Preview Extract
ATI NUTRITION PROCTORED EXAM 2019 WITH NGN
QUESTIONS 100% VERIFIED CORRECT ANSWERS/A+ GRADE
ATI Nutrition A
A home health nurse is providing dietary teaching to the parents of a 3-year-old child. Which of
the following statements by the parents should the nurse identify as understanding of the
teaching?
Answer: I will put low-fat milk in her cup for her to drink (Whole milk only appropriate up to 2
years of age; after that, low-fat or skim milk should be given.)
A nurse is caring for a client who is receiving total parenteral nutrition (TPN) through a
peripherally inserted central catheter. The pharmacist informs the nurse that there will be a delay
in delivering the next bag of TPN solution. Which of the following actions should the nurse take?
Answer: Infuse dextrose 10% in water when the current infusion ends.
A nurse is teaching a female client about a healthy diet to control hypertension. Which of the
following statements indicates an understanding of the teaching?
Answer: I will eat four servings of unsalted nuts per week.
A nurse is caring for a client who is being treated for cancer using chemotherapy. Which of the
following interventions should the nurse suggest to aid in management of treatment-related
changes in taste?
Answer: Use plastic utensils.
A nurse is leading a discussion at a prenatal education class with a group of expectant mothers
who plan to breastfeed. Which of the following instructions should the nurse include in the
teaching?
Answer: Plan 5-minute feedings on each breast on the first day after birth. (5-minute nursing on
each breast the first day promotes milk production in both breasts.)
A nurse is providing teaching to a client who has Crohn’s disease. Which of the following
statements by the client indicates and understanding of the teaching?
Answer: I will eat eggs for breakfast (easy to digest and high in protein; avoid fiber, fats, and
fructose)
A nurse is assisting a client who has dysphagia with an oral feeding. Which of the following
actions should the nurse take? (SATA)
Answer: Gently palpate the client’s throat during swallowing. Inspect for food pockets in the
mouth before feeding. Allow the client to rest for 30 minutes before meals.
A nurse is assessing a client who is suspected of having lactose intolerance. Which of the
following is an expected finding?
Answer: Flatulence
A nurse is providing dietary teaching for a client who has chronic skin ulcers of the lower
extremities. Which of the following should the nurse recommend as having the highest amount
of zinc?
Answer: 4 oz ground beef patty
A nurse is administering a continuous tube feeding and 60 mL/hr with 50 mL of water every 4
hours. What should the nurse document as the total mL of enteral fluid administered during the 8
hour shift?
Answer: 580 mL
A nurse is teaching a client about stress management. Which of the following statements by the
client should indicate to the nurse that the client understands the teaching?
Answer: I will take a long walk every evening.
A nurse is providing teaching to a client who reports nausea during pregnancy. Which of the
following statements by the client indicates an understanding of the teaching?
Answer: I will eat dry cereal before I get out of bed.
A nurse is caring for a client who practices Orthodox Judaism and adheres to a kosher diet.
Which of the following food choices would be appropriate for this client?
Answer: Vegetable salad with cheese
A nurse is planning discharge teaching for a client who is postoperative following placement of a
colostomy. Which of the following information should the nurse include?
Answer: Increase your intake of foods containing pectin.
A nurse is planning dietary teaching for a client who has dumping syndrome following a
gastrectomy. Which of the following interventions should the nurse include in the client’s plan of
care?
Answer: Select grains with less than 2 g fiber per serving. (Low fiber grains slow gastric
emptying.)
A nurse is providing information about cardiovascular risk to a client who has received his lipid
panel report. Which of the following is within an expected reference range to include in the
information?
Answer: HDL 79 mg/dL (HDL greater than 45 for male and 55 for female is normal.)
A nurse is teaching a client who is overweight about nutritional recommendations during
pregnancy. The nurse should identify that which of the following statements by the client
indicates an understanding of the teaching?
Answer: I should take an iron supplement during pregnancy.
