ATI RN
ATI Nutrition Proctored Exam
1. Each of the following accurately describes aspects of the dietary reference intakes (DRIs) published by the Food and Nutrition Board of the Institute of Medicine (IOM) except one. Which one is the exception?
- A. The DRIs replace the older recommended daily allowances.
- B. Current DRIs attempt to estimate required nutrients to improve long-term health.
- C. DRIs specifically address individuals whose requirements are affected by a disease state.
- D. The DRIs attempt to establish maximum safe levels of tolerance for nutrients.
Correct answer: C
Rationale: The correct answer is C. DRIs do not specifically address individuals with disease states; they are intended for the general healthy population. Choice A is correct because DRIs indeed replace the older recommended daily allowances. Choice B is correct as current DRIs aim to estimate required nutrients to enhance long-term health. Choice D is accurate as DRIs also attempt to establish maximum safe levels of tolerance for nutrients.
2. Which option best describes an effective way to engage the community in health promotion activities?
- A. Developing culturally appropriate materials
- B. Organizing community events
- C. Creating partnerships with local organizations
- D. Utilizing social media for outreach
Correct answer: C
Rationale: Creating partnerships with local organizations is a highly effective strategy for engaging the community in health promotion activities. By partnering with local organizations, health promotion efforts can leverage existing community connections, resources, and expertise, leading to more comprehensive and sustainable initiatives. These partnerships help in reaching a wider audience, building trust within the community, and fostering collaboration towards shared health goals.
3. A nurse is caring for a client who came to the emergency department reporting chest pain. The provider suspects a myocardial infarction. While waiting for the laboratory to report the client's troponin levels, the client asks what this blood test will show. The nurse should explain that troponin is
- A. an enzyme that indicates damage to brain, heart, and skeletal muscle tissues.
- B. a protein whose levels reflect the risk for coronary artery disease.
- C. a heart muscle protein that appears in the bloodstream when there is damage to the heart.
- D. a protein that helps transport oxygen throughout the body.
Correct answer: a heart muscle protein that appears in the bloodstream when there is damage to the heart.
Rationale: The correct answer is that troponin is a heart muscle protein that appears in the bloodstream when there is damage to the heart. Troponin is a specific marker for heart muscle damage, particularly seen in conditions like myocardial infarction. Choice A is incorrect as troponin is not an enzyme that indicates damage to brain and skeletal muscle tissues. Choice B is incorrect as troponin is not a protein whose levels reflect the risk for coronary artery disease; it indicates heart muscle damage. Choice D is incorrect as troponin is not a protein that helps transport oxygen throughout the body; its presence in the bloodstream is specific to heart muscle damage.
4. The nurse is using a bulb syringe to suction a neonate after delivery. What is an important consideration?
- A. Compress the bulb before insertion.
- B. Clear the mouth and pharynx before the nasal passages.
- C. Use two bulb syringes, one for the mouth and pharynx and one for the nasal passages.
- D. Continue using a bulb syringe until secretions are removed as mechanical suction is contraindicated.
Correct answer: B
Rationale: The correct consideration when using a bulb syringe to suction a neonate after delivery is to clear the mouth and pharynx before the nasal passages to prevent aspiration of amniotic fluid. Compressing the bulb syringe before insertion is important to create suction. Using two bulb syringes is unnecessary, as one is sufficient for both the mouth/pharynx and nasal passages. It is not recommended to continue using a bulb syringe until all secretions are removed; instead, mechanical suction can be employed if more forceful removal of secretions is required.
5. A client is taking Sucralfate PO for Peptic Ulcer Disease and has a new prescription for phenytoin to control seizures. Which of the following instructions should the nurse include?
- A. Take an antacid with the sucralfate.
- B. Take sucralfate with a glass of milk.
- C. Allow a 2-hour interval between these medications.
- D. Chew the sucralfate thoroughly before swallowing.
Correct answer: C
Rationale: Sucralfate can interfere with the absorption of phenytoin. To prevent this interaction, the client should allow a 2-hour interval between taking sucralfate and phenytoin. This timing helps to ensure adequate absorption and effectiveness of both medications without compromising therapeutic outcomes. Choices A, B, and D are incorrect because taking an antacid with sucralfate, taking sucralfate with a glass of milk, and chewing sucralfate thoroughly before swallowing do not address the need for a 2-hour interval between these medications to prevent interference with phenytoin absorption.
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