ATI Nutrition Proctored Exam, ATI - Nutrition Proctored Exam 2023

Question 1: A nurse Is providing dietary teaching about prevention of neural tube defects in the fetus to a client who is pregnant. Which of the following nutrients should the nurse recommend?

● Calcium

● Folate

● Vitamin B12

● Magnesium

● folate

Question 2: A nurse is caring for a client who had a stroke and has manifestations of dysphagia.

Which of the following interventions should the nurse take?

● Tilt the clients head backward to facilitate swallowing.

● Use liquids to clear food from the client's mouth

● Add a thickening agent to liquids

● Place the client in a semi-Fowler's position.

● Add a thickening agent to liquids

Question 3: A nurse is providing discharge teaching to an older adult client who lives alone.

Which of the following strategies should the nurse include to address the client's decreased sense

of taste and smell?

● Maintain consistent food textures at mealtimes.

● Use kosher salt in place of table salt.

● Label and date food in the refrigerator.

● Wait 1 hour after eating to consume fluids.

● Maintain consistent food textures at mealtimes

Question 4: A nurse is teaching a client who has a goiter appropriate food choices related to

dietary needs. Which of the following client statements indicates an understanding of the

teaching?

● 'I will eat more tuna"

● "I will eat more red meat"

● "I will eat bananas for a snack"

● "I would eat blueberries every morning"

● 'I will eat more tuna"

Question 5: A nurse is reviewing the laboratory findings of a client who has Clostridium difficile.

Which of the following findings should indicate to the nurse that the client is experiencing fluid

volume deficit?

● Potassium 3.5 mEq/L

● HCT 53%

● Sodium 145 mEq/L

● HbA1c 5%

● HCT 53%

Question 6: A client in the oliguric phase of acute renal failure had a urinary output of 420 ml

during the preceding 24-hour period. How much fluid should the nurse plan to provide the client

over the next 24 hr?

● 2,550 ml

● 1,530 ml

● 920 ml

● 2,040 ml

● 920 ml

Question 7: A nurse is teaching a client ways to manage anorexia while receiving radiation

therapy. Which of the following instructions should the nurse include in the teaching?

● "Limit High-kilocalorie supplements to between meals."

● "Eat hot food rather than cold foods."

● "Avoid overeating during "good" days."

● "Consume nutrition-dense foods first."

● "Consume nutrition-dense foods first."

Question 8: A nurse is teaching a client who is receiving bolus feeding through a nasogastric tube

about dumping syndrome. The nurse should instruct the client to report which of the following

manifestations?

● Constipation

● Bradycardia

● Drowsiness

● Dizziness

●Bradycardia

Question 9: A client is receiving a thiazide diuretic for treatment of hypertension. Which of the

following foods selected by the client reflects understanding of the nurses teaching regarding this

medication?

● Navy beans and ham

● Baked potato

● Cheddar cheese

● Beef broth

● Baked potato

Question 10: 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?

● Limit calcium intake

● Increase potassium intake

● Limit protein intake

● Increase phosphorus intake

● Limit protein intake

Question 11: A nurse is caring for a client who has stomatitis following radiation therapy. Which

of the following interventions is appropriate for the nurse to take?

● Discourage the use of a straw.

● Offer the client frozen bananas as a snack.

● Serve the client hot meals.

● Avoid serving sauces or gravies.

● Offer the client frozen bananas as a snack

A nurse is teaching the Guardians of a school-age child about nutrition. Which of

the following statements should the nurse make?

● You should have your child skip breakfast

● You should eat meals together most of the time

● You should provide your child with whole fat milk

● You should reward good behavior with food

● You should eat meals together most of the time

Question 13: A nurse is assessing an older adult client who has dysphagia and is experiencing

dehydration. Which of the following findings should the nurse expect?

● Tachycardia

● Distended neck veins

● Decrease respiratory rate

● Hypertension

● Tachycardia

Question 14: A nurse is teaching a client who has a new prescription for tetracycline. Which of

the following nutritional considerations should the nurse include in the teaching?

