ATI RN
ATI Nutrition Proctored Exam 2023
1. Which of the following groups of vitamins are fat-soluble?
- A. vitamins B and C
- B. vitamins A and C
- C. vitamins B, E, K, D
- D. vitamins A, E, K, D
Correct answer: D
Rationale: The correct answer is D: vitamins A, E, K, and D. Fat-soluble vitamins are absorbed along with fats in the diet and can be stored in the body's fatty tissue. Vitamins B and C are water-soluble vitamins and are not stored in the body; any excess amounts are usually excreted in the urine. Therefore, choices A, B, and C are incorrect.
2. Cancers that arise from epithelial tissues are known as:
- A. Leukemias
- B. Myelomas
- C. Carcinomas
- D. Sarcomas
Correct answer: C
Rationale: The correct answer is C: Carcinomas. Carcinomas are cancers that originate from epithelial tissues, which are the tissues lining the surfaces of organs and structures in the body. Leukemias (choice A) are cancers of the blood-forming cells, not epithelial tissues. Myelomas (choice B) are cancers that develop in plasma cells in the bone marrow, not epithelial tissues. Sarcomas (choice D) are cancers that arise from connective tissues like bone, cartilage, or muscle, not epithelial tissues. Therefore, choices A, B, and D are incorrect in the context of cancers originating from epithelial tissues.
3. Which of the following is NOT a physiological role of proteins?
- A. Providing resistance to disease
- B. Regulating fluid balance
- C. Repairing tissue
- D. Serving as the primary source of energy
Correct answer: D
Rationale: Proteins play a diverse range of physiological roles in the body, such as providing resistance to disease, regulating fluid balance, and repairing tissues. However, they are not the primary source of energy for the body. Carbohydrates and fats typically fulfill this role. Therefore, choice D is the correct answer, as it is not a function that proteins perform. Conversely, choices A, B, and C are all physiological functions of proteins, making them incorrect responses to this particular question.
4. A patient is admitted to the emergency room and is found to have proteinuria, a low serum albumin level, edema, and elevated blood lipids. Which condition do these symptoms typically associate with?
- A. Nephrotic syndrome
- B. Acute kidney injury
- C. Rejection of a kidney transplant
- D. Renal colic
Correct answer: A
Rationale: The correct answer is A: Nephrotic syndrome. Nephrotic syndrome is characterized by proteinuria (excess protein in urine), hypoalbuminemia (low serum albumin), edema (swelling due to fluid buildup), and hyperlipidemia (elevated blood lipids). These symptoms occur as a result of damage to the kidneys' filtering units. Acute kidney injury, rejection of a kidney transplant, and renal colic do not present with the same combination of symptoms as nephrotic syndrome. Acute kidney injury typically presents with a sudden decrease in kidney function, resulting in a build-up of waste products in the blood. Rejection of a kidney transplant may present with fever, pain at the transplant site, and changes in urine output. Renal colic usually presents with intense pain in the lower back or side, related to kidney stones.
5. The nurse is working with a patient who recently had a stroke. The patient frequently chokes and coughs when eating and is having difficulty feeding herself. What is the best way to ensure adequate nutrition?
- A. to have an aide feed her at each meal
- B. to ask a family member to assist during meals
- C. to provide tube feedings for the patient
- D. to initiate TPN for the patient
Correct answer: C
Rationale: The best way to ensure adequate nutrition for a stroke patient who frequently chokes and coughs when eating and has difficulty feeding herself is to provide tube feedings. Tube feedings are a safe and effective method to deliver nutrition directly to the stomach or intestines, bypassing the swallowing mechanism, reducing the risk of aspiration. Having an aide feed her each meal (choice A) may not address the underlying issue of swallowing difficulty and aspiration risk. Asking a family member to be present at each meal (choice B) does not provide a definitive solution to the patient's nutritional needs. Placing the patient on total parenteral nutrition (TPN) (choice D) is a more invasive and typically reserved for patients who cannot tolerate enteral feedings or have non-functional gastrointestinal tracts.
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