the nurse is completing a nutritional assessment on a client which statement made by the client is most concerning to the nurse

ATI RN

ATI Nutrition Practice Test B 2019

1. The nurse is completing a nutritional assessment on a client. Which statement made by the client is most concerning to the nurse?

A. "I notice when I take a vitamin E supplement, I bruise more easily."
B. "I work nights and rarely go outside during the day."
C. "I take warfarin, so I need to limit the amount of green leafy vegetables I eat."
D. "My vitamin supplement has the recommended daily allowance of vitamin A."

Correct answer: A

Rationale: The correct answer is A. Excessive intake of vitamin E can increase the risk of bleeding as it acts as a blood thinner. Bruising easily may indicate too much vitamin E. Choice B is not as concerning as it describes a lifestyle that may lead to vitamin D deficiency due to lack of sunlight exposure. Choice C shows awareness of the interaction between warfarin and vitamin K, which is expected. Choice D indicates knowledge of the vitamin A content in the supplement, which is not a cause for concern.

2. After ileostomy, which of the following condition is NOT expected?

A. Increased weight
B. Irritation of skin around the stoma
C. Liquid stool
D. Establishment of regular bowel movement

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

3. Health practitioners evaluate disease progression in HIV-infected patients by measuring the concentrations of helper T cells and circulating virus, called _____.

A. cross resistance
B. the immune response
C. acquired resistance
D. the viral load

Correct answer: D

Rationale: The viral load is the measure of the amount of circulating virus in the blood and is used to evaluate the progression of HIV infection.

4. Fatty acids may differ from one another:

A. in chain length
B. in degree of saturation
C. in number of calories
D.

Correct answer: D

Rationale: Fatty acids vary in chain length and degree of saturation, affecting their physical properties and health effects.

5. The past history of Camila would most probably reveal that her premorbid personality is:

A. schizoid
B. extrovert
C. ambivert
D. cycloid

Correct answer: D

Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.