ATI RN
Nutrition ATI Proctored Exam
1. For a patient with celiac disease, which dietary modification is necessary?
- A. Increase protein intake
- B. Avoid gluten
- C. Increase dairy intake
- D. Avoid lactose
Correct answer: B
Rationale: The correct answer is B: Avoid gluten. Patients with celiac disease have an immune reaction to gluten, a protein found in wheat, barley, and rye. Therefore, it is crucial for individuals with celiac disease to avoid gluten-containing products. Increasing protein intake (Choice A) is not specifically necessary for celiac disease management. Increasing dairy intake (Choice C) is unrelated to the dietary requirements of individuals with celiac disease. Avoiding lactose (Choice D) is relevant for individuals with lactose intolerance, not celiac disease. Therefore, the only necessary modification for a patient with celiac disease is to avoid gluten.
2. In approximately what percentage of cases is the prevalence seen?
- A. Type 1 Diabetes
- B. Type 2 Diabetes
- C. N/A
- D. N/A
Correct answer: A
Rationale: The correct answer is A, Type 1 Diabetes. The prevalence of Type 1 Diabetes is seen in approximately 5% to 10% of cases. This statement highlights a key epidemiological characteristic of Type 1 Diabetes. Choice B, Type 2 Diabetes, is incorrect because the prevalence mentioned does not align with Type 2 Diabetes, which has a much higher prevalence in the general population. Choices C and D are not relevant to the question and can be disregarded.
3. For a patient on a ketogenic diet, which macronutrient is primarily increased?
- A. Carbohydrates
- B. Protein
- C. Fats
- D. Fiber
Correct answer: C
Rationale: The correct answer is C: Fats. A ketogenic diet is characterized by high fat intake, moderate protein intake, and very low carbohydrate intake. This diet aims to shift the body's metabolism to use fat as the primary source of energy instead of carbohydrates. Increasing fat intake while reducing carbohydrates is essential for achieving and maintaining a state of ketosis. Therefore, choices A, B, and D are incorrect as they do not align with the macronutrient adjustments required for a ketogenic diet.
4. Which animal-derived food contains the most significant level of carbohydrates?
- A. Egg
- B. Beef
- C. Milk
- D. Poultry
Correct answer: C
Rationale: Milk contains the most significant level of carbohydrates among animal-derived foods. Milk and milk products supply significant quantities of carbohydrate in the form of lactose. Eggs, beef, and poultry are not significant sources of carbohydrates compared to milk. In cheese making, lactose is removed as a by-product, reducing the carbohydrate content further.
5. A client with gastroesophageal reflux disease is being taught by a nurse about managing the illness. Which of the following recommendations should the nurse include in the teaching?
- A. Limit fluid intake not related to meals.
- B. Chew on mint leaves to relieve indigestion.
- C. Avoid eating within 3 hours of bedtime.
- D. Season foods with black pepper.
Correct answer: Avoid eating within 3 hours of bedtime.
Rationale: The correct recommendation for managing gastroesophageal reflux disease is to avoid eating within 3 hours of bedtime. This helps prevent acid reflux by allowing food to digest before lying down. Choices A, B, and D are incorrect. Limiting fluid intake not related to meals is not a standard recommendation for managing GERD. Chewing on mint leaves may worsen symptoms as mint can relax the lower esophageal sphincter, allowing stomach acid to flow back up. Seasoning foods with black pepper does not specifically help manage GERD.