ATI NURSING EDUCATION
ATI: Virtual scenario Nutrition Exam Questions
With 100% Correct!! 2026/2027
NUTRITION -- Official Exam 2026/2027
50 85% CERTIFIED
QUESTIONS PASSING SCORE RECERTIFICATION
TABLE OF CONTENTS
Section 1 Nutritional Assessment and Screening Q1-Q13
Section 2 Macronutrients and Micronutrients Q14-Q26
Section 3 Nutrition Across the Lifespan Q27-Q38
Section 4 Medical Nutrition Therapy Q39-Q50
Instructions: Select the single best answer for each question. This exam is designed for ATI Virtual Scenario
Nutrition examination preparation. Passing score: 85% (43 questions correct).
ATI: Virtual scenario Nutrition Exam Questions With 100% Correct!! 2026/2027 -- 2026/2027 | Passing Score: 85% | Page 1 of 1
,SECTION 1 | Nutritional Assessment and Screening | Q1-Q13 | ATI: Virtual scenario Nutrition Exam Questions With 100% Correct!!
2026/2027 2026/2027
Q1. Question 1 of 50
A 68-year-old female is admitted to the hospital with a hip fracture. The nurse performs a nutritional
screening using the Mini Nutritional Assessment (MNA) and the patient scores 6 out of 14 on the
screening portion. The nurse recognizes this score indicates which nutritional status category?
A. Normal nutritional status requiring no further intervention
B. At risk of malnutrition requiring a full MNA assessment
C. Malnourished requiring immediate nutritional intervention
D. Borderline status requiring reassessment in 30 days
Correct Answer: A
Rationale:
An MNA screening score of 6 out of 14 indicates the patient is at risk of malnutrition and requires
completion of the full MNA assessment for a definitive classification. A score of 12-14 indicates normal
status. A full MNA score below 17 indicates malnutrition. This intermediate score warrants further
evaluation rather than immediate intervention.
Q2. Question 2 of 50
A 45-year-old male with a history of chronic alcohol use presents with a swollen tongue, cracked
lips, and a magenta-colored rash on sun-exposed areas of his skin. The nurse suspects a specific
vitamin deficiency and anticipates which laboratory finding?
A. Decreased serum vitamin B12 levels with elevated methylmalonic acid
B. Decreased serum riboflavin (B2) levels with elevated homocysteine
C. Decreased serum pyridoxine (B6) levels with elevated xanthurenic acid
D. Decreased serum niacin (B3) levels with elevated tryptophan
Correct Answer: D
Rationale:
A magenta-colored rash on sun-exposed areas, swollen tongue (glossitis), and cracked lips (cheilosis)
are classic signs of riboflavin (B2) deficiency. Niacin deficiency causes pellagra with the 3 Ds (dermatitis,
diarrhea, dementia). B12 deficiency causes megaloblastic anemia and neurological symptoms. B6
deficiency causes microcytic anemia and peripheral neuropathy.
, Q3. Question 3 of 50
A 72-year-old male in a long-term care facility has lost 8 pounds over the past 3 months without
trying. His usual body weight is 165 pounds. The nurse calculates the percentage of weight loss
and determines this represents which severity of weight loss?
A. Mild weight loss requiring monthly monitoring only
B. Insignificant weight loss within normal fluctuation range
C. Severe weight loss requiring urgent nutritional support
D. Moderate weight loss requiring nutritional intervention
Correct Answer: D
Rationale:
An 8-pound weight loss from a baseline of 165 pounds represents a 4.8% weight loss over 3 months,
which is classified as moderate weight loss (2-5% in 1 month, 5-10% in 3 months, or 7.5-10% in 6
months). This warrants nutritional intervention including dietary modification, supplementation, and
monitoring. Severe weight loss exceeds these thresholds.
Q4. Question 4 of 50
A 35-year-old female with anorexia nervosa is admitted with a BMI of 15.2 kg/m2. Laboratory
results show hypokalemia, hypophosphatemia, and low serum albumin. The nurse recognizes that
during initial refeeding, the patient is at highest risk for which life-threatening complication?
A. Hypoglycemia from inadequate carbohydrate intake during refeeding
B. Refeeding syndrome with dangerous electrolyte shifts and fluid overload
C. Catabolic state leading to further muscle wasting and organ failure
D. Superior mesenteric artery syndrome causing gastric outlet obstruction
Correct Answer: D
Rationale:
Refeeding syndrome is the most dangerous complication during initial nutritional rehabilitation of
severely malnourished patients. Carbohydrate refeeding triggers insulin release, causing rapid
intracellular shifts of phosphorus, potassium, and magnesium, leading to cardiac failure, seizures, and
death. Starting at low caloric intake (20-30 kcal/kg/day) with close electrolyte monitoring prevents this.