ATI RN
ATI Proctored Nutrition Exam
1. The mechanism behind most CKD in patients without diabetes is mediated by:
- A. enzyme systems
- B. immune systems
- C. catabolic systems
- D. hormonal systems
Correct answer: B
Rationale: In non-diabetic patients, CKD is often mediated by immune system responses. Chronic inflammation triggered by immune system dysfunction can contribute to progressive kidney damage. Therefore, the correct answer is 'immune systems.' Choices A, C, and D are incorrect because CKD in non-diabetic patients is primarily associated with immune system abnormalities rather than enzyme, catabolic, or hormonal systems.
2. Myxedema coma is a life-threatening complication of long-standing and untreated hypothyroidism with one of the following characteristics.
- A. Hyperglycemia
- B. Hypothermia
- C. Hyperthermia
- D. Hypoglycemia
Correct answer: A
Rationale: Myxedema coma is associated with hypothermia, not hyperthermia. Therefore, the correct characteristic of myxedema coma is hypothermia. This condition is a medical emergency that requires prompt recognition and intervention to prevent serious complications. The presence of hyperglycemia is not a defining characteristic of myxedema coma, making choice A the correct answer in this case. Hyperthermia and hypoglycemia are not typically seen in myxedema coma and are not consistent with the clinical presentation of this condition.
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. Which list contains fatty acids that reduce cardiovascular disease risk?
- A. omega 3, trans fatty acids, saturated fatty acids
- B. EPA and DHA
- C. omega 6, omega 3, partially hydrogenated oil
- D. omega 3, EPA, saturated fatty acids
Correct answer: B
Rationale: EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid), both omega-3 fatty acids, are known to reduce the risk of cardiovascular disease.
5. What kinds of foods do people who live in food deserts typically lack?
- A. fresh fruits and vegetables
- B. energy-dense foods
- C. beef or pork products
- D. grains and cereals
Correct answer: A
Rationale: Correct Answer: Fresh fruits and vegetables are often unavailable in food deserts, where access to nutritious, perishable foods is limited. Choice B, energy-dense foods, is incorrect because these are more likely to be available in food deserts, contributing to health issues. Choice C, beef or pork products, is incorrect as the focus is on the lack of fresh produce. Choice D, grains and cereals, is incorrect as these are staple foods that are more commonly found even in areas classified as food deserts.