● Increase vitamin C intake while taking this medication

● Avoid taking this medication with milk products

● Eliminate raw fruits and vegetables until 2 weeks after completing this medication

● Take a folic acid supplement while on this medication

● Avoid taking this medication with milk products

Question 15: A nurse is planning care for a client who had a stroke and is having difficulty

eating. Which of the following interventions should the nurse include in the plan?

● Describe food locations as if the clients plate were a clock.

● Encourage the client to chew on both sides of their mouth.

● Place the head of the clients bed to 30 degrees for meals.

● Provide the client with wide grip adaptive utensils.

● Place the head of the clients bed to 30 degrees for meals or describe food locations as if the clients plate were a clock

Question16: A nurse is caring for a client who has malnutrition. Which of the following findings

should the nurse report to the provider?

● BMI of 18.5

● Potassium 3.7 mEq/L

● Phosphorus 3.5 mg/dL

● Albumin 2.5 g/dL

● Albumin 2.5 g/dL

Question 17: A nurse is assessing a client who is postoperative. Which of the following findings

places the client at risk for delayed wound healing?

● Decreased albumin level

● Increase zinc level

● Increase vitamin A level

● Decrease calcium level

● Decreased albumin level

Question 18: 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?

● Eggs

● Shrimp

● Cheese

● Hamburger

● Cheese

Question 19: A nurse is caring for a client who has dysphagia. Which of the following

instructions should the nurse give to the client to decrease the risk of choking?

● Tilt your head forward while you eat

● Let food cool to room temperature before consuming

● Drink water with each bite of food

● Obtain your vitamins in liquid form

● Tilt your head forward while you eat

Question 20: A nurse is assisting a client who has a wound that is not healing. Which of the

following dietary supplements should the nurse recommend?

● Vitamin C

● Potassium

● Vitamin D

● Calcium

● Vitamin C

Question 21: A nurse is teaching a client who is at 10 weeks of gestation about increasing folate

in her diet. Which of the following food choices should the nurse recommend as the best source

of folate?

● ½ cup cooked asparagus

● 1 small banana

● ½ cup plain low-fat yogurt

● 1 medium Apple

● ½ cup cooked asparagus

Question 22: A nurse is providing discharge teaching to a client who was in the first trimester of

pregnancy and has chronic nausea. Which of the following statements by the client indicates an

understanding of the teaching?

● I will include a high-fat food with each meal

● I will eat a high-carbohydrate diet

● I will lie down for one hour after eating

● I will drink 12 oz of water with breakfast

● I will eat a high-carbohydrate diet

Question 23: A nurse is reviewing the laboratory findings of an older adult client. The nurse

should identify which of the following findings as an indication of malnutrition?

● RBC count 5 million/mm3

● Hemoglobin 16 G / DL

● Prealbumin 10 mg / DL

● WBC count 7,000 / mm3

● Prealbumin 10 mg / DL

Question 24: A nurse is teaching a client who has a new colostomy about nutrition. Which of the

following client statements indicates an understanding of the teaching?

● I would chew gum to decrease gas formation

● I will eat a large evening meal

● I will try new foods one at a time

● I will drink 4 to 6 cups of fluid per day

● I will drink 4 to 6 cups of fluid per day or I will try new foods one at a time

Question 25: A nurse is teaching a parent about appropriate snack choices for her 9 month old

infant. Which of the following food choices should the nurse recommend?

● Raw carrots

● Skim milk

● Unsalted popcorn

● Graham crackers

● Graham crackers

Question 26: A nurse is reviewing the laboratory findings of a client who has heart failure. Which

of the following findings indicates that the client is experiencing fluid volume excess?

● Creatinine 0.8 mg / DL

● BUN 10 mg / DL

● Hgb 15 g/dL

● Sodium 140 mEq/L

● BUN 10 mg / DL

Question 27: A nurse is planning a mechanical soft diet for a client who has difficulty chewing.

