for a client with a history of gout which food should be included in their diet

ATI RN

ATI Nutrition Practice Test B 2019

1. For a client with a history of gout, which food should be included in their diet?

A. Red meat
B. Whole grains
C. High-fat dairy
D. Processed meats

Correct answer: B

Rationale: Whole grains are low in purines and are a better choice for someone with gout.

2. A Hazard Analysis and Critical Control Points (HACCP) program would address which element of food service?

A. cleaning and disinfecting of utensils
B. developing healthy menus
C. controlling patient calorie intake
D. prescribing diets for patients with swallowing problems

Correct answer: A

Rationale: The correct answer is A. Hazard Analysis and Critical Control Points (HACCP) programs are designed to ensure food safety by identifying and controlling potential hazards. This includes addressing the cleaning and disinfecting of utensils to prevent contamination and maintain safe food handling practices. Choices B, C, and D are incorrect because HACCP primarily focuses on preventing food safety hazards rather than developing menus, controlling calorie intake, or prescribing diets for specific medical conditions.

3. What dietary strategy would most likely be used as part of lifestyle management to reduce the risk of coronary heart disease?

A. Avoid foods that contain polyunsaturated fat
B. Limit saturated fat to less than 10 percent of total calories
C. Limit alcohol intake to one drink daily for women and two drinks daily for men
D. Avoid consumption of fish and shellfish

Correct answer: C

Rationale: Limiting alcohol intake is part of a strategy to reduce the risk of coronary heart disease by avoiding the negative cardiovascular effects associated with excessive alcohol consumption.

4. To raise HDL levels, what is Mrs. Smith advised to do?

A. quit smoking
B. increase dietary sodium
C. take iron supplements
D. avoid dairy products

Correct answer: A

Rationale: The correct answer is A: quit smoking. Smoking lowers HDL levels, so quitting smoking is crucial to raising HDL levels. Increasing dietary sodium (choice B) is not linked to raising HDL levels and can have negative effects on cardiovascular health. Taking iron supplements (choice C) is not directly related to increasing HDL levels. Avoiding dairy products (choice D) is not necessary to raise HDL levels; in fact, some dairy products like low-fat options can be part of a heart-healthy diet.

5. Medications that reduce stomach acidity can impair the absorption of _____.

A. calcium
B. iron
C. vitamin D
D. vitamin C

Correct answer: B

Rationale: Reduced stomach acidity impairs the absorption of iron, as an acidic environment is necessary for optimal iron absorption in the stomach. Choices A, C, and D are incorrect as medications that reduce stomach acidity typically do not significantly affect the absorption of calcium, vitamin D, or vitamin C.