NGN ATI RN Nutrition Exam 2023 A Version 1| Questions and Verified Answers| 100% Correct| A Grade
QUESTION
A nurse is preparing to administer an
... [Show More] influenza vaccine to an adult client who reports food allergies. Which of the following food allergies could place the client at risk for a reaction?
- Peanuts
- Milk
- Shellfish
- Eggs
Answer:
- Eggs
Rationale: A hypersensitivity to eggs can place a client at risk for allergic reactions when receiving the influenza vaccine. The vaccine should only be administered by a healthcare provider who can recognize and respond to severe allergic reactions.
QUESTION
A nurse is providing teaching regarding diet modifications to a client who is at high risk for cardiovascular disease. The client is accustomed to cultural Mexican foods and wants to continue to include them in their diet. Which of the following recommendations should the nurse give to the client?
- Use canola oil instead of lard for frying.
- Use soy milk instead of cow's milk.
- Use vegetables in salads rather than in soups.
- Limit ground beef intake to 8 oz. per day.
Answer:
- Use canola oil instead of lard for frying.
Rationale: The nurse should teach the client to use monounsaturated fats, such as canola oil, instead of saturated fats, such as lard, to reduce the risk for cardiovascular disease.
QUESTION
A nurse is caring for an adolescent who has type 1 diabetes mellitus. Which of the following actions should the nurse take to assess for Somogyi phenomenon?
- Monitor blood glucose levels during the night.
- Check for urinary ketones at the same time each day for 1 week.
- Perform an oral glucose tolerance test after administering a dose of insulin.
- Compare current glycosylated hemoglobin level with the level at the time of diagnosis.
Answer:
- Monitor blood glucose levels during the night.
Rationale: Somogyi phenomenon is fasting hyperglycemia that occurs in the morning in response to hypoglycemia during the nighttime. The nurse should assess for this phenomenon by monitoring blood glucose levels during the night.
QUESTION
A nurse is teaching a client about measures to reduce the risk of osteomalacia. Which of the following instructions should the nurse include in the teaching?
- Increase intake of foods high in purine.
- Avoid foods with copious amounts of antioxidants.
- Consume 20 mcg of vitamin D daily.
- Take 150 mg of vitamin E daily.
Answer:
- Consume 20 mcg of vitamin D daily.
Rationale: The nurse should instruct the client to consume 20 mcg of vitamin D daily. Osteomalacia is characterized by a lack of vitamin D, which leads to insufficient bone mineralization. This disorder coincides with osteoporosis, thereby increasing the risk of falls leading to fractures in older adult clients. Vitamin D supplements are recommended for clients age 65 and older to decrease bone loss and maintain bone mineralization, thereby reducing the risk of softening of the bones.
QUESTION
A nurse is providing dietary instructions for a client who has a prescription for warfarin. Which of the following foods should the nurse recommend the client eat in moderation while taking this medication?
- Leafy green vegetables
- Whole grains
- Fruits with skin
- Nuts and seeds
Answer:
- Leafy green vegetables
Rationale: The nurse should recommend the client eat in moderation and maintain consistent intake of leafy green vegetables, which contain a natural form of vitamin K that can negate the anticoagulation effects of warfarin.
QUESTION
A nurse is providing discharge teaching to a client who has Parkinson's disease and a prescription for levodopa-carbidopa. Which of the following foods should the nurse instruct the client to consume with the medication?
- 6 oz Greek yogurt
- 1 oz cheddar cheese
- Six peanut butter crackers
- One slice wheat toast
Answer:
- One slice wheat toast
Rationale: Absorption of levodopa-carbidopa decreased when consumed with protein. One slice of wheat toast is the lowest source of protein at 3 g per slice.
QUESTION
A nurse is providing dietary teaching for a client who has COPD. Which of the following instructions should the nurse include in the teaching?
- Eat at least 3 well-proportioned large meals a day.
- Drink low-protein, low-calorie nutrition formulas between meals.
- Avoid adding gravies and sauces to foods.
- Consume foods that are soft in texture and [Show Less]