ati retake 2023

A nurse is providing teaching to a client who has dumping syndrome. Which of the following instructions should the nurse include in the teaching?

A) Drink beverages with meals

B) Consume three large meals a day

C) Sit up in bed after meals

D) Eat protein at each meal

D) Eat protein at each meal

A nurse is providing teaching to a client who has a prescription for a low saturated fat diet. Which of the following statements by the client indicates an understanding of the teaching?

A) I will use margarine on my waffles

B) I will include 7 ounces of fish in my weekly diet

C) I can choose avocado dip instead of salsa

D) I can eat skin on the poultry if it is broiled

B) I will include 7 ounces of fish in my weekly diet

3) A nurse is providing teaching about the dietary approach to stop hypertension (DASH) to a client who has hypertension. Which of the following instructions should the nurse include?

A) Increase intake of refined carbohydrates

B) Limit sodium to 3,200 milligrams per day

C) Consume foods that are high in calcium

D) Consume ten percent of total calories from saturated fat

C) Consume foods that are high in calcium

4) A nurse caring for a client receiving parental nutrition and has a new prescription for probiotic therapy. Which of the following indicates the treatment has been effective?

A) Client has soft, formed bowel movements

B) Clients' mucous membranes are pink

C) Client report's ability to do ADL's

D) Clients blood glucose level is within expected reference range

A) Client has soft, formed bowel movements

5) A nurse is teaching a client who has a diagnosis of diabetes mellitus about recognizing hyperglycemia. Which of the following manifestations should the nurse in the teaching?

A) Cool skin

B) Metallic taste

C) Hyperventilation

D) Anxiety

C) Hyperventilation

6) A client is prescribed a 1,500-calorie diet. Thirty percent of the calories are to be derived from fat. How many grams of fat should the nurse tell the client to consume a day?

50

7) A nurse is reviewing the medication record of a client who has AIDS and is malnourished. The client has been receiving total parenteral nutrition (TPN). Which of the following findings should the nurse identify as a therapeutic response?

A) BMI 18.5

B) Temperature 38.5 C, 101.1 F

C) HgB 10 g/dl

D) BUN 25 mg/dl

A) BMI 18.5

8) A nurse is making a discharge teaching plan for a client who is taking digoxin and furosemide. Which of the following should the nurse instruct the client to consume?

A) Cucumbers

B) Blueberries

C) Bananas

D) Green Beans

C) Bananas

9) A nurse is teaching a client who has Parkinson's disease and is prescribed an MAOI. Which of the following instructions should the nurse include?

A) Avoid aged cheeses while taking this medication

B) Maintain a low protein diet

C) Do not eat grapefruit while taking this medication

D) Reduce intake of high calorie foods

A) Avoid aged cheeses while taking this medication

10) A nurse is providing teachings to the parents of a toddler about nutritional needs and habits. Which of the following instructions should the nurse include in the teaching?

A) Allow the toddler to feed himself

B) Set mealtimes immediately after physical activity

C) Provide different food for the toddler than the parents

D) Avoid snacks between meals

A) Allow the toddler to feed himself

11) A nurse is caring for a client receiving radiation therapy to the pelvic area. The client is experiencing chronic diarrhea. Which of the following actions should the nurse take?

A) Provide sugar free candy between meals

B) Recommend the client eliminate carbonated beverages

C) Encourage the client to drink 4 oz of milk after every loose stool

D) Instruct the client to increase consumption of beans

C) Encourage the client to drink 4 oz of milk after every loose stool

12) A nurse is providing discharge teachings for a client who has iron deficiency anemia. Which of the following information should the nurse include?

A) Fish and poultry are primary sources of heme iron

B) Cooking in a stainless-steel pan increases the amount of iron in the food

C) Drinking iced tea with meals can increase the amount of iron absorbed

D) Drinking orange juice with iron supplements can decrease absorption

A) Fish and poultry are primary sources of heme iron

13) A nurse is providing anticipatory guidance to a client with PKU and is planning pregnancy. Which of the following information should the nurse include in the discussion?

A) Serum bilirubin should be monitored on to two times a month during pregnancy

B) A low protein diet should be followed 3 months prior to pregnancy

C) Diet sodas should not be consumed more than two or three times a week

D) Breastfeeding will prevent your baby from developing PKU

A) Serum bilirubin should be monitored on to two times a month during pregnancy

14) A nurse is providing teaching to a client who has cholecystitis about required dietary modifications. The nurse should include which of the following foods as appropriate for the client's diet?

