ATI RN
ATI RN Nutrition Online Practice 2019
1. What action should the nurse take first for a client with Listeria food poisoning?
- A. Educate the client on safe food practices.
- B. Start a traceback to identify the source of the outbreak.
- C. Report the case to the county board of health.
- D. Ask the client if they have consumed any unpasteurized products.
Correct answer: D
Rationale: Identifying the source of Listeria is crucial for preventing further cases.
2. A nurse is providing dietary teaching to a client with irritable bowel syndrome (IBS). Which dietary recommendation should be included?
- A. Consume food high in bran fiber.
- B. Increase intake of milk products.
- C. Sweeten foods with fructose corn syrup.
- D. Increase foods high in gluten.
Correct answer: A
Rationale: The correct answer is A: Consume food high in bran fiber. Bran fiber helps reduce IBS symptoms by promoting regular bowel movements. Choices B, C, and D are incorrect because increasing milk products can exacerbate symptoms in some individuals with IBS, sweetening foods with fructose corn syrup may worsen symptoms due to its high FODMAP content, and increasing foods high in gluten could be problematic for individuals with gluten sensitivities or celiac disease, which are common in some with IBS.
3. How is the equalization of solute concentration of intracellular fluids (ICFs) and extracellular fluids (ECFs accomplished?
- A. Semipermeable membranes.
- B. Hydration.
- C. Osmotic pressure.
- D. Perspiration.
Correct answer: C
Rationale: The correct answer is C, osmotic pressure. Osmotic pressure within the body equalizes the solute concentration of ICFs and ECFs by shifting small amounts of water in the direction of higher concentration solute. Semipermeable membranes separate one fluid compartment from another and do not directly equalize solute concentrations. Hydration and perspiration are important elements of fluid balance but do not directly achieve the equalization of solute concentrations between ICFs and ECFs, which is primarily regulated by osmotic pressure.
4. A male patient is receiving testosterone therapy for hypogonadism. What adverse effect should the nurse be most concerned about?
- A. Increased risk of breast cancer
- B. Increased risk of liver dysfunction
- C. Increased risk of cardiovascular events
- D. Increased risk of prostate cancer
Correct answer: C
Rationale: The correct answer is C: Increased risk of cardiovascular events. Cardiovascular events such as stroke and myocardial infarction are the most concerning adverse effects of testosterone therapy, especially in older patients. Choice A, increased risk of breast cancer, is not a common adverse effect of testosterone therapy in males. Choice B, increased risk of liver dysfunction, is a potential adverse effect but is not the most concerning. Choice D, increased risk of prostate cancer, is a consideration in patients with a history of prostate cancer or those with prostate carcinoma, not typically in patients receiving testosterone therapy for hypogonadism.
5. Which statement demonstrates a well-structured attempt at limit setting?
- A. Hitting me when you are angry is unacceptable.
- B. I expect you to behave yourself during dinner.
- C. Come here, right now!
- D. Good boys don't bite.
Correct answer: A
Rationale: Choice A, 'Hitting me when you are angry is unacceptable,' demonstrates a well-structured attempt at limit setting because it clearly defines the unacceptable behavior without ambiguity. This statement sets a clear boundary and clearly communicates the consequence for the behavior. In contrast, choices B, C, and D are less effective in setting limits as they are either vague expectations or commands without specific consequences for crossing the limit.