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ATI NUTRITION PROCTORED EXAM
LATEST REAL QUESTIONS AND CORRECT
ANSWERS GRADE A
A nurse is creating a plan of care for a client who has mucositis following head & neck radiation therapy for cancer. Which of the following interventions should the nurse include in the plan? A. Encourage 3 servings of citrus foods daily B. Provide lemon-glycerin swabs for oral hygiene after meals C. Increase fluid intake to 2 L/day D. Heat oral hygiene mouth rinses before use - CORRECT ANSWER C. A nurse is discussing dietary factors to assist in BP management for a client who has HTN. Which of the following client statements indicates an understanding of the teaching? A. "I can drink up to 3 glasses of wine/day." B. "I should choose whole grain pastas when selecting my foods." C. "I should decrease my consumption of foods high in potassium." D. "I can eat dairy products because they do not have much sodium." - CORRECT ANSWER B A nurse is teaching an older adult client about measures to reduce the risk of osteomalacia. Which of the following instructions should the nurse include in the teaching? A. Consume 20 mcg of vitamin D daily. B. Avoid foods rich in antioxidants.
C. Increase intake of foods high in purine. D. Take 150 mg of vitamin E daily. - CORRECT ANSWER A A nurse is caring for a client who as a new prescription for PN containing a mixture of dextrose, amino acids, & lipids. Prior to administration of the PN, the nurse should report which of the following food allergies to the provider? A. Gelatin B. Peanuts C. Shellfish D. Eggs - CORRECT ANSWER D A nurse in a clinic is reviewing the lab findings of a client who began a DASH diet following a recent dx of HTN. Which of the following lab findings indicates the client has reached 1 of the goals of the DASH diet? A. Sodium 150 mEq/L B. Chloride 106 mEq/L C. Fasting glucose 130 mg/dL D. Total cholesterol 190 mg/dL - CORRECT ANSWER D A nurse is teaching a client who has chronic kidney disease about limiting her calcium intake. Which of the following food choices should the nurse inform the client contains the highest amount of Ca & should be limited in her diet? A. 1 cup low-fat yogurt B. 1 oz cheddar cheese C. 1 egg D. 1/2 cup spinach - CORRECT ANSWER A
B. "This shows that my result is finally within normal range." C. "This shows that I have not been following my diet." D. "I should have my blood work done 1st thing in the morning." - CORRECT ANSWER C A nurse is caring for a client who is receiving continuous enteral tube feedings. Which of the following actions should the nurse take to prevent aspiration? A. Monitor gastric residuals every 4 hr B. Maintain elevation of the head of the bed at 15 deg. C. Confirm proper tube placement by radiograph every 24 hr D. Flush tubing w/30 mL water before and after meds - CORRECT ANSWER A A nurse is providing teaching to a client who is a vegetarian & requires an increase in zinc intake. Which of the following foods is the best source of zinc? A. Pineapple B. Green grapes C. Cauliflower D. Pinto beans - CORRECT ANSWER D A nurse is evaluating a client who is receiving continuous enteral feeding & has diarrhea. Which of the following actions should the nurse take to reduct the client's diarrhea? A. Flush the client's feeding tube B. Administer promethazine to the client C. Decrease the rate of the feeding D. Check the client's gastric residual - CORRECT ANSWER C
A nurse is providing dietary teaching for a client who is postop following gastric bypass. Which of the following instructions should the nurse include? A. Eat 6 small meals per day B. Start each meal w/a protein C. Complete each meal even if feeling full D. Plan to eat each meal over 15 min - CORRECT ANSWER B A nurse is caring for a client who is receiving radiation therapy. The client reports a metallic taste in his mouth while eating. Which of the following actions should the nurse take? Select all that apply. A. Provide 3 large meals/day B. Offer citrus fruits C. Suggest pickles as a snack D. Rinse silverware prior to eating E. Gargle w/mouthwash - CORRECT ANSWER B, C, E A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. Which of the following info should the nurse include? A. Replace legumes w/broiled meats B. Consume 1/2 cup bran/daily C. Leave the skin on when eating fruit D. Decrease fluid intake while increasing fiber - CORRECT ANSWER C
E. "Does fasting mean eating only a certain type of food?" - CORRECT ANSWER A, B, C, E A community health nurse is planning to teach a class about weight management for cardiovascular health. Which of the following statements should the nurse plan to make to the participants? A. "Limit your sodium intake to 1800 mg/day." B. "Reduce your daily intake of foods that contain protein." C. "Taking a daily multivitamin will prevent cardiovascular disease." D. "Plan to lose weight gradually at 1/2 to 1 pound per week." - CORRECT ANSWER D A nurse is providing teaching about proper eating techniques to a client who is experiencing dysphagia following a stroke. Which of the following instructions should the nurse include in the teaching? Select all that apply. A. Tilt the head forward when swallowing. B. Drink thin liquids through a straw. C. Place food on the unaffected side of the mouth. D. Take moderate bites when eating. E. Limit disruptions during mealtime. - CORRECT ANSWER A, C, E A home health nurse is reviewing the medical record of a client who had an open reduction internal fixation of the tibia. Which of the following findings should the nurse identify as a risk factor for impaired wound healing?
