ATI LPN
PN Nutrition Assessment ATI
1. Exchange Lists for Meal Planning group foods that are equivalent in their:
- A. weight.
- B. serving size.
- C. micronutrient content.
- D. macronutrient content.
Correct answer: D
Rationale: The Exchange Lists for Meal Planning categorize foods based on their macronutrient content, such as carbohydrate, protein, and fat. These lists help individuals make food choices while ensuring similar amounts of macronutrients are consumed. Therefore, the correct answer is D. Choices A, B, and C are incorrect because Exchange Lists focus on macronutrient content, not weight, serving size, or micronutrient content.
2. The nurse is informed during shift report that a client is experiencing occasional ventricular dysrhythmias. The nurse reviews the client's laboratory results, recalling that which electrolyte imbalance could be responsible for this development?
- A. Hypokalemia
- B. Hypernatremia
- C. Hypochloremia
- D. Hypercalcemia
Correct answer: A
Rationale: Hypokalemia, which is low potassium levels, can disrupt the normal electrical activity of the heart and lead to ventricular dysrhythmias. Potassium plays a crucial role in maintaining the heart's rhythm, and a deficiency can result in dangerous heart rhythm abnormalities. Hypernatremia (Choice B), which is high sodium levels, does not directly impact heart rhythm. Hypochloremia (Choice C), which is low chloride levels, is not typically associated with ventricular dysrhythmias. Hypercalcemia (Choice D), which is high calcium levels, is not a common cause of ventricular dysrhythmias.
3. A client who is immobile needs interventions to prevent contractures. Which of the following interventions is appropriate?
- A. Aligning a trochanter wedge between the client's legs.
- B. Placing a towel roll under the client's neck.
- C. Applying an orthotic to the client's foot.
- D. Positioning a pillow under the client's knees.
Correct answer: C
Rationale: Applying an orthotic to the client's foot is the appropriate intervention to prevent contractures in an immobile client. An orthotic helps maintain proper alignment and prevents the development of contractures by keeping the foot in the correct position. Choices A, B, and D are incorrect because a trochanter wedge, towel roll under the neck, and pillow under the knees are not specific interventions for preventing contractures in an immobile client.
4. A client is being educated by a healthcare provider about the changes she should expect when planning to become pregnant. Identify the correct sequence of maternal changes.
- A. Amenorrhea
- B. Goodell's sign
- C. Quickening
- D. Lightening
Correct answer: Amenorrhea, Goodell's sign, Quickening, Lightening
Rationale: The correct sequence of maternal changes during pregnancy is as follows: Amenorrhea (absence of menstrual periods), Goodell's sign (softening of the cervix), Quickening (first fetal movements felt by the mother), and Lightening (baby descending into the pelvis). These changes occur at different stages of pregnancy and are important indicators of fetal development and maternal adaptation. Choice A is correct as it is the initial change indicating possible pregnancy. Choices B, C, and D follow in the correct order of occurrence during pregnancy. Choices B, C, and D are incorrect as they do not follow the correct sequence of maternal changes.
5. Which of the following is a component of the Safe Motherhood Initiative?
- A. Promoting exclusive breastfeeding
- B. Providing routine immunizations
- C. Ensuring skilled attendance at birth
- D. Offering genetic counseling
Correct answer: C
Rationale: Ensuring skilled attendance at birth is a crucial component of the Safe Motherhood Initiative aimed at reducing maternal and neonatal mortality rates. By having skilled professionals attend births, complications can be identified early and appropriate care provided promptly, contributing to improved maternal and neonatal health outcomes.
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