ATI RN NUTRITION PROCTORED FINAL
EXAM FINAL COMPREHENSIVE
ASSESSMENT TEST PAPER QUESTIONS AND
SOLUTIONS
⩥ Diet Management for an older adult with heart failure will include
teaching to:
Answer: -limit sodium (Na) to 2000 mg/day or less
-monitor (possibly restrict to 1.5 L/day) fluid intake
-small meals to decrease effort of eating
-electrolytes may be messed up due to diuretics: potassium, sodium, zinc
(except spinrolactone=K sparing)
⩥ A person with heart failure should have a daily sodium intake of:
Answer: 2000 mg or less
⩥ Foods high in potassium:
Answer: apricots
bananas
potatoes
tomatoes
,avocado
fish
spinach
beans
⩥ Daily cholesterol intake should be less than:
Answer: 200 mg
⩥ DASH diet for HTN:
Answer: -low sodium
-high potassium
-high calcium
⩥ A client with diabetes that may be experiencing hypoglycemia should
be instructed to:
Answer: eat 15-20 g of carbs such as juice, soda, candies, honey, glucose
tablets, etc.
⩥ General nutritional guidelines for a client with diabetes:
Answer: Carbs: 130 g/day from grains, fruits, legumes, milk. No simple
carbs.
,Fats: sat fat less than 7% of total calories, trans fatty acid less than 1% of
total daily caloric intake, limit fried foods.
Cholesterol: 200-300 mg/day
Fiber: 14 g per 1000 calories from beans, oats, veggies, whole grains
Protein: 15-20% total caloric intake from meats, eggs, fish, nuts, beans,
& soy products
NO TOBACCO, LIMIT ALCOHOL
Hyperlipidemia? NO ALCOHOL
Artificial sweeteners okay, except preggo! sucrose (table sugar) can be
included in diabetic diet as long as adequate insulin is available
⩥ A nurse is reinforcing diet teaching to a client who has type 2 DM.
Which of the following should the nurse include in the teaching? Select
all that apply.
A. Carbs should comprise 55% of daily caloric intake
B. Use hydrogenated oils for cooking
, C. Table sugar may be added to cereals
D. Drink an alcoholic beverage w/meals
E. Protein foods can be substituted for carb foods
Answer: A, C, D
Not B-hydrogenated oils contain trans fatty acids & cause
hyperlipidemia
Not E-carbs can be exchanged but not w/proteins
⩥ A nurse is reviewing dietary guidelines to include in the plan of care
for a client who has type 2 DM. Which of the following guidelines
should the nurse include? Select all that apply.
A. Weight management
B. Lipid profile
C. Cultural needs
D. Sleep patterns
E. Personal preferences
Answer: A, B, C, E
⩥ To avoid hypoglycemia, the client should consume alcohol...
Answer: with a meal or immediately after a meal
EXAM FINAL COMPREHENSIVE
ASSESSMENT TEST PAPER QUESTIONS AND
SOLUTIONS
⩥ Diet Management for an older adult with heart failure will include
teaching to:
Answer: -limit sodium (Na) to 2000 mg/day or less
-monitor (possibly restrict to 1.5 L/day) fluid intake
-small meals to decrease effort of eating
-electrolytes may be messed up due to diuretics: potassium, sodium, zinc
(except spinrolactone=K sparing)
⩥ A person with heart failure should have a daily sodium intake of:
Answer: 2000 mg or less
⩥ Foods high in potassium:
Answer: apricots
bananas
potatoes
tomatoes
,avocado
fish
spinach
beans
⩥ Daily cholesterol intake should be less than:
Answer: 200 mg
⩥ DASH diet for HTN:
Answer: -low sodium
-high potassium
-high calcium
⩥ A client with diabetes that may be experiencing hypoglycemia should
be instructed to:
Answer: eat 15-20 g of carbs such as juice, soda, candies, honey, glucose
tablets, etc.
⩥ General nutritional guidelines for a client with diabetes:
Answer: Carbs: 130 g/day from grains, fruits, legumes, milk. No simple
carbs.
,Fats: sat fat less than 7% of total calories, trans fatty acid less than 1% of
total daily caloric intake, limit fried foods.
Cholesterol: 200-300 mg/day
Fiber: 14 g per 1000 calories from beans, oats, veggies, whole grains
Protein: 15-20% total caloric intake from meats, eggs, fish, nuts, beans,
& soy products
NO TOBACCO, LIMIT ALCOHOL
Hyperlipidemia? NO ALCOHOL
Artificial sweeteners okay, except preggo! sucrose (table sugar) can be
included in diabetic diet as long as adequate insulin is available
⩥ A nurse is reinforcing diet teaching to a client who has type 2 DM.
Which of the following should the nurse include in the teaching? Select
all that apply.
A. Carbs should comprise 55% of daily caloric intake
B. Use hydrogenated oils for cooking
, C. Table sugar may be added to cereals
D. Drink an alcoholic beverage w/meals
E. Protein foods can be substituted for carb foods
Answer: A, C, D
Not B-hydrogenated oils contain trans fatty acids & cause
hyperlipidemia
Not E-carbs can be exchanged but not w/proteins
⩥ A nurse is reviewing dietary guidelines to include in the plan of care
for a client who has type 2 DM. Which of the following guidelines
should the nurse include? Select all that apply.
A. Weight management
B. Lipid profile
C. Cultural needs
D. Sleep patterns
E. Personal preferences
Answer: A, B, C, E
⩥ To avoid hypoglycemia, the client should consume alcohol...
Answer: with a meal or immediately after a meal
