ATI NUTRITION PRACTICE A & B QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
A nurse is caring for a patient who expresses a desire to lose weight. Which of the
following actions should the nurse take first?
A. Recommend checking weight once weekly.
B. Obtain a 24-hour dietary recall.
C. Assist with creating an exercise plan.
D. Initiate a plan for diet modification.
(Ans- B. Obtain a 24-hour dietary recall.
Explanations:
• The nurse should recommend the patient weigh themselves regularly to
monitor weight loss or gain; however, there is another action the nurse should
take first.
• The first action the nurse should take using the nursing process is to obtain
a diet history, such as a 24-hr dietary recall. Having the patient write down
everything consumed over a 24-hr period is a crucial component of the
assessment process to identify eating behaviors and therefore be able to
recommend dietary modifications based on the data received.
• The nurse should assist the patient with the creation of a personalized
exercise plan to increase strength and promote weight loss; however, there is
another action the nurse should take first.
• The nurse should initiate a personalized diet modification plan with the
patient based on the patient's assessment data to promote weight loss;
however, there is another action the nurse should take first.
,A nurse is teaching about nutritional requirements for a patient who is starting
a vegetarian diet. Which of the following information should thenurse include
in the teaching?
• Consume high-fat cheese to replace meats when on a vegetarian diet.
• A vegetarian diet is high in vitamin B12.
• Fewer calories are required when on a vegetarian diet.
• Include two servings per day of nuts when on a vegetarian diet.
(Ans- D. Include two servings per day of nuts when on a vegetarian diet.
Explanations:
• The nurse should instruct the patient to consume low-fat cheese as a protein
substitute. High-fat cheese has more saturated fat and calories thanmeat.
• Foods that contain vitamin B12 are animal-related. The best sources of
dietary vitamin B12 are meats and other animal products. As vitamin B12 is
generally not present in plant-based foods, the nurse should instruct the patient
to take vitamin B12 supplements or consume foods fortified with B12 to
compensate for a potential deficiency.
• patients who are consuming a vegetarian diet require a deceased intake of
dietary fat rather than fewer calories. The nurse should instruct the patientto
increase intake of nutrient-dense foods to avoid the breakdown of the body's
protein for energy requirements.
• The nurse should instruct the patient to eat two servings of nuts or
flaxseed per day to receive the daily requirement of omega-3 fatty acids.
A nurse is caring for a patient who has acute inflammatory bowel disease.
Which of the following nutritional supplements should the nurse anticipate
providing to this patient?
A. Hydrolyzed
formula
B. Polymeric formula
C. Milk-based supplement formula
,D. Modular product supplement formula
(Ans- A. Hydrolyzed formula
Explanations:
• Hydrolyzed or elemental formula provides protein and other nutrients in
their simplest form, requiring little or no digestion and decreasing stimulation
of the bowel. This type of formula is beneficial for patients who
have impaired digestion due to conditions such as inflammatory bowel
disease.
• Polymeric formula contains complex nutrient molecules and is not
indicated for patients who have impaired digestion.
• Milk-based supplemental formulas contain lactose and are poorly
tolerated by patients who have inflammatory bowel disease.
• Modular formulas are intended to increase the intake of a specific
nutrient without increasing volume; they are not intended for patients who
have impaired digestion.
A nurse is teaching a patient who is newly diagnosed with type 1 diabetes
mellitus how to count carbohydrates. Which of the following statements
made by the patient indicates and understanding of the teaching?
A. "I am including vegetables as starch items in my carbohydrate count."
B. "I am limiting the number of carbohydrates to four carbohydrate choices or
60 grams per day."
C. "I know the serving size can affect the number of carbohydrates I eat."
D. "I know the carbohydrate count is dependent on the calories in the food
item."
(Ans- C. "I know the serving size can affect the number of carbohydrates Ieat."
Explanation:
A. The nurse should instruct the patient about the difference between starchyand
nonstarchy vegetables to accurately calculate the carbohydrate count. B. The
nurse should instruct the patient that generally three to five carbohydrate
, choices, or 45 g, are allowed per meal, plus one to two carbohydrate choices for
each snack.
C. The nurse should instruct the patient that the portion size affects thenumber
of carbohydrates.
D. The nurse should instruct the patient that the carbohydrate count is not
dependent on the calorie count of a food item. Fats and proteins can provide
calories as well.
A nurse is providing dietary teaching for a patient who has osteoporosis. Thenurse
should instruct the patient that which of the following foods has the highest
amount of calcium?
• 1 cup avocado
• 2 tablespoons peanut butter
• C. ½ cup roasted sunflower
seeds
• D. ½ cup roasted almonds
(Ans- D. ½ cup roasted almonds
Explanation:
• The nurse should recommend a different food because there is another
choice that contains a higher amount of calcium. One cup of avocado contains
18 mg of calcium.
• The nurse should recommend a different food because there is another
choice that contains a higher amount of calcium. Two tablespoons of peanut
butter contain 17 mg of calcium.
• The nurse should recommend a different food because there is another
choice that contains a higher amount of calcium. One half cup of roasted
sunflower seeds contains 45 mg of calcium.
• The nurse should determine that ½ cup roasted almonds is the best food
source to recommend because ½ cup of almonds contains 185 mg of calcium.
Calcium helps to prevent bone loss in patients who have osteoporosis.