A) Banana muffin

B) Ground Beef

C) Boiled egg

D) Brown rice

D) Brown rice

15) A nurse is educating the parent of a school-aged child about the importance of maintain water intake to prevent dehydration. Which of the following food choices should the nurse recommend as containing the highest percentage of

water?

A) Cheddar cheese

B) Broccoli

C) Whole-wheat bread

D) Almonds

B) Broccoli

16) A nurse is caring for a client who has dysphagia and requires a level 1 dysphagia diet. Which of the following foods should the nurse choose for this client?

A) Chicken noodle soup

B) Milk

C) Pudding

D) Apple Juice

C) Pudding

17) A nurse is caring for a client who follows a vegan diet. The nurse should identify that the client is at risk for which of the following deficiencies?

A) Vitamin C

B) Folic Acid

C) Vitamin D

D) Magnesium

C) Vitamin D

18) A nurse is reviewing a clients laboratory result for effectiveness of TPN. Which of the following laboratory values is the best indicator for the nurse to monitor for short term effectiveness of TPN?

A) Transferrin

B) Hemoglobin

C) Total Albumin

D) Prealbumin

D) Prealbumin

19) A nurse is teaching a group of clients at risk for heart disease about decreasing saturated fats in their diet. Which of the following fats should the nurse recommend the clients use when cooking?

A) Canola oil

B) Palm oil

C) Peanut oil

D) Stick margarine

B) Palm oil

20) A nurse is teaching about denture care to the partner of a client who is unable to perform oral hygiene. Which of the following should the nurse include in the teaching?

A) Wrap gloved fingers with gauze to remove dentures

B) Use a washcloth to clean the denture surface

C) Wipe dentures before storing them in a dry container at night

D) Floss dentures as part of daily cleaning

D) Floss dentures as part of daily cleaning

21) A nurse is providing teaching about food allergies to the parents of a toddler. Which of the following foods should the

nurse identify as the highest risk for allergies in toddlers?

A) Milk

B) Eggs

C) Bananas

D) Citrus Fruits

C) Bananas

22) A nurse is selecting food items for a client who follows a lacto-vegetarian diet. Which of the following foods should the nurse include in the meals?

A) Hamburger

B) Cheese

C) Shrimp

D) Eggs

B) Cheese

23) A nurse is providing teaching about a gluten free diet to a client who has celiac disease. Which of the following foods should the nurse recommend the client include in his diet?

A) Salami

B) Wheat

C) Barley

D) Corn

D) Corn

24) A nurse is reviewing laboratory values for a client who is receiving a phosphate binder with meals for end stage renal disease. Which of the following values should indicate to the nurse that the treatment is effective?

A) Hemoglobin 15 g/dl

B) Serum Potassium 4.8 mEq/L

C) Sodium 136 mEq/L

D) Total calcium 9.7 mg/dl

D) Total calcium 9.7 mg/dl

25) A nurse is planning care for a client who has a prescription for TPN. Which of the following actions should the nurse plan to take?

A) Change the dressing around the IV site weekly

B) Change the IV tubing for TPN every 72 hours

C) Discard remaining TPN solution that is still infusing after 24 hours

D) Remove TPN from the refrigerator 5 minutes before infusing it

C) Discard remaining TPN solution that is still infusing after 24 hours

26) A nurse is caring for a client who is obese and is prescribed a calorie reduction of 500 fewer calories per day. The nurse should expect the client to have which of the following rates of weight loss?

A) 0.45 kg day

B) 0.23 kg day

C) 0.45 kg week

D) 0.23 kg week

C) 0.45 kg week

27) A nurse is developing a plan of care for a patient receiving radiation therapy and is experiencing nausea. Which of the following interventions should the nurse include in the plan?

A) Administer antiemetics on schedule

B) Provide a snack 30 minutes before treatment

C) Ensure foods are served hot

D) Serve low carbohydrate foods

A) Administer antiemetics on schedule

28) A nurse is preparing to initiate enteral feedings for a client who has inflammatory bowel disease. The nurse should recognize that which of the following formulas is appropriate for this client?

