ATI RN NUTRITION PROCTORED 2026
EXAM REVIEW NGN 200 QUESTIONS |
CORRECT ANSWERS & DETAILED
RATIONALES | COMPLETE A+ GUIDE
Exam Blueprint (Based on ATI Nutrition Content Outline):
Nutrition Across the Lifespan (15%) – 30 Qs
Nutrient Intake and Metabolism (20%) – 40 Qs
Therapeutic Diets and Conditions (25%) – 50 Qs
Enteral and Parenteral Nutrition (15%) – 30 Qs
Vitamin and Mineral Deficiencies (10%) – 20 Qs
NGN Case Studies and Clinical Judgment (15%) – 30 Qs
Exam Format: Next Generation NCLEX (NGN) – includes multiple-choice,
select-all-that-apply, matrix, cloze, and case study questions.
Time limit (simulated): 3 hours
Passing threshold: 70% (140/200)
SECTION 1: NUTRITION ACROSS THE LIFESPAN – Questions 1–30
1. The parent of a 2-month-old infant asks when to introduce solid foods.
The nurse's best response is:
A) “Start solid foods at 3 months to help the baby sleep through the night.”
B) “Breast milk or formula alone provides adequate nutrition until 6 months
of age.”
C) “Rice cereal can be started at 2 months if mixed with formula.”
,D) “Solids should be delayed until the first tooth erupts.”
Answer: B
Rationale: The American Academy of Pediatrics recommends exclusive
breast milk or formula feeding for the first 6 months of life. Solid foods are
typically introduced around 6 months when the infant demonstrates
developmental readiness (good head control, ability to sit with support, loss
of tongue-thrust reflex).
2. A nurse is teaching a pregnant client about folic acid supplementation.
Which statement indicates understanding?
A) “Folic acid prevents neural tube defects in my baby.”
B) “I can stop taking folic acid after the first month of pregnancy.”
C) “Folic acid is only necessary if I have a family history of birth defects.”
D) “I should take 1000 mcg of folic acid daily.”
Answer: A
*Rationale: Adequate folic acid (400-800 mcg/day) before and during early
pregnancy significantly reduces the risk of neural tube defects such as spina
bifida and anencephaly. Supplementation is recommended for all women of
childbearing age .*
3. A nurse is providing dietary teaching to the parent of a 10-month-old
infant. Which of the following statements by the parent indicates a need for
further teaching?
A) “I will give my baby whole milk instead of formula now that she is 10
months old.”
B) “I will introduce one new food at a time.”
C) “I will avoid giving my baby honey until after 12 months.”
D) “I will cut grapes into small pieces to prevent choking.”
Answer: A
Rationale: Infants should receive breast milk or iron-fortified formula until 12
months of age. Whole milk is not recommended before 12 months because it
,lacks adequate iron and essential fatty acids and can cause gastrointestinal
bleeding. After 12 months, whole milk can be introduced .
4. The parent of an 18-month-old toddler asks about switching to low-fat
milk. Which response is correct?
A) “Toddlers need whole milk until age 2 years for brain development.”
B) “You can switch to skim milk now to prevent obesity.”
C) “Low-fat milk is appropriate after 12 months.”
D) “Toddlers should not drink milk at all.”
Answer: A
Rationale: Whole milk provides necessary fat for myelination and brain
development. The American Academy of Pediatrics recommends whole milk
for children aged 12-24 months. After age 2, transition to low-fat or skim
milk .
5. A school nurse is teaching a group of adolescents about calcium
requirements. Which food should the nurse recommend as the best source
of calcium?
A) Apples
B) Fortified orange juice
C) White bread
D) Green beans
Answer: B
Rationale: Fortified orange juice is an excellent source of calcium. Other
good sources include dairy products (milk, yogurt, cheese), fortified
plant-based milks, and leafy green vegetables .
6. A nurse is providing teaching to a pregnant vegan client about meeting
nutritional needs. Which supplement is most essential?
A) Vitamin B12
B) Vitamin C
C) Vitamin E
, D) Vitamin K
Answer: A
Rationale: Vitamin B12 is found naturally only in animal products. Vegans
are at risk for B12 deficiency, which can cause pernicious anemia and
neurologic damage in both the mother and developing fetus.
Supplementation is essential .
7. A nurse is educating the parent of a toddler about iron-rich foods. Which
food should the nurse recommend?
A) Grapes
B) Cooked spinach and lean beef
C) White rice
D) Applesauce
Answer: B
Rationale: Iron-rich foods include lean red meat, poultry, fish, fortified
cereals, spinach, and beans. Iron deficiency anemia is common in toddlers,
who need approximately 7-10 mg of iron daily .
8. A nurse is providing dietary teaching to the guardians of a 3-year-old
child. Which statement by the guardians indicates understanding?
A) “I will offer my child a cup of peanut butter to dip their celery in.”
B) “I can leave their grapes whole so they can practice getting them with
their fork.”
C) “I can give them popcorn as a snack to provide a serving of whole grains.”
D) “I will put low-fat milk in their cup for them to drink.”
Answer: D
Rationale: At age 3, children should transition from whole milk to low-fat or
skim milk. Whole milk provides necessary fat for neurological development
up to age 2 years, after which low-fat milk is appropriate .
9. An adolescent client is a lacto-ovo vegetarian. The nurse should
recommend which food to increase iron absorption?
