ATI RN
Proctored Nutrition ATI
1. Low levels of high-density lipoproteins (HDL) are?
- A. associated with being underweight
- B. more prevalent in males
- C. highly predictive of CHD risk
- D. not a good predictor of CHD risk
Correct answer: C
Rationale: Low levels of HDL cholesterol are a strong predictor of coronary heart disease (CHD) risk because HDL helps to remove excess cholesterol from the bloodstream. Choice A is incorrect because low HDL levels are not associated with being underweight but rather with increased CHD risk. Choice B is incorrect as low HDL levels are not more prevalent in males but can affect both genders. Choice D is incorrect as low levels of HDL are indeed a good predictor of CHD risk.
2. Which nursing diagnosis has nutritional implications?
- A. impaired dentition
- B. disruption of gas exchange
- C. self-esteem disturbance
- D. sleep pattern disturbance
Correct answer: A
Rationale: Impaired dentition affects a patient's ability to chew and consume a variety of foods, leading to potential nutritional deficiencies and malnutrition.
3. Which ethnic group has the lowest rates of type 2 diabetes?
- A. Caucasians
- B. Asian Indians
- C. Pacific Islanders
- D. African Americans
Correct answer: A
Rationale: Statistical data suggest that Caucasians generally have lower rates of type 2 diabetes compared to the other ethnic groups listed in the choices. This is not to say that Caucasians are immune to the disease, but rather that they have fewer reported instances. On the other hand, African Americans and Pacific Islanders are often identified as groups with a significantly higher risk and prevalence of type 2 diabetes. Asian Indians also exhibit higher rates compared to Caucasians. It is important to note that these are general trends observed in statistical data, and individual health outcomes can vary based on various factors such as lifestyle, diet, and genetics, among others. Therefore, the correct answer is A: Caucasians because they generally have the lowest rates of type 2 diabetes when compared to the other ethnic groups mentioned.
4. A client with chronic pancreatitis is receiving discharge teaching from a nurse. Which of the following statements should the nurse make?
- A. "You should decrease your caloric intake when experiencing abdominal pain."?
- B. "You should increase your daily intake of protein."?
- C. "You should increase fat intake when experiencing loose stools."?
- D. "You should limit alcohol intake to 2-3 drinks per week."?
Correct answer: B
Rationale: In chronic pancreatitis, it is important to increase protein intake to support healing and prevent malnutrition. Choice A is incorrect because decreasing caloric intake during abdominal pain may lead to further nutritional deficiencies. Choice C is incorrect as increasing fat intake can exacerbate symptoms due to the impaired fat digestion in chronic pancreatitis. Choice D is incorrect as alcohol should be completely avoided in chronic pancreatitis to prevent further damage to the pancreas.
5. A nurse is caring for a client who is well-hydrated and who demonstrates no evidence of anemia. Which of the following laboratory values gives the nurse an assessment of the adequacy of the client's protein uptake and synthesis?
- A. Albumin
- B. Calcium
- C. Sodium
- D. Potassium
Correct answer: A
Rationale: The correct answer is Albumin. Albumin is a protein made by the liver and is a key indicator of the body's protein status. Low levels of albumin can indicate inadequate protein intake or synthesis. Choices B, C, and D (Calcium, Sodium, and Potassium) are not direct indicators of protein uptake and synthesis. Calcium is related to bone health, Sodium to fluid balance, and Potassium to nerve and muscle function.
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