ATI NUTRITION PROCTORED EXAM A&B REVIEW
ATI Nutrition A
A nurse is assisting a client who has dysphagia with an oral feeding. Which of the
following actions should the nurse take? (SATA)
Gently palpate the client’s throat during swallowing.
Inspect for food pockets in the mouth before feeding.
Allow the client to rest for 30 minutes before meals.
A nurse is assessing a client who is suspected of having lactose intolerance. Which ofthe
following is an expected finding?
Flatulence
A nurse is providing dietary teaching for a client who has chronic skin ulcers of the
lowerextremities. Which of the following should the nurse recommend as having the
highest amount of zinc?
4 oz ground beef patty
A nurse is administering a continuous tube feeding and 60 mL/hr with 50 mL of water
every 4 hours. What should the nurse document as the total mL of enteral fluid
administered during the 8 hour shift?
580 mL
A nurse is teaching a client about stress management. Which of the following
statements by the client should indicate to the nurse that the client understands the
teaching?
I will take a long walk every evening.
A nurse is providing teaching to a client who reports nausea during pregnancy. Which
ofthe following statements by the client indicates an understanding of the teaching?
I will eat dry cereal before I get out of bed.
A nurse is caring for a client who practices Orthodox Judaism and adheres to a kosher
diet. Which of the following food choices would be appropriate for this client?
Vegetable salad with cheese
A nurse is planning discharge teaching for a client who is postoperative following
placement of a colostomy. Which of the following information should the nurse include?
Increase your intake of foods containing pectin.
A nurse is planning dietary teaching for a client who has dumping syndrome following
agastrectomy. Which of the following interventions should the nurse include in the
,client’splan of care?
Select grains with less than 2 g fiber per serving. (Low fiber grains slow gastric
emptying.)
A nurse is providing information about cardiovascular risk to a client who has received
his lipid panel report. Which of the following is within an expected reference range to
include in the information?
HDL 79 mg/dL (HDL greater than 45 for male and 55 for female is normal.)
A home health nurse is providing dietary teaching to the parents of a 3-year-old child.
Which of the following statements by the parents should the nurse identify as
understanding of the teaching?
I will put low-fat milk in her cup for her to drink (Whole milk only appropriate up to
2 years of age; after that, low-fat or skim milk should be given.)
A nurse is caring for a client who is receiving total parenteral nutrition (TPN) through
aperipherally inserted central catheter. The pharmacist informs the nurse that there
willbe a delay in delivering the next bag of TPN solution. Which of the following
actions should the nurse take?
Infuse dextrose 10% in water when the current infusion ends.
A nurse is teaching a female client about a healthy diet to control hypertension. Which
of the following statements indicates an understanding of the teaching?
I will eat four servings of unsalted nuts per week.
A nurse is caring for a client who is being treated for cancer using chemotherapy.
Whichof the following interventions should the nurse suggest to aid in management of
treatment-related changes in taste?
Use plastic utensils.
A nurse is leading a discussion at a prenatal education class with a group of expectant
mothers who plan to breastfeed. Which of the following instructions should the nurse
include in the teaching?
Plan 5-minute feedings on each breast on the first day after birth. (5-minute nursing
on each breast the first day promotes milk production in both breasts.)
A nurse is providing teaching to a client who has Crohn’s disease. Which of the
following statements by the client indicates and understanding of the teaching?
I will eat eggs for breakfast (easy to digest and high in protein; avoid fiber, fats,and
fructose)
A nurse is teaching a client who is overweight about nutritional recommendations
,during pregnancy. The nurse should identify that which of the following statements by
the clientindicates an understanding of the teaching?
I should take an iron supplement during pregnancy.
A nurse is providing education to an adolescent about making nutrient-dense food
choices. Which of the following statements by the client indicates an understanding of
the teaching?
Canned pinto beans are a better choice than refried beans.
A nurse is performing dietary teaching with a client who has a family history of
cardiovascular disease. Which of the following statements should the nurse include in
the teaching?
Increase your dietary fiber intake. (Increasing dietary fiber decreases LDL and therisk
for cardiovascular disease and stroke.)
A nurse is reviewing the laboratory findings of a client who has acute pancreatitis.
Which of the following is an expected finding?
Increased serum glucose (Decreased insulin production by the pancreas)
A nurse is providing dietary teaching for a client who has COPD. Which of the
followinginstructions should the nurse include in the teaching?
Consume foods that are soft in texture and easy to chew.
A nurse is teaching a client about managing irritable bowel syndrome (IBS). Which of
the following information should the nurse include in the teaching?
Take peppermint oil during exacerbation of manifestations. (Peppermint oilrelaxes
the smooth muscle of the GI tract.)
