ATI NUTRITION PROCTORED EXAM 2019 RETAKE. QUESTIONS WITH VERIFIED ANSWERS
1. A nurse is assessing a client who is receiving total parental nutrition the nurse should identify which of the following findings as
an adverse effect of TPN? Correct Answer: Weight gain of 1.5 kg per day
RATIONALE: ATI NUTRITION PG 70 Weight gain greater than 1 kg/day: Inform the provider and anticipate a decrease
in the concentration, rate of administration or volume of lipid emulsion.
2. A nurse is teaching a family of a school age child who is obese about the complications of childhood obesity. Which of the
following complications should the nurse include in the teaching? Correct Answer: Hypertension
ATI RATIONALE PG 23: Obesity increases the risk for dyslipidemia, diabetes mellitus type 2, vascular disease,
gallbladder disease, hypertension, osteoarthritis, respiratory problems, some cancers, and sleep apnea
3. A nurse is reviewing the laboratory values of an older adult client. The nurse should identify which of the following findings as an
indication of malnutrition? Correct Answer: Prealbumin 10
ATI RATIONALE PG 22: Prealbumin levels can decrease with an inflammatory process resulting in an inaccurate
measurement. ● Prealbumin levels are used to measure effectiveness of total parenteral nutrition. ● Expected reference range
is 15 to 36 mg/dL. (Less than 10.7 mg/dL indicates severe nutritional deficiency.
4. A nurse is providing teaching to a client about high fiber food. Which of the following foods should the nurse include as
containing the highest amount of fiber? Correct Answer: 1 medium apple with peel
ATI RATIONALE Pg 89: Unpeeled fruit is a better source of fiber (specifically references apples peeled V not peeled)
5. A nurse is teaching an in service about manifestations of hypoglycemia to a group of newly licensed nurses. Which of the
following should the nurse include in the teaching? Correct Answer: Blurred vision
ATI RATIONALE Pg 95: Hypoglycemia is a blood glucose level less than 70 mg/dL. It results from taking too much
insulin, inadequate food intake, delayed or skipped meals, extra physical activity, or consumption of alcohol w/out food.
Manifestations include mild shakiness, mental confusion, sweating, palpitations, headache, lack of coordination, blurred
vision, seizures, and coma.
6. A nurse is providing breakfast for a client who as celiac disease. Which of the following meals should the nurse select? Correct
Answer: Rice cereal w/banana
ATI Rationale Pg 87: Eat foods that are gluten-free (milk, cheese, rice, corn, eggs, potatoes, fruits, vegetables, fresh meats
and fish, dried beans).
7. A nurse is caring for a client who consumes 40,000mcg of vitamin A daily for 3 months. Which of the following findings should
the nurse monitor to identify vitamin A toxicity? Correct Answer: Headache
ATI Rationale Pg: Toxicity can result from retinoids, and is more common in clients who are taking vitamin A supplements
8. A nurse is teaching a client who reports wanting to lose weight about behavioral modifications. Which of the following
statements should the nurse include in the teaching? Correct Answer: Make sure to drink water with your meal.
ATI Rationale pg to promote feeling of fullness (Practice A)
9. A nurse is providing teaching to a client who has type I diabetes. Which of the following statements by the client indicates an
understanding of the teaching? Correct Answer: I will keep my HBA1C at 5% ?
• ATI Rationale Practice A The HbA1c goal level for a client who has diabetes is between 6.5% and 7% indicates the average
blood glucose levels for the previous 100- to 120-day period. Fasting is not required
10. A nurse is administering continuous internal feeding for a client through a .. for percutaneous esophageal gastrostomy tube (PEG
tube). Which of the following actions should the nurse take? Correct Answer: Return gastric content if residual is less than
250 mL.
Ati pg 63: Check gastric residuals if required by the facility, typically every 4 to 6 hr. In some cases, policy or prescription
will indicate whether to return the contents to the client’s stomach or to hold or reduce feedings. The volume that indicates a
, need for intervention for adults ranges from 100 to 500 mL in a single measurement, or at least 250 mL on two consecutive
checks. Returning residual contents to the stomach prevents electrolyte and fluid imbalance. However, returning large
volumes could increase the risk for complications.
11. A nurse is teaching a client who has a goiter appropriate food choice related to dietary needs. Which of following indicates the
client understands the teaching? Correct Answer: I will eat more tuna.
ATI Pg 14: Iodine is used for synthesis of thyroxine, the thyroid hormone that helps regulate metabolism. Iodine is taken up
by the thyroid. When iodine is lacking, the thyroid gland enlarges, creating a goiter. Too much iodine can result in
thyrotoxicosis. Grown food sources vary widely and are dependent on the iodine content of the soil in which they were
grown. Seafood provides a good amount of iodine. Table salt in the U.S. is fortified with iodine, so deficiencies are not as
prevalent. +++++The RDA is 150 mcg for adults
12. A nurse is teaching a group of parents about appropriate food choices for toddlers. Which of the following choices by the parents
demonstrates an understanding of the teaching? Correct Answer: Spaghetti with sauce
ATI pg 47: Toddlers (1-3 yr old) prefer finger foods because of their increasing autonomy. They prefer plain foods to
mixtures, but usually like macaroni and cheese, spaghetti, and pizza
13. A nurse is teaching a client who is receiving bolus feedings through an NG tube about dumping syndrome. The nurse should
instruct the client to report which of the following manifestations? Correct Answer: Dizziness
ATI pg 64: Dumping syndrome occurs due to rapid emptying of the formula into the small intestine, resulting in a fluid shift.
