ATI RN
ATI Nutrition Practice Test B 2019
1. Substance abuse is different from substance dependence in that, substance dependence:
- A. includes characteristics of adverse consequences and repeated use
- B. requires long term treatment in a hospital based program
- C. produces less severe symptoms than that of abuse
- D. includes characteristics of tolerance and withdrawal
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.
2. Which ethnic group has the lowest rates of type 2 diabetes?
- A. Caucasians
- B. Asian Indians
- C. Pacific Islanders
- D. African Americans
Correct answer: A: Caucasians
Rationale: Statistical data suggest that Caucasians generally have lower rates of type 2 diabetes compared to the other ethnic groups listed in the choices. This is not to say that Caucasians are immune to the disease, but rather that they have fewer reported instances. On the other hand, African Americans and Pacific Islanders are often identified as groups with a significantly higher risk and prevalence of type 2 diabetes. Asian Indians also exhibit higher rates compared to Caucasians. It is important to note that these are general trends observed in statistical data, and individual health outcomes can vary based on various factors such as lifestyle, diet, and genetics, among others. Therefore, the correct answer is A: Caucasians because they generally have the lowest rates of type 2 diabetes when compared to the other ethnic groups mentioned.
3. The following are appropriate nursing interventions during colostomy irrigation, EXCEPT:
- A. Increase the irrigating solution flow rate when abdominal cramps is felt
- B. Insert 2-4 inches of an adequately lubricated catheter to the stoma
- C. Position client in semi-Fowler
- D. Hang the solution 18 inches above the stoma
Correct answer: A
Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.
4. In order to establish and maintain successful breastfeeding, which practice should a lactating mother try to follow?
- A. Initiate breastfeeding within 24 hours of birth
- B. Breastfeed on a schedule of every 2 to 3 hours
- C. Give a pacifier to an infant between feedings
- D. Find a breastfeeding support group to troubleshoot problems
Correct answer: D
Rationale: The correct answer is D. Finding a breastfeeding support group is crucial for a lactating mother to establish and maintain successful breastfeeding. This group can offer valuable advice, tips, and encouragement, helping the mother troubleshoot any issues that may arise during breastfeeding. Choices A, B, and C are incorrect because breastfeeding is a natural process that should not be overly scheduled, and giving a pacifier between feedings can interfere with establishing proper breastfeeding techniques.
5. One of the most common factors that compromise the vitamin D status of older adults, particularly those living in assisted living communities is _____.
- A. decreased intake of fruits and vegetables
- B. lack of physical activity
- C. malabsorption due to atrophic gastritis
- D. lack of exposure to sunlight
Correct answer: D
Rationale: The correct answer is 'D: lack of exposure to sunlight.' Older adults, especially those in assisted living communities, are at risk of vitamin D deficiency due to spending most of their time indoors, which reduces their exposure to sunlight. Sunlight is essential for the body to produce vitamin D. Choices A, B, and C are less likely to be major factors in compromising vitamin D status. While a decreased intake of fruits and vegetables and lack of physical activity can impact overall health, they are not as directly related to vitamin D status. Malabsorption due to atrophic gastritis may affect the absorption of certain nutrients, but vitamin D synthesis primarily depends on sunlight exposure.