ATI RN
Nutrition ATI Proctored Exam
1. What would you do to increase the amount of iron absorbed from a meal?
- A. Drink plenty of coffee before each meal
- B. Avoid eating foods rich in vitamin C with the meal
- C. Eat a calcium-rich food with the meal
- D. Consume orange juice as a beverage with a meal
Correct answer: D
Rationale: The correct answer is D: 'Consume orange juice as a beverage with a meal'. This is because Vitamin C significantly enhances the absorption of non-heme iron, a form of iron found in plant-based foods. Therefore, consuming orange juice, which is rich in vitamin C, with a meal can effectively increase iron absorption. On the contrary, choices A, B, and C are incorrect. Coffee (Choice A) contains polyphenols that can inhibit iron absorption. Avoiding vitamin C-rich foods (Choice B) would decrease iron absorption, not increase it. While calcium (Choice C) is essential for many bodily processes, it can actually inhibit iron absorption when consumed together.
2. In persons who are obese, weight reduction can improve such CHD risk factors as hypertension, blood lipid abnormalities, and?
- A. inflammation
- B. insulin resistance
- C. gastrointestinal motility disorders
- D. damage from cigarette smoking
Correct answer: B
Rationale: Weight reduction in obese individuals can improve insulin resistance, a key factor in reducing the risk of coronary heart disease and type 2 diabetes.
3. Dina, 17 years old, asks you how a tubal ligation prevents pregnancy. Which would be the best answer?
- A. Prostaglandins released from the cut fallopian tubes can kill sperm
- B. Sperm cannot enter the uterus because the cervical entrance is blocked
- C. Sperm can no longer reach the ova, because the fallopian tubes are blocked
- D. The ovary no longer releases ova as there is nowhere for them to go
Correct answer: C
Rationale: The correct answer is C: 'Sperm can no longer reach the ova because the fallopian tubes are blocked.' Tubal ligation works by blocking the fallopian tubes, preventing sperm from reaching the egg for fertilization. Choice A is incorrect because prostaglandins are not released from the cut fallopian tubes to kill sperm. Choice B is incorrect as the cervical entrance being blocked does not relate to tubal ligation. Choice D is incorrect because tubal ligation does not affect the release of ova from the ovary.
4. Vitamin deficiencies, especially the B-complex vitamins, seldom occur in isolation. Folate, a B-complex vitamin, is the exception because it functions separately from other vitamins.
- A. Both statements are true.
- B. Both statements are false.
- C. The first statement is true; the second is false.
- D. The first statement is false; the second is true.
Correct answer: C
Rationale: The first statement is true; the second is false. If a deficiency of one vitamin is suspected, symptoms of other vitamin B deficiencies also may be present. Folate deficiencies usually occur with other nutrient deficiencies. Specifically, folate functions in conjunction with vitamins B12 and C in maintaining normal levels of mature red blood cells.
5. A client is being taught how to follow a low-purine diet for gout management. Which statement indicates the client understands the teaching?
- A. “I will need to limit the number of fruit servings each day.”
- B. “I should avoid eating liver and other organ meats.”
- C. “I can drink only white wine.”
- D. “I should choose red meat instead of poultry.”
Correct answer: “I should avoid eating liver and other organ meats.”
Rationale: The correct answer is B. Organ meats like liver are high in purines, which can exacerbate gout symptoms. Choosing to avoid such foods is essential in following a low-purine diet. Option A is incorrect because fruits are generally low in purines and are not usually restricted in a low-purine diet. Option C is incorrect as white wine, just like other types of alcohol, should be consumed in moderation or avoided due to its purine content. Option D is incorrect because red meat, including beef and lamb, is high in purines and should be limited in a low-purine diet.