A) High fiber

B) Low protein

C) Hydrolyzed

D) Low calorie

C) Hydrolyzed

29) A nurse at a health care clinic is preparing to administer the inactivated influenza vaccine to a client. The nurse should ask the client about allergies to which of the following foods?

A) Shellfish

B) Gelatin

C) Eggs

D) Citrus Fruits

C) Eggs

The nurse should identify that which of the following foods contain the highest amount of folate?

A) 1 cup cooked green peppers

B) 1 cup mashed potatoes

C) 1 cup cooked lentils

D) 1 cup cooked carrots

C) 1 cup cooked lentils

31) A nurse is caring for an older adult client who requires high calorie nutritional supplements. Which of the following actions should the nurse take to ensure the client consumes the supplement?

A) Offer the supplement as a substitute for one of the client's daily meals

B) Leave an opened supplement at the bedside throughout the day

C) Enhance the flavor of the supplement by serving them warm

D) Have the client swallow his medications with the supplement

C) Enhance the flavor of the supplement by serving them warm

32) A nurse is caring for a client who has dysphagia. Which of the following actions should the nurse take?

A) Place the client in the semi fowlers position while eating

B) Provide food in a thin liquid consistency

C) Initiate calorie count of daily food intake

D) Instruct the client to keep their chin up when swallowing

B) Provide food in a thin liquid consistency

33) A nurse is reviewing the laboratory results of client who has bulimia nervosa. The nurse should notify the provider of which of the following results?

A) Hgb 14

B) Potassium 3.2

C) WBC 5,000

D) Magnesium 1.6

B) Potassium 3.2

34) A nurse is teaching a group of clients about foods containing protein. Which of the following food should the nurse include as complete protein?

A) Cashew

B) Gelatin

C) Soy Milk

D) Black eye peas

C) Soy Milk

35) A nurse is teaching a client who is at 10 weeks gestation about increasing folate in her diet. Which of the following food choices should the nurse recommend as the best source of folate?

A) 1⁄2 cup cooked asparagus

B) 1 medium apple

C) 1 small banana

D) 1⁄2 cup plain low-fat yogurt

A) 1⁄2 cup cooked asparagus

36) A nurse in a long-term care facility is implementing a nutrition plan for a client who is at risk for malnutrition. Which of the following actions should the nurse include in the plan? (select all that apply)

A) Assess for pain prior to mealtime

B) Discourage snacks between meals

C) Administer antiemetics following the meals

D) Remove the bed pan from the client's site

E) Provide mouth care before feeding

A) Assess for pain prior to mealtime

D) Remove the bed pan from the client's site

E) Provide mouth care before feeding

37) A nurse is reviewing blood glucose values for a client who is at risk for diabetes mellitus. Which of the following findings should the nurse report to the provider?

A) 2- hour glucose tolerance test 150 mg/dl

B) Casual blood glucose 90 mg/dl

C) Glycosylated hemoglobin 5%

D) Fasting blood glucose 70 mg/dL

A) 2- hour glucose tolerance test 150 mg/dl

38) A nurse is assessing a client who is newly prescribed atorvastatin for dyslipidemia. Which of the following questions should the nurse ask first?

A) Do you regularly have your eyes checked

B) Do you exercise regularly

C) Do you consume alcohol daily

D) Do you check your blood pressure daily

C) Do you consume alcohol daily

39) A nurse is providing teaching to the parents of a newborn who has gastroesophageal reflux. Which of the following instructions should the nurse include?

A) Place the newborn in a side-lying position if vomiting

B) Provide a small feeding just before bedtime

C) Dilute formula with 1 tablespoon of water

D) Position the newborn at a 20-degree angle after feeding

A) Place the newborn in a side-lying position if vomiting

40) A nurse is providing discharge teaching to the mother of a newborn about breastfeeding. Which of the following statements by the client indicates an understanding of the teaching?

A) I should use pumped breast milk within 72 hours of refrigerating

B) I will dilute juice with 50% water to supplement between feedings

C) I will begin and end with the same breast when I feed my baby

D) I should feed my baby on demand at least eight times each day

D) I should feed my baby on demand at least eight times each day

41) A nurse is assessing a client who is recovering from a stroke. Which of the following findings is a manifestation of dysphagia?

A) Weight gain

B) Continuous smiling

C) Hoarse voice

D) Expressive aphasia

C) Hoarse voice

42) A nurse is initiating continuous enteral feedings for a client who has a new gastronomy tube. Which of the following actions should the nurse take?

