ATI RN
ATI RN Nutrition Online Practice 2019
1. Nutritional goals for a patient wishing to modify eating patterns should adhere to each, except one. Which is the exception?
- A. Measurable
- B. Immediate
- C. Realistic
- D. Achievable
Correct answer: B
Rationale: Nutritional goals should be measurable, realistic, and achievable. They should not be immediate, as sustainable changes take time.
2. Which of the following factors may affect successful communication?
- A. Cultural background
- B. Organizational structure
- C. Method of communication
- D. All of the above
Correct answer: D
Rationale: Various factors can influence successful communication. Cultural background is crucial as different cultures may have distinct communication styles and norms. Organizational structure plays a role by determining the flow of information within an organization. The method of communication chosen can impact the clarity and effectiveness of the message being conveyed. Therefore, all the options provided - cultural background, organizational structure, and method of communication - can affect successful communication, making 'All of the above' the correct answer.
3. A client is being assessed by a nurse after being diagnosed with anorexia nervosa. Which of the following findings should the nurse expect?
- A. Weight gain and increased appetite
- B. Lanugo on the face and back
- C. Increased body temperature and tachycardia
- D. Hyperactivity and distractibility
Correct answer: B
Rationale: In anorexia nervosa, individuals often develop lanugo, fine soft hair, on the face and back. This is a physiological response to the body's attempt to conserve heat due to a lack of subcutaneous fat. It is a common physical finding in clients with anorexia nervosa and can be a sign of severe malnutrition. Choices A, C, and D are incorrect because weight gain and increased appetite, increased body temperature and tachycardia, and hyperactivity and distractibility are not typically associated with anorexia nervosa. In fact, weight loss, decreased appetite, hypothermia, and bradycardia are more commonly seen in individuals with anorexia nervosa.
4. What specific instructions should the nurse provide for a patient starting on alendronate (Fosamax) for osteoporosis to ensure proper administration?
- A. Take the medication with a full glass of water and remain upright for at least 30 minutes.
- B. Take the medication with milk to enhance calcium absorption.
- C. Take the medication at bedtime to ensure absorption during sleep.
- D. Take the medication with food to prevent nausea.
Correct answer: A
Rationale: The correct answer is A. Alendronate should be taken with a full glass of water, and patients should remain upright for at least 30 minutes to prevent esophageal irritation and ensure proper absorption. Choice B is incorrect because alendronate should not be taken with milk, as it can interfere with its absorption. Choice C is incorrect as there is no specific instruction to take alendronate at bedtime. Choice D is incorrect because alendronate should be taken on an empty stomach, not with food, to enhance absorption.
5. Currently, the most widely used potent teratogen is __________.
- A. aspirin
- B. diethylstilbestrol (DES)
- C. thalidomide
- D. isotretinoin
Correct answer: D
Rationale: The correct answer is D, isotretinoin. Isotretinoin is a medication commonly used to treat severe acne, but it is a potent teratogen, meaning it can cause severe birth defects if taken during pregnancy. Aspirin (choice A) is not a widely used potent teratogen. Diethylstilbestrol (DES) (choice B) was a known teratogen, but it is not currently widely used. Thalidomide (choice C) was another historical teratogen, but it is also not currently widely used. Therefore, isotretinoin is the most relevant answer as it is a commonly used medication that poses a high risk of birth defects if used during pregnancy.