A nurse in a long-term care facility is monitoring a client who has Parkinson’s disease
during mealtime. Which of the following findings should the nurse identify as the
priority?
The client drools while eating
A nurse is providing teaching to a client who has dumping syndrome and is
experiencing weight loss. Which of the following instructions should the nurse include
inthe teaching?
Consume liquids between meals. (Slows movement of food from the stomach)
A nurse is caring for a client who is at 8 weeks of gestation and has a BMI of 34. The
client asks about weight goals during her pregnancy. The nurse should advise the client
to do which of the following?
Gain approximately 6.8 kg/15 lb
, A nurse is assessing a client who has an elevated blood pressure, headache, and is
sweating. The client recently started taking an MAOI. The nurse should question
theclient regarding the consumption of which of the following foods?
Cheddar cheese (tyramine-rich food that can cause HTN when mixed with MAOI)
A nurse is assessing a client who has diabetes. Which of the following findings should
the nurse identify as a manifestation of hypoglycemia?
Diaphoresis
A nurse is reviewing the laboratory results of a client who has a pressure ulcer. Which of
the following findings should indicate to the nurse that the client is at risk for impaired
wound healing?
Serum albumin 3.0 g/dL (Albumin less than 3.5-5 g/dL indication of malnutritionthat
can lead to poor wound healing.)
A nurse is updating a plan of care for a client who is receiving intermittent enteral
feedings and is experiencing diarrhea. Which of the following interventions should the
nurse include in the plan?
Feed the client in small, frequent volumes.
A nurse is caring for a client who is receiving continuous enteral feedings via an NG
tube. Which of the following actions should the nurse do to reduce the risk for
aspirationif the client develops abdominal distention?
Position the client on his right side.
A nurse is providing teaching regarding diet modifications to a client who is at a high
riskfor cardiovascular disease. The client is accustomed to traditional Mexican foods
and wants to continue to include them in her diet. Which of the following
recommendations should the nurse give the client?
Use canola oil instead of lard for frying.
A nurse in a provider’s office is assessing a client who has HIV. The nurse should
identify which of the following findings as an indication to increase the client’s
nutritionalintake?
Presence of herpes simplex virus infection
A nurse is preparing to administer intermittent enteral tube feedings to a client. In
whatorder should the nurse perform the following actions before beginning the
feeding?
Place the client in Fowler’s position.
Verify tube placement.
Check the residual.
ATI Nutrition A
A nurse is assisting a client who has dysphagia with an oral feeding. Which of the
following actions should the nurse take? (SATA)
Gently palpate the client’s throat during swallowing.
Inspect for food pockets in the mouth before feeding.
Allow the client to rest for 30 minutes before meals.
A nurse is assessing a client who is suspected of having lactose intolerance. Which ofthe
following is an expected finding?
Flatulence
A nurse is providing dietary teaching for a client who has chronic skin ulcers of the
lowerextremities. Which of the following should the nurse recommend as having the
highest amount of zinc?
4 oz ground beef patty
A nurse is administering a continuous tube feeding and 60 mL/hr with 50 mL of water
every 4 hours. What should the nurse document as the total mL of enteral fluid
administered during the 8 hour shift?
580 mL
A nurse is teaching a client about stress management. Which of the following
statements by the client should indicate to the nurse that the client understands the
teaching?
I will take a long walk every evening.
A nurse is providing teaching to a client who reports nausea during pregnancy. Which
ofthe following statements by the client indicates an understanding of the teaching?
I will eat dry cereal before I get out of bed.
A nurse is caring for a client who practices Orthodox Judaism and adheres to a kosher
diet. Which of the following food choices would be appropriate for this client?
Vegetable salad with cheese
A nurse is planning discharge teaching for a client who is postoperative following
placement of a colostomy. Which of the following information should the nurse include?
Increase your intake of foods containing pectin.
A nurse is planning dietary teaching for a client who has dumping syndrome following
agastrectomy. Which of the following interventions should the nurse include in the
,client’splan of care?
Select grains with less than 2 g fiber per serving. (Low fiber grains slow gastric
emptying.)
A nurse is providing information about cardiovascular risk to a client who has received
his lipid panel report. Which of the following is within an expected reference range to
include in the information?
HDL 79 mg/dL (HDL greater than 45 for male and 55 for female is normal.)
A home health nurse is providing dietary teaching to the parents of a 3-year-old child.
Which of the following statements by the parents should the nurse identify as
understanding of the teaching?
I will put low-fat milk in her cup for her to drink (Whole milk only appropriate up to
2 years of age; after that, low-fat or skim milk should be given.)
