ATI RN
Nutrition ATI Test
1. Which change during pregnancy is related to the slowing of the gastrointestinal tract?
- A. Diarrhea
- B. Constipation
- C. Decreased absorption of iron
- D. Decreased absorption of calcium
Correct answer: B
Rationale: During pregnancy, the gastrointestinal tract tends to slow down, leading to constipation. This is due to hormonal changes that relax the intestinal muscles, allowing more time for nutrient absorption and ultimately leading to constipation. Diarrhea is not typically associated with the slowing of the gastrointestinal tract during pregnancy. Decreased absorption of iron and calcium may occur during pregnancy due to increased demands, but they are not directly related to the slowing of the gastrointestinal tract.
2. A nurse is caring for a client who is well-hydrated and who demonstrates no evidence of anemia. Which of the following laboratory values gives the nurse an assessment of the adequacy of the client's protein uptake and synthesis?
- A. Albumin
- B. Calcium
- C. Sodium
- D. Potassium
Correct answer: A
Rationale: The correct answer is Albumin. Albumin is a protein made by the liver and is a key indicator of the body's protein status. Low levels of albumin can indicate inadequate protein intake or synthesis. Choices B, C, and D (Calcium, Sodium, and Potassium) are not direct indicators of protein uptake and synthesis. Calcium is related to bone health, Sodium to fluid balance, and Potassium to nerve and muscle function.
3. A community health nurse is conducting a class on what to expect during pregnancy. What instruction should the nurse include on weight gain?
- A. Failure to obtain the required weight gain during pregnancy will increase the risk of preterm birth.
- B. An obese client should not gain as much weight as a client with a normal body mass index.
- C. A client with a normal body mass index should plan on gaining 50 pounds.
- D. Clients do not need to eat for two when they are pregnant.
Correct answer: A
Rationale: Adequate weight gain during pregnancy is essential as failure to obtain the required weight gain can increase the risk of preterm birth. Choice B is incorrect because it is important for obese clients to gain an appropriate amount of weight during pregnancy, not the same as those with a normal body mass index. Choice C is incorrect as gaining 50 pounds for a client with a normal body mass index is excessive. Choice D is incorrect as the common saying 'eating for two' during pregnancy is a misconception; pregnant individuals do not need to double their caloric intake.
4. Select all that apply. To lower LDL levels, you should:
- A. consume minimal amounts of hydrogenated and saturated fats
- B. consume more insoluble fibers than soluble fibers
- C. consume alcohol in moderate levels
- D. engage in regular physical activity
Correct answer: A
Rationale: To lower LDL levels, reducing intake of hydrogenated (trans) and saturated fats is crucial, as these types of fats can raise LDL cholesterol in the blood. Choice B is incorrect because both soluble and insoluble fibers can help lower LDL levels. Choice C is incorrect as excessive alcohol consumption can lead to increased LDL levels. Choice D, engaging in regular physical activity, can help raise HDL (good) cholesterol levels but is not directly related to lowering LDL levels.
5. An elderly man is hospitalized with a diagnosis of malnutrition three months following his wife's death. What risk factor for malnutrition does this scenario illustrate?
- A. A history of chronic illness
- B. Depression or social isolation
- C. Age
- D. Impaired mobility
Correct answer: B
Rationale: This scenario illustrates depression or social isolation as a risk factor for malnutrition. After the death of his wife, the elderly man may have experienced depression or social isolation, which can lead to decreased food intake and poor nutritional status. Although age, chronic illness, and impaired mobility can also contribute to malnutrition, they are not the primary factors described in this scenario. The history of chronic illness (Choice A) and impaired mobility (Choice D) were not mentioned in the scenario, and while age (Choice C) is a factor, it's not the main factor depicted in this case.