ATI RN
ATI Nutrition Practice Test A 2019
1. What characterizes Obsessive Compulsive Disorder?
- A. Uncontrollable impulse to perform an act or ritual repeatedly
- B. Persistent thoughts and behavior
- C. Recurring unwanted and disturbing thoughts
- D. Pathological persistence of unwilled thoughts
Correct answer: A
Rationale: Obsessive Compulsive Disorder (OCD) is characterized by the uncontrollable impulse to perform an act or ritual repeatedly (Choice A). This is driven by recurring unwanted and disturbing thoughts (Choice C), but the distinguishing factor is the compulsive behavior, making choice A the most accurate. While choice B can be seen as true, it lacks the specific detail of the compulsive behavior that makes A a better answer. Choice D is not incorrect, but it uses terminology that is less precise and less commonly used to describe OCD, making it a less accurate choice than A. The provided rationale is not relevant to the question.
2. Each nonnutritive sweetener can be recommended to patients with phenylketonuria, except one. Which one is the exception?
- A. Cyclamate
- B. Acesulfame-K
- C. Saccharin
- D. Aspartame
Correct answer: D
Rationale: The correct answer is D, Aspartame. Aspartame contains phenylalanine, which is contraindicated for individuals with phenylketonuria (PKU), a genetic disorder that impairs phenylalanine metabolism. Therefore, patients with PKU should avoid aspartame. Choices A, B, and C (Cyclamate, Acesulfame-K, Saccharin) are considered safe for individuals with PKU as they do not contain phenylalanine and can be recommended as alternatives to sugar for these patients.
3. Instruction on health promotion regarding urinary elimination is important. Which would you include?
- A. Hold urine as long as possible before emptying the bladder to strengthen the sphincter muscles
- B. If a burning sensation is experienced while voiding, drink water
- C. After urination, wipe from the anal area towards the pubis
- D. Tell the client to empty the bladder at each voiding
Correct answer: D
Rationale: The correct answer is to instruct the client to empty the bladder at each voiding. This is essential to prevent urinary retention and reduce the risk of urinary tract infections. Choice A is incorrect because holding urine for prolonged periods can lead to urinary retention and increase the risk of infections. Choice B is incorrect as pineapple juice can exacerbate a burning sensation due to its acidity; the correct approach is to drink water to dilute the urine. Choice C is incorrect as wiping from the anal area towards the pubis can introduce bacteria into the urinary tract, potentially causing infections.
4. The counting of sponges is done by the Surgeon together with the:
- A. Circulating nurse
- B. Scrub nurse
- C. Assistant surgeon
- D. Nurse supervisor
Correct answer: D
Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.
5. 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.