ATI RN
ATI Nutrition Proctored
1. Nonnutritive sweeteners are not metabolized by microorganisms and do not promote dental caries. Products made with a nonnutritive sweetener can be used as frequently as 8 to 10 times per day.
- 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: C
Rationale: The first statement is true; nonnutritive sweeteners do not promote caries. However, the second statement is false because products with nonnutritive sweeteners should still be consumed in moderation.
2. A client with depression reports taking St. John's wort along with citalopram. The nurse should monitor the client for which of the following conditions as a result of an interaction between these substances?
- A. Serotonin syndrome
- B. Tardive dyskinesia
- C. Pseudoparkinsonism
- D. Acute dystonia
Correct answer: Serotonin syndrome
Rationale: When St. John's wort, an herbal supplement, is taken with citalopram, a selective serotonin reuptake inhibitor (SSRI), there is a risk of serotonin syndrome. Serotonin syndrome is a serious condition that can occur when there is an excess of serotonin in the body, leading to symptoms such as confusion, hallucinations, rapid heart rate, increased body temperature, and more. Monitoring for serotonin syndrome is crucial when these substances are taken together to prevent any potential harm to the client.
3. In a breech presentation, how is the infant positioned for delivery?
- A. Is too large to be delivered vaginally.
- B. Is delivered feet or bottom first.
- C. Is delivered head first.
- D. Appears face down.
Correct answer: B
Rationale: In a breech presentation, the infant is positioned to be delivered feet or bottom first. This is because the baby's pelvis or feet enter the birth canal before the head. Therefore, choice B is correct. Choices A, C, and D are incorrect because a breech presentation specifically refers to the baby being positioned feet or bottom first, not head first, face down, or being too large for vaginal delivery.
4. According to the DASH Eating Plan, Carmen's daily sodium intake should not exceed how many milligrams to ensure the plan's effectiveness?
- A. 1000 milligrams
- B. 2500 milligrams
- C. 3000 milligrams
- D. 1500 milligrams
Correct answer: D: 1500 milligrams
Rationale: The DASH Eating Plan is designed to lower blood pressure and is most effective when daily sodium intake is limited to 1500 milligrams or less. Therefore, choice D is the correct answer. Choices A (1000 milligrams), B (2500 milligrams), and C (3000 milligrams) are incorrect because they either fall below or exceed the recommended daily sodium intake for the DASH Eating Plan.
5. Which nursing intervention should be included in the postoperative care of a child following a tonsillectomy?
- A. Encourage the child to blow the nose gently
- B. Notify the physician if mucus is observed in the emesis
- C. Position the child supine in the immediate postoperative period
- D. Avoid giving citrus juice
Correct answer: D
Rationale: The correct answer is D: 'Avoid giving citrus juice.' Citrus juice can irritate the throat after a tonsillectomy, so it should be avoided. Choice A is incorrect because blowing the nose gently is not a recommended intervention following a tonsillectomy. Choice B is incorrect as mucus in emesis is not uncommon postoperatively and does not necessarily require physician notification. Choice C is incorrect as positioning the child supine immediately postoperatively can increase the risk of airway obstruction and should be avoided.