A. The client's Hgb is 15 g/dL. B. The client's peripheral pulses are +3 distal to the affected extremity. C. The client consumes 1000 k/cal daily. D. The client takes zinc supplements. - CORRECT ANSWER C A nurse is caring for a client who is dehydrated & is receiving intermittent enteral feeding. Which of the following actions should the nurse plan to take? A. Use a low-fat formula for admin B. Chill the formula prior to admin C. Provide the formula as a continuous infusion D. Dilute the formula before admin - CORRECT ANSWER C. Provide the formula as a continuous infusion A nurse is caring for an infant who has a cleft lip & palate. In which of the following positions should the nurse place the infant for bottle feeding? A. Lateral B. Football hold C. Supine in the crib D. Upright - CORRECT ANSWER D. Upright A nurse is caring for a client who has acute IBD. Which of the following nutritional supplements should the nurse anticipate providing to this client? A. Hydrolyzed formula B. Polymeric formula C. Milk-based supplement formula
B. Lipid profile C. Cultural needs D. Sleep patterns E. Personal preferences - CORRECT ANSWER A, B, C, E To avoid hypoglycemia, the client should consume alcohol... - CORRECT ANSWER with a meal or immediately after a meal _______________can be included in a diabetic diet as long as adequate insulin or other agents are provided to cover the sugar intake. - CORRECT ANSWER Sucrose (table sugar) The nurse should instruct the diabetic client that their intake of carbohydrates should be to% of total daily caloric intake. - CORRECT ANSWER 45 - 60% A nurse is teaching a client measures for healthy bones. Which of the following statements by the client requires additional teaching? A. "I will eat foods high in calcium." B. "I will increase my fluid intake." C. "I should participate in weight bearing exercises." D. "I should get my vitamin D from the sunlight." - CORRECT ANSWER B. increasing fluid does not promote healthy bones A nurse is conducting a nutritional class to a group of newly licensed nurses. Which of the following should be included in the teaching? A. Limit saturated fat to 10% of total caloric intake.
B. Good bowel function requires 35 g/day of fiber for women. C. Limit cholesterol consumption to 400 mg/day D. Normal functioning cardiac systems depends on B-complex vitamins - CORRECT ANSWER A A nurse is discussing essential nutrients for normal functioning of the nervous system. Which of the following should be included in the teaching? Select all that apply. A. Calcium B. Thiamin C. Vitamin B D. Sodium E. Phosphorus - CORRECT ANSWER A, B, C, D A school nurse is teaching a group of students how to read food labels. Which of the following should be included in the teaching? Select all that apply. A. Total carbohydrates B. Total fat C. Calories D. Magnesium E. Dietary fiber - CORRECT ANSWER A, B, C, E Normal functioning of the nervous system depends on adequate levels of the B-complex vitamins, especially: and also adequate levels of ____and _____for regulators of nerve responses. - CORRECT ANSWER thiamin, niacin, vitamin B and B
Hypocalciumia What has more calcium yogurt or cheese? - CORRECT ANSWER yogurt Niacin is found in sources such as: - CORRECT ANSWER Beef liver nuts legumes whole-grain enriched breads and cereals Two medications may be added to PN solutions however administering any IV medication through a PN IV line or port is contraindicated. What are the two medications? - CORRECT ANSWER Heparin and insulin Expected reference range for pre-albumin: - CORRECT ANSWER 23 - 43 Which of the following food choices is appropriate for a pt. with GERD? Select all that apply. A. Baked salmon B. Skim milk C. Orange juice D. Decaffeinated tea E. Eggs and salsa - CORRECT ANSWER A, B, D For which disease/condition would the nurse teach the client about a gluten-free diet? A. A 54 year old man with pancreatitis.