Which of the following foods should the nurse plan to include on the client's meal tray?

● Peas

● Dried apricots

● Canned pears

● Cashews

● Canned pears

Question 28: A nurse is assessing a client who is receiving Total parenteral Nutrition(TPN). The

nurse should identify which of the following findings as an adverse effect of TPN?

● Temperature 36.1C (97F)

● Weight gain of 1.5 kg (3.3 lb) per day

● Hemoglobin 16 g/dL

● Blood glucose 98 mg / DL

● Weight gain of 1.5 kg (3.3 lb) per day

Question 29: A nurse is planning nutritional care for a group of clients. The nurse should

recommend a high protein, commercially prepared liquid nutritional supplement for which of the

following clients?

● A client who has chronic kidney disease

● A client who has dumping syndrome

● A client who has burns over 21% of total body surface area

● A client who has cholelithiasis and a BMI of 31

● A client who has burns over 21% of total body surface area

Question 30: A nurse is providing dietary teaching to a client about sources of protein. The nurse

should identify which of the following items as a complete protein?

● Legumes

● Salmon

● Almonds

● Gelatin

● Salmon

Question 31 a nurse is developing a plan of care for a client who is receiving radiation therapy

and is experiencing nausea. Which of the following interventions should the nurse include in the

plan?

● Serve low carbohydrate meals

● Administer antiemetics on a schedule

● Ensure foods are served hot

● Provide a snack 30 minutes before treatments

● Administer antiemetics on a schedule

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

Rice cereal with sliced bananas

A nurse is assessing a client at mealtime who is at risk for aspiration following a stroke. Which of the following action should the nurse take?

Instruct the client to tuck her chin when swallowing

A nurse is caring for a client who has dysphagia requires a level two dysphasia diet. Which of the following foods should a nurse provide for the client?

Cottage cheese

A nurse is teaching a client about food high in vitamin A. Which of the following food choices by the client indicates an understanding of the teaching?

Baked sweet potato

A nurse is providing teaching to a client about high-fiber foods. Which of the following foods should a nurse include as maintaining the highest amount of fiber?

One medium apple with the peel or corn flakes and skim milk

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

One small, baked potato

A nurse is planning care for a client who is pregnant and plans to breast-feed her newborn. Which of the following information the nurse include in the plan of care?

Newborn. Should breast-feed, immediately following birth.

A nurse is developing a plan of care for a client who is recovering from a stroke and his family is dysphasia and right sided weakness. Which of the following intervention should the nurse include in the plan of care?

Provide a non skid place mat for the client and meals

A nurse is teaching a client who is 24 hour postpartum about breast-feeding. Which of the following client statements indicates an understanding of the teaching?

I will alternate the first breast that I offer my baby with each feeding

A nurse in a providers office is reviewing the laboratory values of a client who reports a poor appetite. Which of the following value should a nurse reported provider?

Hgb 10 g

A nurse is teaching a group of nurses about the dietary practices to consider when planning care for client to follow a kosher diet. Which of the following dietary practices the nurse include in the teaching?

The client to eat meat and non-dairy margarine together

A nurse is using the Braden scale to assess the clients risk for pressure injury. Which of the following Friday to the nurse identify the greatest risk for developing a pressure injury?

Intermittent paresthesia of the lower extremities

A nurse is teaching about managing hypoglycemia with carbohydrates to a client who has diabetes mellitus. Which of the following foods is the nurse include in the teaching as containing the most carbohydrate?

4 ounces of fruit juice

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

Cook spaghetti with sauce

A nurse is assessing a client who is receiving TPN. The nurse should recognize that which of the following is a metabolic complication associated with an infusion of TPN?

Azotemia

A nurse is providing teaching to a group of clients about retaining nutrients, were preparing food and vegetables. Which of the following client statements indicates an understanding of the teaching?

I keep my ripe fruit in the refrigerator until I eat them

A nurse is teaching a client who has celiac disease about gluten-free foods. Which of the following food should a nurse recommend?

