ATI RN
Nutrition ATI Proctored Exam 2023
1. You are an ostomy nurse and you know that colostomy is defined as:
- A. It is an incision into the colon to create an artificial opening to the exterior of the abdomen
- B. It is end to end anastomosis of the gastric stump to the duodenum
- C. It is end to end anastomosis of the gastric stump to the jejunum
- D. It is an incision into the ileum to create an artificial opening to the exterior of the abdomen
Correct answer: A
Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.
2. Which set of guidelines is intended to assess nutrient adequacy or plan intake of a population group, not individuals?
- A. RDA
- B. EAR
- C. DRA
- D. UL
Correct answer: B
Rationale: The Estimated Average Requirement (EAR) is the correct choice because it is specifically designed to assess the nutrient adequacy of population groups, not individuals. The Recommended Dietary Allowance (RDA) (choice A) is the average daily level of intake sufficient to meet the nutrient requirements of nearly all (97%-98%) healthy individuals in a particular life stage and gender group. The Dietary Reference Intake (DRI) (choice C) includes the EAR, RDA, Adequate Intake (AI), and UL, making it a broader set of nutrient reference values. The Tolerable Upper Intake Level (UL) (choice D) is the highest average daily nutrient intake level that is likely to pose no risk of adverse health effects to almost all individuals in the general population.
3. The parent of a child newly diagnosed with lactose intolerance is being taught by the nurse. Which food items identified by the parent indicate an understanding of foods to avoid?
- A. Popcorn, seeds, and any foods containing nuts.
- B. Milk, cheese, ice cream, and puddings.
- C. Wheat, rye, barley, and commercially baked goods.
- D. Eggs, ham, bacon, and canned meats.
Correct answer: B
Rationale: The correct answer is B. Milk, cheese, ice cream, and puddings contain lactose, which individuals with lactose intolerance should avoid. Choices A, C, and D do not contain lactose and are not typically problematic for individuals with lactose intolerance.
4. Baby John develops hyperbilirubinemia. What is a method used to treat hyperbilirubinemia in a newborn?
- A. Keeping infants in a warm and dark environment
- B. Administration of cardiovascular stimulant
- C. Gentle exercise to stop muscle breakdown
- D. Early feeding to speed passage of meconium
Correct answer: A
Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.
5. The principal cation in plasma and interstitial fluid is:
- A. Sodium
- B. Potassium
- C. Calcium
- D. Magnesium
Correct answer: A
Rationale: The principal cation in plasma and interstitial fluid is sodium. Sodium plays a crucial role in maintaining fluid balance and is the primary cation in extracellular fluids like plasma and interstitial fluid. Potassium is the primary cation within cells, not in extracellular fluids, making it an incorrect choice. Calcium and magnesium are essential minerals but are not the principal cations in plasma and interstitial fluid, so they are also incorrect choices.
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