you are an ostomy nurse and you know that colostomy is defined as
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Nursing Elites

ATI RN

Nutrition ATI Proctored Exam 2023

1. You are an ostomy nurse and you know that colostomy is defined as:

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.

2. A nurse is caring for an 8-month-old infant who screams when the parent leaves the room. The parent begins to cry and says, 'I don't understand why my child is so upset. I've never seen my child act this way around others before.' Which of the following statements should the nurse make?

Correct answer: A

Rationale: The correct answer is 'This is a normal, expected reaction for a child of this age.' Separation anxiety typically peaks around 8-10 months of age, leading to distress when separated from caregivers. Choice B is incorrect because the infant's behavior is more likely due to separation anxiety rather than overstimulation. Choice C is incorrect as the infant's behavior is not related to overexposure to caregivers but rather a natural developmental stage. Choice D is incorrect as the infant's behavior is not indicative of illness but rather a normal emotional response.

3. Which of the following should a patient with a history of chronic pancreatitis avoid?

Correct answer: D

Rationale: The correct answer is D: Alcohol. Alcohol consumption can exacerbate chronic pancreatitis due to its detrimental effects on the pancreas. Conversely, options A, B, and C: Low-fat dairy, Lean meats, and High-fiber vegetables, are generally recommended for patients with chronic pancreatitis. These dietary options are easier on the pancreas and less likely to provoke symptoms. Therefore, they are incorrect choices in this context.

4. Individuals who use antiretroviral drugs frequently develop insulin resistance and _____.

Correct answer: C

Rationale: The correct answer is C: hyperlipidemia. Antiretroviral drugs can often lead to elevated lipid levels (hyperlipidemia), which is a common side effect of this therapy. This increase in lipids can contribute to cardiovascular risk. Hypertension (choice A) is not typically associated with antiretroviral drug use. Hypothyroidism (choice B) and fluid retention (choice D) are also not commonly linked to antiretroviral therapy.

5. Which organ produces and secretes bicarbonate ions and insulin?

Correct answer: B

Rationale: The pancreas is the correct answer because it performs two vital functions: producing bicarbonate ions to neutralize stomach acid in the small intestine and secreting insulin to regulate blood glucose levels. The stomach is incorrect because its primary function is to break down and digest food, not produce bicarbonate ions or insulin. The large and small intestines are also incorrect because their primary functions are to absorb nutrients and water from food, rather than producing bicarbonate ions or insulin.

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