ATI + Quiz Questions/Answers

A nurse is providing teaching to a young adult who has a history of calcium oxalate renal calculi. Which of the following instructions should the nurse include?

• Consume 1000 mg of dietary calcium daily

• Drink fruit punch or juice with every meal

• Take 1 gram of a vitamin C supplement daily

• Increase your daily bran intake

Consume 1000 mg of dietary calcium daily

A nurse is providing teaching to a client who has gout and urolithiasis. The client asks how to prevent future uric acid stones. Which of the following suggestions should the nurse provide (select all that apply)?

• Take allopurinol as prescribed

• Exercise several times a week

• Limit intake of foods high in purine

• Decrease daily fluid intake

• Avoid citrus juices

• Take allopurinol as prescribed

• Exercise several times a week

• Limit intake of foods high in purine

A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect? (Select all that apply)

• Urine dipstick +2 protein

• Edema in the ankles

• Hyperlipidemia

• Polyuria

• Anorexia

• Urine dipstick +2 protein

• Edema in the ankles

• Hyperlipidemia

• Anorexia

A nurse is conducting dietary teaching with a client who has a history of uric acid stones. Which of the following instructions should the nurse include in the teaching? (Select all that apply)

• Drink adequate fluids during the day

• An important goal is an alkaline urinary pH

• An important therapy is to reduce weight if overweight

• Decrease intake of animal proteins 

• Drink adequate fluids during the day

• An important goal is an alkaline urinary pH

• An important therapy is to reduce weight if overweight

• Decrease intake of animal proteins 

A nurse is teaching a client with chronic kidney disease about pre-dialysis dietary recommendations. The nurse should recommend restricting the intake of which of the following nutrients?

• Protein

• Carbohydrates

• Calcium

• Monounsaturated fats

• Protein

A nurse is teaching a client who has chronic kidney disease Stage 2 about foods and condiments to limit that are high in potassium. Which of the following foods would the nurse need to mention that are considered high in potassium? (Select all that apply)

• Avocado

• Salt substitute

• Sunflower seeds

• Sweet potato

• Avocado

• Salt substitute

• Sunflower seeds

• Sweet potato

A nurse is teaching a client about protein needs when on dialysis. Which of the following instructions should the nurse include in the teaching? (Select all that apply)

• Consume 1.0-1.2 g protein per day to maintain body protein stores

• Take phosphate binders when eating protein-rich foods

• Calcium intake should be ~ 800 mg/day

• Drink fluids that are room temperature

• Consume the majority of daily protein in the morning

• Consume 1.0-1.2 g protein per day to maintain body protein stores

• Take phosphate binders when eating protein-rich foods

• Calcium intake should be ~ 800 mg/day

High biologic value proteins are recommended for clients who have CKD to prevent catabolism of muscle tissue. Which of the following proteins are considered high biologic value? (Select all that apply)

• Eggs

• Soy

• Fish

• Poultry

• Meats

• Dairy

• Eggs

• Soy

• Fish

• Poultry

• Meats

• Dairy

A nurse is teaching a client who has stage 2 chronic kidney disease (CKD) about dietary management. Which of the following information should the nurse include in the instructions

• Limit dairy products to 1 cup/day

• Increase intake of foods high in potassium

• restrict protein intake

• maintain a high phosphorus diet

restrict protein intake

A nurse is completing discharge teaching about diet to a client who has a calcium oxalate-based kidney stone. Which of the following instructions should the nurse include in the teaching?

• Reduce the intake of spinach

• Decrease cauliflower intake

• Limit the consumption of purine substances

• Increase intake of vitamin C supplements

• Reduce the intake of spinach

A nurse is completing discharge teaching about diet and fluid allowance to a client who has a calcium oxalate-based kidney stone. Which of the following instructions should the nurse include in the teaching (Select all that apply)

• Increase intake of vitamin C supplements

• Limit consumption of purine substances

• Drink at least 2L/day

• Decrease calcium intake to less than 400mg/day

Drink at least 2L/day

A nurse is collecting data from a client who has peptic ulcer disease (PUD). Which of the following findings should the nurse expect? (Select all that apply)

• anemia

• swollen lymph nodes

• tarry stools

• steatorrhea

• epigastric pain

• anemia

• Tarry stools

• Epigastric pain

A nurse is planning care for a client who has end stage kidney disease (ESKD). Which of the following should the nurse include in the plan of care? (select all that apply)

• encourage the client to comply with fluid restrictions

• evaluate intake and output

• monitor the client's weight daily

• instruct the client on restricting calories from carbohydrate

• monitor for constipation

• encourage the client to comply with fluid restrictions

• evaluate intake and output

• Monitor the client’s weight daily

• Monitor for constipation

A nurse is instructing a client who has celiac disease about foods to avoid. The nurse recommends the client avoid which of the following?

• Wild rice

• Potatoes

• Graham crackers

• Canned pears

Graham Crackers

Which of the following would be considered treatment for nausea and vomiting? (Select all that apply)

• If intractable, IV nutrition support

• Taking medication with food if necessary

• restoring hydration

• When the cause is unknown, medication that suppresses nausea/vomiting may be prescribed

• If intractable, IV nutrition support

• Restoring hydration

• When the cause is unknown, medication that suppresses nausea/vomiting may be prescribed

For the patient with IBS, nutrition guidelines you might want to share with the patient include (select all that apply).

• A low-FODMAP diet has been found to be helpful for reducing flatulence, abdominal pain, bloating, and diarrhea

• gas-producing foods may aggravate symptoms

• varires among patients, so tolerances are best determined by trial and error

• caffeine-containing beverages may aggravate symptoms

• A low-FODMAP diet has been found to be helpful for reducing flatulence, abdominal pain, bloating, and diarrhea

• gas-producing foods may aggravate symptoms

• varires among patients, so tolerances are best determined by trial and error

• caffeine-containing beverages may aggravate symptoms

Coexisting psychiatric disorders, such as anxiety and depression, can exacerbate symptoms of IBS

True/False

True

Which of the following factors have been known to cause fatty liver (select all that apply)

• Alcohol abuse

• Hypertriglyceridemia

• Long-term total parenteral nutrition

• obesity

• Alcohol abuse

• Hypertriglyceridemia

• Long-term total parenteral nutrition

• obesity

A nurse is teaching a client who has constipation about a high-fiber diet. Which of the following food choices should the nurse include as containing the highest amount of fiber?

• Peanut butter

• Peeled applies

• Hardboiled egg

• Baked potato

Baked potato

A nurse is assessing a client who is postoperative from a gastric bypass and who has just finished eating a meal.Which of the following findings are manifestations of dumping syndrome? (select all that apply)

• Bradycardia

• Dizziness

• Dry skin

• Hypotension

• Diarrhea

• Dizziness

• Hypotension

• Diarrhea

A nurse is reviewing information about following a low-fat diet with a client who is recovering from pancreatitis. Which of the following foods should the nurse recommend? (select all that apply).

• Ribeye steak

• Oatmeal

• Ice cream

• Canned peaches

• Pretzels

• Oatmeal

• Canned peaches

• Pretzels

A nurse is teaching about diet restrictions to a client who has acute kidney injury and is on hemodialysis. Which of the following recommendations should the nurse include in the teaching?

• Calorie intake of 20 to 30 cal/kg

• Decrease total fat intake to 45% of daily calories

• Decrease potassium intake to 100 to 130 mEq/kg

• Limit sodium intake to 4.5 g./day

• Calorie intake of 20 to 30 cal/kg