approximately 70 to 80 percent of acute pancreatitis cases are caused by gallstones or

ATI RN

ATI Nutrition Proctored Exam 2023

1. Approximately 70 to 80 percent of acute pancreatitis cases are caused by gallstones or _____.

A. infection
B. alcohol abuse
C. diabetes
D. obesity

Correct answer: B

Rationale: Alcohol abuse is indeed a major cause of acute pancreatitis, along with gallstones, accounting for the majority of cases. While infections, diabetes, and obesity can also contribute to pancreatitis, they are not as prevalent as alcohol abuse and gallstones in causing acute pancreatitis.

2. What is the major diet-derived antioxidant found in cell membranes?

A. B12
B. beta-carotene
C. vitamin E
D. vitamin A

Correct answer: C

Rationale: The correct answer is vitamin E. Vitamin E is the major antioxidant found in cell membranes, where it plays a crucial role in protecting them from oxidative damage. Although B12, beta-carotene, and vitamin A are important nutrients with specific functions in the body, they are not the primary antioxidants found in cell membranes. Vitamin E specifically localizes in cell membranes to neutralize free radicals and prevent lipid peroxidation, making it an essential antioxidant for cellular health.

3. A nurse is educating a group of older adults in a community center on weight management using the BMI scale. Using the client's height and weight to calculate BMI, which of the following clients has a healthy BMI?

A. A client with a weight of 128 lb and height of 70 inches
B. A client with a weight of 150 lb and height of 68 inches
C. A client with a weight of 200 lb and height of 72 inches
D. A client with a weight of 133 lb and height of 60 inches

Correct answer: A

Rationale: To determine a healthy BMI, we need to calculate it using the formula: BMI = weight (lbs) / height^2 (inches) x 703. For choice A, BMI = 128 / (70 x 70) x 703 = 18.38, which falls within the healthy BMI range of 18.5-24.9. Therefore, choice A is correct. Choices B, C, and D have BMIs of 22.8, 27.1, and 26.1, respectively, which are outside the healthy range. Thus, choices B, C, and D are incorrect.

4. A client with nephropathy secondary to diabetes mellitus is receiving dietary teaching from a nurse and plans to make dietary adjustments. Which of the following instructions should the nurse include?

A. Consume less than 45% of total calories from carbohydrates per day.
B. Eat no more than 300 mg of cholesterol per day.
C. Consume less than 0.8 g/kg of body weight of protein per day.
D. Eat at least 45 g of fiber per day.

Correct answer: D

Rationale: For a client with nephropathy secondary to diabetes mellitus, increasing fiber intake is essential as it can help manage blood sugar levels and improve overall bowel health. Choice A is incorrect because carbohydrates should be controlled but not limited to less than 45% of total calories. Choice B is incorrect as the recommended daily cholesterol intake for individuals with diabetes is less than 200 mg. Choice C is incorrect as protein intake should be individualized based on the client's condition and should not be limited to less than 0.8 g/kg of body weight per day.