ATI RN
Nutrition ATI Test
1. During the Emergent phase of a burn, the most fatal electrolyte imbalance in a burned client is:
- A. Hypokalemia
- B. Hyperkalemia
- C. Hypernatremia
- D. Hyponatremia
Correct answer: A
Rationale: During the Emergent phase of burns, the most fatal electrolyte imbalance is Hypokalemia. This is due to the shift of potassium from the intracellular space to the extracellular space, leading to low potassium levels in the blood. Choices B, C, and D are incorrect because Hyperkalemia, Hypernatremia, and Hyponatremia are not typically associated with the Emergent phase of burns and do not pose the same level of risk as Hypokalemia in this context.
2. Where in the body are microvilli located, facilitating the absorption of most nutrients?
- A. Stomach
- B. Pancreas
- C. Large Intestine
- D. Small Intestine
Correct answer: D: Small Intestine
Rationale: The correct answer is D: Small Intestine. Microvilli are present in the small intestine, significantly increasing its surface area for efficient absorption of nutrients. The small intestine is the primary site for nutrient absorption in the body. The stomach (choice A) primarily functions to break down food with its acidic environment but is not where most nutrients are absorbed. The pancreas (choice B) produces enzymes to aid in digestion but does not directly absorb nutrients. The large intestine (choice C) mainly absorbs water and electrolytes from undigested food, rather than nutrients.
3. A nurse is caring for a client following an appendectomy. The nurse verifies the postoperative prescription which reads, 'Discontinue NPO status; advance diet as tolerated.' Which of the following are appropriate for the nurse to offer the client? (SATA)
- A. Wheat toast
- B. Applesauce
- C. Applesauce, Chicken broth
- D. Chicken broth
Correct answer: C
Rationale: The correct answer is C: Applesauce and chicken broth. After an appendectomy, patients are typically started on a clear liquid diet before advancing to more solid foods. Applesauce and chicken broth are part of a low-residue diet that is easily digestible and gentle on the digestive system, making them suitable choices for a client following surgery. Wheat toast may be too heavy and fibrous initially, while other solid foods should be introduced gradually to prevent gastrointestinal upset.
4. Which food is recommended for someone with lactose intolerance?
- A. Skim milk
- B. Cheese
- C. Lactose-free yogurt
- D. Whole milk
Correct answer: C
Rationale: Lactose-free yogurt is suitable for individuals with lactose intolerance as it has reduced lactose content.
5. A client who has dumping syndrome following a hemi-colectomy should avoid which of the following foods when receiving nutritional teaching from a nurse?
- A. Rice
- B. Poached eggs
- C. Fresh apples
- D. White bread
Correct answer: C: Fresh apples
Rationale: Fresh apples should be avoided by a client with dumping syndrome following a hemi-colectomy because they are high in fiber and can exacerbate gastrointestinal symptoms such as diarrhea and bloating. Rice and poached eggs are good options as they are easily digestible and less likely to trigger dumping syndrome symptoms. White bread is also preferable over whole grain bread due to its lower fiber content, making it a better choice for individuals with dumping syndrome.