ATI RN
ATI Nutrition Proctored Exam 2023
1. The nurse is working with a patient who recently had a stroke. The patient frequently chokes and coughs when eating and is having difficulty feeding herself. What is the best way to ensure adequate nutrition?
- A. to have an aide feed her at each meal
- B. to ask a family member to assist during meals
- C. to provide tube feedings for the patient
- D. to initiate TPN for the patient
Correct answer: C
Rationale: The best way to ensure adequate nutrition for a stroke patient who frequently chokes and coughs when eating and has difficulty feeding herself is to provide tube feedings. Tube feedings are a safe and effective method to deliver nutrition directly to the stomach or intestines, bypassing the swallowing mechanism, reducing the risk of aspiration. Having an aide feed her each meal (choice A) may not address the underlying issue of swallowing difficulty and aspiration risk. Asking a family member to be present at each meal (choice B) does not provide a definitive solution to the patient's nutritional needs. Placing the patient on total parenteral nutrition (TPN) (choice D) is a more invasive and typically reserved for patients who cannot tolerate enteral feedings or have non-functional gastrointestinal tracts.
2. What activities best describe the work of the placenta during pregnancy?
- A. surrounding and cushioning the fetus
- B. combining maternal and fetal blood stores to exchange nutrients
- C. producing hormones that maintain the pregnancy
- D. absorbing vitamins and minerals that can be transferred to the fetus
Correct answer: C
Rationale: The placenta plays a crucial role in producing hormones that are necessary for maintaining pregnancy, supporting fetal development, and preparing the mother's body for childbirth. Choices A, B, and D are incorrect because the placenta's primary function is not to surround and cushion the fetus, combine blood stores for nutrient exchange, or absorb vitamins and minerals. While the placenta does facilitate the exchange of nutrients and oxygen between the mother and fetus, its hormone production is the most critical function during pregnancy.
3. Each of the following is a function of the liver except one. Which one is the exception?
- A. Regulatory control of nutrients in the bloodstream
- B. Conversion of monosaccharides to triglycerides
- C. Breakdown of polysaccharide glycogen into glucose
- D. Oxidation of digestive end products to provide energy
Correct answer: B
Rationale: The correct answer is B. The liver does not convert monosaccharides to triglycerides; instead, it converts monosaccharides to glucose or glycogen. Choice A is correct because the liver plays a role in regulating the levels of various nutrients in the bloodstream. Choice C is correct as the liver breaks down stored glycogen into glucose to maintain blood sugar levels. Choice D is correct as the liver oxidizes digestive end products to provide energy. Therefore, only choice B is incorrect as the liver does not convert monosaccharides to triglycerides.
4. A nurse is assessing a client who has malnutrition. Which of the following findings should the nurse expect?
- A. Increased vital capacity
- B. Dry skin
- C. Heat intolerance
- D. Decreased mental status
Correct answer: D
Rationale: Malnutrition can lead to a variety of physical and mental symptoms. One common manifestation of malnutrition is a decreased mental status, which includes confusion, lethargy, and cognitive impairment. Dry skin is a typical finding in malnutrition due to the lack of essential nutrients needed for skin health. Heat intolerance is not a direct consequence of malnutrition. While malnutrition can affect respiratory function, it typically leads to decreased vital capacity rather than increased. Therefore, the correct answer is decreased mental status.
5. Which of the following statements is correct about MyPlate?
- A. Canned fruit can be considered part of the fruit group
- B. Soymilk is considered part of the dairy group
- C. Beans and peas are considered part of both the protein group and the vegetable group
- D. Cream cheese and butter are not part of the dairy group
Correct answer: C
Rationale: According to the MyPlate guide, beans and peas are classified as part of both the protein and vegetable groups due to their high protein content and the nutrients they share with vegetables. This makes Choice C correct. Choice A is incorrect as canned fruit can be part of the fruit group if it's canned in water or 100% fruit juice. Soymilk is considered part of the dairy group, making Choice B incorrect. While cream cheese and butter are dairy products, they are not part of the dairy group on MyPlate because they contain little to no calcium, making Choice D incorrect.