ATI RN
ATI RN Nutrition Online Practice 2019
1. During the first six months of lactation, a breastfeeding mother is advised to consume how many extra kcalories per day to meet energy needs?
- A. 250
- B. 330
- C. 400
- D. 470
Correct answer: B
Rationale: A breastfeeding mother is advised to consume an additional 330 kcalories per day during the first six months to support milk production and meet increased energy needs.
2. A client with pre-dialysis end-stage kidney disease is being taught about diet. Which of the following instructions should the nurse include?
- A. Increase intake of dietary phosphorus.
- B. Eliminate foods high in protein from your diet.
- C. Reduce intake of foods high in potassium.
- D. Increase intake of sodium-containing foods.
Correct answer: C: "Reduce intake of foods high in potassium."
Rationale: In pre-dialysis end-stage kidney disease, reducing intake of foods high in potassium is crucial as impaired kidney function can lead to potassium buildup in the blood, which can be dangerous. High potassium levels can cause irregular heartbeats and even cardiac arrest. Therefore, advising the client to reduce potassium-rich foods is essential to prevent complications. Choices A, B, and D are incorrect. Increasing dietary phosphorus, eliminating foods high in protein, or increasing sodium-containing foods are not appropriate recommendations for a client with pre-dialysis end-stage kidney disease as they can exacerbate the condition.
3. A nurse is teaching a client about adding more fiber to his diet. The nurse should teach the client that which of the following foods has the highest fiber content?
- A. 1 cup cooked sweet potato
- B. 1 slice rye toast
- C. 1 cup raw watermelon
- D. 1 oz cashews
Correct answer: D
Rationale: Cashews have the highest fiber content among the options listed, which is important for improving digestive health.
4. The baby coos and the mom smiles, so the baby coos again to get mom to smile again. Piaget would say that this action is an example of?
- A. Reflexes
- B. Primary circular reactions
- C. Secondary circular reactions
- D. Tertiary circular reactions
Correct answer: C
Rationale: The correct answer is C: Secondary circular reactions. Secondary circular reactions are repeated actions that infants engage in to trigger a response from the environment, such as the baby cooing to make the mom smile. This behavior is characterized by a focus on the external environment and the repetition of actions to achieve a desired response. Choices A, B, and D are incorrect. Reflexes (choice A) are automatic, involuntary responses to a stimulus, while primary circular reactions (choice B) involve the repetition of actions primarily for the infant's own enjoyment rather than to elicit a response from the environment. Tertiary circular reactions (choice D) refer to the experimentation with new behaviors and variations in the way the infant interacts with the environment.
5. A guideline that is utilized in determining priorities is to assess the status of the following, EXCEPT:
- A. perfusion
- B. locomotion
- C. respiration
- D. mentation
Correct answer: D
Rationale: When determining priorities in patient care, assessing perfusion, respiration, and locomotion are crucial. However, assessing mentation is also important but not typically included in the ABCs of emergency care. Monitoring mentation is essential for neurological assessment and detecting changes in mental status, but it is not part of the immediate priorities in life-threatening situations.