ATI RN
ATI Nutrition Proctored
1. What symptom would most likely be associated with late dumping syndrome?
- A. abdominal cramps
- B. nausea
- C. diarrhea
- D. confusion
Correct answer: D
Rationale: Confusion is the most likely symptom associated with late dumping syndrome. Late dumping syndrome occurs when blood sugar levels drop rapidly after eating due to rapid gastric emptying. While abdominal cramps, nausea, and diarrhea can occur with dumping syndrome, confusion is specifically linked to late dumping syndrome due to hypoglycemia.
2. Which suggestion is most appropriate to increase calorie intake for a patient with stomach cancer, aiming to prevent weight loss and wasting?
- A. Replace whole fat milk with skim milk or water
- B. Avoid peanut butter and other nuts
- C. Choose high-fat meat instead of lean meat
- D. Limit alcohol intake to two drinks per day
Correct answer: C: Choose high-fat meat instead of lean meat
Rationale: The correct answer is C: Choose high-fat meat instead of lean meat. High-fat meats are more calorie-dense than lean meats, which makes them a good choice for increasing calorie intake. This is crucial for patients with stomach cancer who want to avoid weight loss and wasting. Choice A is incorrect because skim milk or water contains fewer calories than whole fat milk. Choice B is also incorrect because peanut butter and nuts are high in calories and therefore should not be avoided when trying to increase calorie intake. Finally, choice D is not a good suggestion to increase calorie intake as alcohol does not provide the necessary nutrients needed for a balanced diet. In fact, excessive alcohol can harm the liver and other organs, and it's not a reliable source of calories.
3. Which dietary modification is most suitable for a client with type 2 diabetes who wants to improve glycemic control?
- A. Increase intake of saturated fats
- B. Decrease intake of refined carbohydrates
- C. Completely avoid all fruits
- D. Increase intake of sugary snacks
Correct answer: Decrease intake of refined carbohydrates
Rationale: Decreasing the intake of refined carbohydrates is the most effective dietary modification for a client with type 2 diabetes who aims to improve their glycemic control. Refined carbohydrates can cause sudden spikes in blood sugar levels, making diabetes management more difficult. Increasing the intake of saturated fats (Choice A) is not advisable as it can negatively impact heart health. Completely avoiding all fruits (Choice C) is unnecessary because most fruits have a low glycemic index and provide essential nutrients. Increasing the intake of sugary snacks (Choice D) will deteriorate glycemic control due to their high sugar content.
4. Which of the following nutrients deficiency may lead to a diabetes-like condition?
- A. chromium
- B. iron
- C. molybdenum
- D. selenium
Correct answer: A
Rationale: Chromium is essential for proper glucose metabolism. A deficiency in chromium can result in insulin resistance, which shares similarities with diabetes. Iron, molybdenum, and selenium deficiencies do not directly lead to a diabetes-like condition. Iron deficiency causes anemia, molybdenum deficiency is rare and can lead to specific metabolic issues, and selenium deficiency may result in thyroid problems but not a diabetes-like condition.
5. Low levels of physical activity are more commonly associated with which type of cancer?
- A. Esophageal cancer
- B. Pancreatic cancer
- C. Lung cancer
- D. Colon cancer
Correct answer: D
Rationale: Low physical activity is most strongly associated with an increased risk of colon cancer. Regular exercise helps regulate bowel movements and reduce inflammation, which are factors that can contribute to the development of colon cancer. Esophageal cancer, pancreatic cancer, and lung cancer are not as directly linked to low levels of physical activity.