Tapioca

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

I will include 7 ounces of fish in my diet weekly

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

Hypertension

A nurse is teaching a client about nutrition, dense food choices. Which of the following statements by the client indicates an understanding of teaching?

"I should eat oven baked sweet potato fries."

A nurse is providing teaching to a client who has type one DM. Which of the following statements by the client indicates an understanding teaching?

I will keep my HB A1c at 5%

A nurse is teaching a group of clients in my wrist factors for developing diabetes mellitus. The nurse should include which of the following is a risk factor for diabetes?

Abdominal obesity

A nurse is providing dietary teaching for a client who has a body mass index of 28. Which of the following action should the nurse take?

Refer the client for a weight loss support group

A nurse is teaching a parent about recommended protein intake for a toddler. The nurse should identify that which of the following food selections is equivalent to 1 ounces of protein?

One scrambled egg

A nurse is caring for a client who has a small bore jejunostomy tube and is receiving a continues to feeding with a high viscosity formula. Which of the following action should the nurse take to prevent to be from clogging?

Replace the bag and tube and every 24 hours

A nurse is teaching an older client about vitamin D deficiency. The nurse should encourage the client to consume adequate amount of vitamin D to prevent which of the following complications?

Fractures

A nurse is caring for a client who has heart failure and has gained 2 pounds over the last 24 hours. Which of the following intervention should the nurse take?

Reduce the client sodium intake

A nurse is caring for a client who is receiving chemotherapy treatments. The client states, I feel so nauseated after my treatments. Which of the following instruction should the nurse provide the client? Sata

Set up for one hour after eating meals,

Sip fluid slowly throughout the day

consume foods that are served cold

A nurse is administering continuous enteral feedings for a client through a peg tube. Which of the following action should the nurse take?

Return gastric contents if residual is less than 250 ml

A nurse is teaching a in-service about manifestations of hypoglycemia to a group of newly licensed nurses. Which of the following should the nurse include in the teaching?

Blurred vision

A nurse is teaching a group of clients about recommended nutrition for healthy. Which of the following instruction should the nurse include in the teaching?

Limit. Cholesterol intake of 500 mg per day

A nurse is planning care for a client who reports increasingly difficulty swallowing food. Which of the following intervention should the nurse plan to take?

Encourage the client to rest prior to meal times

A nurse is providing dietary take it to a client newly diagnosed with celiac disease. Which of the following information should the nurse take in the teaching?

This condition may cause secondary lactose intolerance

A nurse is caring for a client who has moderate partial thickness burns over 30% of their total body surface area. Which of the following action should the nurse take?

Provide a vitamin C supplement

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

One cup of broccoli

A nurse is caring for a client who consume 40,000 µg of vitamin D daily for three months. For which of the following finding should the nurse monitor to identify vitamin a toxicity?

Headache

A nurse is caring for an older adult client who reports difficulty chewing them to your fitting dentures. Which of the following foods to the nurse recommend for the client?

Tunafish

A nurse matches the clients wait at 70 kg in height at 1.6 m. What is the clients body mass index?

27

A nurse should be for the laboratory report of a client who is undergoing nutrition is going to do to a Ridge for chronic kidney disease. The nurse should identify that which of the following results indicate the need for further assessment?

Serum creatinine, 3.5 mg.

A nurse is providing dietary teaching to a client who has a new diagnosis of gastroesophageal reflux disease. Which of the following foods or beverages should the nurse recommended to minimize heartburn?

Orange juice

Decaffeinated coffee

Peppermint

Potatoes

Potatoes

A nurse is preparing g to teach a group of clients about vitamins and minerals. The nurse should include in the teaching that which of the following minerals is necessary for the transmission of nerve impulses?

Phosphorus

Calcium

Chloride

Zinc

Calcium

A nurse is caring for a client who has a body mass index (BMI) of 30. Four weeks after nutritional counseling, which of the following evaluation findings indicates the plan of care was followed?

