ATI NUTRITION PROCTORED END OF COURSE EXAM
QUESTIONS AND ANSWERS RATED A+
✔✔A nurse is teaching a client who has cancer about appropriate food choices. The
nurse determines that the client understands the information when she chooses which
of the following snacks? Select all that apply.
A. Peanut butter sandwich on whole wheat bread w/2% milk
B. Popcorn w/soda
C. Yogurt topped w/granola & a banana
D. Meat lasagna w/buttered garlic bread
E. Plain baked potato - ✔✔A, C, D
✔✔Three complications of TPN: - ✔✔Diarrhea
Polyuria
Hypocalciumia
✔✔What has more calcium yogurt or cheese? - ✔✔yogurt
✔✔Niacin is found in sources such as: - ✔✔Beef liver
nuts
legumes
whole-grain enriched breads and cereals
✔✔Two medications may be added to PN solutions however administering any IV
medication through a PN IV line or port is contraindicated. What are the two
medications? - ✔✔Heparin and insulin
✔✔Expected reference range for pre-albumin: - ✔✔23-43
✔✔Which of the following food choices is appropriate for a pt. with GERD? Select all
that apply.
A. Baked salmon
B. Skim milk
C. Orange juice
D. Decaffeinated tea
E. Eggs and salsa - ✔✔A, B, D
✔✔For which disease/condition would the nurse teach the client about a gluten-free
diet?
A. A 54 year old man with pancreatitis.
B. A 32 year old woman with celiac disease.
C. A 22 year old man with diverticulitis.
,D. A 76 year old woman with breast cancer. - ✔✔B.
Celiac disease is also known as gluten-sensitive enteropathy (GSE), celiac sprue, and
gluten intolerance. It is chronic & hereditary and the client should be instructed to avoid
gluten.
✔✔Foods/beverages that are gluten-free include: (select all that apply)
A. Milk, cheese, dairy products
B. Beer
C. Fried Eggs
D. Baked potatoes
E. Fruits and vegetables
F. Whole wheat bread - ✔✔A, C, D, E
✔✔A patient who has celiac disease should increase intake of what? - ✔✔simple
carbohydrates (fruits, veggies, milk, etc.)
✔✔A nurse is providing instructions to a client who has a new diagnosis of celiac
disease. Which of the following food choices by the client indicates a need for further
teaching?
A. Potatoes
B. Graham crackers
C. Wild rice
D. Canned pears - ✔✔B.
Graham crackers are made from wheat flour
All others are gluten-free
✔✔A client with what disease will be instructed to avoid foods with seeds or husks
(corn, popcorn, berries, tomatoes)? - ✔✔diverticular
✔✔A nurse is providing instructions to a client who reports constipation & has a
prescription for a high-fiber, low-fat diet. Which of the following food choices by the
client indicates understanding of the teaching?
A. Peanut butter
B. Peeled apples
C. Hardboiled egg
D. Brown rice - ✔✔D
✔✔A nurse is caring for a client post appy. The nurse verifies the postop prescription,
which reads "discontinue NPO status; advance diet as tolerated." Which of the following
are appropriate for the nurse to offer the client? Select all that apply.
,A. Applesauce
B. Chicken broth
C. Sherbet
D. Wheat toast
E. Cranberry juice - ✔✔B, E
A client postop will be on a clear liquid diet following surgery to transition as tolerated
back to normal diet. Cranberry juice and chicken broth are clear liquid selections.
✔✔A nurse is caring for a client who is on a full liquid diet due to dysphagia. Which of
the following nursing actions is the highest priority?
A. Add thickener to liquids.
B. Educate the client about acceptable liquids.
C. Perform a calorie count of consumed liquids.
D. Offer high-protein liquid supplements. - ✔✔A
this is highest priority to reduce the risk of aspiration
✔✔A nurse is performing dietary needs assessments for a group of clients. A
blenderized liquid diet is appropriate for which of the following clients? Select all that
apply.
A. A client who has a wired jaw due to an MVA
B. A client who is 24 hr postop following temporomandibular joint repair
C. A client who has difficulty chewing due to a traumatic brain injury
D. A client who has hypercholesterolemia due to CAD
E. A client who is scheduled for a colonoscopy the next morning - ✔✔A, B, C
✔✔A nurse is assessing a client who is postop following a colon resection. Which of the
following findings indicates that the client is ready to transition from NPO to oral intake?
