ATI RN
Nutrition ATI Proctored Exam
1. Why might patients with periodontal disease require increased protein intake?
- A. Both the statement and the reason are correct and related
- B. Both the statement and the reason are correct but are not related
- C. The statement is correct, but the reason is not correct
- D. The statement is not correct, but the reason is correct
Correct answer: A
Rationale: Patients with periodontal disease may require increased protein intake due to the physiological response to inflammation and infection, which can negatively impact protein synthesis. Protein is essential for wound healing and tissue repair, and an infection can increase the body's protein requirements. Therefore, ensuring an adequate protein intake is particularly important for these patients. Choice A is correct because the statement and reason are both accurate and directly related to each other, supporting the increased protein needs in patients with periodontal disease. Choices B, C, and D are incorrect as they do not accurately assess the relationship between the statement and the reason provided in the question.
2. A child has a nasogastric (NG) tube after surgery for Hirschsprung disease. What is the purpose of the NG tube?
- A. Prevent the spread of infection.
- B. Monitor electrolyte balance.
- C. Prevent abdominal distention.
- D. Maintain accurate records of output.
Correct answer: C
Rationale: The primary purpose of an NG tube post-surgery for Hirschsprung disease is to prevent abdominal distention by decompressing the stomach and intestines. This helps prevent complications and promotes healing.
3. In the eighth month of pregnancy, what typically happens?
- A. fetal growth doubles
- B. neuron production increases
- C. the eyes, ears, nose, jaw, and neck form
- D. lanugo typically is shed
Correct answer: D
Rationale: In the eighth month of pregnancy, lanugo typically is shed. Lanugo is the fine, downy hair that covers a fetus's body to help regulate body temperature while in the womb. By the eighth month, many fetuses shed this hair as they prepare for birth. Choices A, B, and C are incorrect because fetal growth doubling, neuron production increasing, and the formation of eyes, ears, nose, jaw, and neck occur in earlier stages of pregnancy, not specifically in the eighth month.
4. You’re doing preoperative teaching with Gertrude who has ulcerative colitis who needs surgery to create an ileoanal reservoir. Which information do you include?
- A. A reservoir is created that exits through the abdominal wall.
- B. A second surgery is required 12 months after the first surgery.
- C. A permanent ileostomy is created.
- D. The surgery occurs in two stages.
Correct answer: D
Rationale: The surgery to create an ileoanal reservoir occurs in two stages.
5. A nurse is caring for a client who is 12 hours postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider?
- A. Serosanguineous drainage on the surgical dressing.
- B. Respiratory rate of 16/min.
- C. Heart rate of 90/min.
- D. WBC count of 15,000/mm3.
Correct answer: D
Rationale: A WBC count of 15,000/mm3 is elevated, which may indicate infection, a common concern postoperatively. An elevated WBC count suggests the body is fighting an infection, and prompt reporting to the provider is essential for further evaluation and treatment. Serosanguineous drainage on the surgical dressing is expected in the immediate postoperative period, respiratory rate of 16/min is within the normal range, and a heart rate of 90/min is also within an acceptable range postoperatively. Therefore, these findings do not raise immediate concerns that necessitate reporting to the provider.