NURS 225 NUTRITION ATI PROCTORED EXAM 50 QUESTIONS PDF

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NURS 225 NUTRITION ATI PROCTORED EXAM 50 QUESTIONS AND ANSWERS...

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1 1. which of the following Thrombosis Alotemia ? Sepsis Endocarditis 2. A nurse is assessing a client who is receiving total parental nutrition the nurse should identify which of the following findings as an adverse effect of TPN? Blood glucose 98 Weight gain of 1.5 kg per day Temp of 36.1C 97 F Hemoglobin 16 3. A nurse is teaching a family of a school age child who is obese about the complications of childhood obesity. Which of the following complications should the nurse include in the teaching? Juvenile rheumatoid arthritis Type I diabetes Hypothyroidism Hypertension 4. A nurse is reviewing the laboratory values of an older adult client. The nurse should identify which of the following findings as an indication of malnutrition? WBC 7000 (7 thousand) RBC 5,000,000 ( 5 million) Hemoglobin 16 Prealbumin 10 5. A nurse is providing teaching to a client about high fiber food. Which of the following foods should the nurse include as containing the highest amount of fiber? 1 slice whole wheat bread ½ cup cooked broccoli 1 med apple with peal ½ cup cornflakes with skim milk 6. A nurse is teaching an in service about manifestations of hypoglycemia to a group of newly licensed nurses. Which of the following should the nurse include in the teaching? Blurred vision

2 Vomiting Kussmal respirations Bradycardia 7. A nurse is providing breakfast for a client who as celiac disease. Which of the following meals should the nurse select? Graham crackers with peanut butter Rice Cereal Sliced bananas with dry toast Poached eggs with wheat bagel 8. A nurse is caring for a client who consumes 40,000mcg of vitamin A daily for 3 months. Which of the following findings should the nurse monitor to identify vitamin A toxicity? Headache Renal calculi Tachycardia Moon face 9. A nurse is teaching a client who reports wanting to lose weight about behavioral modifications. Which of the following statements should the nurse include in the teaching? Your biggest meal of the day should be breakfast Make sure to drink water with your meal Meal replacement shakes can cause weight gain Set your loss goal to 2.5 pounds per week 10. A nurse is providing teaching to a client who has type I diabetes. Which of the following statements by the client indicates an understanding of the teaching? I will keep my blood glucose level between 200 and mg/dL I will have keystones in my urine if my blood glucose is maintained at 190 mg/dL I will keep my HBA1C at 5% Albumin in my urine is abnormal indicates kidney infection?? 11. A nurse is administering continuous internal feeding for a client through a .. for percutaneous esophageal gastrostomy tube (PEG tube). Which of the following actions should the nurse take? Flush the tube with 15 ml of water every 8 hours Check gastric residue every 8 hours Return gastric content if residue is less 250 Measure the PH of gastric contents every 24 hours

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12. A nurse is teaching a client who has a goiter appropriate food choice related to dietary needs. Which of following indicates the client understands the teaching? I will eat bananas for a snack I will eat blueberries every morning I will eat more tuna I will eat more red meat 13. A nurse is teaching a group of parents about appropriate food choices for toddlers. Which of the following choices by the parents demonstrates an understanding of the teaching? Caramel popcorn Spaghetti with sauce Hot dog cut into ¼’s Steak cut into small pieces 14. A nurse is teaching a client who is receiving bolus feedings through an NG tube about dumping syndrome. The nurse should instruct the client to report which of the following manifestations? Constipation Bradycardia Drowsiness Dizziness 15. A nurse is assisting in the selection of food for a client who has hypokalemia. Which of the following foods should the nurse select as it contains the greatest amount of potassium? 1 cup brown rice 1 medium raw tomato 1 oz of cheddar cheese 1 small baked potato 16. A nurse is planning care for a client who is pregnant and plans to breastfeed her newborn. Which of the following information should the nurse include in the plan of care? A newborn should breastfeed immediately following birth A newborn should have bursts of 6 sucks and swallows during feeding A newborn should be breastfed every 4 hours during the day A newborn should receive 1 oz of glucose water after the first breastfeeding session

