ATI RN
ATI RN Nutrition Online Practice 2019
1. What dietary strategy would most likely be used as part of lifestyle management to reduce the risk of coronary heart disease?
- A. Avoid foods that contain polyunsaturated fat
- B. Limit saturated fat to less than 10 percent of total calories
- C. Limit alcohol intake to one drink daily for women and two drinks daily for men
- D. Avoid consumption of fish and shellfish
Correct answer: C
Rationale: Limiting alcohol intake is part of a strategy to reduce the risk of coronary heart disease by avoiding the negative cardiovascular effects associated with excessive alcohol consumption.
2. A client with chronic pancreatitis is receiving discharge teaching from a nurse. Which of the following statements should the nurse make?
- A. “You should decrease your caloric intake when experiencing abdominal pain.”
- B. “You should increase your daily intake of protein.”
- C. “You should increase fat intake when experiencing loose stools.”
- D. “You should limit alcohol intake to 2-3 drinks per week.”
Correct answer: “You should increase your daily intake of protein.”
Rationale: In chronic pancreatitis, it is important to increase protein intake to support healing and prevent malnutrition. Choice A is incorrect because decreasing caloric intake during abdominal pain may lead to further nutritional deficiencies. Choice C is incorrect as increasing fat intake can exacerbate symptoms due to the impaired fat digestion in chronic pancreatitis. Choice D is incorrect as alcohol should be completely avoided in chronic pancreatitis to prevent further damage to the pancreas.
3. A client who was normal weight before pregnancy asks about the recommended weight gain during pregnancy. What should the nurse advise?
- A. 18-40 pounds
- B. 25-35 pounds
- C. 11-20 pounds
- D. 15-25 pounds
Correct answer: B
Rationale: The correct answer is B: 25-35 pounds. According to standard prenatal guidelines, a client with a normal pre-pregnancy weight is recommended to gain between 25-35 pounds during pregnancy. This weight gain is important for the overall health of the mother and the developing baby. Choices A, C, and D are incorrect because they do not fall within the recommended weight gain range for a client with a normal pre-pregnancy weight.
4. What is the first step in decontamination?
- A. Immediately applying a chemical decontamination foam to the area of contamination
- B. Thoroughly washing and rinsing the patient with soap and water
- C. Immediately applying personal protective equipment
- D. Removing the patient's clothing and jewelry, then rinsing the patient with water
Correct answer: D
Rationale: The correct first step in decontamination is to remove the patient's clothing and jewelry to prevent further exposure and then rinse the patient with water. This helps to eliminate any contaminants on the patient's body. Choice A is incorrect because applying a chemical decontamination foam should come after removing clothing. Choice B is incorrect as washing and rinsing the patient should follow the removal of clothing. Choice C is incorrect as personal protective equipment should be worn by the individual performing the decontamination, not applied to the patient.
5. When should a newborn transition to whole milk according to dietary teaching for breastfeeding parents?
- A. 6 months
- B. 8 months
- C. 10 months
- D. 12 months
Correct answer: 12 months
Rationale: Breast milk or formula should be the primary source of nutrition for infants up to around 1 year of age. The transition to whole cow's milk is recommended at 12 months of age, not earlier. Introducing whole milk before 12 months can lead to digestive issues and nutrient deficiencies. Therefore, choices A, B, and C are incorrect as they suggest transitioning to whole milk before the recommended age of 12 months.