A nurse is providing education to an adolescent about making nutrient-dense food choices.
Which of the following statements by the client indicates an understanding of the teaching?
Answer: Canned pinto beans are a better choice than refried beans.
A nurse is performing dietary teaching with a client who has a family history of cardiovascular
disease. Which of the following statements should the nurse include in the teaching?
Answer: Increase your dietary fiber intake. (Increasing dietary fiber decreases LDL and the risk
for cardiovascular disease and stroke.)
A nurse is reviewing the laboratory findings of a client who has acute pancreatitis. Which of the
following is an expected finding?
Answer: Increased serum glucose (Decreased insulin production by the pancreas)
A nurse is providing dietary teaching for a client who has COPD. Which of the following
instructions should the nurse include in the teaching?
Answer: Consume foods that are soft in texture and easy to chew.
A nurse is teaching a client about managing irritable bowel syndrome (IBS). Which of the
following information should the nurse include in the teaching?
Answer: Take peppermint oil during exacerbation of manifestations. (Peppermint oil relaxes the
smooth muscle of the GI tract.)
A nurse in a long-term care facility is monitoring a client who has Parkinson’s disease during
mealtime. Which of the following findings should the nurse identify as the priority?
Answer: The client drools while eating
A nurse is providing teaching to a client who has dumping syndrome and is experiencing weight
loss. Which of the following instructions should the nurse include in the teaching?
Answer: Consume liquids between meals. (Slows movement of food from the stomach)
A nurse is caring for a client who is at 8 weeks of gestation and has a BMI of 34. The client asks
about weight goals during her pregnancy. The nurse should advise the client to do which of the
following?
Answer: Gain approximately 6.8 kg/15 lb
A nurse is assessing a client who has an elevated blood pressure, headache, and is sweating. The
client recently started taking an MAOI. The nurse should question the client regarding the
consumption of which of the following foods?
Answer: Cheddar cheese (tyramine-rich food that can cause HTN when mixed with MAOI)
A nurse in a clinic is reviewing the laboratory findings of a client who has type 2 diabetes. Which
of the following findings indicates the client’s plan of care is effective?
Answer: HbA1c 6.5% (HbA1c <7)
A nurse in an acute care facility is planning care for a client who has chosen to follow Islamic
dietary laws during Ramadan. Which of the following actions should the nurse plan to take?
Answer: Provide a snack for the client after sunset.
A nurse is providing dietary teaching about reducing the risk of infection to a client who has
cancer and is receiving chemotherapy. Which of the following statements made by the client
indicates an understanding of the teaching?
Answer: I will discard leftover food after 3 days.
A nurse is reviewing the introduction of solid foods with the parent of a 4-month-old infant.
Which of the following statements by the parent indicates an understanding of the teaching?
Answer: I will introduce a new solid food every 5 days
A nurse is educating a group of women about vitamin and mineral intake during pregnancy.
Which of the following should the nurse instruct the women to avoid taking at the same time as
iron supplements?
Answer: Calcium
A nurse is preparing a health promotion seminar for a group of clients about cancer prevention.
Which of the following information should the nurse include in the seminar?
Answer: Eat at least 2.5 cups of fruits and vegetables each day.
A nurse is assessing an older adult client for dysphagia following a stroke. The nurse should
identify which of the following findings as a manifestation of dysphagia?
Answer: The client has a change in his voice after eating.
A nurse is providing discharge teaching to a client who has a new ileostomy. Which of the
following dietary guidelines should the nurse include in the teaching?
Answer: Prepare meals on a schedule. (Promotes regular bowel patterns)
A client is experiencing anorexia related to cancer treatment. Which of the following
interventions should the nurse implement to increase the client’s nutritional intake?
Answer: Add extra calories and protein to every meal.
A nurse is assessing a client who has diabetes. Which of the following findings should the nurse
identify as a manifestation of hypoglycemia?