Manifestations include dizziness, rapid pulse, diaphoresis, pallor, and lightheadedness. NURSING ACTIONS: Consider a
change in formula., Decrease the flow rate or total volume of the infusion, Increase the volume of free water if constipated.
Administer the EN at room temperature. Take measures to prevent bacterial contamination.
14. A nurse is assisting in the selection of food for a client who has hypokalemia. Which of the following foods should the nurse
select as it contains the greatest amount of potassium? Correct Answer: 1 small baked potato
ATI pg 13: MAJOR SOURCES of Potassium: Oranges, dried fruits, tomatoes, avocados, dried peas, meats, broccoli,
bananas, dairy products, meats, whole grains, potato
15. A nurse is planning care for a client who is pregnant and plans to breastfeed her newborn. Which of the following information
should the nurse include in the plan of care? Correct Answer: A newborn should breastfeed immediately following birth.
ATI pg 45: The newborn is offered the breast immediately after birth and frequently thereafter. There should be eight to 12
feedings in a 24-hr period
16. A nurse is caring for a client who has dysphasia. Which of the following instructions should the nurse give to the client to
decrease the risk of choking? Correct Answer: Tilt your head forward while you eat.
ATI pg 100: Use semisolid, thickened foods for clients who have dysphagia, and instruct them to sit upright and tilt their
head forward when swallowing
17. A nurse is providing teaching about the dietary recommendations to stop hypertension, DASH diet. Which of the following
instructions should the nurse include? Correct Answer: Consume foods that are high in calcium
ATI pg 78: The Dietary Approaches to Stopping Hypertension (DASH) diet is a low-sodium, high-potassium, high-calcium
diet that has proven to lower blood pressure (systolic and diastolic) and cholesterol.
i. Decrease sodium intake (initially a daily intake of less than 2,300 mg is recommended, and should gradually be
decreased to 1,500 mg for maximum benefit).
ii. Foods high in sodium include canned soups and sauces, potato chips, pretzels, smoked meats, seasonings, and
processed foods.
iii. Include low-fat dairy products to promote calcium intake.
1. A nurse is assessing a client who is receiving total parental nutrition the nurse should identify which of the following findings as
an adverse effect of TPN? Correct Answer: Weight gain of 1.5 kg per day
RATIONALE: ATI NUTRITION PG 70 Weight gain greater than 1 kg/day: Inform the provider and anticipate a decrease
in the concentration, rate of administration or volume of lipid emulsion.
2. A nurse is teaching a family of a school age child who is obese about the complications of childhood obesity. Which of the
following complications should the nurse include in the teaching? Correct Answer: Hypertension
ATI RATIONALE PG 23: Obesity increases the risk for dyslipidemia, diabetes mellitus type 2, vascular disease,
gallbladder disease, hypertension, osteoarthritis, respiratory problems, some cancers, and sleep apnea
3. A nurse is reviewing the laboratory values of an older adult client. The nurse should identify which of the following findings as an
indication of malnutrition? Correct Answer: Prealbumin 10
ATI RATIONALE PG 22: Prealbumin levels can decrease with an inflammatory process resulting in an inaccurate
measurement. ● Prealbumin levels are used to measure effectiveness of total parenteral nutrition. ● Expected reference range
is 15 to 36 mg/dL. (Less than 10.7 mg/dL indicates severe nutritional deficiency.
4. A nurse is providing teaching to a client about high fiber food. Which of the following foods should the nurse include as
containing the highest amount of fiber? Correct Answer: 1 medium apple with peel
ATI RATIONALE Pg 89: Unpeeled fruit is a better source of fiber (specifically references apples peeled V not peeled)
5. A nurse is teaching an in service about manifestations of hypoglycemia to a group of newly licensed nurses. Which of the
following should the nurse include in the teaching? Correct Answer: Blurred vision
ATI RATIONALE Pg 95: Hypoglycemia is a blood glucose level less than 70 mg/dL. It results from taking too much
insulin, inadequate food intake, delayed or skipped meals, extra physical activity, or consumption of alcohol w/out food.
Manifestations include mild shakiness, mental confusion, sweating, palpitations, headache, lack of coordination, blurred
vision, seizures, and coma.
6. A nurse is providing breakfast for a client who as celiac disease. Which of the following meals should the nurse select? Correct
Answer: Rice cereal w/banana
ATI Rationale Pg 87: Eat foods that are gluten-free (milk, cheese, rice, corn, eggs, potatoes, fruits, vegetables, fresh meats
and fish, dried beans).