A. Client report of hunger
B. Urinary output exceeding 30 mL/hr
C. Decrease in incisional pain
D. Passage of flatus - ✔✔D
✔✔A nurse is assisting a client who has a prescription for a mechanical soft diet w/food
selections. Which of the following are appropriate selections by the client? Select all that
apply.
A. Dried prunes
B. Ground turkey
C. Mashed carrots
D. Fresh strawberries
E. Cottage cheese - ✔✔B, C, E
, ✔✔A nurse is teaching a client who is undergoing cancer treatment about interventions
to manage stomatitis. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will try chewing larger pieces of food."
B. "I will avoid toasting my bread."
C. "I will consume more food in the morning."
D. "I will add more citrus foods to my diet." - ✔✔B.
Dry, coarse foods can increase the incidence/risk of stomatitis
✔✔Which of the following food choices by a client undergoing chemotherapy with
presence of stomatitis indicates a need for further teaching?
A. Small pieces of bananas
B. Cut up fresh orange & pineapple slices
C. Yogurt with granola
D. Meat lasagna - ✔✔B
✔✔A nurse is caring for a client who has hypoglycemia. Which of the following is an
appropriate action by the nurse?
A. Offer crackers & cheese
B. Encourage sucking on 8 hard candies
C. Provide 8 oz of regular soda
D. Give juice w/table sugar - ✔✔B
✔✔Which of the following are appropriate dietary choices for a client with cholecystitis?
Select all that apply.
A. Baked lightly-seasoned tilapia
B. Buttered steamed broccoli
C. Skim or 1% low fat milk
D. Whole wheat toast
E. Pasta with cream sauce and onions - ✔✔A, C
✔✔Patients with gallstones, also known as cholecystitis, should avoid what in their diet?
- ✔✔FAT
✔✔A nurse is planning for an older adult client who is receiving treatment for
malnutrition. The client is scheduled for discharge to his home where he lives alone.
Which of the following actions are appropriate to include in the plan of care? (Select all
that apply.)
A. Consult social services to arrange home meal delivery
QUESTIONS AND ANSWERS RATED A+
✔✔A nurse is teaching a client who has cancer about appropriate food choices. The
nurse determines that the client understands the information when she chooses which
of the following snacks? Select all that apply.
A. Peanut butter sandwich on whole wheat bread w/2% milk
B. Popcorn w/soda
C. Yogurt topped w/granola & a banana
D. Meat lasagna w/buttered garlic bread
E. Plain baked potato - ✔✔A, C, D
✔✔Three complications of TPN: - ✔✔Diarrhea
Polyuria
Hypocalciumia
✔✔What has more calcium yogurt or cheese? - ✔✔yogurt
✔✔Niacin is found in sources such as: - ✔✔Beef liver
nuts
legumes
whole-grain enriched breads and cereals
✔✔Two medications may be added to PN solutions however administering any IV
medication through a PN IV line or port is contraindicated. What are the two
medications? - ✔✔Heparin and insulin
✔✔Expected reference range for pre-albumin: - ✔✔23-43
✔✔Which of the following food choices is appropriate for a pt. with GERD? Select all
that apply.
A. Baked salmon
B. Skim milk
C. Orange juice
D. Decaffeinated tea
E. Eggs and salsa - ✔✔A, B, D
✔✔For which disease/condition would the nurse teach the client about a gluten-free
diet?
A. A 54 year old man with pancreatitis.
B. A 32 year old woman with celiac disease.
C. A 22 year old man with diverticulitis.
,D. A 76 year old woman with breast cancer. - ✔✔B.
Celiac disease is also known as gluten-sensitive enteropathy (GSE), celiac sprue, and
gluten intolerance. It is chronic & hereditary and the client should be instructed to avoid
gluten.
✔✔Foods/beverages that are gluten-free include: (select all that apply)
A. Milk, cheese, dairy products
B. Beer
C. Fried Eggs
D. Baked potatoes
E. Fruits and vegetables
F. Whole wheat bread - ✔✔A, C, D, E
✔✔A patient who has celiac disease should increase intake of what? - ✔✔simple
carbohydrates (fruits, veggies, milk, etc.)
