ATI RN
ATI Nutrition Proctored
1. How many amino acids are essential?
- A. 5
- B. 7
- C. 9
- D. 13
Correct answer: C
Rationale: The correct answer is C: 9. There are 9 essential amino acids that the body cannot synthesize and must be obtained through the diet. These 9 amino acids are histidine, isoleucine, leucine, lysine, methionine, phenylalanine, threonine, tryptophan, and valine. Choices A, B, and D are incorrect as they do not represent the correct number of essential amino acids.
2. An elderly man is hospitalized with a diagnosis of malnutrition three months following his wife's death. What risk factor for malnutrition does this scenario illustrate?
- A. A history of chronic illness
- B. Depression or social isolation
- C. Age
- D. Impaired mobility
Correct answer: B
Rationale: This scenario illustrates depression or social isolation as a risk factor for malnutrition. After the death of his wife, the elderly man may have experienced depression or social isolation, which can lead to decreased food intake and poor nutritional status. Although age, chronic illness, and impaired mobility can also contribute to malnutrition, they are not the primary factors described in this scenario. The history of chronic illness (Choice A) and impaired mobility (Choice D) were not mentioned in the scenario, and while age (Choice C) is a factor, it's not the main factor depicted in this case.
3. Each statement is true of swallowing and processing food, except one. Which is the exception?
- A. The swallowing reflex moves a bolus into the esophagus
- B. A bolus is a mass of food
- C. The bolus is transported to the stomach by osmosis and gravity
- D. The bolus penetrates the diaphragm through the esophageal hiatus
Correct answer: C
Rationale: The correct answer is C. The bolus is not transported to the stomach by osmosis and gravity, but by peristalsis. Peristalsis is the involuntary constriction and relaxation of muscles to push the bolus through the digestive system. Choices A, B, and D are correct statements. A bolus is indeed a mass of food, the swallowing reflex does move the bolus into the esophagus, and the bolus does not penetrate the diaphragm through the esophageal hiatus; instead, it enters the stomach through the lower esophageal sphincter.
4. During the later stages of chronic kidney disease, what is the recommended protein intake in grams per kilogram of body weight per day?
- A. 0.6 to 0.75
- B. 1.2 to 1.55
- C. 1.0 to 1.2
- D. 0.8 to 1.0
Correct answer: A
Rationale: In the later stages of chronic kidney disease, the recommended protein intake is typically restricted to 0.6 to 0.75 grams per kilogram of body weight per day. This lower protein intake helps reduce the workload on the kidneys, as excessive protein can be challenging for the kidneys to process. Choice B (1.2 to 1.55) is incorrect as it suggests a higher protein intake, which is not recommended for individuals with advanced kidney disease. Choices C (1.0 to 1.2) and D (0.8 to 1.0) also advocate for protein intakes higher than what is typically advised for individuals in later stages of chronic kidney disease.
5. Which nutrient has the highest satiety value?
- A. Complex carbohydrates
- B. High-quality protein
- C. Low-quality protein
- D. Fat
Correct answer: D
Rationale: Fat has the highest satiety value among the listed nutrients. It slows down digestion, stays in the stomach longer, and provides a sustained release of energy, leading to increased feelings of fullness and satisfaction. Complex carbohydrates can also contribute to satiety, but fat generally has a stronger effect. High-quality protein is important for satiety as well, but it is generally not as filling as fat. Low-quality protein does not have as significant satiating effects as high-quality protein or fat.
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