ATI RN
ATI RN Nutrition Online Practice 2019
1. A patient with an ileostomy is suffering from frequent diarrhea. The clinician should advise the patient to increase his intake of what food to thicken stool output?
- A. celery
- B. salad greens
- C. potatoes
- D. dried beans and peas
Correct answer: C
Rationale: Potatoes are starchy and can help thicken stool output, making them beneficial for patients with an ileostomy experiencing diarrhea.
2. A client with nephropathy secondary to diabetes mellitus is receiving dietary teaching from a nurse and plans to make dietary adjustments. Which of the following instructions should the nurse include?
- A. Consume less than 45% of total calories from carbohydrates per day.
- B. Eat no more than 300 mg of cholesterol per day.
- C. Consume less than 0.8 g/kg of body weight of protein per day.
- D. Eat at least 45 g of fiber per day.
Correct answer: D
Rationale: For a client with nephropathy secondary to diabetes mellitus, increasing fiber intake is essential as it can help manage blood sugar levels and improve overall bowel health. Choice A is incorrect because carbohydrates should be controlled but not limited to less than 45% of total calories. Choice B is incorrect as the recommended daily cholesterol intake for individuals with diabetes is less than 200 mg. Choice C is incorrect as protein intake should be individualized based on the client's condition and should not be limited to less than 0.8 g/kg of body weight per day.
3. Starting material for sex hormones:
- A. cholesterol
- B. phospholipid
- C. saturated
- D. triglyceride
Correct answer: A
Rationale: Cholesterol is a precursor for the synthesis of sex hormones like estrogen and testosterone.
4. A nurse is providing anticipatory guidance to a client who has Phenylketonuria (PKU) and is planning a pregnancy. Which of the following information should the nurse include in the discussion?
- A. Diet sodas should not be consumed more than two or three times a week.
- B. Serum bilirubin should be monitored once or twice a month during pregnancy.
- C. Breastfeeding will not prevent your baby from developing PKU.
- D. A low-protein diet should be followed for three months before conception.
Correct answer: D
Rationale: A low-protein diet should be followed for three months before conception in individuals with PKU who are planning a pregnancy. This diet helps manage PKU by reducing phenylalanine levels, which is crucial for maternal and fetal health. Choices A, B, and C are incorrect. Choice A is not directly related to managing PKU, choice B focuses on a different aspect of care during pregnancy, and choice C is inaccurate as breastfeeding will not prevent a baby from developing PKU.
5. 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.
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