Answer: Diaphoresis
A nurse is reviewing the laboratory results of a client who has a pressure ulcer. Which of the
following findings should indicate to the nurse that the client is at risk for impaired wound
healing?
Answer: Serum albumin 3.0 g/dL (Albumin less than 3.5-5 g/dL indication of malnutrition that
can lead to poor wound healing.)
A nurse is updating a plan of care for a client who is receiving intermittent enteral feedings and is
experiencing diarrhea. Which of the following interventions should the nurse include in the plan?
Answer: Feed the client in small, frequent volumes.
A nurse is caring for a client who is receiving continuous enteral feedings via an NG tube. Which
of the following actions should the nurse do to reduce the risk for aspiration if the client develops
abdominal distention?
Answer: Position the client on his right side.
A nurse is providing teaching regarding diet modifications to a client who is at a high risk for
cardiovascular disease. The client is accustomed to traditional Mexican foods and wants to
continue to include them in her diet. Which of the following recommendations should the nurse
give the client?
Answer: Use canola oil instead of lard for frying.
A nurse in a provider’s office is assessing a client who has HIV. The nurse should identify which
of the following findings as an indication to increase the client’s nutritional intake?
Answer: Presence of herpes simplex virus infection
A nurse is preparing to administer intermittent enteral tube feedings to a client. In what order
should the nurse perform the following actions before beginning the feeding?
Answer: Place the client in Fowler’s position.
Verify tube placement.
Check the residual.
Flush tubing with 30 mL water.
A nurse is providing teaching for a client who has a new prescription for nifedipine. Which of the
following foods should the nurse instruct the client to avoid?
Answer: Grapefruit juice
A nurse is providing information regarding breastfeeding to the parents of a newborn. Which of
the following statements should the nurse make?
Answer: Breast milk is nutritionally complete for an infant up to 6 months of age.
A nurse is teaching a client who is newly diagnosed with type 1 diabetes how to count
carbohydrates. Which of the following statements made by the client indicates an understanding
of the teaching?
Answer: I know the serving size can affect the number of carbohydrates I eat.
A nurse in a clinic is providing nutritional counseling to a client who wants to lose weight. The
nurse should identify that which of the following statements indicates that the client understands
the counseling?
Answer: I will make a list before I go grocery shopping.
A nurse is planning nutritional teaching for the parents of a toddler who has failure to thrive.
Which of the following instructions should the nurse include in the teaching? (SATA)
Answer: Eliminate environmental disruptions during meals.
Schedule meal times at the same time each day.
A nurse is planning to provide dietary teaching to a client who has chronic kidney disease and is
prescribed hemodialysis. Which of the following actions should the nurse plan to take first?
Answer: Determine whether the client has culture-related food preferences.
A nurse is caring for an adolescent who has type 1 diabetes. Which of the following actions
should the nurse take to assess for Somogyi phenomenon?
Answer: Monitor blood glucose levels during the night.
A nurse is teaching a client about dietary recommendations during pregnancy. Which of the
following statements by the client indicates an understanding of the teaching?
Answer: I should gain 30 pounds during pregnancy, since I am at an average weight.
A client reports constipation during a routine checkup. The client was previously encouraged to
increase his intake of mineral supplements. Which of the following minerals should the nurse
identify as the cause of the constipation?
Answer: Calcium
A nurse is planning strategies to reduce the intake of solid fats for a client who has
hyperlipidemia. Which of the following strategies should the nurse include in the plan?
Answer: Limit meat to 5 oz per day.
A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is prescribed
an oral diet. The client asks the nurse why TPN is being continued since he is now eating. Which
of the following is an appropriate response by the nurse?
Answer: You should consume at least 60% of your calories orally before the parenteral nutrition
can be discontinued.
A nurse is developing an educational program about the glycemic index of foods for clients who
have diabetes. Which of the following foods should the nurse identify as having the highest
glycemic index?
Answer: Baked potato
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the
following laboratory findings indicates that the TPN therapy is effective?