4 17. A nurse is caring for a client who has dysphasia. Which of the following instructions should the nurse give to the client to decrease the risk of choking? Vitamins in liquid form Drink water with each bite of food Tilt your head forward while you eat Let foods cool to room temperature before consuming 18. A nurse is providing teaching about the dietary recommendations to stop hypertension. DASH diet. Which of the following instructions should the nurse include? Increase intake of refined carbs Consume foods that are high in calcium Limit sodium intake to 3200 mg per day Consume 10% of total foods from saturated fats 19. A nurse is caring for a client who follows a vegan diet. The nurse should identify that the client is at risk for which of the following deficits? Mg Magnesium Folic acid Vitamin D Vitamin C 20. A nurse is proving a dietary teaching to client who is newly diagnosed with celiac disease. Which of the following should the nurse include in the teaching? This condition may cause secondary lactose intolerance Nutritional therapy for this condition includes limiting proteins & calories Dietary interventions will eventually allow the intake of gluten to resume A normal diet may resume after periods of remission 21. A nurse is teaching a client who has celiac disease about gluten free foods. Which of the following foods should the nurse include? Cold cuts Tapioca Flavor chips Barley 22. A nurse is planning nutritional care for a group of clients. The nurse should recommend a high protein commercial prepared liquid supplement for which of the following clients? Client with dumping syndrome

5 Client with burns on 20% of their body Clients with Chronic Kidney disease A client who has Cholecystitis and a BMI of 31 23. A nurse is providing teaching to a group of clients about retaining nutrients while preparing fruits and vegetables. Which of the following statements by the client indicates an understanding of the teaching? I cook vegetables for the week and reheat them for each meal I soak fruits in water before peeling them I boil vegetables in water on the stove until they are soft I keep my ripe fruits refrigerated until I eat them 24. A nurse is teaching a parent about recommended protein intake for a toddler. The nurse should identify the which of the following food selection is equivalent to 1 oz of protein? 1 scrambled egg 1 slice of bread ½ cup of peas 2 tablespoons of peanut butter 25. A nurse is developing a plan of care for a client who is receiving radiation therapy and is experiencing nausea. Which of the following interventions should the nurse include in the plan? Provide a snack 3o min before treatment Ensure foods are served hot Administer antiemetics on a schedule Serve low carbohydrate meals 26. A nurse is caring for a client who has stroke and has manifestations of dysphasia. Which of the following interventions should the nurse take? Tilt the clients head backwards to facilitate swallowing Uses liquids to clear food from the client’s mouth Place the client in a semi fowlers position Add a thickening agent to liquids 27. A nurse is teaching about managing hypoglycemia with carbohydrates to a client who has diabetes mellitus. Which of the following foods should the nurse include in the teaching as containing the most carbohydrates? 1 glucose tablet 4 pieces hard candy

6 4 oz fruit juice 1 teaspoon honey 28. A client in the oliguric phase of acute renal failure had a urinary output of 240mL during the proceeding 24 hours. How much fluid should the nurse plan to provide the client over the next 24 hours? 2,040 mL 2,550 mL 920 mL 1530 mL 29. A nurse in a provider’s office is reviewing laboratory values of a client who reports a poor appetite. Which of the following values should the nurse report to the provider? Hgl 60 Hgb 10 Fasting blood glucose (90 or 97?) Serum creatinine 0.9 30. Calculate BMI of a client at 70kg and 1.6 meters MATH QUESTION 32. A nurse is caring for a client who has a history of receiving chemotherapy treatments. The client states “I feel so nauseated after my treatments”. Which of the following instruction should the nurse provide for the client. Select all the apply Consume foods that are served cold Sit up for 1 hour after you eat meals Limit use of antiemetics until after first emesis Sip fluids slowly through the day Eat foods low in carbs 33. A nurse is selecting food items for a client who follows a lacto vegetarian diet. Which of the following foods should the nurse include in meals? Eggs Shrimp Cheese hamburger 34. A nurse is reviewing the laboratory findings of a client who has c-Diff. which of the following finding should indicate to the nurse that the client is experiencing fluid volume deficit?