A) Flush the client's tube with 30 mL of water every 4 hours

B) Keep the clients head elevated at 15 degrees during feedings

C) Measure the client's gastric residual every 12 hours

D) Obtain the clients electrolyte levels every 4 hours

A) Flush the client's tube with 30 mL of water every 4 hours

43) A nurse is teaching the family of a school-age child who is obese about complications of childhood obesity. Which of the following complications should the nurse include in the teaching?

A) Type 1 Diabetes

B) Juvenile rheumatoid arthritis

C) Hypertension

D) Hypothyroidism

C) Hypertension

44) A nurse in the emergency room department is assessing a young client who was administered a hypotonic IV bolus for rehydration after collapsing at an athletic event. Which of the following findings indicates the client is experiencing water intoxication?

A) Hypernatremia

B) Muscle weakness

C) Exaggerated reflexes

D) Weak pulses

B) Muscle weakness

45) A nurse is assessing an older adult client who has dysphasia and is experiencing dehydration. Which of the following findings should the nurse expect?

A) decreased respiratory rate

B) Distended neck veins

C) Tachycardia

D) Hypertension

C) Tachycardia

46) A nurse is providing teaching to a client who has heart failure about limiting sodium intake to 1000 milligrams a day. The nurse should inform the client that which of the following dairy products has the highest amount of sodium content?

A) 4 ounces of vanilla pudding

B) 2 ounces of processed cheese

C) 1 cup of milk

D) 1/2 cup of yogurt

B) 2 ounces of processed cheese

47) A nurse is evaluating a clients laboratory result. The nurse should recognize that which of the following results place the client at risk for coronary heart disease.

A) Total cholesterol 173

B) Fasting glucose 140

C) HbA1c 5%

D) LDL 64

B) Fasting glucose 140

48) A nurse is providing teaching to a client who has type 1 diabetes. Which of the following statements by the client indicates an understanding of the teaching?

A) I will have ketones in my urine if my blood glucose is maintained at 190 milligrams per deciliter

B) Albumin in my urine is an indication of normal kidney function

C) I will keep my HbA1C at 5%

D) I will keep my blood glucose levels between 200 and 212 milligrams per deciliter

C) I will keep my HbA1C at 5%

49) A nurse is planning dietary teaching for a client that adheres to a vegan diet. The nurse should identify that the client is at greatest risk for which of the following nutrient deficiencies?

A) Magnesium

B) Omega 3 fatty acids

C) Potassium

D) Vitamin A

B) Omega 3 fatty acids

50) A nurse is providing teaching about a breastfeeding to a client who is postpartum. Which of the following statements by the client indicates an understanding of the teaching?

A) I need to supplement my feedings with water once my baby is 4 months old

B) My baby will receive the most milk within the first 10 minutes of the feedings

C) During the first few weeks, I should nurse my baby every 4 hours

D) The purpose of alternating breasts during feedings is to promote comfort

B) My baby will receive the most milk within the first 10 minutes of the feedings

51) A nurse in a critical care unit is assessing an adult client. Which of the following findings by the nurse indicates a fluid volume deficit?

A) Central venous pressure of 25 mm Hg

B) Pulse rate 118

C) Temperature 37.2 (99)

D) Blood pressure 152/90

B) Pulse rate 118

52) A nurse is caring for a client who is receiving a continuous enteral feeding and reports cramping and abdominal distension. Which of the following actions should the nurse take?

A) Increase the rate of feeding

B) Request a higher fat feeding

C) Check for gastric residual

D) Apply low intermittent suction

C) Check for gastric residual

53) A nurse is reviewing the laboratory values of four clients. Which of the following values indicates to the nurse that a client has iron-deficiency anemia?

A) A client whose hemoglobin is 15g/dL

B) A client whose hematocrit is 42%

C) A client whose RBC count is 5.2 million/mm

D) A client whose ferritin level is 8 ng/mL

D) A client whose ferritin level is 8 ng/mL

54) A nurse is teaching about nutrition to a client who has a new diagnosis of chronic kidney disease. Which of the following recommendations should the nurse include in the teaching?

A) Increase phosphorus intake

B) Increase potassium intake

C) Limit calcium intake

D) Limit protein intake

D) Limit protein intake

55) A nurse is caring for a client who has stomatitis following radiation therapy. Which of the following is an appropriate intervention for the nurse to take?

