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# LATEST ATI RN NUTRITION PROCTORED EXAM
,**1. A nurse is providing dietary teaching about prevention of neural tube defects to a client who is
pregnant. Which of the following nutrients should the nurse recommend?**
A. Calcium
B. **Folate**
C. Vitamin B12
D. Magnesium
**Answer: B. Folate**
*Rationale:* Folate (folic acid) before and during early pregnancy reduces neural tube defects (spina
bifida, anencephaly) by 50-70%. Recommended intake: 400-800 mcg/day.
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**2. What is the expected reference range for prealbumin?**
A. 3.5-5 g/dL
B. **15-35 mg/dL**
C. 10-20 mg/dL
D. 50-70 mg/dL
**Answer: B. 15-35 mg/dL**
*Rationale:* Prealbumin (half-life 2-3 days) is a sensitive marker of acute protein status. Low levels
indicate protein malnutrition. Normal range is 15-35 mg/dL (or 23-43 mg/dL depending on the
laboratory).
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,**3. A client reports paresthesia (numbness/tingling) of the hands and feet. Which deficiency is most
likely?**
A. Iron
B. Riboflavin
C. Vitamin C
D. **Vitamin B12**
**Answer: D. Vitamin B12**
*Rationale:* Vitamin B12 deficiency causes peripheral neuropathy (demyelination of peripheral nerves).
Other signs include weakness, ataxia, and megaloblastic anemia.
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**4. Which nutrient is most important for bone health in older adults?**
A. **Calcium + Vitamin D**
B. Iron + Vitamin C
C. Magnesium + Potassium
D. Zinc + Copper
**Answer: A. Calcium + Vitamin D**
*Rationale:* Calcium is the primary mineral component of bone. Vitamin D enhances intestinal calcium
absorption. For older adults, recommended daily intake is 1200 mg of calcium and 800 IU of vitamin D.
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**5. Which food is a complete protein source?**
A. Legumes
, B. **Salmon**
C. Almonds
D. Gelatin
**Answer: B. Salmon**
*Rationale:* Complete proteins contain all nine essential amino acids. Animal sources (eggs, meat, fish,
poultry, dairy) are complete proteins. Salmon is a complete protein; legumes and nuts are incomplete
proteins.
---
**6. Which food is highest in dietary fiber?**
A. **½ cup cooked lentils**
B. 1 medium banana
C. 1 cup cooked white rice
D. 1 cup applesauce
**Answer: A. ½ cup cooked lentils**
*Rationale:* Legumes (lentils, beans, chickpeas) are excellent sources of both soluble and insoluble
fiber. Lentils provide approximately 8 grams of fiber per half-cup serving.
---
**7. Which vitamin is fat-soluble?**
A. **Vitamin A**
B. Vitamin C
C. Vitamin B1 (thiamine)