ATI RN
ATI Nutrition Practice Test A 2019
1. If it is determined that a child is being physically abused by a parent, what would be the most important goal for the nurse to establish with the family?
- A. The child and any siblings will reside in a secure environment
- B. The family will feel at ease in their relationship with the counselor
- C. The family will gain insight into their abusive behavior patterns
- D. The mother will learn to apply verbal discipline with her children
Correct answer: A
Rationale: The primary objective when dealing with cases of child abuse is to ensure the safety of the child and any siblings. This means creating a secure environment free from harm, which is why choice 'A' is the correct answer. While choices 'B', 'C', and 'D' might be subsequent steps in a comprehensive plan to deal with the situation, they are not the immediate priority. Understanding abusive behavioral patterns or improving the relationship with the counselor will not directly lead to the child's safety. Likewise, teaching the mother to apply verbal discipline doesn't guarantee the child's safety if the abusive behavior continues. Therefore, these options are not the most important initial goal.
2. The nurse understands that malnutrition is a prevalent issue among hospitalized individuals. What is it commonly associated with?
- A. Decreased health care expenses
- B. Elevated blood pressure
- C. Decreased mortality rates
- D. A compromised immune system
Correct answer: D
Rationale: Malnutrition is often associated with a weakened immune system. This is because when the body is not sufficiently nourished, it lacks the necessary nutrients to maintain a well-functioning immune system, making patients more vulnerable to infections and other health complications. This can potentially increase mortality rates and prolong hospital stays, contrary to choice C. Choices A and B are incorrect as malnutrition does not lead to decreased health care costs or high blood pressure. In fact, it may increase health care costs due to the potential for increased complications and extended hospital stays.
3. If a person could not make bile, what would happen?
- A. experience fatigue, as the body would not be able to make lipid carriers to deliver fat to body cells for energy
- B. have less cholesterol being made by the liver
- C. need to consume higher levels of fat
- D. be unable to absorb most lipids, and fat would be excreted in the feces
Correct answer: D
Rationale: The correct answer is D. Bile is essential for emulsifying fats in the small intestine, allowing them to be absorbed. Without bile, most fats would not be absorbed and would be excreted in the feces. Choices A, B, and C are incorrect because the primary role of bile is in the digestion and absorption of fats, rather than affecting lipid carriers, cholesterol production, or dietary fat consumption.
4. A nurse is providing discharge teaching for a client who has acute pancreatitis and has a prescription for fat-soluble vitamin supplements. The nurse should instruct the client to take a supplement for which of the following?
- A. Vitamin A
- B. Vitamin B1
- C. Vitamin C
- D. Vitamin B12
Correct answer: A
Rationale: In acute pancreatitis, malabsorption of fat-soluble vitamins can occur due to pancreatic enzyme insufficiency. Vitamin A is a fat-soluble vitamin that may need supplementation in this case. Vitamin B1 (thiamine), Vitamin C, and Vitamin B12 are water-soluble vitamins and are not typically affected by pancreatic enzyme insufficiency in acute pancreatitis. Therefore, the correct supplement for the client with acute pancreatitis is Vitamin A.
5. Nutrients that may help decrease high blood pressure levels include:
- A. magnesium and sodium
- B. protein and monounsaturated fat
- C. calcium and potassium
- D. dietary fiber and plant sterols
Correct answer: C
Rationale: Calcium and potassium play vital roles in regulating blood pressure, with potassium helping to balance the negative effects of sodium.
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