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. Which substance would most likely need to be restricted in patients with heart failure who use diuretics to help reduce fluid retention?

A. potassium
B. magnesium
C. sodium
D. chloride

Correct answer: C

Rationale: Sodium restriction is crucial in heart failure management to prevent fluid retention, which can worsen symptoms of heart failure.

3. What instruction should the nurse include on weight gain during pregnancy?

A. Failure to obtain the required weight gain during pregnancy will increase the risk of preterm birth.
B. An obese client needs to gain as much weight as a client with a normal body mass index.
C. A client with a normal body mass index should plan on gaining 50 pounds.
D. Clients will need to eat for two when they are pregnant.

Correct answer: A

Rationale: Appropriate weight gain is crucial for reducing the risk of preterm birth.

4. If it is determined that a child is being physically abused by a parent, what would be the most important goal for the nurse to establish with the family?

A. The child and any siblings will reside in a secure environment
B. The family will feel at ease in their relationship with the counselor
C. The family will gain insight into their abusive behavior patterns
D. The mother will learn to apply verbal discipline with her children

Correct answer: A

Rationale: The primary objective when dealing with cases of child abuse is to ensure the safety of the child and any siblings. This means creating a secure environment free from harm, which is why choice 'A' is the correct answer. While choices 'B', 'C', and 'D' might be subsequent steps in a comprehensive plan to deal with the situation, they are not the immediate priority. Understanding abusive behavioral patterns or improving the relationship with the counselor will not directly lead to the child's safety. Likewise, teaching the mother to apply verbal discipline doesn't guarantee the child's safety if the abusive behavior continues. Therefore, these options are not the most important initial goal.

5. Which of the following best describes Primary Nursing?

A. Assigning a nurse to lead a team of registered nurses in the care of a patient from admission to discharge
B. Assigning a nurse to perform administrative tasks in a healthcare setting
C. Assigning a nurse to provide medical treatment without supervision
D. Assigning a nurse to be the main caregiver responsible for coordinating all aspects of care for a group of patients

Correct answer: A

Rationale: Primary Nursing involves assigning a dedicated nurse to lead a team of registered nurses in the care of a patient from admission to discharge. This approach ensures continuity and personalized care. Choices B and C are incorrect as they do not accurately describe Primary Nursing. Choice D is incorrect as it refers to a different care delivery model.