ATI RN
ATI Nutrition Proctored Exam 2023
1. Select all that apply. What are the potential consequences of damage to the stomach?
- A. Reduced digestion of carbohydrates
- B. Inability to produce or secrete bile
- C. Inability to produce or secrete gastric acid
- D. Inability to produce or secrete intrinsic factor
Correct answer: C, D
Rationale: Damage to the stomach can lead to a reduced ability to produce gastric acid (Choice C) and intrinsic factor, the latter of which is crucial for vitamin B12 absorption (Choice D). That's why these two choices are correct. The stomach doesn't play a direct role in the digestion of carbohydrates (Choice A) as this process primarily occurs in the small intestine with the help of pancreatic enzymes. Similarly, bile is produced by the liver and stored in the gallbladder, not the stomach, hence stomach damage wouldn't lead to an inability to produce or secrete bile (Choice B).
2. The nurse has educated a client on precautions to take with thrombocytopenia. What statement by the client indicates a need to review the information?
- A. I will be careful if I need enemas for constipation.
- B. I will use an electric shaver instead of a razor.
- C. I should only eat soft food that is either cool or warm.
- D. I won’t be able to play sports with my grandkids.
Correct answer: A
Rationale: The correct answer is A because enemas can cause injury to a thrombocytopenic client due to the risk of bleeding. Choices B, C, and D are correct precautions for a client with thrombocytopenia. Using an electric shaver reduces the risk of cuts that could lead to bleeding. Eating soft, cool, or warm food helps prevent injuries to the oral mucosa. Avoiding activities like sports that carry a risk of injury is also advisable.
3. A nurse is planning care for a client who practices Islam and is currently observing dietary restrictions for the month of Ramadan. Which of the following interventions should the nurse include in the plan of care?
- A. Remove beef products from the dietary plan
- B. Facilitate fasting during daylight hours
- C. Serve meat and dairy items separately
- D. Provide a strictly vegetarian diet on Fridays
Correct answer: B
Rationale: Facilitating fasting during daylight hours respects the dietary practices of clients observing Ramadan.
4. Which medication is typically prescribed for the treatment of attention-deficit/hyperactivity disorder (ADHD)?
- A. Haloperidol
- B. Sertraline
- C. Methylphenidate
- D. Clozapine
Correct answer: C
Rationale: Methylphenidate is a central nervous system stimulant often prescribed to manage symptoms of ADHD. It works by increasing the activity of certain neurotransmitters in the brain, helping to improve focus, attention, and impulse control in individuals with ADHD. Haloperidol, Sertraline, and Clozapine are not typically used as first-line treatments for ADHD. Haloperidol is an antipsychotic used in conditions like schizophrenia, Sertraline is an antidepressant primarily for mood disorders, and Clozapine is an atypical antipsychotic for treatment-resistant schizophrenia.
5. A nurse is providing teaching to a client who was newly diagnosed with nephrotic syndrome. Which of the following statements should indicate to the nurse that the client understands the teaching?
- A. I can expect swelling in my hands and on my face.
- B. The amount of protein in my blood is high.
- C. I might have some pain and gas in my stomach from this condition.
- D. I will use a soft bristle toothbrush to prevent bleeding gums.
Correct answer: A
Rationale: The correct answer is A. Nephrotic syndrome leads to edema, especially of the face and dependent areas, due to the loss of protein in the urine. Choice B is incorrect because nephrotic syndrome leads to protein loss in the urine, not an increase in blood protein levels. Choice C is incorrect as stomach pain and gas are not typical symptoms of nephrotic syndrome. Choice D is incorrect as using a soft bristle toothbrush is not directly related to the manifestations of nephrotic syndrome.