A nurse is caring for a client who is receiving total parenteral nutrition (TPN) through
aperipherally inserted central catheter. The pharmacist informs the nurse that there
willbe a delay in delivering the next bag of TPN solution. Which of the following
actions should the nurse take?
Infuse dextrose 10% in water when the current infusion ends.
A nurse is teaching a female client about a healthy diet to control hypertension. Which
of the following statements indicates an understanding of the teaching?
I will eat four servings of unsalted nuts per week.
A nurse is caring for a client who is being treated for cancer using chemotherapy.
Whichof the following interventions should the nurse suggest to aid in management of
treatment-related changes in taste?
Use plastic utensils.
A nurse is leading a discussion at a prenatal education class with a group of expectant
mothers who plan to breastfeed. Which of the following instructions should the nurse
include in the teaching?
Plan 5-minute feedings on each breast on the first day after birth. (5-minute nursing
on each breast the first day promotes milk production in both breasts.)
A nurse is providing teaching to a client who has Crohn’s disease. Which of the
following statements by the client indicates and understanding of the teaching?
I will eat eggs for breakfast (easy to digest and high in protein; avoid fiber, fats,and
fructose)
A nurse is teaching a client who is overweight about nutritional recommendations
,during pregnancy. The nurse should identify that which of the following statements by
the clientindicates an understanding of the teaching?
I should take an iron supplement during pregnancy.
A nurse is providing education to an adolescent about making nutrient-dense food
choices. Which of the following statements by the client indicates an understanding of
the teaching?
Canned pinto beans are a better choice than refried beans.
A nurse is performing dietary teaching with a client who has a family history of
cardiovascular disease. Which of the following statements should the nurse include in
the teaching?
Increase your dietary fiber intake. (Increasing dietary fiber decreases LDL and therisk
for cardiovascular disease and stroke.)
A nurse is reviewing the laboratory findings of a client who has acute pancreatitis.
Which of the following is an expected finding?
Increased serum glucose (Decreased insulin production by the pancreas)
A nurse is providing dietary teaching for a client who has COPD. Which of the
followinginstructions should the nurse include in the teaching?
Consume foods that are soft in texture and easy to chew.
A nurse is teaching a client about managing irritable bowel syndrome (IBS). Which of
the following information should the nurse include in the teaching?
Take peppermint oil during exacerbation of manifestations. (Peppermint oilrelaxes
the smooth muscle of the GI tract.)
A nurse in a long-term care facility is monitoring a client who has Parkinson’s disease
during mealtime. Which of the following findings should the nurse identify as the
priority?
The client drools while eating
A nurse is providing teaching to a client who has dumping syndrome and is
experiencing weight loss. Which of the following instructions should the nurse include
inthe teaching?
Consume liquids between meals. (Slows movement of food from the stomach)
A nurse is caring for a client who is at 8 weeks of gestation and has a BMI of 34. The
client asks about weight goals during her pregnancy. The nurse should advise the client
to do which of the following?
Gain approximately 6.8 kg/15 lb
, A nurse is assessing a client who has an elevated blood pressure, headache, and is
sweating. The client recently started taking an MAOI. The nurse should question
theclient regarding the consumption of which of the following foods?
Cheddar cheese (tyramine-rich food that can cause HTN when mixed with MAOI)
A nurse is assessing a client who has diabetes. Which of the following findings should
the nurse identify as a manifestation of hypoglycemia?
Diaphoresis
A nurse is reviewing the laboratory results of a client who has a pressure ulcer. Which of
the following findings should indicate to the nurse that the client is at risk for impaired
wound healing?
Serum albumin 3.0 g/dL (Albumin less than 3.5-5 g/dL indication of malnutritionthat
can lead to poor wound healing.)
A nurse is updating a plan of care for a client who is receiving intermittent enteral
feedings and is experiencing diarrhea. Which of the following interventions should the
nurse include in the plan?
Feed the client in small, frequent volumes.
A nurse is caring for a client who is receiving continuous enteral feedings via an NG
tube. Which of the following actions should the nurse do to reduce the risk for
aspirationif the client develops abdominal distention?
Position the client on his right side.
A nurse is providing teaching regarding diet modifications to a client who is at a high
riskfor cardiovascular disease. The client is accustomed to traditional Mexican foods
and wants to continue to include them in her diet. Which of the following
recommendations should the nurse give the client?
Use canola oil instead of lard for frying.
A nurse in a provider’s office is assessing a client who has HIV. The nurse should
identify which of the following findings as an indication to increase the client’s
nutritionalintake?
Presence of herpes simplex virus infection
A nurse is preparing to administer intermittent enteral tube feedings to a client. In
whatorder should the nurse perform the following actions before beginning the
feeding?
Place the client in Fowler’s position.
Verify tube placement.
Check the residual.