✔✔A nurse is providing instructions to a client who has a new diagnosis of celiac
disease. Which of the following food choices by the client indicates a need for further
teaching?
A. Potatoes
B. Graham crackers
C. Wild rice
D. Canned pears - ✔✔B.
Graham crackers are made from wheat flour
All others are gluten-free
✔✔A client with what disease will be instructed to avoid foods with seeds or husks
(corn, popcorn, berries, tomatoes)? - ✔✔diverticular
✔✔A nurse is providing instructions to a client who reports constipation & has a
prescription for a high-fiber, low-fat diet. Which of the following food choices by the
client indicates understanding of the teaching?
A. Peanut butter
B. Peeled apples
C. Hardboiled egg
D. Brown rice - ✔✔D
✔✔A nurse is caring for a client post appy. The nurse verifies the postop prescription,
which reads "discontinue NPO status; advance diet as tolerated." Which of the following
are appropriate for the nurse to offer the client? Select all that apply.
,A. Applesauce
B. Chicken broth
C. Sherbet
D. Wheat toast
E. Cranberry juice - ✔✔B, E
A client postop will be on a clear liquid diet following surgery to transition as tolerated
back to normal diet. Cranberry juice and chicken broth are clear liquid selections.
✔✔A nurse is caring for a client who is on a full liquid diet due to dysphagia. Which of
the following nursing actions is the highest priority?
A. Add thickener to liquids.
B. Educate the client about acceptable liquids.
C. Perform a calorie count of consumed liquids.
D. Offer high-protein liquid supplements. - ✔✔A
this is highest priority to reduce the risk of aspiration
✔✔A nurse is performing dietary needs assessments for a group of clients. A
blenderized liquid diet is appropriate for which of the following clients? Select all that
apply.
A. A client who has a wired jaw due to an MVA
B. A client who is 24 hr postop following temporomandibular joint repair
C. A client who has difficulty chewing due to a traumatic brain injury
D. A client who has hypercholesterolemia due to CAD
E. A client who is scheduled for a colonoscopy the next morning - ✔✔A, B, C
✔✔A nurse is assessing a client who is postop following a colon resection. Which of the
following findings indicates that the client is ready to transition from NPO to oral intake?
A. Client report of hunger
B. Urinary output exceeding 30 mL/hr
C. Decrease in incisional pain
D. Passage of flatus - ✔✔D
✔✔A nurse is assisting a client who has a prescription for a mechanical soft diet w/food
selections. Which of the following are appropriate selections by the client? Select all that
apply.
A. Dried prunes
B. Ground turkey
C. Mashed carrots
D. Fresh strawberries
E. Cottage cheese - ✔✔B, C, E
, ✔✔A nurse is teaching a client who is undergoing cancer treatment about interventions
to manage stomatitis. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will try chewing larger pieces of food."
B. "I will avoid toasting my bread."
C. "I will consume more food in the morning."
D. "I will add more citrus foods to my diet." - ✔✔B.
Dry, coarse foods can increase the incidence/risk of stomatitis
✔✔Which of the following food choices by a client undergoing chemotherapy with
presence of stomatitis indicates a need for further teaching?
A. Small pieces of bananas
B. Cut up fresh orange & pineapple slices
C. Yogurt with granola
D. Meat lasagna - ✔✔B
✔✔A nurse is caring for a client who has hypoglycemia. Which of the following is an
appropriate action by the nurse?
A. Offer crackers & cheese
B. Encourage sucking on 8 hard candies
C. Provide 8 oz of regular soda
D. Give juice w/table sugar - ✔✔B
✔✔Which of the following are appropriate dietary choices for a client with cholecystitis?
Select all that apply.
A. Baked lightly-seasoned tilapia
B. Buttered steamed broccoli
C. Skim or 1% low fat milk
D. Whole wheat toast
E. Pasta with cream sauce and onions - ✔✔A, C
✔✔Patients with gallstones, also known as cholecystitis, should avoid what in their diet?
- ✔✔FAT
✔✔A nurse is planning for an older adult client who is receiving treatment for
malnutrition. The client is scheduled for discharge to his home where he lives alone.
Which of the following actions are appropriate to include in the plan of care? (Select all
that apply.)
A. Consult social services to arrange home meal delivery
