ATI RN
Nutrition ATI Test
1. Tony is to be discharged in the afternoon of the same day after tonsillectomy and adenoidectomy. You, as the RN, will make sure that the family knows to:
- A. offer pureed foods
- B. offer soft foods for a week to minimize discomfort while swallowing
- C. supplement his diet with Vitamin C-rich foods to enhance healing
- D. offer clear liquids for 3 days to prevent irritation
Correct answer: B
Rationale: After tonsillectomy and adenoidectomy, it is crucial to provide soft foods for a week to minimize discomfort while swallowing. This helps prevent irritation to the surgical site and allows for easier healing. Offering pureed foods (Choice A) may not be necessary as soft foods are usually sufficient. While Vitamin C is beneficial for healing, it is not necessary to supplement it immediately after surgery with Vitamin C-rich juices (Choice C). Clear liquids are typically recommended before surgery and not after, as the focus shifts to soft foods to aid in recovery, making Choice D incorrect.
2. When assessing for criteria that signify malnutrition risk, which element would most likely be included as part of the functional assessment data?
- A. severity of illness
- B. presence of pressure sores
- C. localized edema
- D. generalized weakness
Correct answer: D
Rationale: Generalized weakness is a key indicator of malnutrition and is often assessed as part of functional status, reflecting muscle wasting and reduced physical function. The other choices, such as severity of illness, presence of pressure sores, and localized edema, are important factors to consider in a clinical assessment but are not primarily indicative of malnutrition risk. Generalized weakness directly relates to the functional impact of malnutrition on physical performance.
3. Ms. Maria Salvacion says that she is the incarnation of the holy Virgin Mary. She said that she is the child of the covenant that would save this world from the evil forces of Satan. One morning, while caring for her, she stood in front of you and said “Bow down before me! I am the holy mother of Christ! I am the blessed Virgin Mary!†The best response by the Nurse is:
- A. Tell me more about being the Virgin Mary
- B. So, You are the Virgin Mary?
- C. Excuse me but, you are not anymore a Virgin so you cannot be the Blessed Virgin Mary.
- D. You are Maria Salvacion
Correct answer: B
Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.
4. How much extra protein (above RDA) is safe to consume?
- A. 2x your RDA
- B. any amount
- C. 3x your RDA
- D. 20 grams
Correct answer: A
Rationale: Consuming up to twice the Recommended Dietary Allowance (RDA) of protein is generally considered safe for most people, although it may vary depending on individual health conditions.
5. Each statement accurately describes the physical effects of food on periodontal health, except one. Which is the exception?
- A. Supragingival plaque biofilm adhesion is influenced by frequent consumption of monosaccharides
- B. Supragingival plaque biofilm adhesion is influenced by frequent consumption of disaccharides
- C. Poor nutrition has an adverse effect on the periodontium
- D. Chewing soft, spongy foods stimulates salivary flow
Correct answer: D
Rationale: The correct answer is D. Chewing soft, spongy foods does not stimulate salivary flow; rather, firm, fibrous foods like fruits and vegetables do. Soft foods can stick to teeth, promoting plaque buildup. Choices A, B, and C are accurate: Supragingival plaque biofilm adhesion is influenced by both monosaccharides and disaccharides, while poor nutrition can indeed have adverse effects on the periodontium.