in an occiput posterior position. The nurse would anticipate that the client will have:
- A. A precipitous birth
- B. Intense back pain
- C. Frequent leg cramps
- D. Nausea and vomiting
Correct answer: D
Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.
2. Being in contact with reality and the environment is a function of the:
- A. conscience
- B. ego
- C. id
- D. super ego
Correct answer: B
Rationale: Being in contact with reality and the environment is a function of the ego. The ego is responsible for mediating between the id's basic desires, the superego's idealistic standards, and the real world. The conscience (not listed as a choice) is related to feelings of guilt or moral responsibility. The id represents primal instincts, and the superego represents the internalized ideals and moral standards.
3. Which type of nutritional deficiency results from inadequate absorption?
- A. Unmeasurable
- B. Primary deficiency
- C. Secondary deficiency
- D. Codependent
Correct answer: C
Rationale: The correct answer is C: Secondary deficiency. A nutritional deficiency resulting from decreased intake is called a primary deficiency. On the other hand, a secondary deficiency refers to a vitamin deficiency caused by inadequate absorption or use, increased requirements, excretion, or destruction. Choice A, 'Unmeasurable,' is incorrect as it does not describe a type of nutritional deficiency. Choice B, 'Primary deficiency,' is incorrect as it refers to a deficiency caused by decreased intake, not inadequate absorption. Choice D, 'Codependent,' is incorrect as it is unrelated to the context of nutritional deficiencies.
4. Which of the following should a patient with a history of chronic pancreatitis avoid?
- A. Low-fat dairy
- B. Lean meats
- C. High-fiber vegetables
- D. Alcohol
Correct answer: D
Rationale: The correct answer is D: Alcohol. Alcohol consumption can exacerbate chronic pancreatitis due to its detrimental effects on the pancreas. Conversely, options A, B, and C: Low-fat dairy, Lean meats, and High-fiber vegetables, are generally recommended for patients with chronic pancreatitis. These dietary options are easier on the pancreas and less likely to provoke symptoms. Therefore, they are incorrect choices in this context.
5. Which is NOT a prudent recommendation for a menopausal patient?
- A. Supplement calcium and vitamin D slightly beyond upper intake level
- B. Encourage lean protein and regular exercise
- C. Avoid alcohol if xerostomia is present
- D. Consumption of 90 mg daily of isoflavones in soy products helps to increase bone mass
Correct answer: A
Rationale: Excessive supplementation of calcium and vitamin D beyond the upper intake level is not recommended unless under medical supervision, as it can cause adverse health effects.