ATI RN
ATI Nutrition Proctored Exam 2023
1. Lynn is an older adult who lives alone and has requested advice on how to eat a nutritious diet as cheaply as possible. One useful, practical tip for Lynn might be to _____.
- A. buy just a few pieces of fresh fruit at a time, in different stages of ripeness
- B. choose small boxes of frozen vegetables instead of large bags
- C. purchase pre-sliced or shredded cheese rather than whole pieces
- D. avoid buying certain foods in bulk, such as beans or dried legumes
Correct answer: A
Rationale: Buying a few pieces of fresh fruit at different stages of ripeness ensures that Lynn will have ripe fruit available over several days, reducing waste and cost. Choice B focuses on frozen vegetables but doesn't address the variety and ripeness factor like Choice A. Choice C is about cheese, which may not be as essential for a nutritious diet compared to fresh fruit. Choice D suggests avoiding certain foods in bulk, which might not be as relevant for maintaining a nutritious diet economically as the strategy in Choice A.
2. What laboratory value would be considered a high-risk measure for coronary heart disease assessment?
- A. triglycerides > 150 mg/dL
- B. BMI > 31
- C. LDL cholesterol < 128 mg/dL
- D. blood pressure of 128/82 mmHg
Correct answer: B
Rationale: The correct answer is B: BMI > 31. A BMI over 31 is considered a high-risk factor for coronary heart disease as it indicates obesity, which is strongly linked to cardiovascular issues. Triglycerides > 150 mg/dL (choice A) can contribute to heart disease risk but are not as specific as BMI in assessing overall risk. LDL cholesterol < 128 mg/dL (choice C) is actually a desirable level, indicating lower risk. A blood pressure of 128/82 mmHg (choice D) is within normal range and not a high-risk measure specifically for coronary heart disease.
3. A nurse is completing an admission assessment on an adolescent client who is vegan. Which breakfast item should the nurse recommend as a protein combination with their diet restriction?
- A. Bagel with cream cheese
- B. Wheat toast with jelly
- C. Oatmeal pancakes with peanut butter
- D. Eggs with tofu bacon
Correct answer: C
Rationale: The correct answer is C: Oatmeal pancakes with peanut butter. For a vegan client, it is important to recommend plant-based protein sources. Oatmeal pancakes with peanut butter offer a good protein combination that aligns with their dietary restriction. Choices A, B, and D are not suitable as they all contain animal-derived products, which are not suitable for a vegan diet.
4. When rickets occurs, how is the alveolar bone affected compared to other bones in the body?
- A. Both statements are true.
- B. Both statements are false.
- C. The first statement is true; the second is false.
- D. The first statement is false; the second is true.
Correct answer: A
Rationale: Both statements are true. When rickets occurs, the alveolar bone is affected similar to other bones in the body, with the trabeculae of the alveolar bone also weakening. In addition to damaged alveolar bone caused by vitamin D deficiency, dental changes include delayed dentition and small molars. The other choices are incorrect because both statements provided are accurate based on the effects of rickets on the alveolar bone.
5. Which is the priority nursing diagnosis for a patient with an indwelling urinary catheter?
- A. Self-esteem disturbance
- B. Impaired urinary elimination
- C. Impaired skin integrity
- D. Risk for infection
Correct answer: D: Risk for infection
Rationale: The correct answer is 'D: Risk for infection.' An indwelling urinary catheter poses a significant risk for infection due to its invasive nature and the increased susceptibility to urinary tract infections. While 'B: Impaired urinary elimination' and 'C: Impaired skin integrity' may also be concerns for a patient with an indwelling urinary catheter, the immediate risk of infection is the priority. 'A: Self-esteem disturbance' is not typically a priority nursing diagnosis for a patient with an indwelling urinary catheter because the focus is primarily on infection prevention and management to ensure patient safety and well-being.