7. A nurse is caring for a client who consumes 40,000mcg of vitamin A daily for 3 months. Which of the following findings should
the nurse monitor to identify vitamin A toxicity? Correct Answer: Headache
ATI Rationale Pg: Toxicity can result from retinoids, and is more common in clients who are taking vitamin A supplements
8. A nurse is teaching a client who reports wanting to lose weight about behavioral modifications. Which of the following
statements should the nurse include in the teaching? Correct Answer: Make sure to drink water with your meal.
ATI Rationale pg to promote feeling of fullness (Practice A)
9. A nurse is providing teaching to a client who has type I diabetes. Which of the following statements by the client indicates an
understanding of the teaching? Correct Answer: I will keep my HBA1C at 5% ?
• ATI Rationale Practice A The HbA1c goal level for a client who has diabetes is between 6.5% and 7% indicates the average
blood glucose levels for the previous 100- to 120-day period. Fasting is not required
10. A nurse is administering continuous internal feeding for a client through a .. for percutaneous esophageal gastrostomy tube (PEG
tube). Which of the following actions should the nurse take? Correct Answer: Return gastric content if residual is less than
250 mL.
Ati pg 63: Check gastric residuals if required by the facility, typically every 4 to 6 hr. In some cases, policy or prescription
will indicate whether to return the contents to the client’s stomach or to hold or reduce feedings. The volume that indicates a
, need for intervention for adults ranges from 100 to 500 mL in a single measurement, or at least 250 mL on two consecutive
checks. Returning residual contents to the stomach prevents electrolyte and fluid imbalance. However, returning large
volumes could increase the risk for complications.
11. A nurse is teaching a client who has a goiter appropriate food choice related to dietary needs. Which of following indicates the
client understands the teaching? Correct Answer: I will eat more tuna.
ATI Pg 14: Iodine is used for synthesis of thyroxine, the thyroid hormone that helps regulate metabolism. Iodine is taken up
by the thyroid. When iodine is lacking, the thyroid gland enlarges, creating a goiter. Too much iodine can result in
thyrotoxicosis. Grown food sources vary widely and are dependent on the iodine content of the soil in which they were
grown. Seafood provides a good amount of iodine. Table salt in the U.S. is fortified with iodine, so deficiencies are not as
prevalent. +++++The RDA is 150 mcg for adults
12. A nurse is teaching a group of parents about appropriate food choices for toddlers. Which of the following choices by the parents
demonstrates an understanding of the teaching? Correct Answer: Spaghetti with sauce
ATI pg 47: Toddlers (1-3 yr old) prefer finger foods because of their increasing autonomy. They prefer plain foods to
mixtures, but usually like macaroni and cheese, spaghetti, and pizza
13. A nurse is teaching a client who is receiving bolus feedings through an NG tube about dumping syndrome. The nurse should
instruct the client to report which of the following manifestations? Correct Answer: Dizziness
ATI pg 64: Dumping syndrome occurs due to rapid emptying of the formula into the small intestine, resulting in a fluid shift.
Manifestations include dizziness, rapid pulse, diaphoresis, pallor, and lightheadedness. NURSING ACTIONS: Consider a
change in formula., Decrease the flow rate or total volume of the infusion, Increase the volume of free water if constipated.
Administer the EN at room temperature. Take measures to prevent bacterial contamination.
14. A nurse is assisting in the selection of food for a client who has hypokalemia. Which of the following foods should the nurse
select as it contains the greatest amount of potassium? Correct Answer: 1 small baked potato
ATI pg 13: MAJOR SOURCES of Potassium: Oranges, dried fruits, tomatoes, avocados, dried peas, meats, broccoli,
bananas, dairy products, meats, whole grains, potato
15. A nurse is planning care for a client who is pregnant and plans to breastfeed her newborn. Which of the following information
should the nurse include in the plan of care? Correct Answer: A newborn should breastfeed immediately following birth.
ATI pg 45: The newborn is offered the breast immediately after birth and frequently thereafter. There should be eight to 12
feedings in a 24-hr period
16. A nurse is caring for a client who has dysphasia. Which of the following instructions should the nurse give to the client to
decrease the risk of choking? Correct Answer: Tilt your head forward while you eat.
ATI pg 100: Use semisolid, thickened foods for clients who have dysphagia, and instruct them to sit upright and tilt their
head forward when swallowing
17. A nurse is providing teaching about the dietary recommendations to stop hypertension, DASH diet. Which of the following
instructions should the nurse include? Correct Answer: Consume foods that are high in calcium
ATI pg 78: The Dietary Approaches to Stopping Hypertension (DASH) diet is a low-sodium, high-potassium, high-calcium
diet that has proven to lower blood pressure (systolic and diastolic) and cholesterol.
i. Decrease sodium intake (initially a daily intake of less than 2,300 mg is recommended, and should gradually be
decreased to 1,500 mg for maximum benefit).
ii. Foods high in sodium include canned soups and sauces, potato chips, pretzels, smoked meats, seasonings, and
processed foods.
iii. Include low-fat dairy products to promote calcium intake.
