ATI RN
ATI Nutrition Practice Test B 2019
1. The nurse is completing a nutritional assessment on a client. Which statement made by the client is most concerning to the nurse?
- A. "I notice when I take a vitamin E supplement, I bruise more easily."
- B. "I work nights and rarely go outside during the day."
- C. "I take warfarin, so I need to limit the amount of green leafy vegetables I eat."
- D. "My vitamin supplement has the recommended daily allowance of vitamin A."
Correct answer: A
Rationale: The correct answer is A. Excessive intake of vitamin E can increase the risk of bleeding as it acts as a blood thinner. Bruising easily may indicate too much vitamin E. Choice B is not as concerning as it describes a lifestyle that may lead to vitamin D deficiency due to lack of sunlight exposure. Choice C shows awareness of the interaction between warfarin and vitamin K, which is expected. Choice D indicates knowledge of the vitamin A content in the supplement, which is not a cause for concern.
2. What is considered fast breathing in a 13-month-old child if the respiratory rate (RR) exceeds which value?
- A. 40 breaths per minute
- B. 50 breaths per minute
- C. 60 breaths per minute
- D. 30 breaths per minute
Correct answer: C
Rationale: In the context of pediatric care, a respiratory rate of more than 60 breaths per minute in a child aged 13 months is considered fast breathing, hence option 'C' is correct. Options 'A', 'B', and 'D' are incorrect as they do not meet the specified criteria for fast breathing in a 13-month-old. Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, including monitoring respiratory rates, to ensure that interventions are appropriately targeted and outcomes are optimized.
3. Are the following statements both true: 'Most excess energy intake, whether from protein, carbohydrate, alcohol, or fat, is stored in the liver' and 'Fat is a good source of energy, but the preferred fuel is protein'?
- A. Both statements are true
- B. Both statements are false
- C. The first statement is true, but the second is false
- D. The first statement is false, but the second is true
Correct answer: B: Both statements are false
Rationale: Both of the given statements are false. The first statement is inaccurate because the primary location for excess energy storage is not the liver, but rather adipose tissue where it is stored as fat. While the liver does have a role in energy storage and metabolism, it is not the main storage site for excess intake. The second statement is also incorrect. Although fat and protein can be used as sources of energy, the body's preferred source of energy is carbohydrates. They break down more efficiently and are easier for the body to use. The body prefers to conserve protein for other essential functions, such as tissue repair and the production of enzymes. Therefore, protein is not the preferred fuel source.
4. When observing a return demonstration of a colostomy irrigation, you know that more teaching is required if pt:
- A. Lubricates the tip of the catheter prior to inserting into the stoma
- B. Hangs the irrigating bag on the bathroom door cloth hook during fluid insertion
- C. Discontinues the insertion of fluid after only 500 ml of fluid has been instilled
- D. Clamps of the flow of fluid when felling uncomfortable
Correct answer: C
Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.
5. Where does most nutrient digestion and absorption occur?
- A. Large intestine
- B. Small intestine
- C. Stomach
- D. Mouth
Correct answer: B
Rationale: The small intestine is the correct answer. It is the primary site for nutrient digestion and absorption in the digestive system. The small intestine plays a crucial role in breaking down carbohydrates, proteins, and fats into forms that can be absorbed by the body. While the large intestine absorbs water and electrolytes, the majority of nutrient absorption occurs in the small intestine. The stomach primarily functions in the initial digestion of proteins, and the mouth begins the mechanical breakdown of food through chewing.