ATI RN Nutrition Online Practice 2020/2021
,1. A nurse in an acute care facility is planning care for a client who has chosen to follow Islamic dietary
laws during Ramadan. Which of the following actions should the nurse plan to take?
a. Provide a snack for the client after sunset
i. Rationale: during Ramadan, pt following Islamic dietary laws eat meals before dawn
and after sunset.
2. A nurse is creating a plan of care for a client who has mucositis following a head and neck radiation
therapy to treat cancer. Which of the following interventions should the nurse include in the plan?
a. Increase fluid intake to 2 L per day
i. Rationale: promotes hydration and peristalsis
3. A nurse is providing discharge teaching to a postpartum client about breast milk use and storage.
Which of the following statements should the nurse make?
a. “You cannot place thawed breast milk back in the freezer”
i. Rationale: The nurse should instruct the client that completely thawed breast milk
can be stored in the refrigerator but must be used within 24 hr. Breast milk that has
been previously frozen should not be refrozen once it has thawed completely.
Thawing creates a possibility for bacterial growth and causes a decrease in
antibacterial activity, which destroys antibodies in the milk.
4. A nurse is caring for a client who adheres to a kosher diet. Which of the following food choices would
be appropriate for this client?
a. Vegetable salad with cheese
i. Rationale: Clients who adhere to a kosher diet can eat dairy products combined with
non-meat products at the same meal.
5. A community health nurse is planning to teach a class about weight management for cardiovascular
health. Which of the following statements should the nurse plan to include?
a. “Plan to lose weight gradually at ½ to 1 pound per week”
i. Rationale: The nurse should inform the participants that losing 0.23 to 0.45 kg (0.5
to 1 lb) per week is a healthy and attainable weight-loss goal. Setting realistic goals
for weight loss is an important element of success. Trying to lose weight too quickly
places clients at risk for nutritional deficiencies and inadequate energy, which can
lead to frustration and defeat
6. A client is experiencing anorexia related to cancer treatment. Which of the following interventions
should the nurse implement to increase the client's nutritional intake?
a. Add extra calories & protein to every meal
i. Rationale: Adding extra calories and protein to every meal will increase the client's
nutritional intake.
7. A nurse is teaching about nutritional requirements for a client who is starting a vegetarian diet.
Which of the following information should the nurse include in the teaching?
a. Include two servings per day of nuts when on a vegetarian diet
i. Rationale: The nurse should instruct the client to eat two servings of nuts or
flaxseed per day to receive the daily requirement of omega-3 fatty acids.
8. A nurse is teaching a female client about a healthy diet to control hypertension. Which of the
following client statements indicates an understanding of the teaching?
a. “I will eat four servings of unsalted nuts per week”
i. Rationale: Female clients should consume four to five servings of unsalted nuts,
seeds, or legumes per week for a heart-healthy diet.
, 9. A nurse is caring for a client who is dehydrated and is receiving intermittent enteral feeding. Which
of the following actions should the nurse plan to take?
a. Provide the formula as a continuous infusion
i. Rationale: A client who is experiencing dehydration should receive a continuous
infusion to prevent receiving a high carbohydrate load with each feeding.
10. A nurse is providing teaching to a client who has dumping syndrome and is experiencing weight loss.
Which of the following instructions should the nurse include in the teaching?
a. Consume liquids between meals
i. Rationale: The nurse should teach the client to drink liquids between meals to slow
movement of food from the stomach.
11. A nurse is providing dietary instructions for a client who has a prescription for warfarin. Which of the
following foods should the nurse recommend the client eat in moderation while taking this
medication?
a. Leafy green vegetables
i. Rationale: The nurse should recommend the client eat in moderation and maintain
consistent intake of leafy green vegetables, which contain a natural form of vitamin
K that can negate the anticoagulation effects of warfarin.
12. A nurse is teaching a client who has hypertension about decreasing sodium intake. Which of the
following information should the nurse include in the teaching?
a. Season foods with herbs and spices
i. Rationale: The nurse should instruct the client to replace salt with herbs and spices
when seasoning foods.
13. A nurse is teaching a prenatal education class about breastfeeding. Which of the following
instructions should the nurse include in the teaching?
a. Plan 5-min feedings on each breast on the first day after birth
i. Rationale: The nurse should instruct the clients to let the newborn nurse for 5 min
on each breast on the first day to promote milk production.
14. A nurse is assessing a client who has type 2 diabetes mellitus. The nurse should recognize which of
the following as a manifestation of hypoglycemia?
a. Confusion
i. Rationale: The nurse should recognize confusion as a manifestation of
hypoglycemia.
15. A nurse is teaching a client who is newly diagnosed with type 1 diabetes mellitus how to count
carbohydrates. Which of the following statements made by the client indicates an understanding of
the teaching?
a. “I know the serving size can affect the number of carbohydrates I eat.”
i. Rationale: The nurse should instruct the client that the portion size affects the
number of carbohydrates
16. A nurse is assessing a client who is suspected of having lactose intolerance. Which of the following is
an expected finding?
a. Flatulence
i. Rationale: Flatulence, bloating, and cramping, and diarrhea are expected findings
associated with lactose intolerance.
17. A nurse is performing a cultural nursing assessment for a client whose religious practices include
fasting 1 day each week. Which of the following questions should the nurse ask the client? (Select all
that apply.)
a. “Are you exempt from fasting during illness?”
b. “Does fasting mean refraining from drinking liquids?”