BMI of 25

Weight gain of 1.8kg

BMI of 33

Weight loss of 2.7kg

weight loss of 2.7 kg

A nurse is caring for a client who follows the dietary laws of Orthodox Judaism. Which of the following meal choices should the nurse request for the client?

Turkey and cheese sandwich

Spaghetti with tomato sauce

Pork chop and applesauce

Scrambled eggs and bacon

Spaghetti with tomato sauce

A nurse is a long-term care facility is developing strategies to promote increased food intake for an older adult client. Which of the following interventions should the nurse implement?

Offer sugar substitutes to increase the client's appetite.

Provide opportunities to eat three large meals per day.

Provide entertainment while the client is eating.

Offer finger foods at mealtime.

Offer finger foods at mealtime.

A nurse is caring for four clients. The nurse should plan to administer total parenteral nutrition for which of the following clients?

A client who is postoperative following a laminectomy and is receiving IV PCA

A client who has dysphagia and does not recognize his family

A client who has COPD and is going home with oxygen

A client who has colon cancer and will undergo a hemicolectomy

A client who has colon cancer and will undergo a hemicolectomy

A nurse is performing a nutritional evaluation for a client who reports paresthesia of the hands and feet. The nurse should identify this manifestation as an indication of which of the following dietary deficiencies?

Iron

Riboflavin

Vitamin C

Vitamin B12

Vitamin B12

A nurse is caring for a client who reports she is having difficulty losing weight. Which of the following responses by the nurse is appropriate?

Eat small portions of the high-calorie foods first.

Set a goal and you will be able to attain it.

It is helpful to self-monitor your eating.

Taste food while cooking to help curb your appetite.

Eat small portions of the high-calorie foods first.

A nurse is providing discharge teaching about food choices to a client who has hypokalemia. Which of the following foods should the nurse identify as the best source of potassium?

1 cup grapes

1 cup shredded lettuce

1 cup cooked tomatoes

1 cup apple slices

1 cup cooked tomatoes

A nurse is providing teaching to an obese client who has gestational diabetes and is at 25 weeks of gestation. Which of the following statements made by the client indicates a need for further teaching?

This does not mean that my baby will have this disease.

This means that I will have diabetes for the rest of my life.

If I feel dizzy, I should drink six ounces of a non-diet soda.

Being obese might be one reason why I developed diabetes.

This means that I will have diabetes for the rest of my life.

A nurse is planning care for a client who has ascites secondary to liver disease. Which of the following interventions should the nurse include in the plan of care?

Reduce complex carbohydrates to 30% of total calories.

Restrict protein intake to less than 0.8 g/kg/day.

Decrease daily caloric intake by 20%.

Limit sodium to 2000 mg or less per day.

Limit sodium to 2000 mg or less per day.

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

Encourage the client to eat even if nauseated.

Provide low-fat carbohydrates with meals.

Limit fluid intake between meals.

Serve hot foods at mealtime.

Provide low-fat carbohydrates with meals.

A nurse is discussing denture care with the partner of a client who is unable to perform oral hygiene. Which of the following should be included in the discussion?

Floss dentures as part of daily cleaning.

Wipe dentures before storing them in a dry container at night.

Wrap gloved fingers with gauze to remove dentures.

Use a washcloth to clean the denture surfaces.

Wrap gloved fingers with gauze to remove dentures.

A nurse is caring for a 30-month-old toddler and is preparing a nutritional snack. Which of the following foods is appropriate for the nurse to offer the toddler?

Plain popcorn

Grapes

Raw carrots

Cheese

Cheese

A nurse is assessing the nutritional status of an infant who is 6 months old. The infant weighed 2.7 kg at birth. Which of the following indicate to the nurse that the infant is within expected range?

5.5 kg

6.4 kg

4.5 kg

3.6 kg

5.5 kg

. A nurse is reinforcing dietary teaching with a client who has vitamin A deficiency. Which of the following food choices should the nurse recommend the best source of vitamin A?