Answer: Prealbumin 30 mg/dL
A nurse is caring for a client who has advanced Parkinson’s disease and dysphagia. Which of the
following actions should the nurse take?
Answer: Offer the client a high-calorie diet.
A nurse is planning care for a client who has a new prescription for enteral nutrition by
intermittent tube feeding. Which of the following actions should the nurse include in the plan of
care?
Answer: Increase the volume of formula over the first 4-6 feedings.
A nurse is planning care for a client who is obese and wants to lose weight. Which of the
following actions should the nurse take first?
Answer: Obtain a 24-hour dietary recall.
A nurse is providing dietary teaching for a client who has osteoporosis. The nurse should instruct
the client that which of the following foods has the highest amount of calcium?
Answer: ½ cup roasted almonds
A nurse is teaching a client who has a prescription for ferrous sulfate about food interactions.
Which of the following statements indicates that the client understands the teaching?
Answer: I can take this medication with juice.
ATI Nutrition B
A nurse is planning dietary interventions for a client who is prescribed external radiation for
laryngeal cancer. The client reports manifestations of stomatitis. Which of the following
interventions should the nurse include?
Answer: Provide meals at room temperature.
A nurse is caring for a client who has diabetes and reports feeling dizzy, weak, and shaky. Which
of the following is the priority action by the nurse?
Answer: Check the client’s blood glucose level.
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?
Answer: The client consumes 1000 k/cal daily. (1500 calories daily to meet energy needs.)
A nurse is assessing the meal pattern of a client who has diverticular disease and a prescription
for a high-fiber diet. Which of the following food choices by the client contains the most fiber?
Answer: ½ cup bran cereal
A nurse is reviewing the laboratory data of four clients. The nurse should identify that which of
the following clients is experiencing fluid overload?
Answer: A client who has a sodium level of 130 mEq/L (normal range is 136-145 mEq/L)
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 calcium and should be limited in her diet?
Answer: 1 cup low-fat yogurt
A nurse is providing teaching to a client who is lactating about increasing her protein intake.
Which of the following foods should the nurse recommend as the best source of protein?
Answer: Cottage cheese
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?
Answer: Include 2 servings per day of nuts when on a vegetarian diet.
A nurse is performing a comprehensive nutritional assessment for a client. After reviewing the
client’s laboratory results, which of the following findings should the nurse report to the
provider?
Answer: Prealbumin 8 mg/dL (critical value that indicates severe malnutrition)
A nurse is providing discharge teaching to a client who has Parkinson’s disease and a
prescription for levodopa-carbidopa. Which of the following foods should the nurse instruct the
client to consume with the medication?
Answer: 1 slice wheat toast
A nurse is conducting dietary teaching for a group of women who are of childbearing age. Which
of the following food items should the nurse include as containing the highest amount of folate?
Answer: 3.5 oz chicken liver
A nurse is teaching an adolescent who has a new diagnosis of celiac disease. Which of the
following statements by the client indicates an understanding of the teaching?
Answer: I need to eliminate rye from my diet.
A nurse is providing teaching to a client who has diabetes and an HbA1c of 8.7%. Which of the
following statements by the client indicates an understanding of this laboratory value?
Answer: This shows I have not been following my diet.
A nurse is teaching a client who is preparing for bowel surgery about a low-residue diet. Which
of the following food choices by the client indicates an understanding of the teaching?
Answer: Two poached eggs and a banana
A nurse is caring for a client who is receiving continuous enteral feedings via an NG tube. The
nurse notices that the tube feeding has stopped infusing. Which of the following actions is the
nurse’s priority?
Answer: Flush the tube with warm water.
A nurse is teaching an older adult client about nutritional recommendation. Which of the
following statements should the nurse make?
Answer: You should increase your daily protein intake.
A nurse is providing dietary instructions for a client who has a prescription for warfarin. Which
of the following foods should the nurse recommend the client eat in moderation while taking this
medication?
