a community health nurse is conducting a class on what to expect during pregnancy what instruction should the nurse include on weight gain

ATI RN

ATI Nutrition Practice Test B 2019

1. A community health nurse is conducting a class on what to expect during pregnancy. What instruction should the nurse include on weight gain?

A. Failure to obtain the required weight gain during pregnancy will increase the risk of preterm birth.
B. An obese client should not gain as much weight as a client with a normal body mass index.
C. A client with a normal body mass index should plan on gaining 50 pounds.
D. Clients do not need to eat for two when they are pregnant.

Correct answer: A

Rationale: Adequate weight gain during pregnancy is essential as failure to obtain the required weight gain can increase the risk of preterm birth. Choice B is incorrect because it is important for obese clients to gain an appropriate amount of weight during pregnancy, not the same as those with a normal body mass index. Choice C is incorrect as gaining 50 pounds for a client with a normal body mass index is excessive. Choice D is incorrect as the common saying 'eating for two' during pregnancy is a misconception; pregnant individuals do not need to double their caloric intake.

2. People with only one arm or hand may benefit from using a ____ when eating?

A. dish with suction cups
B. rocker knife
C. utensil holder
D. flexible straw

Correct answer: B

Rationale: A rocker knife is specifically designed for individuals with limited use of one hand or arm, allowing them to cut food easily. This makes it a suitable option for people with only one arm or hand. Choice A, a dish with suction cups, may not directly aid in cutting food with one hand. Choice C, an utensil holder, is not typically used for cutting food. Choice D, a flexible straw, is more related to drinking liquids and not specifically designed to assist in cutting food one-handed.

3. Diet therapy for Rudy, who has acute renal failure is low-protein, low potassium and low sodium. The nutrition instructions should include:

A. Recommend protein of high biologic value like eggs, poultry and lean meats
B. Encourage client to include raw cucumbers, carrot, cabbage, and tomatoes
C. Allowing the client cheese, canned foods and other processed food
D. Bananas, cantaloupe, orange and other fresh fruits can be included in the diet

Correct answer: B

Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.

4. Which of the following is a tricyclic antidepressant drug?

A. Venlafaxine (Effexor)
B. Fluoxetine (Prozac)
C. Sertraline (Zoloft)
D. Imipramine (Tofranil)

Correct answer: D

Rationale: Imipramine (Tofranil) is a tricyclic antidepressant drug. This class of medications is used to treat depression, and they work by increasing the levels of certain chemicals in the brain that help lift mood. On the other hand, Venlafaxine (Effexor) is a serotonin and norepinephrine reuptake inhibitor (SNRI), Fluoxetine (Prozac) is a selective serotonin reuptake inhibitor (SSRI), and Sertraline (Zoloft) is also an SSRI. Therefore, they are not classified as tricyclic antidepressants.

5. Each is a physiologic role of vitamin D, except one. Which is the exception?

A. Hematopoiesis
B. Cardiac and neuromuscular function
C. Immune responses
D. Serum calcium regulation

Correct answer: A

Rationale: The correct answer is A, Hematopoiesis. Vitamin D plays a crucial role in regulating serum calcium levels, which is essential for maintaining cardiac and neuromuscular function. Additionally, vitamin D is involved in modulating immune responses. However, hematopoiesis, the formation of red blood cells, is not a direct physiologic role of vitamin D. Therefore, hematopoiesis is the exception among the listed functions of vitamin D.