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Hct 53% Potassium 3.5 HbA1C 5% Sodium 145 35. A nurse is planning care for a client who reports increasing difficulty with swallowing foods. Which of the following interventions should the nurse plan to take? Encourage client to rest prior to meal times Encourage the client to use a straw when drinking liquid Place the client in a semi reclining position for meals Turn on the client’s television during meals 36. A nurse is teaching a parent about appropriate snack choices for her 9-month-old infant. Which of the following choices should the nurse recommend? Skim milk Popcorn Raw carrots Graham crackers 37. A nurse is assisting a client at meal time who is at risk for aspiration following a stoke. Which of the following actions should the nurse take? Encourage client to rest several min before meal time Instruct the client to tuck her chin when swallowing Place the client in a semi fowlers position to eat Tell the client to lie down after meal time 38. A nurse is caring for a client who has malnutrition. Which of the following findings should the nurse report to the provider? Albumin 2.5 Phosphorous 3.5 BMI 18.5 Potassium 3.7 39.A nurse is providing teaching to a client who has a prescription for a low saturated fat diet. Which statement by the client indicates understanding? I can choose an avocado dip instead of salsa I can eat the skin on poultry if its boiled I will use margarine on my waffles

8 I will eat 7 oz of fish in my diet weekly 40. A nurse is teaching a group of clients about risks of developing diabetes mellitus. The nurse should include which of the following as a risk factor for diabetes? Elevated HGL’s History of hyperthyroidism Abdominal obesity History of hypertension 41. A nurse is planning eating strategies with a client who has nausea from equilibrium imbalance. Which of the following strategies should the nurse recommend? Serve hot foods at meal time Encourage the client to eat even if nauseated Provide low carbohydrates with meals Limit fluid intake between meals 42. A nurse is reviewing laboratory findings of a client who has heart failure. Which of the following findings indicates the client is experience fluid volume excess. BUN 8 Creatine 0.8 HCB 15 Sodium 140 43. A nurse is assessing an older adult client who has dysphasia and is now experiencing dehydration. Which of the following finding should the nurse expect? Decreased respiratory rate Distended neck veins Tachycardia Hypertension 44. A nurse is reviewing laboratory findings of a client who is undergoing nutritional screening due to risk for chronic kidney disease. The nurse should identify that which of the following results indicates the need for further assessment? Blood urine nitrogen 18 Serum creatinine 3.5 Sodium 140 Hematocrit 45%

9 45. A nurse is teaching nutrition to a client who is newly diagnosed with chronic kidney disease. Which of the following recommendations should the nurse include in the teaching? Increase potassium Limit calcium intake Limit phosphorus intake Limit protein intake 46. A nurse is teaching a group of clients about dietary needs to prevent osteoporosis. Which of the following has the highest calcium content? 1 cup broccoli 1 cup green grapes 1 or ½ medium banana 1 large tomato 47. A nurse is caring for client who has heart failure and has gained 0.9 kg (2lbs) over the past 24 hours. Which of the following intervention should the nurse take? Restrict protein intake Provide client with 3 large meals per day Weight the client once per week Reduce client’s sodium intake 48. A nurse is providing discharge teaching for a client who has iron deficiency anemia. Which of the following info should the nurse include? Fish and poultry are similar sources of heme iron Cooking in a stainless-steel skillet increased amount of iron in food Drinking orange juice with an iron supplement can decrease absorption Drinking ice tea can increase the amount of iron absorbed 49. A nurse is teaching a client who has a new prescription for tetracycline. Which of the following nutritional considerations should the nurse include? Increase vitamin C intake while taking this medication Avoid taking this medication with milk products Eliminate raw fruits and veggies until after 2 weeks of completed medication Take a folic acid supplement while on this mediation 50. A nurse is teaching a client who has a new colostomy about nutrition. Which of the following client statements indicates an understanding of the teaching? I will eat large evening meals I will chew gum to decrease gas formation

10 I will drink 4-6 cups of fluid per day I will try new foods one at a time...