ATI RN
ATI Nutrition Proctored Exam 2023
1. Patients with kidney stones should increase their intake of:
- A. fluids
- B. vitamin C
- C. oxalates
- D. protein
Correct answer: A
Rationale: Patients with kidney stones should increase their intake of fluids. Increasing fluid intake helps to dilute the urine and reduce the risk of kidney stones forming by flushing out minerals that can crystallize. This promotes the passage of small stones and helps prevent the formation of new ones. Vitamin C and protein intake should be moderated as excessive consumption may lead to the formation of certain types of kidney stones. Oxalates should be limited in the diet as they can contribute to the formation of calcium oxalate stones, a common type of kidney stone.
2. A nurse is teaching a client about iron-rich foods. Which food is the best source of heme iron?
- A. Spinach
- B. Lentils
- C. Beef liver
- D. Tofu
Correct answer: C
Rationale: Heme iron, found in animal products like beef liver, is more easily absorbed than non-heme iron from plant sources.
3. A nurse is completing an admission assessment on an adolescent client who is a vegetarian. He eats milk products but does not like beans. Which of the following items should the nurse suggest the client order for lunch to provide the nutrients most likely to be lacking in his diet?
- A. Peanut butter and jelly sandwich
- B. Baked potato topped with sour cream
- C. Bagel with cream cheese
- D. Fruit salad
Correct answer: Fruit salad
Rationale: The correct answer is 'Fruit salad.' Since the adolescent client is a vegetarian who eats milk products but does not like beans, suggesting a fruit salad for lunch would provide essential nutrients like vitamins, minerals, and fiber that are commonly found in fruits. Fruit salad can help supplement the nutrients that may be lacking in his diet. Choices A, B, and C do not offer the same variety and quantity of nutrients as a fruit salad, making them less optimal choices for meeting the client's dietary needs.
4. Which nutrient has the highest satiety value?
- A. Complex carbohydrates
- B. High-quality protein
- C. Low-quality protein
- D. Fat
Correct answer: D
Rationale: Fat has the highest satiety value among the listed nutrients. It slows down digestion, stays in the stomach longer, and provides a sustained release of energy, leading to increased feelings of fullness and satisfaction. Complex carbohydrates can also contribute to satiety, but fat generally has a stronger effect. High-quality protein is important for satiety as well, but it is generally not as filling as fat. Low-quality protein does not have as significant satiating effects as high-quality protein or fat.
5. 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.