ATI RN NUTRITION
CMS PROCTORED EXAM
2026/2027
60 Questions | Scenario-Based | 100% Correct | Graded A+
Content Mastery Series Proctored Examination
ATI Testing – Aligned Format | NGN Standards
Core Domains
Nutritional Assessment & Screening | Macronutrients & Micronutrients
Therapeutic Diets & Medical Nutrition Therapy | Life-Stage Nutrition
Cultural & Religious Dietary Considerations | Enteral & Parenteral Nutrition
Food Safety & Hygiene | Patient Education | Clinical Decision-Making
Proficiency Levels: Level 1 (48.3-66.6%) | Level 2 (66.7-83.2%) | Level 3 (83.3-100%)
, ATI RN Nutrition CMS Proctored Exam – 2026/2027
Table of Contents
Table of Contents .......................................................................................................................................... 2
Introduction .................................................................................................................................................. 3
Exam Structure ............................................................................................................................................. 3
Answer Format ............................................................................................................................................. 3
Section 1: Nutritional Assessment & Screening .......................................................................................... 3
Section 2: Macronutrients & Micronutrients .............................................................................................. 6
Section 3: Therapeutic Diets & Medical Nutrition Therapy ....................................................................... 9
Section 4: Life-Stage Nutrition ................................................................................................................... 12
Section 5: Cultural & Religious Dietary Considerations............................................................................ 15
Section 6: Enteral & Parenteral Nutrition Support ................................................................................... 17
Section 7: Food Safety, Patient Education & Clinical Decision-Making .................................................. 19
Answer Key Summary ................................................................................................................................ 22
Page 2 of 22
, ATI RN Nutrition CMS Proctored Exam – 2026/2027
Introduction
This ATI RN Nutrition CMS Proctored Exam format for 2026/2027 reflects the standardized Content
Mastery Series assessment used to evaluate competency in nursing nutrition care. The exam measures
knowledge of nutritional assessment, therapeutic diets, life-stage considerations, enteral/parenteral
support, food safety, and scenario-based clinical decision-making essential for safe, effective patient
care. The official ATI RN CMS Nutrition proctored assessment consists of exactly 60 items with
proficiency levels defined for Level 1 (48.3–66.6%), Level 2 (66.7–83.2%), and Level 3 (83.3–100%)
performance.
Exam Structure
• 60 multiple-choice questions (official ATI RN CMS Nutrition assessment)
• Single-best-answer and scenario-based nursing nutrition items
• Focus on evidence-based nutritional interventions and clinical judgment
• Aligned with Next Generation NCLEX (NGN) standards
Answer Format
All correct answers are presented in bold and green text. Each question appears in bold font, and
all rationales explaining nutritional principles, clinical judgment applications, patient education
strategies, and scenario-based nursing interventions are written in italic font.
Section 1: Nutritional Assessment & Screening
Questions 1-8
1. A nurse is performing a nutritional assessment on a newly admitted client. Which
method provides the most accurate measurement of the client's usual dietary intake?
A. 24-hour dietary recall
B. Food frequency questionnaire
C. 3-day food diary with portion sizes ✓
D. Direct observation of meals
Rationale: A 3-day food diary with portion sizes provides the most accurate measurement of
usual dietary intake because it captures multiple eating occasions, includes portion
quantification, and reduces recall bias compared to retrospective methods. This tool allows the
nurse to identify patterns, portion sizes, and nutrient adequacy over a representative time
period.
Page 3 of 22
CMS PROCTORED EXAM
2026/2027
60 Questions | Scenario-Based | 100% Correct | Graded A+
Content Mastery Series Proctored Examination
ATI Testing – Aligned Format | NGN Standards
Core Domains
Nutritional Assessment & Screening | Macronutrients & Micronutrients
Therapeutic Diets & Medical Nutrition Therapy | Life-Stage Nutrition
Cultural & Religious Dietary Considerations | Enteral & Parenteral Nutrition
Food Safety & Hygiene | Patient Education | Clinical Decision-Making
Proficiency Levels: Level 1 (48.3-66.6%) | Level 2 (66.7-83.2%) | Level 3 (83.3-100%)
, ATI RN Nutrition CMS Proctored Exam – 2026/2027
Table of Contents
Table of Contents .......................................................................................................................................... 2
Introduction .................................................................................................................................................. 3
Exam Structure ............................................................................................................................................. 3
Answer Format ............................................................................................................................................. 3
Section 1: Nutritional Assessment & Screening .......................................................................................... 3
Section 2: Macronutrients & Micronutrients .............................................................................................. 6
Section 3: Therapeutic Diets & Medical Nutrition Therapy ....................................................................... 9
Section 4: Life-Stage Nutrition ................................................................................................................... 12
Section 5: Cultural & Religious Dietary Considerations............................................................................ 15
Section 6: Enteral & Parenteral Nutrition Support ................................................................................... 17
Section 7: Food Safety, Patient Education & Clinical Decision-Making .................................................. 19
Answer Key Summary ................................................................................................................................ 22
Page 2 of 22
, ATI RN Nutrition CMS Proctored Exam – 2026/2027
Introduction
This ATI RN Nutrition CMS Proctored Exam format for 2026/2027 reflects the standardized Content
Mastery Series assessment used to evaluate competency in nursing nutrition care. The exam measures
knowledge of nutritional assessment, therapeutic diets, life-stage considerations, enteral/parenteral
support, food safety, and scenario-based clinical decision-making essential for safe, effective patient
care. The official ATI RN CMS Nutrition proctored assessment consists of exactly 60 items with
proficiency levels defined for Level 1 (48.3–66.6%), Level 2 (66.7–83.2%), and Level 3 (83.3–100%)
performance.
Exam Structure
• 60 multiple-choice questions (official ATI RN CMS Nutrition assessment)
• Single-best-answer and scenario-based nursing nutrition items
• Focus on evidence-based nutritional interventions and clinical judgment
• Aligned with Next Generation NCLEX (NGN) standards
Answer Format
All correct answers are presented in bold and green text. Each question appears in bold font, and
all rationales explaining nutritional principles, clinical judgment applications, patient education
strategies, and scenario-based nursing interventions are written in italic font.
Section 1: Nutritional Assessment & Screening
Questions 1-8
1. A nurse is performing a nutritional assessment on a newly admitted client. Which
method provides the most accurate measurement of the client's usual dietary intake?
A. 24-hour dietary recall
B. Food frequency questionnaire
C. 3-day food diary with portion sizes ✓
D. Direct observation of meals
Rationale: A 3-day food diary with portion sizes provides the most accurate measurement of
usual dietary intake because it captures multiple eating occasions, includes portion
quantification, and reduces recall bias compared to retrospective methods. This tool allows the
nurse to identify patterns, portion sizes, and nutrient adequacy over a representative time
period.
Page 3 of 22
