EXAM 2023
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This document, "ATI NUTRITION PROCTORED RETAKE EXAM 2023", covers essential topics in nutrition,
including prevention of neural tube defects, safe swallowing techniques, malnutrition assessment, and
dietary management of various conditions. It provides 132 questions with correct answers and detailed
explanations, serving as a study resource for nurses to review and understand key concepts in nutrition
care. By utilizing this document, students can engage in in-depth review of complex nutrition-related
topics, enhancing their knowledge and preparation for exams.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
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EXAM QUESTIONS
QUESTION 1
A nurse is caring for a client who is pregnant and inquiring about ways to prevent neural tube defects
in the fetus. Which of the following nutrients should the nurse recommend to minimize the risk of
neural tube defects?
A) Calcium supplements
B) Folate-rich foods, such as leafy greens and fortified cereals
C) Vitamin B12 injections
D) Magnesium-rich foods, like dark chocolate and almonds
CORRECT ANSWER
B) Folate-rich foods, such as leafy greens and fortified cereals
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, RATIONALE: Folate is the primary nutrient that helps prevent neural tube defects, such as spina bifida and anencephaly.
The American College of Obstetricians and Gynecologists recommends that pregnant women consume 400-800 mcg of
folic acid daily. Leafy greens and fortified cereals are rich in folate, making them a crucial part of a pregnant woman's
diet.
QUESTION 2
A client arrives at the emergency department with acute dysphagia following a stroke. To facilitate
safe swallowing, the nurse should consider which of the following interventions?
A) Tilt the client's head backward to facilitate swallowing.
B) Use liquids to clear food from the client's mouth.
C) Place the client in a semi-Fowler's position.
D) Add a thickening agent to liquids.
CORRECT ANSWER
D) Add a thickening agent to liquids.
RATIONALE: Thickening agents help modify food and liquids to prevent aspiration by reducing the likelihood of liquids
being inhaled. This intervention is essential in managing dysphagia. Tilt head backward (A) is not recommended as it
can cause food and liquids to pool in the throat, while semi-Fowler's position (C) is often used to ease breathing but not
specifically for dysphagia management. Liquids to clear food (B) may not effectively manage dysphagia in this acute
context.
QUESTION 3
The nurse is assessing a patient who has experienced a significant decline in taste and smell,
indicating potential malnutrition. The nurse needs to provide effective nutritional guidance to
promote healthy eating habits.
A) Encourage the patient to increase salt intake to enhance flavor.
B) Suggest serving foods with a variety of textures and presentation styles to stimulate interest.
C) Recommend labeling and dating perishable foods to prevent spoilage.
D) Instruct the patient to wait for 1 hour after meals before consuming water.
CORRECT ANSWER
B) Suggest serving foods with a variety of textures and presentation styles to stimulate interest.
RATIONALE: Suggesting a variety of textures and presentation styles can help stimulate interest in mealtime, increasing
the likelihood of adequate nutrition and hydration. This strategy addresses the patient's decreased sense of taste and
smell. Increasing salt intake (A) may exacerbate health issues. Labeling and dating perishable foods (C) is essential but
unrelated to the patient's eating habits. Instructing the patient to wait 1 hour after meals before consuming water (D)
has no known benefit for taste or smell.
QUESTION 4
A patient has a prescription for selenium supplements to manage a thyroid condition. The nurse
teaches the patient about dietary choices to support supplement effectiveness. The patient states, "I
will eat more tuna." Which of the following statements indicates an understanding of the teaching?
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, A) "I will eat more red meat."
B) "I will eat bananas for a snack."
C) "I will eat blueberries every morning."
D) "I will eat canned fish instead of fresh fish."
CORRECT ANSWER
D) "I will eat canned fish instead of fresh fish."
RATIONALE: The correct answer is D) "I will eat canned fish instead of fresh fish," because tuna is a better source of
selenium when it is consumed in its pure form (canned in water or olive oil) rather than when it's mixed with other
ingredients or prepared with added fat. Options A, B, and C do not support the effectiveness of selenium supplements
and may even interfere with them.
QUESTION 5
The nurse receives report on four clients, including a patient with Clostridium difficile. Reviewing
laboratory findings, the nurse identifies a client who is at risk for fluid volume deficit. Which of the
following laboratory values indicates this risk?
A) Potassium 4.2 mEq/L
B) Hematocrit (HCT) 53%
C) Sodium 130 mEq/L
D) Hemoglobin A1c (HbA1c) 6%
CORRECT ANSWER
B) Hematocrit (HCT) 53%
RATIONALE: A hematocrit (HCT) of 53% indicates a possible fluid volume deficit in a patient with Clostridium difficile,
as this value can be associated with dehydration and electrolyte imbalances. Options A, C, and D are incorrect, as they
do not indicate fluid volume deficit.
QUESTION 6
A client reports experiencing decreased urination, and the nurse assesses the client's fluid status. The
client has a 24-hour urine output of 420 mL. What fluid volume should the nurse plan to provide the
client over the next 24 hours?
A) 2,550 mL
B) 1,530 mL
C) 920 mL
D) 2,040 mL
CORRECT ANSWER
C) 920 mL
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, RATIONALE: The client is experiencing oliguric acute renal failure, which is characterized by decreased urine output.
The nurse should plan to provide a fluid volume that replaces the client's losses and maintains fluid balance. The goal is
to provide 20-25 mL/kg/day, which for a 70 kg client is approximately 1.4-1.75 L/day. Considering the client's urine
output, the nurse should plan to provide 920 mL over the next 24 hours to meet their fluid needs. Options A and D are
excessive, and option B is insufficient, as they do not consider the client's specific fluid needs.
QUESTION 7
A nurse observes a client with a history of anorexia nervosa, scheduled to undergo radiation therapy.
The nurse aims to provide nutrition guidance to support the client's treatment. Which instruction
should the nurse prioritize for this client during radiation therapy?
A) Avoid high-kilocalorie supplements to prevent weight gain.
B) Consume a meal 1 hour before radiation therapy for energy.
C) Prioritize cold foods to aid in digestion.
D) Limit high-calorie supplements to between meals.
CORRECT ANSWER
D) Limit high-calorie supplements to between meals.
RATIONALE: The nurse should instruct the client to consume high-calorie supplements between meals to maintain
energy and support treatment during radiation therapy. This strategy helps manage anorexia while avoiding overeating
during "good" days.
QUESTION 8
After reviewing the client's chart, the nurse identifies a need to educate the patient on potential
complications of the nasogastric tube feeding. The nurse instructs the patient to report manifestations
of dumping syndrome to the healthcare team. Which symptom should the patient report immediately
to the nurse?
A) Diarrhea
B) Bradycardia
C) Dizziness
D) Constipation
CORRECT ANSWER
B) Bradycardia
RATIONALE: Dumping syndrome, a complication of nasogastric tube feeding, can cause rapid emptying of the stomach
contents into the small intestine, leading to symptoms such as bradycardia, dizziness, and nausea. Bradycardia is the
most immediate symptom that requires medical attention, as it can indicate a severe reaction to the rapid gastric
emptying.
QUESTION 9
The healthcare provider prescribes a thiazide diuretic to manage the client's hypertension. Which of
the following self-selected meal choices demonstrates the client's understanding of the nurse's
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