ATI RN
Nutrition ATI Proctored Exam 2023
1. What is the rationale in the use of bag technique during home visits?
- A. It helps render effective nursing care to clients or other members of the family
- B. It saves time and effort of the nurse in the performance of nursing procedures
- C. It should minimize or prevent the spread of infection from individuals to families
- D. It should not overshadow concerns for the patient
Correct answer: C
Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.
2. A client who is experiencing dumping syndrome following gastric surgery is receiving education from a nurse. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should drink additional fluids with my meals.
- B. I should eat high-fiber snacks between meals.
- C. I should eat a protein source with each meal.
- D. I can have caffeinated beverages in small amounts.
Correct answer: C
Rationale: The correct answer is C. Eating a protein source with each meal can help manage dumping syndrome by slowing gastric emptying and reducing symptoms. This choice is the most appropriate as it directly addresses a key dietary recommendation for dumping syndrome. Choices A, B, and D are incorrect because drinking additional fluids with meals, eating high-fiber snacks between meals, and consuming caffeinated beverages can exacerbate dumping syndrome symptoms by increasing gastric emptying and worsening the condition.
3. What nutrition-related side effect is most likely to occur after head and neck surgery for cancer treatment?
- A. Aspiration
- B. Acid reflux
- C. Dumping syndrome
- D. Diarrhea
Correct answer: A
Rationale: The most likely nutrition-related side effect after head and neck surgery for cancer treatment is aspiration. This is due to changes in swallowing mechanics, which can cause food or liquids to be inhaled into the lungs. While acid reflux, dumping syndrome, and diarrhea are potential side effects related to nutrition, they are not as directly connected to head and neck surgery. Acid reflux is more often related to issues with the lower esophageal sphincter, dumping syndrome is typically a complication of gastric surgery, and diarrhea can have various causes, including certain medications or gastrointestinal illnesses.
4. What gastrointestinal side effects are associated with antisecretory drugs such as proton pump inhibitors?
- A. Nausea and vomiting
- B. Gastroparesis
- C. Dumping syndrome
- D. Flatulence
Correct answer: A
Rationale: Proton pump inhibitors (PPIs) are a type of antisecretory drug that can cause nausea and vomiting by altering stomach acid production. These are common side effects associated with PPIs. Gastroparesis (B) is a condition that affects the stomach muscles and prevents proper stomach emptying; it is not a side effect of PPIs. Dumping syndrome (C) is a group of symptoms that can occur after having part of your stomach removed and is not a side effect of PPIs. While some people might experience flatulence (D) when taking PPIs, it is not as commonly associated with these drugs as the effects of nausea and vomiting.
5. A nurse is planning a menu for a client with a folic acid deficiency anemia. Which food should the nurse recommend that is high in folate?
- A. 4 slices of roast beef
- B. ½ cup of asparagus
- C. 1 cup part-skim mozzarella cheese
- D. ¼ cup of olives
Correct answer: B
Rationale: The correct answer is B: ½ cup of asparagus. Asparagus is high in folate, making it a suitable recommendation for clients with folic acid deficiency anemia. Folate is essential in the production of red blood cells, which is crucial in managing anemia. Choices A, C, and D do not contain as much folate as asparagus and are not the best options for addressing a folic acid deficiency anemia.