A) Milk with meals
EXAM REVIEW NGN 200 QUESTIONS |
CORRECT ANSWERS & DETAILED
RATIONALES | COMPLETE A+ GUIDE
Exam Blueprint (Based on ATI Nutrition Content Outline):
Nutrition Across the Lifespan (15%) – 30 Qs
Nutrient Intake and Metabolism (20%) – 40 Qs
Therapeutic Diets and Conditions (25%) – 50 Qs
Enteral and Parenteral Nutrition (15%) – 30 Qs
Vitamin and Mineral Deficiencies (10%) – 20 Qs
NGN Case Studies and Clinical Judgment (15%) – 30 Qs
Exam Format: Next Generation NCLEX (NGN) – includes multiple-choice,
select-all-that-apply, matrix, cloze, and case study questions.
Time limit (simulated): 3 hours
Passing threshold: 70% (140/200)
SECTION 1: NUTRITION ACROSS THE LIFESPAN – Questions 1–30
1. The parent of a 2-month-old infant asks when to introduce solid foods.
The nurse's best response is:
A) “Start solid foods at 3 months to help the baby sleep through the night.”
B) “Breast milk or formula alone provides adequate nutrition until 6 months
of age.”
C) “Rice cereal can be started at 2 months if mixed with formula.”
,D) “Solids should be delayed until the first tooth erupts.”
Answer: B
Rationale: The American Academy of Pediatrics recommends exclusive
breast milk or formula feeding for the first 6 months of life. Solid foods are
typically introduced around 6 months when the infant demonstrates
developmental readiness (good head control, ability to sit with support, loss
of tongue-thrust reflex).
2. A nurse is teaching a pregnant client about folic acid supplementation.
Which statement indicates understanding?
A) “Folic acid prevents neural tube defects in my baby.”
B) “I can stop taking folic acid after the first month of pregnancy.”
C) “Folic acid is only necessary if I have a family history of birth defects.”
D) “I should take 1000 mcg of folic acid daily.”
Answer: A
*Rationale: Adequate folic acid (400-800 mcg/day) before and during early
pregnancy significantly reduces the risk of neural tube defects such as spina
bifida and anencephaly. Supplementation is recommended for all women of
childbearing age .*
3. A nurse is providing dietary teaching to the parent of a 10-month-old
infant. Which of the following statements by the parent indicates a need for
further teaching?
A) “I will give my baby whole milk instead of formula now that she is 10
months old.”
B) “I will introduce one new food at a time.”
C) “I will avoid giving my baby honey until after 12 months.”
D) “I will cut grapes into small pieces to prevent choking.”
Answer: A
Rationale: Infants should receive breast milk or iron-fortified formula until 12
months of age. Whole milk is not recommended before 12 months because it
,lacks adequate iron and essential fatty acids and can cause gastrointestinal
bleeding. After 12 months, whole milk can be introduced .
4. The parent of an 18-month-old toddler asks about switching to low-fat
milk. Which response is correct?
A) “Toddlers need whole milk until age 2 years for brain development.”
B) “You can switch to skim milk now to prevent obesity.”
C) “Low-fat milk is appropriate after 12 months.”
D) “Toddlers should not drink milk at all.”
Answer: A
Rationale: Whole milk provides necessary fat for myelination and brain
development. The American Academy of Pediatrics recommends whole milk
for children aged 12-24 months. After age 2, transition to low-fat or skim
milk .
5. A school nurse is teaching a group of adolescents about calcium
requirements. Which food should the nurse recommend as the best source
of calcium?
A) Apples
B) Fortified orange juice
C) White bread
D) Green beans
Answer: B
Rationale: Fortified orange juice is an excellent source of calcium. Other
good sources include dairy products (milk, yogurt, cheese), fortified
plant-based milks, and leafy green vegetables .
6. A nurse is providing teaching to a pregnant vegan client about meeting
nutritional needs. Which supplement is most essential?
A) Vitamin B12
B) Vitamin C
C) Vitamin E
, D) Vitamin K
Answer: A
Rationale: Vitamin B12 is found naturally only in animal products. Vegans
are at risk for B12 deficiency, which can cause pernicious anemia and
neurologic damage in both the mother and developing fetus.
Supplementation is essential .
7. A nurse is educating the parent of a toddler about iron-rich foods. Which
food should the nurse recommend?
A) Grapes
B) Cooked spinach and lean beef
C) White rice
D) Applesauce
Answer: B
Rationale: Iron-rich foods include lean red meat, poultry, fish, fortified
cereals, spinach, and beans. Iron deficiency anemia is common in toddlers,
who need approximately 7-10 mg of iron daily .
8. A nurse is providing dietary teaching to the guardians of a 3-year-old
child. Which statement by the guardians indicates understanding?
A) “I will offer my child a cup of peanut butter to dip their celery in.”
B) “I can leave their grapes whole so they can practice getting them with
their fork.”
C) “I can give them popcorn as a snack to provide a serving of whole grains.”
D) “I will put low-fat milk in their cup for them to drink.”
Answer: D
Rationale: At age 3, children should transition from whole milk to low-fat or
skim milk. Whole milk provides necessary fat for neurological development
up to age 2 years, after which low-fat milk is appropriate .
9. An adolescent client is a lacto-ovo vegetarian. The nurse should
recommend which food to increase iron absorption?
A) Milk with meals
