ATI RN NUTRITION PROCTORED FINAL
EXAM TERMINAL CERTIFICATION
EVALUATION COMPLETE QUESTIONS
WITH FULL SOLUTION ALREADY PASSED
⩥ Diet recommendations for a client at risk for a pressure ulcer:
Answer: increase protein, zinc, and vitamin C to promote healing
⩥ Manifestations of hypoglycemia:
Answer: mild shakiness
mental confusion
sweating
palpitations
headache
lack of coordination
blurred vision
seizures
coma
⩥ A nurse is assessing a client who has hypoglycemia. Which of the
following findings should the nurse expect?
,A. Fruity breath odor
B. Diaphoresis
C. Vomiting
D. Polyuria
Answer: B
⩥ Diet teaching for a client with HIV/AIDS and diarrhea:
Answer: -increased caloric needs=35-55 cal/kg
-high protein diet
-enteral feedings may be needed
-small, frequent meals high in protein, calories, and nutrient dense
-HIV associated wasting is characterized by unintended weight loss of
10% & at least 1 concurrent problem (diarrhea, chronic weakness, or
fever) for at least 30 days
-diarrhea & malabsorption are prominent clinical problems in clients
who have AIDS
-increase fluid intake
⩥ Fluid overload labs:
Answer: o Dilutional hyponatremia <135mEq/dL
o Decreased Hct male 42-52% & female 37-47%
o Decreased urine specific gravity 1.005-1.030
o Decreased albumin 3.5-5g/dL
,⩥ Decreased sodium s/s:
Answer: confusion
headache
nausea
dizzy
abdominal cramping
⩥ Increased sodium s/s:
Answer: confusion
thirst
weakness
⩥ Increased phosphorus s/s:
Answer: numbness/tingling
tetany
decreased calcium
⩥ Decreased potassium s/s:
Answer: irregular HR
muscle weakness
leg cramping
, anorexia
⩥ Increased potassium s/s:
Answer: dysryhthmias
muscle weakness
⩥ Decreased chloride s/s:
Answer: lack of emotion
anorexia
muscle cramping
⩥ A nurse is caring for a client who is receiving TPN. The current bag of
TPN is empty & a new bag is not available on the unit. Which of the
following solutions should the nurse infuse until a new bag of TPN is
available?
A. Dextrose in 10% water
B. 0.45% sodium chloride
C. Dextrose 5% in LR
D. 0.9% sodium chloride
Answer: A
To prevent hypoglycemia
EXAM TERMINAL CERTIFICATION
EVALUATION COMPLETE QUESTIONS
WITH FULL SOLUTION ALREADY PASSED
⩥ Diet recommendations for a client at risk for a pressure ulcer:
Answer: increase protein, zinc, and vitamin C to promote healing
⩥ Manifestations of hypoglycemia:
Answer: mild shakiness
mental confusion
sweating
palpitations
headache
lack of coordination
blurred vision
seizures
coma
⩥ A nurse is assessing a client who has hypoglycemia. Which of the
following findings should the nurse expect?
,A. Fruity breath odor
B. Diaphoresis
C. Vomiting
D. Polyuria
Answer: B
⩥ Diet teaching for a client with HIV/AIDS and diarrhea:
Answer: -increased caloric needs=35-55 cal/kg
-high protein diet
-enteral feedings may be needed
-small, frequent meals high in protein, calories, and nutrient dense
-HIV associated wasting is characterized by unintended weight loss of
10% & at least 1 concurrent problem (diarrhea, chronic weakness, or
fever) for at least 30 days
-diarrhea & malabsorption are prominent clinical problems in clients
who have AIDS
-increase fluid intake
⩥ Fluid overload labs:
Answer: o Dilutional hyponatremia <135mEq/dL
o Decreased Hct male 42-52% & female 37-47%
o Decreased urine specific gravity 1.005-1.030
o Decreased albumin 3.5-5g/dL
,⩥ Decreased sodium s/s:
Answer: confusion
headache
nausea
dizzy
abdominal cramping
⩥ Increased sodium s/s:
Answer: confusion
thirst
weakness
⩥ Increased phosphorus s/s:
Answer: numbness/tingling
tetany
decreased calcium
⩥ Decreased potassium s/s:
Answer: irregular HR
muscle weakness
leg cramping
, anorexia
⩥ Increased potassium s/s:
Answer: dysryhthmias
muscle weakness
⩥ Decreased chloride s/s:
Answer: lack of emotion
anorexia
muscle cramping
⩥ A nurse is caring for a client who is receiving TPN. The current bag of
TPN is empty & a new bag is not available on the unit. Which of the
following solutions should the nurse infuse until a new bag of TPN is
available?
A. Dextrose in 10% water
B. 0.45% sodium chloride
C. Dextrose 5% in LR
D. 0.9% sodium chloride
Answer: A
To prevent hypoglycemia
