ATI RN
Proctored Nutrition ATI
1. During nutritional counseling, what is the most important step to take?
- A. Consult the patient's family
- B. Formulate a sample diet plan before presenting it to the patient
- C. Include members of the dental team in the dietary formulation
- D. Include the patient in the formulation of the dietary plan
Correct answer: D
Rationale: During nutritional counseling, the most important step is to include the patient in the formulation of the dietary plan. This ensures their active involvement, understanding, and commitment to the plan, leading to better compliance and success in achieving nutritional goals. Consulting the patient's family (Choice A) may be helpful but should not replace involving the patient directly. Formulating a sample diet plan before presenting it to the patient (Choice B) may not align with the patient's preferences or needs. Including members of the dental team in the dietary formulation (Choice C) may not be necessary unless specific dental concerns need to be addressed.
2. What is the priority nursing goal for an adolescent with anorexia nervosa?
- A. Encourage effective coping skills
- B. Restore normal eating habits
- C. Stop weight loss or restore weight
- D. Promote realistic self-image
Correct answer: C
Rationale: The priority nursing goal for an adolescent with anorexia nervosa is to stop weight loss or restore weight. This is crucial in addressing the immediate health risks associated with anorexia nervosa, such as malnutrition, organ damage, and potential life-threatening complications. While encouraging effective coping skills, restoring normal eating habits, and promoting a realistic self-image are important aspects of treatment, stopping weight loss or restoring weight takes precedence due to the severe physical consequences of anorexia nervosa.
3. What dietary strategy would most likely be used as part of lifestyle management to reduce the risk of coronary heart disease?
- A. Avoid foods that contain polyunsaturated fat
- B. Limit saturated fat to less than 10 percent of total calories
- C. Limit alcohol intake to one drink daily for women and two drinks daily for men
- D. Avoid consumption of fish and shellfish
Correct answer: C
Rationale: Limiting alcohol intake is part of a strategy to reduce the risk of coronary heart disease by avoiding the negative cardiovascular effects associated with excessive alcohol consumption.
4. A healthcare professional has just inserted an NG tube for a client who is to start enteral tube feedings. Which of the following actions should the healthcare professional take to verify tube placement?
- A. Measure the tube length.
- B. Obtain an abdominal x-ray.
- C. Flush the tube with 20 mL of water.
- D. Auscultate the client’s lungs.
Correct answer: B
Rationale: Obtaining an abdominal x-ray is the most accurate method to verify the correct placement of an NG tube. Measuring the tube length is not a reliable method to confirm placement as it may vary among individuals. Flushing the tube with water and auscultating the client's lungs are not definitive methods to ensure proper NG tube placement.
5. Major complications of diabetes include damage to the:
- A. stomach, liver, and pancreas
- B. eyes, nerves, and kidneys
- C. skin, blood vessels, and lungs
- D. brain, pituitary gland, and thyroid gland
Correct answer: B
Rationale: The correct answer is B: eyes, nerves, and kidneys. In diabetes, major complications result from damage to small blood vessels that supply these organs. Damage to the eyes can lead to retinopathy, to the nerves causing neuropathy, and to the kidneys causing nephropathy. Choices A, C, and D are incorrect as they do not represent the typical major complications associated with diabetes.