ATI RN
ATI Proctored Nutrition Exam 2019
1. The purpose of chest percussion and vibration is to loosen secretions in the lungs. The difference between the procedures is:
- A. Percussion uses only one hand, while vibration uses both hands
- B. Percussion delivers cushioned blows to the chest with cupped palms, while vibration gently shakes secretions loose
- C. In both percussion and vibration, the hands are not on top of each other, and hand action is not in tune with the client's breath
- D. Percussion slaps the chest to loosen secretions, while vibration shakes the secretions along with the inhalation
Correct answer: D
Rationale: Chest percussion involves the use of rhythmic tapping to dislodge mucus from the lungs, facilitating its movement toward the larger airways where it can be expelled. This technique is particularly important in conditions where mucus retention is a significant risk factor for infection. The key difference between chest percussion and vibration is that percussion involves slapping the chest to loosen secretions, while vibration involves shaking the secretions along with the inhalation, aiding in moving the loosened secretions upwards for easier removal. Choices A, B, and C do not accurately describe the main difference between chest percussion and vibration, making them incorrect.
2. Bacterial growth and plaque formation are enhanced by a diet with frequent intake of retentive carbohydrates. Gingivitis is an irreversible change in the interdental papillary tissues.
- A. Both statements are true
- B. Both statements are false
- C. The first statement is true; the second is false
- D. The first statement is false; the second is true
Correct answer: C
Rationale: The correct answer is C. The first statement is true; retentive carbohydrates promote bacterial growth and plaque formation. However, the second statement is false; gingivitis is not irreversible and is often reversible with proper care. Gingivitis is the inflammation of the gums due to plaque buildup and poor oral hygiene. With good oral hygiene practices and professional dental care, gingivitis can be reversed. The other choices are incorrect because gingivitis is not irreversible, making statement two false.
3. Which mineral is important for the synthesis of thyroid hormones?
- A. Iron
- B. Zinc
- C. Iodine
- D. Magnesium
Correct answer: C
Rationale: Iodine is the correct answer. It is crucial for the synthesis of thyroid hormones by the thyroid gland. Without sufficient iodine, the thyroid cannot produce adequate amounts of hormones, leading to potential issues like hypothyroidism. Iron (Choice A), Zinc (Choice B), and Magnesium (Choice D) do not play a direct role in the synthesis of thyroid hormones, making them incorrect choices for this question.
4. A factor contributing to the risk for dehydration in the older adult is that _____.
- A. drinking fluids causes loss of bladder control
- B. older adults do not seem to notice mouth dryness as readily as younger people
- C. increased fluid intake will decrease the intake of nutrient-dense foods
- D. changes in intestinal motility contribute to excess fluid loss
Correct answer: C
Rationale: Older adults may not notice mouth dryness as readily as younger individuals, increasing their risk for dehydration, especially if they do not consciously increase fluid intake.
5. What is the desirable resting systolic blood pressure for adults?
- A. <130 mmHg>
- B. <105 mmHg>
- C. <120 mmHg>
- D. <140 mmHg>
Correct answer: C
Rationale: The desirable resting systolic blood pressure for adults is less than 120 mmHg. This blood pressure is associated with a lower risk of cardiovascular disease. Measurements higher than 120 mmHg (choices A and D) indicate elevated blood pressure, which can lead to hypertension and other health complications if not managed. A reading of less than 105 mmHg (choice B) could indicate low blood pressure, which also poses health risks such as dizziness and fainting.
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