ATI RN
Nutrition ATI Proctored Exam 2023
1. You are taking care of critically ill client and the doctor in charge calls to order a DNR (do not resuscitate) for the client. Which of the following is the appropriate action when getting DNR order over the phone?
- A. Have the registered nurse, family spokesperson, nurse supervisor and doctor sign
- B. Have 2 nurse validate the phone order, both nurses sign the order and the doctor should sign his order within 24
- C. Have the registered nurse, family and doctor sign the order
- D. Have 1 nurse take the order and sign it and have the doctor sign it within 24 hours
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. Reducing the amount of trans fat in the diet is an effective method of decreasing the risk of CHD. Which food is most likely a source of trans fat?
- A. hot dogs
- B. whole milk
- C. fatty fish
- D. potato chips
Correct answer: D
Rationale: The correct answer is D: potato chips. Potato chips, especially when fried in hydrogenated oils, are a common source of trans fats, which are linked to an increased risk of coronary heart disease (CHD). Hot dogs (choice A) can also contain trans fats if made with processed meats and added fats. Whole milk (choice B) and fatty fish (choice C) do not typically contain trans fats, making them less likely sources compared to potato chips.
3. A nurse is caring for a client who has cancer and is receiving total parenteral nutrition (TPN). Which of the following lab values indicates the treatment is effective?
- A. Hct 43%
- B. WBC 8,000/uL
- C. Albumin 4.2 g/dL
- D. Calcium 9.4 mg/dL
Correct answer: Albumin 4.2 g/dL
Rationale: The correct answer is Albumin 4.2 g/dL. Albumin is a protein produced by the liver and is a key indicator of nutritional status. In a client receiving total parenteral nutrition (TPN), an increase in albumin level indicates that the treatment is effective in providing adequate nutrition support. Hct (hematocrit), WBC (white blood cell count), and calcium levels are not direct indicators of the effectiveness of TPN in this context.
4. In the US, low iron intake is often associated with?
- A. low intake of fruits and vegetables
- B. pregnancy
- C. high sugar and fat intakes
- D. high protein intake
Correct answer: C
Rationale: Diets high in sugar and fat often lack essential nutrients like iron, leading to a risk of iron deficiency anemia, especially when iron-rich foods are not consumed adequately.
5. The small intestine is comprised of the cecum, colon, and rectum. The large intestine includes the duodenum, jejunum, and ileum.
- A. Both statements are true
- B. Both statements are false
- C. The first statement is true; the second is false
- D. The first statement is false; the second is true
Correct answer: B
Rationale: Both statements are false. The small intestine consists of the duodenum, jejunum, and ileum, while the large intestine includes the cecum, colon, and rectum.