ATI RN
Proctored Nutrition ATI
1. AIDS enteropathy is most commonly manifested as _____.
- A. abdominal pain and rectal bleeding
- B. diarrhea and weight loss
- C. abdominal bloating and flatulence
- D. rectal fissures and constipation
Correct answer: B
Rationale: AIDS enteropathy typically presents as diarrhea and weight loss due to the impact of HIV on the gastrointestinal tract. While abdominal pain and rectal bleeding (Choice A), abdominal bloating and flatulence (Choice C), and rectal fissures and constipation (Choice D) can occur in some cases, the most common manifestations are diarrhea and weight loss.
2. A patient is on a low-sodium diet. Which food item should the patient avoid?
- A. Fresh fruit
- B. Canned soup
- C. Whole grain bread
- D. Grilled chicken
Correct answer: B
Rationale: The correct answer is B: Canned soup. Canned soup is commonly high in sodium content, which is not suitable for a patient on a low-sodium diet. Fresh fruit, whole grain bread, and grilled chicken typically have lower sodium levels and can be included in a low-sodium diet. Therefore, the patient should avoid canned soup to adhere to the requirements of a low-sodium diet.
3. A nurse is caring for a client who has a new prescription for a low-sodium diet. The client's family has requested to bring in some of the client's favorite foods. Which of the following food items should the nurse tell the family members to omit?
- A. Boiled rice
- B. Flat bread
- C. Broiled fish fillet
- D. Pickled vegetables
Correct answer: D
Rationale: The correct answer is 'Pickled vegetables.' Pickled vegetables are high in sodium due to the pickling process, making them unsuitable for a low-sodium diet. Boiled rice, flat bread, and broiled fish fillet are generally lower in sodium compared to pickled vegetables and can be included in a low-sodium diet. Therefore, the nurse should advise the family to omit pickled vegetables to adhere to the client's dietary restrictions.
4. _____ neutralizes stomach acid in the small intestine:
- A. saliva
- B. gastric mucus
- C. bicarbonate ions
- D. enzymes
Correct answer: C
Rationale: The correct answer is C: bicarbonate ions. Bicarbonate ions, secreted by the pancreas, neutralize the acidic chyme entering the small intestine from the stomach, creating a more suitable environment for digestive enzymes. Saliva (choice A) helps in the initial breakdown of food in the mouth, not in neutralizing stomach acid. Gastric mucus (choice B) protects the stomach lining from the acidic environment but does not neutralize the acid in the small intestine. Enzymes (choice D) facilitate chemical reactions in digestion but do not neutralize stomach acid.
5. Which term is used to describe medical practices that have been thoroughly evaluated using scientific methods?
- A. Meta-analysis
- B. Systematic reviews
- C. Evidence-based
- D. Observational studies
Correct answer: C
Rationale: The correct answer is C, 'Evidence-based.' Evidence-based practices refer to medical practices that have been thoroughly evaluated and supported by scientific research. Meta-analysis (A) involves statistical analysis that combines the results of multiple studies. Systematic reviews (B) are comprehensive reviews that synthesize evidence from multiple studies. Observational studies (D) are research methods where researchers observe subjects in their natural environment.
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