ATI RN
ATI Nutrition Proctored Exam 2023
1. Which chemical structure is represented by glycerol combined with two fatty acids?
- A. Compound lipids
- B. Monoglycerides
- C. Diglycerides
- D. Structural lipids
Correct answer: C: Diglycerides
Rationale: The correct answer is C: Diglycerides. A diglyceride is a glycerol molecule combined with two fatty acids. This is a common form of fat during digestion and absorption. Choice A, Compound lipids, is incorrect because these lipids are composed of simple lipids plus additional compounds, which is not the case with a glycerol molecule combined with two fatty acids. Choice B, Monoglycerides, is incorrect because these are glycerol molecules combined with only one fatty acid, not two. Lastly, choice D, Structural lipids, is incorrect because these are major components of cell membranes and do not directly relate to the combination of glycerol and two fatty acids.
2. Mr. Bradley has been advised to limit his dairy product intake. What principle regarding fluid intake should be followed?
- A. Gelatin, soups, fruit ices, and frozen fruit bars contribute to your fluid intake
- B. Drink milk in moderation
- C. Increase fiber intake
- D. Limit protein intake
Correct answer: A
Rationale: For patients with kidney disease, it's important to manage fluid intake from all sources, including foods like gelatin and soups, which can contribute to fluid overload.
3. In taking the client’s blood pressure, the nurse should position the client’s arm:
- A. At the level of the heart
- B. Slightly above the level of the heart
- C. At the 5th intercostals space midclavicular line
- D. Below the level of the heart
Correct answer: A
Rationale: Proper patient positioning is essential for maximizing lung expansion and promoting the drainage of secretions. Postural drainage techniques rely on gravity to help clear different lung segments, which is critical in preventing complications such as atelectasis or pneumonia in immobilized patients.
4. Which type of assessment evaluates a person's risk of malnutrition by ranking key variables from the medical history and physical examination?
- A. Katz index
- B. integrated assessment
- C. subjective global assessment
- D. nutrition care plan
Correct answer: C
Rationale: The Subjective Global Assessment (SGA) is the correct choice. SGA is a comprehensive tool used to assess an individual's risk of malnutrition by integrating key variables from the medical history, physical examination, and other relevant factors. The Katz index is used to assess activities of daily living, not malnutrition risk. An integrated assessment refers to the overall evaluation process involving multiple assessments. A nutrition care plan is a personalized plan developed based on assessment findings, not the assessment itself.
5. During blood administration, what is essential for the nurse to do in order to carefully monitor for adverse reactions?
- A. Stay with the client for the first 15 minutes of blood administration
- B. Stay with the client for the entire period of blood administration
- C. Run the infusion at a faster rate during the first 15 minutes
- D. Inform the client to notify the staff immediately for any adverse reaction
Correct answer: A
Rationale: In the context of blood administration, it's crucial for the nurse to stay with the client for the first 15 minutes. This is because most adverse reactions are likely to occur within this initial period. Monitoring the client closely during this time allows for immediate detection and response to any potential reactions. Choice B, staying with the client for the entire period of blood administration, is not typically feasible or necessary, although regular checks should be conducted. Running the infusion at a faster rate during the first 15 minutes (Choice C) is incorrect as this can actually increase the risk of adverse reactions. Informing the client to notify the staff immediately for any adverse reaction (Choice D) is an important practice, but it is not the most direct way for the nurse to monitor for adverse reactions.