B. A 32 year old woman with celiac disease. C. A 22 year old man with diverticulitis. D. A 76 year old woman with breast cancer. - CORRECT ANSWER B. Celiac disease is also known as gluten-sensitive enteropathy (GSE), celiac sprue, and gluten intolerance. It is chronic & hereditary and the client should be instructed to avoid gluten. Foods/beverages that are gluten-free include: (select all that apply) A. Milk, cheese, dairy products B. Beer C. Fried Eggs D. Baked potatoes E. Fruits and vegetables F. Whole wheat bread - CORRECT ANSWER A, C, D, E A patient who has celiac disease should increase intake of what?
- CORRECT ANSWER simple carbohydrates (fruits, veggies, milk, etc.) A nurse is providing instructions to a client who has a new diagnosis of celiac disease. Which of the following food choices by the client indicates a need for further teaching? A. Potatoes B. Graham crackers C. Wild rice D. Canned pears - CORRECT ANSWER B. Graham crackers are made from wheat flour All others are gluten-free
A nurse is caring for a client who is on a full liquid diet due to dysphagia. Which of the following nursing actions is the highest priority? A. Add thickener to liquids. B. Educate the client about acceptable liquids. C. Perform a calorie count of consumed liquids. D. Offer high-protein liquid supplements. - CORRECT ANSWER A this is highest priority to reduce the risk of aspiration A nurse is performing dietary needs assessments for a group of clients. A blenderized liquid diet is appropriate for which of the following clients? Select all that apply. A. A client who has a wired jaw due to an MVA B. A client who is 24 hr postop following temporomandibular joint repair C. A client who has difficulty chewing due to a traumatic brain injury D. A client who has hypercholesterolemia due to CAD E. A client who is scheduled for a colonoscopy the next morning - CORRECT ANSWER A, B, C A nurse is assessing a client who is postop following a colon resection. Which of the following findings indicates that the client is ready to transition from NPO to oral intake? A. Client report of hunger B. Urinary output exceeding 30 mL/hr C. Decrease in incisional pain D. Passage of flatus - CORRECT ANSWER D
A nurse is assisting a client who has a prescription for a mechanical soft diet w/food selections. Which of the following are appropriate selections by the client? Select all that apply. A. Dried prunes B. Ground turkey C. Mashed carrots D. Fresh strawberries E. Cottage cheese - CORRECT ANSWER B, C, E A nurse is teaching a client who is undergoing cancer treatment about interventions to manage stomatitis. Which of the following statements by the client indicates an understanding of the teaching? A. "I will try chewing larger pieces of food." B. "I will avoid toasting my bread." C. "I will consume more food in the morning." D. "I will add more citrus foods to my diet." - CORRECT ANSWER B. Dry, coarse foods can increase the incidence/risk of stomatitis Which of the following food choices by a client undergoing chemotherapy with presence of stomatitis indicates a need for further teaching? A. Small pieces of bananas B. Cut up fresh orange & pineapple slices C. Yogurt with granola D. Meat lasagna - CORRECT ANSWER B
client's dietary log, which of the following foods requires a need for further teaching? A. Cottage cheese B. Banana bread C. Apple pie D. Grilled steak - CORRECT ANSWER B A nurse is preparing to administer intermittent enteral feeding to a client who has neuromuscular disorder. Which of the following are appropriate nursing interventions? Select all that apply. A. Fill the feeding bag w/24 hr worth of formula B. Discard irrigation equipment after 24 hr C. Leave unused portions of formula at the bedside D. Label the unused portion of the formula E. Replace administration tubing & feeding bag every 48 hr - CORRECT ANSWER B, D, E A nurse is teaching a client who has pre-stage chronic kidney disease about dietary management. Which of the following information should the nurse include in the instructions? A. Restrict protein intake B. Maintain a high-phosphorus diet C. Increase intake of foods high in potassium D. Limit dairy products to 1 cup per day - CORRECT ANSWER A A nurse is assessing a client who has hypoglycemia. Which of the following findings should the nurse expect?
A. Fruity breath odor B. Diaphoresis C. Vomiting D. Polyuria - CORRECT ANSWER B A nurse is teaching about nutritional requirements for a client who is starting a vegetarian diet. Which of the following information should the nurse include in the teaching? A. Consume high-fat cheese to replace meats when on a vegetarian diet B. A vegetarian diet is high in vitamin B C. Fewer calories are required when on a vegetarian diet D. Include 2 servings per day of nuts when on a vegetarian diet - CORRECT ANSWER D. to receive daily recommended intake of omega 3 fatty acids A nurse is providing teaching about lowering solid fat intake to an adolescent who is overweight. Which of the following instructions should the nurse include? A. "Limit egg yolks to a total of 5 per week." B. "Restrict your daily meat intake to 5 oz." C. "Select cheeses that contain no more than 6 g of fat per serving."