A) Offer mouth rinses with normal saline

B) Serve foods while still at a hot temperature

C) Serve food without sauces or gravies

D) Instruct the client to drink liquids without a straw

A) Offer mouth rinses with normal saline

56) A nurse is teaching a group of clients about dietary needs to prevent osteoporosis. Which if the following dietary choices should the nurse recommend as having the highest calcium content?

A) 1 cup green grapes

B) 1 cup broccoli

C) One medium banana

D) One large tomato

B) 1 cup broccoli

57) A nurse is assisting in the selection of food for a client who has hypokalemia. Which of the following foods should the nurse select that contains the greatest amount of potassium?

A) One medium raw tomato

B) One small baked potato

C) 1 oz cheddar cheese

D) 1 cup of brown rice

B) One small baked potato

58) A nurse is teaching a group of parents about appropriate food choices for toddlers. Which of the following choices by the parents demonstrates and understanding of the teaching?

A) Cooked spaghetti with sauce

B) Hot dog cut in fourths

C) Steak cut into small pieces

D) Carmel popcorn

A) Cooked spaghetti with sauce

59) A nurse is caring for a client who has throat cancer and is receiving radiation therapy. The client reports nausea, stomatitis, and weight loss. Which of the following dietary interventions should the nurse recommend?

A) Consume foods high in fat content

B) Increase intake of liquids at mealtime

C) Serve foods hot

D) Select foods high in protein

D) Select foods high in protein

60) A nurse is providing breakfast for a client who has celiac disease. Which of the following meal items should the nurse select?

A) Graham crackers with peanut butter

B) Rye toast with herbal tea

C) Poached egg with wheat bagel

D) Rice cereal with sliced bananas

D) Rice cereal with sliced bananas

61) A nurse is teaching about implementing a heart healthy diet to a client who has coronary artery disease. Which of the following foods should the nurse recommend to the client?

A) Processed cheese

B) Broiled salmon

C) Canned potato soup

D) Baked ham

B) Broiled salmon

62) A nurse is reviewing the medication administration record for a client who is 2 days postoperative following abdominal surgery. The nurse should recognize that which of the following medication places the client at risk for wound dehiscence?

A) Prednisone

B) Omeprazole

C) Verapamil

D) Zolmitriptan

A) Prednisone

63) A nurse is providing discharge instructions to a client who has a new diagnosis of Crohn's disease. Which of the following statements by the client indicates an understanding of the teaching?

A) I am likely to gain weight due to this disease

B) I will need to take mild laxatives to help me have a bowel movement

C) Avoiding glutamine will help me recover from this disease

D) I should limit the amount of fiber in my diet

D) I should limit the amount of fiber in my diet

65) A nurse is planning eating strategies with a client who has nausea from equilibrium imbalance. Which of the following strategies should the nurse recommend?

A) Encourage the client to eat even if nauseated

B) Limit fluid intake between meals

C) Provide low-fat carbohydrates with meals

D) Serve hot foods at mealtime

C) Provide low-fat carbohydrates with meals

66) A nurse is assessing a client who is postoperative and has an indwelling urinary catheter. Which of the following findings indicates that the client is experiencing dehydration?

A) BUN 15

B) Urine specific gravity 1.010

C) Urine output of 20 mL/hour

D) Blood pressure 150/82

C) Urine output of 20 mL/hour

67) A nurse is providing nutritional education to a client who is obese. The nurse should include in the information that which of the following gastrointestinal disorders is commonly associated with obesity?

A) Gastroesophageal reflux disease

B) Peptic ulcer disease

C) Crohn's disease

D) Celiac disease

A) Gastroesophageal reflux disease

68) A nurse is teaching a client who reports wanting to lose weight about behavioral modifications. Which of the following statements should the nurse include in the teaching?

A) Make sure to drink water with your meals

B) Your biggest meal of the day should be breakfast

C) Set your weight loss goal to 2.5 pounds per week

D) Meal replacement shakes can cause weight gain

A) Make sure to drink water with your meals

69) A nurse is teaching a class about dietary guidelines to promote cardiovascular health. Which of the following recommendations should the nurse include in the teaching?

A) Increase intake of whole grains

B) Decrease intake of potassium

C) Increase intake of refined carbohydrates

D) Decrease intake of omega 3 fatty acids

A) Increase intake of whole grains