each of the following accurately describes aspects of the dietary reference intakes dris published by the food and nutrition board of the institute of

ATI RN

ATI Nutrition Proctored

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 are intended for the general population and do not specifically address disease states, which are managed with different clinical guidelines. Choice A is correct as DRIs have replaced the older recommended daily allowances. Choice B is correct as current DRIs aim to estimate the required nutrients for long-term health. Choice D is correct as DRIs also attempt to establish maximum safe levels of tolerance for nutrients.

2. A nurse is providing nutritional information to a client with osteoporosis. Which food should the nurse recommend as being the highest in calcium?

A. 1 cup carrot strips
B. 3 oz canned salmon
C. 1 plain baked potato
D. 1 cup chopped chicken breast

Correct answer: B

Rationale: Canned salmon with bones is high in calcium.

3. What side effect is commonly associated with ECT?

A. Transient loss of memory, confusion, and disorientation
B. Nausea and vomiting
C. Fractures
D. Hypertension and increased heart rate

Correct answer: A

Rationale: The correct answer is A, as Electroconvulsive Therapy (ECT) is commonly associated with side effects such as transient loss of memory, confusion, and disorientation. While nausea and vomiting (Choice B) can occur, they are not as common as the memory-related side effects. Fractures (Choice C) are unlikely unless a mishap occurs during the procedure. Hypertension and increased heart rate (Choice D) might occur during the procedure due to the physiological stress of the treatment, but these are not the most commonly associated side effects. The rationale provided did not effectively explain this, so it's important to note that ECT is a procedure often used for severe depression and other mental illnesses, and understanding its side effects is crucial for patient safety and effective care.

4. Medication for treating high blood cholesterol levels should not be used for most people unless:

A. The patient has at least three major risk factors for coronary heart disease
B. The patient has been experiencing symptoms of coronary heart disease for at least three months
C. The patient's medical insurance covers prescription drugs
D. Treatment with Therapeutic Lifestyle Changes (TLC) alone is unsuccessful after three months

Correct answer: D

Rationale: The correct answer is choice D because medication for high cholesterol is typically not considered unless Therapeutic Lifestyle Changes (TLC), which include diet and exercise, have not proven effective after a three-month period. This approach ensures that lifestyle modifications are given a fair chance to lower cholesterol levels before resorting to medication. Choice A is incorrect because the number of risk factors for coronary heart disease does not dictate when to begin medication; it is about the effectiveness of lifestyle changes. Choice B is incorrect as the duration of coronary heart disease symptoms does not determine when to start medication; the focus is on the response to TLC. Choice C is incorrect because the coverage of prescription drugs by the patient's insurance does not influence the medical decision to use medication for high cholesterol; it is based on medical necessity and effectiveness of prior interventions.

5. Which food is a high source of prebiotics?

A. Chicken
B. Garlic
C. White rice
D. Cheese

Correct answer: B

Rationale: Garlic is the correct answer. It is high in prebiotics, which are non-digestible fibers that promote the growth of beneficial gut bacteria. Chicken, white rice, and cheese are not significant sources of prebiotics. Chicken is a good source of protein, white rice is a carbohydrate, and cheese is a dairy product, none of which are high in prebiotics.