,1. A nurse in an acute care facility is planning care for a client who has chosen to follow Islamic dietary
laws during Ramadan. Which of the following actions should the nurse plan to take?
a. Provide a snack for the client after sunset
i. Rationale: during Ramadan, pt following Islamic dietary laws eat meals before dawn
and after sunset.
2. A nurse is creating a plan of care for a client who has mucositis following a head and neck radiation
therapy to treat cancer. Which of the following interventions should the nurse include in the plan?
a. Increase fluid intake to 2 L per day
i. Rationale: promotes hydration and peristalsis
3. A nurse is providing discharge teaching to a postpartum client about breast milk use and storage.
Which of the following statements should the nurse make?
a. “You cannot place thawed breast milk back in the freezer”
i. Rationale: The nurse should instruct the client that completely thawed breast milk
can be stored in the refrigerator but must be used within 24 hr. Breast milk that has
been previously frozen should not be refrozen once it has thawed completely.
Thawing creates a possibility for bacterial growth and causes a decrease in
antibacterial activity, which destroys antibodies in the milk.
4. A nurse is caring for a client who adheres to a kosher diet. Which of the following food choices would
be appropriate for this client?
a. Vegetable salad with cheese
i. Rationale: Clients who adhere to a kosher diet can eat dairy products combined with
non-meat products at the same meal.
5. A community health nurse is planning to teach a class about weight management for cardiovascular
health. Which of the following statements should the nurse plan to include?
a. “Plan to lose weight gradually at ½ to 1 pound per week”
i. Rationale: The nurse should inform the participants that losing 0.23 to 0.45 kg (0.5
to 1 lb) per week is a healthy and attainable weight-loss goal. Setting realistic goals
for weight loss is an important element of success. Trying to lose weight too quickly
places clients at risk for nutritional deficiencies and inadequate energy, which can
lead to frustration and defeat
6. A client is experiencing anorexia related to cancer treatment. Which of the following interventions
should the nurse implement to increase the client's nutritional intake?
a. Add extra calories & protein to every meal
i. Rationale: Adding extra calories and protein to every meal will increase the client's
nutritional intake.
7. A nurse is teaching about nutritional requirements for a client who is starting a vegetarian diet.
Which of the following information should the nurse include in the teaching?
a. Include two servings per day of nuts when on a vegetarian diet
i. Rationale: The nurse should instruct the client to eat two servings of nuts or
flaxseed per day to receive the daily requirement of omega-3 fatty acids.
8. A nurse is teaching a female client about a healthy diet to control hypertension. Which of the
following client statements indicates an understanding of the teaching?
a. “I will eat four servings of unsalted nuts per week”
i. Rationale: Female clients should consume four to five servings of unsalted nuts,
seeds, or legumes per week for a heart-healthy diet.
, 9. A nurse is caring for a client who is dehydrated and is receiving intermittent enteral feeding. Which
of the following actions should the nurse plan to take?
a. Provide the formula as a continuous infusion
i. Rationale: A client who is experiencing dehydration should receive a continuous
infusion to prevent receiving a high carbohydrate load with each feeding.
10. A nurse is providing teaching to a client who has dumping syndrome and is experiencing weight loss.
Which of the following instructions should the nurse include in the teaching?
a. Consume liquids between meals
i. Rationale: The nurse should teach the client to drink liquids between meals to slow
movement of food from the stomach.
11. A nurse is providing dietary instructions for a client who has a prescription for warfarin. Which of the
following foods should the nurse recommend the client eat in moderation while taking this
medication?
a. Leafy green vegetables
i. Rationale: The nurse should recommend the client eat in moderation and maintain
consistent intake of leafy green vegetables, which contain a natural form of vitamin
K that can negate the anticoagulation effects of warfarin.
12. A nurse is teaching a client who has hypertension about decreasing sodium intake. Which of the
following information should the nurse include in the teaching?
a. Season foods with herbs and spices
i. Rationale: The nurse should instruct the client to replace salt with herbs and spices
when seasoning foods.
13. A nurse is teaching a prenatal education class about breastfeeding. Which of the following
instructions should the nurse include in the teaching?
a. Plan 5-min feedings on each breast on the first day after birth
i. Rationale: The nurse should instruct the clients to let the newborn nurse for 5 min
on each breast on the first day to promote milk production.
14. A nurse is assessing a client who has type 2 diabetes mellitus. The nurse should recognize which of
the following as a manifestation of hypoglycemia?
a. Confusion
i. Rationale: The nurse should recognize confusion as a manifestation of
hypoglycemia.
15. A nurse is teaching a client who is newly diagnosed with type 1 diabetes mellitus how to count
carbohydrates. Which of the following statements made by the client indicates an understanding of
the teaching?
a. “I know the serving size can affect the number of carbohydrates I eat.”
i. Rationale: The nurse should instruct the client that the portion size affects the
number of carbohydrates
16. A nurse is assessing a client who is suspected of having lactose intolerance. Which of the following is
an expected finding?
a. Flatulence
i. Rationale: Flatulence, bloating, and cramping, and diarrhea are expected findings
associated with lactose intolerance.
17. A nurse is performing a cultural nursing assessment for a client whose religious practices include
fasting 1 day each week. Which of the following questions should the nurse ask the client? (Select all
that apply.)
a. “Are you exempt from fasting during illness?”
b. “Does fasting mean refraining from drinking liquids?”
