ATI RN
ATI Nutrition Practice Test B 2019
1. Who among the following can work as a practicing nurse in the Philippines without taking the Licensure examination?
- A. Internationally well known experts which services are for a fee
- B. Those that are hired by local hospitals in the country
- C. Expert nurse clinicians hired by prestigious hospitals
- D. Those involved in medical mission who’s services are for free
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. Where should a nurse auscultate the apex beat?
- A. At the fifth intercostal space, along the midclavicular line
- B. At the mid-sternum
- C. 2 inches to the left of the lower end of the sternum
- D. 1 inch to the left of the xiphoid process
Correct answer: A
Rationale: The correct location to auscultate the apex beat is at the fifth intercostal space, along the midclavicular line. This is where the apical impulse, also known as the point of maximal impulse (PMI), can be best heard. Choices B, C, and D are incorrect anatomical locations for auscultating the apex beat, which makes them incorrect choices. Auscultating at the correct location allows healthcare providers to assess the heart's function and detect any abnormalities in heart sounds, which is crucial for comprehensive patient care.
3. Which of the following proteins is iron a component of, responsible for the transport of oxygen in the bloodstream?
- A. hemoglobin
- B. transferrin
- C. myoglobin
- D. hepcidin
Correct answer: A
Rationale: The correct answer is A: hemoglobin. Hemoglobin is the protein found in red blood cells that is responsible for carrying oxygen from the lungs to the rest of the body. Iron is a crucial component of hemoglobin, binding to oxygen and allowing for its transport. Choice B, transferrin, is involved in iron transport in the blood but not in oxygen transport. Choice C, myoglobin, is a protein found in muscle cells that stores oxygen for muscle use, not transportation in the bloodstream. Choice D, hepcidin, is a peptide hormone that regulates iron absorption in the intestines and iron distribution in the body, but it is not directly involved in oxygen transport.
4. A client newly diagnosed with hypertension is receiving teaching about the Mediterranean diet from a nurse. Which of the following statements by the client indicates a need for further teaching?
- A. I will limit my intake of red meat to twice weekly.
- B. I can have dairy in moderate portions daily.
- C. I can have fish two times a week.
- D. I can drink wine in moderation.
Correct answer: I can drink wine in moderation.
Rationale: The correct answer is D. Patients with hypertension should be advised to limit alcohol consumption, including wine, to help manage their blood pressure. Choices A, B, and C are all consistent with the Mediterranean diet and are appropriate for a client with hypertension. Reducing red meat intake, consuming dairy in moderate portions, and having fish regularly align with the principles of this heart-healthy eating pattern.
5. Clients may benefit from slightly higher fat intakes than are normally recommended if they have:
- A. congestive heart failure
- B. cerebrovascular accident
- C. peripheral vascular disease
- D. chronic obstructive pulmonary disease
Correct answer: D
Rationale: In chronic obstructive pulmonary disease (COPD), higher fat intake can be beneficial because it provides more calories with less respiratory burden compared to carbohydrates. Choices A, B, and C are incorrect because congestive heart failure, cerebrovascular accident, and peripheral vascular disease do not specifically benefit from higher fat intakes as in COPD.