ATI RN
ATI Nutrition Practice A
1. Which of the following is a factor that affects Basal Metabolic Rate (BMR)?
- A. Age
- B. Sleep
- C. Fasting/Starvation
- D. Activity Level
Correct answer: All of the above
Rationale: All the listed options (Age, Sleep, Fasting/Starvation, Activity Level) are factors that can affect a person's Basal Metabolic Rate (BMR). BMR is the number of calories your body needs to accomplish its most basic (basal) life-sustaining functions. Age can affect BMR as metabolism slows with age. Sleep can influence BMR as metabolism slows during sleep. Fasting or starvation can decrease BMR as the body conserves energy. Activity level can also influence BMR; the more active you are, the higher your BMR, as your body requires more energy for physical activities.
2. Which of the following is reflected in an ECG due to hypokalemia?
- A. Tall T waves and Pathologic Q wave
- B. Widening QRS Complex and U wave
- C. None of the above
- D. Both A and B
Correct answer: B
Rationale: Hypokalemia, a condition characterized by low levels of potassium in the blood, is reflected in an ECG by a widening QRS Complex and a U wave. This is because potassium plays a key role in the electrical activity of the heart, and its deficiency can lead to abnormalities in the heart's rhythm as represented by these specific changes on the ECG. Choice A is incorrect as tall T waves and pathologic Q waves are more commonly associated with hyperkalemia or myocardial infarction, respectively, rather than hypokalemia. Choices C and D are also incorrect as they do not accurately reflect the ECG changes caused by hypokalemia.
3. What is the term for a barrier that prevents the normal emptying of stomach contents into the duodenum?
- A. Dumping syndrome
- B. Gastritis
- C. Gastric outlet obstruction
- D. Hypochlorhydria
Correct answer: C: Gastric outlet obstruction
Rationale: Gastric outlet obstruction refers to a condition where the opening between the stomach and the duodenum is blocked, preventing the normal passage of food. This is why choice 'C' is correct. 'A: Dumping syndrome' is incorrect because it is a condition where stomach contents move too quickly through the small intestine, not a barrier preventing emptying. 'B: Gastritis' is inflammation of the stomach lining, not a blockage of the outlet. 'D: Hypochlorhydria' refers to low stomach acid, which may affect digestion but does not create a physical barrier blocking the outlet of the stomach.
4. A client newly diagnosed with hypertension is receiving teaching about the Mediterranean diet from a nurse. Which of the following statements by the client indicates a need for further teaching?
- A. I will limit my intake of red meat to twice weekly.
- B. I can have dairy in moderate portions daily.
- C. I can have fish two times a week.
- D. I can drink wine in moderation.
Correct answer: I can drink wine in moderation.
Rationale: The correct answer is D. Patients with hypertension should be advised to limit alcohol consumption, including wine, to help manage their blood pressure. Choices A, B, and C are all consistent with the Mediterranean diet and are appropriate for a client with hypertension. Reducing red meat intake, consuming dairy in moderate portions, and having fish regularly align with the principles of this heart-healthy eating pattern.
5. A nurse provides discharge instructions to a client about the food items that interact with warfarin effectiveness. Which food item indicates that the teaching was effective?
- A. Cauliflower
- B. Zucchini
- C. Green beans
- D. Broccoli
Correct answer: A
Rationale: Cauliflower is high in vitamin K, which can interact with warfarin.