ATI RN Nutrition Online Practice 2019 A & B (UPDATED 2022/2023)
ATI RN Nutrition Online Practice 2019 A
1. A nurse in an acute care facility is
... [Show More] planning care for a client who has chosen to follow Islamic dietary laws during Ramadan. Which of the following actions should the nurse plan to take?
a. Provide a snack for the client after sunset
i. Rationale: during Ramadan, pt following Islamic dietary laws eat meals before dawn and after sunset.
2. A nurse is creating a plan of care for a client who has mucositis following a head and neck radiation therapy to treat cancer. Which of the following interventions should the nurse include in the plan?
a. Increase fluid intake to 2 L per day
i. Rationale: promotes hydration and peristalsis
3. A nurse is providing discharge teaching to a postpartum client about breast milk use and storage. Which of the following statements should the nurse make?
a. “You cannot place thawed breast milk back in the freezer”
i. Rationale: The nurse should instruct the client that completely thawed breast milk can be stored in the refrigerator but must be used within 24 hr. Breast milk that has been previously frozen should not be refrozen once it has thawed completely. Thawing creates a possibility for bacterial growth and causes a decrease in antibacterial activity, which destroys antibodies in the milk.
4. A nurse is caring for a client who adheres to a kosher diet. Which of the following food choices would be appropriate for this client?
a. Vegetable salad with cheese
i. Rationale: Clients who adhere to a kosher diet can eat dairy products combined with non-meat products at the same meal.
5. A community health nurse is planning to teach a class about weight management for cardiovascular health. Which of the following statements should the nurse plan to include?
a. “Plan to lose weight gradually at ½ to 1 pound per week”
i. Rationale: The nurse should inform the participants that losing 0.23 to 0.45 kg (0.5 to 1 lb) per week is a healthy and attainable weight-loss goal. Setting realistic goals for weight loss is an important element of success. Trying to lose weight too quickly places clients at risk for nutritional deficiencies and inadequate energy, which can lead to frustration and defeat
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ATI RN Nutrition Online Practice 2019 B
1. A nurse is reviewing the laboratory data of four clients. The nurse should identify that which of the following clients is experiencing fluid overload?
a. A client who has an albumin level of 5.5 g/dL
b. A client who has a urine specific gravity of 1.035
c. A client who has a Hct of 55%
d. A client who has a sodium level of 130 mEq/L
i. Rationale: The nurse should identify that this client's sodium level is lower than the expected reference range of 136 to 145 mEq/L and indicates hyponatremia. Hyponatremia is decrease of sodium concentration in the blood caused by an excess water. Manifestations of hyponatremia include confusion, headache, nausea, and fatigue.
2. A nurse is planning discharge teaching for a client who is postoperative following placement of a colostomy. Which of the following statements should the nurse plan to include?
a. Resume a regular diet by 4 weeks after surgery
b. Add high-fiber foods to your diet
c. Increase your intake of foods containing pectin
i. Rationale: The nurse should instruct the client to consume foods that thicken the consistency of feces, such as foods containing pectin.
d. Drink 4 to 6 cups of water per day
3. A nurse is reviewing the laboratory results of a client who has a pressure injury. Which of the following findings should indicate to the nurse that the client is at risk for impaired wound healing?
a. Hgb 15 g/dL
b. Albumin 3.0 g/dL
i. Rationale: The nurse should identify that this albumin level is less than the expected reference range of 3.5 to 5 g/dL. A decreased albumin level is a manifestation of malnutrition and can increase the risk for poor wound healing and infection.
c. Prothrombin time 11.5 seconds
d. WBC 6,000/ mm3
4. A nurse is providing teaching to a client who lactating about increasing protein intake. Which of the following foods should the nurse recommend as the best source of protein?
a. Legumes
b. Cottage cheese
i. Rationale: The nurse should recommend cottage cheese as the best source of protein because it is a complete protein. Complete proteins contain all nine essential amino acids and provide the best support for human growth and nourishment.
c. Peanut butter
d. Whole grain protein
5. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan?
a. Weight the client once weekly at the same time of the day.
b. Stay with the client for 30 min after meals.
c. Allow the client to schedule mealtimes.
d. Assign privileges based on direct weight gain.
i. Rationale: The nurse should explain to the client that restrictions and privileges will be dependent on treatment compliance and direct weight gain. This approach involves the client in development of the plan of care and gives them control in achieving desired privileges.
6. A nurse in an antepartum clinic about nutritional recommendations during pregnancy. Which of the following client statements indicates an understand of the teaching?
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