Answer: Green leafy vegetables (natural vitamin K that counteracts the anticoagulation effect of
warfarin)
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?
Answer: Consume 20 mcg of vitamin D daily.
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The current bag of
TPN is empty and a new bag is not available on the unit. Which of the following solutions
should the nurse infuse until a new bag of TPN is available?
Answer: Dextrose 10% in water
A nurse is providing dietary teaching for a client who is postoperative following gastric bypass.
Which of the following instructions should the nurse include?
Answer: Start each meal with a protein.
A nurse is initiating an enteral feeding for a client who has chronic bronchitis. Which of the
following types of formula should the nurse anticipate administering to the client?
Answer: High calorie
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?
Answer: Plan to lose weight gradually at ½ to 1 pound per week.
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?
Answer: Monitor gastric residuals every 4 hours.
A nurse is providing teaching to a client who is at 24 weeks of gestation and reports constipation.
Which of the following instructions should the nurse include in the teaching? (SATA)
Answer: Drink eight 240 ml (8 oz) glasses of water daily.
Increase daily fiber intake.
Perform exercises regularly using large muscle groups.
A nurse is caring for an older adult client who has a pressure ulcer. The client practices Orthodox
Judaism and strictly follows kosher dietary laws. Which of the following foods should the nurse
provide for this client?
Answer: Macaroni & cheese
A nurse is caring for a client who develops diarrhea while receiving a continuous enteral tube
feeding. Which of the following actions should the nurse take?
Answer: Warm the formula to room temperature.
A nurse is assessing a client who experienced a 5% weight loss in the past 30 days. Which of the
following clinical manifestations should the nurse identify as an indication of malnutrition?
Answer: Ankle edema
A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following
interventions should the nurse include in the plan?
Answer: Assign privileges based on direct weight gain.
A nurse is teaching a client who reports constipation about ways to increase dietary intake of
fiber. Which of the following information should the nurse include?
Answer: Leave the skin on when eating fruit.
A nurse is caring for a client who has a new prescription for parenteral nutrition (PN) containing
a mixture of dextrose, amino acids, and lipids. Prior to administration of the PN, the nurse should
report which of the following allergies to the provider?
Answer: Eggs
A nurse is discussing dietary factors to assist in blood pressure management for a client who has
HTN. Which of the following client statements indicates an understanding of the teaching?
Answer: I should choose whole grain pastas when selecting my foods.
A nurse is reviewing the laboratory results of a client who is receiving continuous total parenteral
nutrition. Which of the following results should the nurse report to the provider?
Answer: Glucose 238 mg/dL
A nurse is assessing a client’s risk for pressure ulcers using the Braden scale. The client eats
more than half of most meals but occasionally refuses a meal. Which of the following
information should the nurse document on the nutrition category of the Braden scale?
Answer: 3 (Adequate)
A nurse is caring for a client who has cirrhosis and ascites. Which of the following dietary
instructions should the nurse provide for this client?
Answer: Decrease your sodium intake to 1-2 grams per day
A nurse in a clinic is reviewing the laboratory findings of a client who began a DASH diet
following a recent diagnosis of HTN. Which of the following laboratory findings indicates the
client has reached one of the goals of the DASH diet?
Answer: Total cholesterol 190 mg/dL
A nurse is caring for a client who is prescribed captopril. The nurse is aware that which of the
following foods could cause a potential medication interaction?
Answer: Cantaloupe
A nurse is creating a plan of care for a client who has mucositis following a head and neck
radiation therapy for cancer. Which of the following interventions should the nurse include in the
plan?
Answer: Increase fluid intake to 2 L per day.
A nurse is providing teaching to a client who is a vegetarian and requires an increase in zinc
intake. Which of the following foods is the best source of zinc?
Answer: Pinto beans
A nurse is calculating the daily protein allowance of a client who weighs 176 lb. The client’s
daily protein allowance is 0.8 g/kg. How many grams of protein should the client consume per
day?
