NGN 2026 ATI FUNDAMENTALS PROCTORED
EXAM/ACTUAL EXAM WITH QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALES GRADED
A[GUARANTEED DISTINCTION!]
1. A nurse is caring for a patient with a postsurgical wound. When
planning care, which goal will be the priority?
a. Reduce dependent nitrogen balance.
b. Maintain negative nitrogen balance.
c. Promote positive nitrogen balance.
d. Facilitate neutral nitrogen balance.
ANS: C
When intake of nitrogen is greater than output, the body is in positive nitrogen
balance. Positive nitrogen balance is required for growth, normal pregnancy,
maintenance of lean muscle mass and vital orgANS, and wound healing. Negative
nitrogen balance occurs when the body loses more nitrogen than the body gains.
Neutral nitrogen balance occurs when gain equals loss and is not optimal for tissue
healing. There is no such term as dependent nitrogen balance.
2. In providing diet education for a patient on a low-fat diet, which information
is important for the nurse to share?
a. Polyunsaturated fats should be less than 7% of the total calories.
b. TrANS fat should be less than 7% of the total calories.
c. Unsaturated fats are found mostly in animal sources.
d. Saturated fats are found mostly in animal sources.
ANS: D
Most animal fats have high proportions of saturated fatty acids, whereas vegetable
fats have higher amounts of unsaturated and polyunsaturated fatty acids. Linoleic
acid, an unsaturated fatty acid, is the only essential fatty acid in humANS. Diet
recommendations include limiting saturated fat to less than 7% and trANS fat to
less than 1%.
, 3. A nurse is teaching about the energy needed at rest to maintain life-sustaining
activities for a specific period of time. What is the nurse discussing?
a. Resting energy expenditure (REE)
b. Basal metabolic rate (BMR)
c. Nutrient density
d. Nutrients
ANS: B
The basal metabolic rate (BMR) is the energy needed at rest to maintain life-
sustaining activities for a specific period of time. The resting energy expenditure
(REE), or resting metabolic rate, is the amount of energy an individual needs to
consume over a 24-hour period for the body to maintain all of its internal working
activities while at rest. Nutrients are the elements necessary for body processes and
function. Nutrient density is the proportion of essential nutrients to the number of
kilocalories. High–nutrient density foods provide a large number of nutrients in
relation to kilocalories.
4. In general, when a patient’s energy requirements are completely met by
kilocalorie (kcal) intake in food, which assessment finding will the nurse
observe?
a. Weight increases.
b. Weight decreases.
c. Weight does not change.
d. Weight fluctuates daily.
ANS: C
In general, when energy requirements are completely met by kilocalorie (kcal)
intake in food, weight does not change. When kilocalories ingested exceed a
person’s energy demands, the individual gains weight. If kilocalories ingested fail to
meet a person’s energy requirement, the individual loses weight. Fluid, not
kilocalories, causes daily weight fluctuations.
5. A nurse is asked how many kcal per gram fats provided. How should the nurse
EXAM/ACTUAL EXAM WITH QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALES GRADED
A[GUARANTEED DISTINCTION!]
1. A nurse is caring for a patient with a postsurgical wound. When
planning care, which goal will be the priority?
a. Reduce dependent nitrogen balance.
b. Maintain negative nitrogen balance.
c. Promote positive nitrogen balance.
d. Facilitate neutral nitrogen balance.
ANS: C
When intake of nitrogen is greater than output, the body is in positive nitrogen
balance. Positive nitrogen balance is required for growth, normal pregnancy,
maintenance of lean muscle mass and vital orgANS, and wound healing. Negative
nitrogen balance occurs when the body loses more nitrogen than the body gains.
Neutral nitrogen balance occurs when gain equals loss and is not optimal for tissue
healing. There is no such term as dependent nitrogen balance.
2. In providing diet education for a patient on a low-fat diet, which information
is important for the nurse to share?
a. Polyunsaturated fats should be less than 7% of the total calories.
b. TrANS fat should be less than 7% of the total calories.
c. Unsaturated fats are found mostly in animal sources.
d. Saturated fats are found mostly in animal sources.
ANS: D
Most animal fats have high proportions of saturated fatty acids, whereas vegetable
fats have higher amounts of unsaturated and polyunsaturated fatty acids. Linoleic
acid, an unsaturated fatty acid, is the only essential fatty acid in humANS. Diet
recommendations include limiting saturated fat to less than 7% and trANS fat to
less than 1%.
, 3. A nurse is teaching about the energy needed at rest to maintain life-sustaining
activities for a specific period of time. What is the nurse discussing?
a. Resting energy expenditure (REE)
b. Basal metabolic rate (BMR)
c. Nutrient density
d. Nutrients
ANS: B
The basal metabolic rate (BMR) is the energy needed at rest to maintain life-
sustaining activities for a specific period of time. The resting energy expenditure
(REE), or resting metabolic rate, is the amount of energy an individual needs to
consume over a 24-hour period for the body to maintain all of its internal working
activities while at rest. Nutrients are the elements necessary for body processes and
function. Nutrient density is the proportion of essential nutrients to the number of
kilocalories. High–nutrient density foods provide a large number of nutrients in
relation to kilocalories.
4. In general, when a patient’s energy requirements are completely met by
kilocalorie (kcal) intake in food, which assessment finding will the nurse
observe?
a. Weight increases.
b. Weight decreases.
c. Weight does not change.
d. Weight fluctuates daily.
ANS: C
In general, when energy requirements are completely met by kilocalorie (kcal)
intake in food, weight does not change. When kilocalories ingested exceed a
person’s energy demands, the individual gains weight. If kilocalories ingested fail to
meet a person’s energy requirement, the individual loses weight. Fluid, not
kilocalories, causes daily weight fluctuations.
5. A nurse is asked how many kcal per gram fats provided. How should the nurse
