ATI RN
Nutrition ATI Proctored Exam 2023
1. The home health nurse visits older adult clients at an assisted living center. Which foods should the nurse recommend to correct the main nutrient deficits for this population?
- A. Carbohydrates
- B. Oily fish and krill oil
- C. Yellow vegetables
- D. Dairy products
Correct answer: D
Rationale: The correct answer is D: Dairy products. Older adults are often deficient in calcium and vitamin D, which are abundant in dairy products. These nutrients are essential for maintaining bone health. Choice A (Carbohydrates) is incorrect because while carbohydrates are an essential nutrient, they are not specifically addressing the main nutrient deficits for older adults. Choice B (Oily fish and krill oil) is incorrect as these foods are sources of omega-3 fatty acids and not specifically addressing the main nutrient deficits common in older adults. Choice C (Yellow vegetables) is incorrect because although vegetables are important for overall health, they do not directly address the main nutrient deficits typically seen in older adults.
2. What is the first thing you should do before sharing information with a patient?
- A. Provide background knowledge
- B. Ask for permission
- C. Remove personal protective equipment (PPE)
- D. Remind the patient that you are the authority
Correct answer: B: Ask for permission
Rationale: Before sharing information with a patient, it is essential to ask for their permission. This action respects the patient's autonomy and encourages their participation in the learning process. Asking for permission establishes a foundation of trust and partnership between the healthcare provider and the patient. Providing background knowledge (Choice A) is important, but it should come after receiving consent to share information. Removing personal protective equipment (Choice C) is not related to the communication process. Reminding the patient that you are the authority (Choice D) is inappropriate as it can undermine the patient's autonomy and hinder effective communication in a patient-centered care approach.
3. A nurse is preparing a teaching plan for a client who has neutropenia as a result of radiation therapy for the treatment of lung cancer. Which of the following should the nurse plan to include in the teaching?
- A. Bottled water is an appropriate choice to increase fluid intake.
- B. The salad bar is a healthy choice when dining out.
- C. Soft-boiled eggs are an appropriate source of protein.
- D. Eating at a buffet is a good choice to increase caloric intake.
Correct answer: Bottled water is an appropriate choice to increase fluid intake.
Rationale: In neutropenia, which is a low count of neutrophils, the client is at a high risk of infection. It is crucial to emphasize the importance of proper hydration to maintain overall health. Bottled water is a safe choice as it reduces the risk of exposure to contaminants that could further compromise the client's immune system. The other options, like the salad bar, soft-boiled eggs, and eating at a buffet, may not be suitable for a client with neutropenia due to the risk of bacterial contamination or exposure to pathogens that could lead to infections, which should be avoided.
4. A patient following a vegetarian diet might be at risk for deficiency in which nutrient?
- A. Vitamin C
- B. Vitamin B12
- C. Vitamin A
- D. Vitamin D
Correct answer: B
Rationale: Vitamin B12 is primarily found in animal products, so vegetarians may need supplementation.
5. Which food is most likely to be included in a low-fiber diet?
- A. Broccoli
- B. Ripe Bananas
- C. Onions
- D. Whole-Grain Bread
Correct answer: Ripe Bananas
Rationale: A low-fiber diet is generally recommended for individuals who need to restrict their intake of dietary fiber for health reasons. Ripe bananas are low in fiber and easy to digest, making them an ideal choice for a low-fiber diet. On the other hand, broccoli, onions, and whole-grain bread are high in fiber. Therefore, they are less suitable for a low-fiber diet as they could cause digestive discomfort or exacerbate certain health conditions. Ripe bananas, being low in fiber, are the most appropriate choice for a low-fiber diet.