Answer: 64 g
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?
Answer: Restrict your daily meat intake to 5 ounces.
A nurse is providing discharge teaching about breast milk use and storage to a client who is
postpartum. Which of the following statements should the nurse make?
Answer: You cannot place thawed breast milk back in the freezer.
A nurse in an ER is reviewing the laboratory report for an older adult client who is confused and
reports nausea and abdominal cramping. The nurse should suspect the client’s laboratory results
to indicate a dietary deficiency of which of the following minerals?
Answer: Sodium
A nurse is providing nutritional teaching to the parents of a 2-year-old toddler. Which of the
following snack foods should the nurse recommend?
Answer: 1 cup yogurt
A nurse is caring for an infant who has a cleft lip and palate. In which of the following positions
should the nurse place the infant for bottle feeding?
Answer: Upright
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? (SATA)
Answer: Offer citrus fruits (promote saliva production & diminish metallic taste)
Suggest pickles as a snack (promote saliva production & diminish metallic taste)
Gargle with mouthwash
A nurse is evaluating a client who is receiving a continuous enteral feeding and has diarrhea.
Which of the following actions should the nurse take to reduce the client’s diarrhea?
Answer: Decrease the rate of the feeding.
A nurse is caring for a client who has age-related macular degeneration and asks the nurse if
there are any nutritional changes to consider. Which of the following responses should the nurse
make?
Answer: Increase dietary intake of lutein.
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? (SATA) Tilt the head forward when swallowing.
Answer: Place food on the unaffected side of the mouth.
Limit disruptions during mealtime.
A nurse is providing information to a client who has a new prescription for atorvastatin. Which
of the following beverages should the nurse include in the information as a contraindication for
taking this medication?
Answer: Grapefruit juice
A nurse is performing a cultural nursing assessment for a client whose religious practices include
fasting 1 day each week. Which of the following questions should the nurse ask the client?
(SATA)
Answer: Are you exempt from fasting during illness?
Does fasting mean refraining from drinking liquids?
Does fasting occur during certain hours of the day?
Does fasting mean eating only a certain type of food?
A nurse is developing a teaching plan for a client who has dysphagia and is being discharged
home with a prescription for a mechanical soft diet. Which of the following foods should the
nurse include in the plan?
Answer: Mashed potatoes
A nurse is providing teaching about cancer prevention to a group of clients. Which of the
following client statements indicates an understanding of the teaching?
Answer: I will eat five servings of fruits and vegetables each day.
A nurse is caring for a client who has acute inflammatory bowel disease. Which of the following
nutritional supplements should the nurse anticipate providing to this client?
Answer: Hydrolyzed formula
A nurse is teaching about increasing dietary intake of micronutrients to a client who has
difficulty seeing at night. Which of the following micronutrients should the nurse include in the
teaching?
Answer: Vitamin A
A nurse is teaching a client about maximizing absorption when taking calcium supplements.
Which of the following instructions should the nurse include in the teaching?
Answer: Take a supplement that contains vitamin D
A nurse is caring for a client who is dehydrated and is receiving intermittent enteral feeding.
Which of the following actions should the nurse plan to take?
Answer: Provide the formula as a continuous feeding.
A nurse is assessing a client who has end stage kidney disease. Which of the following dietary
habits increases the client’s risk for dysrhythmias?
Answer: Eating a diet rich in potassium.
A nurse is assessing a client who has type 2 diabetes. The nurse should recognize which of the
following as a manifestation of hypoglycemia?
Answer: Confusion
A nurse is caring for a client who has anemia and a new prescription for an iron supplement. The
nurse should recommend the client consume the supplement with which of the following
beverages to increase absorption?
Answer: Tomato juice
A nurse is providing dietary teaching to a client who has celiac disease. Which of the following
statements by the client indicates an understanding of the teaching?
Answer: I can have tapioca pudding for dessert.