1 small baked sweet potato

1 cup avocado

1 cup green beans

1 large apple

1 small baked sweet potato

. A nurse is teaching a client who has chronic kidney disease about dietary needs. Which of the following foods should the nurse identify as being the lowest in phosphorus?

Medium apple

Bran cereal

Scrambled eggs

Ground turkey

Medium apple

A nurse is caring for a client who is receiving chemotherapy treatments. The client states, "I feel so nauseated after my treatments." Which of the following instructions should the nurse provide the client? (Select all that apply.)

Common foods that are served cold.

Limit use of antiemetics until after first emesis.

Sit up for 1 hr after eating meals.

Eat foods low in carbohydrates.

Sip fluids slowly throughout the day.

Common foods that are served cold.

Sit up for 1 hr after eating meals.

Sip fluids slowly throughout the day.

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?

Peptic ulcer disease

Gastroesophageal reflux disease

Celiac disease

Crohn's disease

Gastroesophageal reflux disease

A nurse is completing a nutritional assessment of an adult female client. Which of the following findings should indicate to the nurse that the client is at an increased risk of developing cancer?

Eats at least 5 servings of fruits and vegetables daily.

Eats 6 servings of whole grains daily.

Limits alcohol consumption to 2 drinks per day.

Limits red meat intake to 3oz per day

Limits alcohol consumption to 2 drinks per day.

A nurse is providing dietary teaching to a client who has a body mass index of 28. Which of the following actions should the nurse take?

Encourage the client to continue current daily caloric intake.

Recommend a total fiber intake of 12g each day.

Advise the client to add 500 calories per day to the diet.

Refer the client to a weight-loss support group.

Refer the client to a weight-loss support group.

A nurse is teaching a client about complete and incomplete proteins. Which of the following foods should the nurse include in the teaching as an incomplete protein?

[]4oz chickpeas

2 poached eggs

2oz cheddar cheese

4oz salmon fillet

[]4oz chickpeas

A nurse is teaching a client about strategies to prevent constipation. Which of the following statements by the client indicates an understanding of the teaching?

Drinking four to five glasses of water per day will prevent constipation.

I should consume mineral oil once per day.

Eating foods high in fiber will make elimination easier.

I can skip a meal if I feel bloated.

Eating foods high in fiber will make elimination easier.

A nurse has just inserted an NG tube for a client who is to start enteral tube feedings. Which of the following actions should the nurse take to verify tube placement?

Measure the tube length.

Obtain an abdominal x-ray.

Flush the tube with 20 mL of water.

Auscultate the client's lungs

Obtain an abdominal x-ray.

. A nurse is admitting a client who practices Hinduism. The nurse should identify that which of the following foods is prohibited according to Hindu dietary practices?

Pork

Chicken

Beef

Seafood

Beef

A nurse is developing a plan of care for a client who has anorexia nervosa. Which of the following actions should the nurse include in the plan?

Encourage the client to participate in developing a system of rewards.

Arrange for someone to remain with the client for 30 min after meals

Offer the client a selection of beverages at each meal.

Inform the client that a weight gain of 2.3 kg per week is expected.

Encourage the client to participate in developing a system of rewards.

A client is prescribed a 1500 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 per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

50

A home health nurse is conducting an initial visit with an older adult client. The client lives alone and has difficulty preparing his own meals. Which of the following actions should the nurse take first?

Discuss nutritional requirements with the client.

Refer the client to a senior citizen center.

Arrange for a home-delivered meal program.

Perform a nutrition screening.

Perform a nutrition screening.

. A nurse is providing teaching about formula feeding to the parents of an infant. Which of the following instructions should the nurse include?

Formula that remains in the bottle should be used for one more feeding.

Formula should be changed to whole milk when the infant is 9 months old.

If the infant is gaining weight too rapidly, dilute the formula.

If the infant turns away after taking most of the feeding, stop the feeding.

If the infant turns away after taking most of the feeding, stop the feeding.

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?

Baked ham

Processed cheese

Broiled salmon

Canned potato soup

Broiled salmon