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
A nurse is caring for a patient who expresses a desire to lose weight. Which of the
following actions should the nurse take first?
A. Recommend checking weight once weekly.
B. Obtain a 24-hour dietary recall.
C. Assist with creating an exercise plan.
D. Initiate a plan for diet modification.
(Ans- B. Obtain a 24-hour dietary recall.
Explanations:
• The nurse should recommend the patient weigh themselves regularly to
monitor weight loss or gain; however, there is another action the nurse should
take first.
• The first action the nurse should take using the nursing process is to obtain
a diet history, such as a 24-hr dietary recall. Having the patient write down
everything consumed over a 24-hr period is a crucial component of the
assessment process to identify eating behaviors and therefore be able to
recommend dietary modifications based on the data received.
• The nurse should assist the patient with the creation of a personalized
exercise plan to increase strength and promote weight loss; however, there is
another action the nurse should take first.
• The nurse should initiate a personalized diet modification plan with the
patient based on the patient's assessment data to promote weight loss;
however, there is another action the nurse should take first.
,A nurse is teaching about nutritional requirements for a patient who is starting
a vegetarian diet. Which of the following information should thenurse include
in the teaching?
• Consume high-fat cheese to replace meats when on a vegetarian diet.
• A vegetarian diet is high in vitamin B12.
• Fewer calories are required when on a vegetarian diet.
• Include two servings per day of nuts when on a vegetarian diet.
(Ans- D. Include two servings per day of nuts when on a vegetarian diet.
Explanations:
• The nurse should instruct the patient to consume low-fat cheese as a protein
substitute. High-fat cheese has more saturated fat and calories thanmeat.
• Foods that contain vitamin B12 are animal-related. The best sources of
dietary vitamin B12 are meats and other animal products. As vitamin B12 is
generally not present in plant-based foods, the nurse should instruct the patient
to take vitamin B12 supplements or consume foods fortified with B12 to
compensate for a potential deficiency.
• patients who are consuming a vegetarian diet require a deceased intake of
dietary fat rather than fewer calories. The nurse should instruct the patientto
increase intake of nutrient-dense foods to avoid the breakdown of the body's
protein for energy requirements.
• The nurse should instruct the patient to eat two servings of nuts or
flaxseed per day to receive the daily requirement of omega-3 fatty acids.
A nurse is caring for a patient who has acute inflammatory bowel disease.
Which of the following nutritional supplements should the nurse anticipate
providing to this patient?
A. Hydrolyzed
formula
B. Polymeric formula
C. Milk-based supplement formula
,D. Modular product supplement formula
(Ans- A. Hydrolyzed formula
Explanations:
• Hydrolyzed or elemental formula provides protein and other nutrients in
their simplest form, requiring little or no digestion and decreasing stimulation
of the bowel. This type of formula is beneficial for patients who
have impaired digestion due to conditions such as inflammatory bowel
disease.
• Polymeric formula contains complex nutrient molecules and is not
indicated for patients who have impaired digestion.
• Milk-based supplemental formulas contain lactose and are poorly
tolerated by patients who have inflammatory bowel disease.
• Modular formulas are intended to increase the intake of a specific
nutrient without increasing volume; they are not intended for patients who
have impaired digestion.
A nurse is teaching a patient who is newly diagnosed with type 1 diabetes
mellitus how to count carbohydrates. Which of the following statements
made by the patient indicates and understanding of the teaching?
A. "I am including vegetables as starch items in my carbohydrate count."
B. "I am limiting the number of carbohydrates to four carbohydrate choices or
60 grams per day."
C. "I know the serving size can affect the number of carbohydrates I eat."
D. "I know the carbohydrate count is dependent on the calories in the food
item."
(Ans- C. "I know the serving size can affect the number of carbohydrates Ieat."
Explanation:
A. The nurse should instruct the patient about the difference between starchyand
nonstarchy vegetables to accurately calculate the carbohydrate count. B. The
nurse should instruct the patient that generally three to five carbohydrate
, choices, or 45 g, are allowed per meal, plus one to two carbohydrate choices for
each snack.
C. The nurse should instruct the patient that the portion size affects thenumber
of carbohydrates.
D. The nurse should instruct the patient that the carbohydrate count is not
dependent on the calorie count of a food item. Fats and proteins can provide
calories as well.
A nurse is providing dietary teaching for a patient who has osteoporosis. Thenurse
should instruct the patient that which of the following foods has the highest
amount of calcium?
• 1 cup avocado
• 2 tablespoons peanut butter
• C. ½ cup roasted sunflower
seeds
• D. ½ cup roasted almonds
(Ans- D. ½ cup roasted almonds
Explanation:
• The nurse should recommend a different food because there is another
choice that contains a higher amount of calcium. One cup of avocado contains
18 mg of calcium.
• The nurse should recommend a different food because there is another
choice that contains a higher amount of calcium. Two tablespoons of peanut
butter contain 17 mg of calcium.
• The nurse should recommend a different food because there is another
choice that contains a higher amount of calcium. One half cup of roasted
sunflower seeds contains 45 mg of calcium.
• The nurse should determine that ½ cup roasted almonds is the best food
source to recommend because ½ cup of almonds contains 185 mg of calcium.
Calcium helps to prevent bone loss in patients who have osteoporosis.
