ATI RN
Nutrition ATI Proctored Exam
1. 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.
2. Which of the following nursing interventions is appropriate after a total thyroidectomy?
- A. Place pillows under your patient’s shoulders.
- B. Raise the knee-gatch to 30 degrees
- C. Keep you patient in a high-fowler’s position.
- D. Support the patient’s head and neck with pillows and sandbags.
Correct answer: D
Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.
3. Which topical antimicrobial is most frequently used in burn wound care?
- A. Neosporin
- B. Silver nitrate
- C. Silver sulfadiazine
- D. Sulfamylon
Correct answer: C
Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.
4. How many grams of protein per day are recommended for a person weighing 150 lbs?
- A. 120
- B. 85
- C. 187.5
- D. 54
Correct answer: D
Rationale: The Recommended Dietary Allowance (RDA) for protein is 0.8 grams per kilogram of body weight. To convert pounds to kilograms, divide the weight in pounds by 2.2. Therefore, a 150 lb person weighs approximately 68 kg (150 / 2.2 = 68). Multiplying 68 kg by 0.8 grams gives us 54 grams of protein per day. Choices A, B, and C are incorrect as they do not align with the RDA calculation based on body weight.
5. Match the energy-yielding nutrient to the amount of energy it provides to the body: Carbs, Fats, Proteins.
- A. Carbs - 4kcal/g
- B. Fats - 9kcal/g
- C. Proteins - 4kcal/g
- D. All of the above
Correct answer: D
Rationale: The correct answer is D, All of the above. Carbohydrates and proteins provide 4 kcal per gram, while fats provide 9 kcal per gram. Therefore, all three energy-yielding nutrients provide different amounts of energy to the body. Choice A, B, and C are incorrect because each of them individually provides a specific amount of energy per gram, but when considering all nutrients together, they collectively cover the spectrum of energy provision to the body.