ATI RN
Nutrition ATI Proctored Exam 2023
1. During the first 24 hours of burn, nursing measures should focus on which of the following?
- A. I and O hourly
- B. Strict aseptic technique
- C. Forced oral fluids
- D. Isolate the patient
Correct answer: A
Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.
2. Which risk factors increase the risk of atherosclerosis?
- A. Exercise
- B. Excessive sun exposure
- C. Insufficient vaccinations
- D. Smoking
Correct answer: D
Rationale: Smoking is a major risk factor for atherosclerosis. It significantly contributes to the buildup of plaque in the arteries and thereby increases the risk of cardiovascular diseases. On the other hand, exercise is generally beneficial for cardiovascular health and is not a risk factor for atherosclerosis. Excessive sun exposure and insufficient vaccinations have no established links to atherosclerosis, making them incorrect options for this question.
3. Which factor has been shown to increase the risk of development of atherosclerosis?
- A. Menopause
- B. Age older than 35
- C. Increased levels of arachidonic acid
- D. Elevated HDL cholesterol
Correct answer: A
Rationale: The correct answer is A: Menopause. Menopause is associated with an increased risk of atherosclerosis due to hormonal changes that affect lipid profiles and vascular health. Conversely, B: Age older than 35 is not necessarily a risk factor for atherosclerosis on its own, though atherosclerosis risk does generally increase with age. C: Increased levels of arachidonic acid is not specifically linked to atherosclerosis; it's a fatty acid that can be both beneficial and harmful to health depending on its metabolic pathway. D: Elevated HDL cholesterol is actually beneficial rather than harmful because HDL cholesterol is known as 'good' cholesterol that helps to reduce the risk of heart disease and atherosclerosis.
4. A nurse is teaching about nutrition to a client who has a new diagnosis of chronic kidney disease. Which of the following recommendations should the nurse include in the teaching?
- A. Increase phosphorus intake
- B. Limit calcium intake
- C. Limit protein intake
- D. Increase potassium intake
Correct answer: C
Rationale: The correct recommendation for a client with chronic kidney disease is to limit protein intake. Excessive protein consumption can strain the kidneys as they work to eliminate waste products from protein metabolism. This can worsen kidney function in individuals with chronic kidney disease. Therefore, limiting protein intake is crucial in managing this condition. Choices A, B, and D are incorrect. Increasing phosphorus intake can be harmful in kidney disease as it can lead to mineral imbalances. Limiting calcium intake is not typically necessary unless the client has specific complications. Increasing potassium intake may also be inappropriate as potassium levels can be affected in kidney disease.
5. A nurse is completing a nutritional assessment of an adult female client. Which of the following findings should indicate to the nurse that the client is at an increased risk of developing cancer?
- A. Eats at least 5 servings of fruits and vegetables daily.
- B. Eats 6 servings of whole grains daily.
- C. Limits alcohol consumption to 2 drinks per day.
- D. Limits red meat intake to 3oz per day.
Correct answer: C
Rationale: The correct answer is C because limiting alcohol consumption to 2 drinks per day is still above the recommended limit for reducing cancer risk. The recommended limit for women is 1 drink per day to lower the risk of developing cancer. Choices A, B, and D are not indicative of an increased risk of developing cancer as they all align with a healthy diet and lifestyle, which can actually help reduce the risk of cancer.
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