ATI NUTRITION PRACTICE QUESTIONS AND ANSWERS ALL CORRECT

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A nurse is teaching a female client about a healthy diet to control hypertension. Which of the following client statements indicates an understanding of the teaching? A) "I will drink two glasses of... whole milk daily" B) "I will decrease the potassium in my diet" C) "I will eat four servings of unsalted nuts per week" D) "I will limit alcohol consumption to two drinks per day" Answer: "I will eat four servings of unsalted nuts per week" A client should eat low-fat dairy, have diet enriched with potassium, and limitations should be set on alcoholic drinks. A nurse is assessing a client who has diabetes mellitus. Which of the following findings should the nurse identify as manifestation of hypoglycemia. A) Diaphoresis B) Bradycardia C) Abdominal cramps D) Acetone breath Answer: Diaphoresis Sweating, tachycardia, fatigue, hunger, pale skin are all symptoms of hypoglycemia A nurse is providing treatment for a client who has a new prescription for nifedipine. Which of the following foods should the nurse instruct the client to avoid? A) Milk B) Aged cheese C) Grapefruit juice D) Bananas Answer: Grapefruit juice Drinking grapefruit juice while on this medication can result in increased risk for adverse effects A nurse is teaching a client about stress management. Which of the following statements by a client should indicate to the nurse that the client understands the teaching? A) "I will take a long walk every evening" B) "I will keep a daily diet and activity log" C) "I will avoid eating one hour before bedtime" D) "I will drink one full glass of water with each meal" Answer: "I will take a long walk every evening" Exercise can create relaxation and reduces stress. Keeping a daily activity log can cause awareness of how the person eats and weighs causing stress. A person should avoid eating 2-3 hours before bed. Drinking a full glass of water will promote fullness not reduce stress. A nurse is providing dietary teaching for a client who has chronic skin ulcers of the lower extremities. Which of the following foods should the nurse recommend as containing the highest amount of zinc? ATI NUTRITION PRACTICE QUESTIONS AND ANSWERS ALL CORRECT A) I cup apple slices B) 4 oz low-fat cottage cheese C) 4 oz ground beef patty D) 1 cup raw spinach Answer: 4 oz ground beef patty Ground beef patty contains 5.49 mg of zinc, making it the best choice A nurse is providing dietary teaching about reducing the risk of infection to a client who has cancer and is recieveing chemotherapy. Which of the following statements made by the client indicates an understanding of the teaching? A) "I will thaw my food at room temperature" B) "I will discard my leftovers after three days" C) "I should use home canned goods within 2 years of canning" D) "I should heat my food to at least 120 degrees Fahrenheit" Answer: "I will discard my leftovers after three days" Foods should be thawed in the fridge, leftovers should be thrown out after 3-4 days, canned goods should be eaten within a year, and food should be heated to at least 140 degrees A nurse is caring for a client who is recieveing total parenteral nutrition. Which of the following laboratory findings indicates that TPN therapy is effective? A) Calcium 8 mg/ml B) Hemoglobin 9 g/dl C) Prealbumin 30 mg/dl D) Cholesterol 140 mg/dl Answer: Prealbumin 30 mg/dl A nurse in a clinic is reviewing the laboratory findings of a client who has type 2 diabetes mellitus. Which if the following findings indicates the client's plan of care is effective? A) Serum creatinine 1.5 mg/dl B) BUN 25 mg/dl C) hbA1c 6.5% D) Pre-meal blood glucose 145 mg/dl Answer: hbA1c 6.5% Any test less than 7% is effective A nurse is providing dietary teaching for a client who has COPD. Which of the following instructions should the nurse include in the teaching? A) Eat at least three well-proportioned, large meals a day B) Drink low-protein, low-calorie nutrition formulas between meals C) Avoid adding gravies and sauces to foods D) Consume foods that are soft in texture and easy to chew Answer: Consume foods that are soft in texture and easy to chew Client's who have COPD do not have the energy to eat three large meals and should eat six small meals throughout the day, they should drink high protein and high calorie formulas, they should add gravy to help prevent dry mouth, and foods that are hard to chew will cause SOB A nurse is providing information regarding breastfeeding to the parents of a newborn. Which of the following statements should the nurse make? A) "Breast milk is nutritionally complete for an infant up to six months of age B) "Iron-fortified infant formulas are nutritionally inferior to breast milk C) Supplement water is need to provide adequate fluid intake D) Use whole cow's milk if you discontinue breastfeeding in the first year Answer: Breast milk is nutritionally complete for an infant up to six months of age 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? A) "I will offer my child a cup of peanut butter to dip her celery in" B) "I can leave her grapes whole so she can practice getting them with her fork C) "I can give her popcorn as a snack to provide a serving of whole grains D) I will put low-fat milk in her cup to drink Answer: I will put low-fat milk in her cup to drink Peanut butter, popcorn and grapes can cause a choking hazard, whole milk can be switched to low-fat after age 2 A nurse is teaching a client about managing irritable bowel syndrome. Which of the following information should the nurse include in the teaching? A) Increase intake of fresh fruit high in fructose B) Limit foods that contain probiotics C) Take peppermint oil during exacerbation of manifestations D) Substitute white sugar with honey Answer: Take peppermint oil during exacerbation of manifestations Fresh fruit can cause increase of manifestations, probiotics can cause an increase in bacteria, honey is high in fructose and is difficult to absorb, peppermint helps soothe and relax the muscles of the GI tract 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? A) Offer supplemental formula until the milk supply is established B) Offer the newborn 30 ml of glucose water after the first breastfeeding session C) Plan to breastfeed the newborn every four hours D) Plan five minute feedings on each breast during the first day after birth Answer: Plan five minute feedings on each breast during the first day after birth Avoid using supplemental formula because this can confuse the newborn, do not give baby anything other than breast milk, newborns feed about 8-12 times a day A nurse is caring for a client who is recieveing continuous enteral feedings via an NG tube. Which of the following actions should the nurse take to reduce the risk for aspiration if the client develops abdominal distension? A) Place the client on bed rest B) Position the client on his right side C) Increase the rate for 30 min then clamp the tube for 30 min D) Switch the client to a higher-fat formula Answer: Position client on his right side This helps move gastric juices through the system, helping the client move can promote peristalsis, increasing the rate will make the distension worse, and a high-fat formula will cause distension and bloating A nursing is providing teaching to a client who reports nausea during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? A) "I should drink liquids with meals" B) "I will eat dry cereal before I get out of bed" C) "I will increase my fat content in my diet" D) "I should drink a hot cup of tea in between meals" Answer: I will eat dry cereal before I get out of bed Drinking liquids with meals can cause abdominal distension, dry cereal can be absorbed quickly and raise blood sugars reducing nausea, high-fat content in diet can cause delay in gastric emptying time, and the client should avoid caffeinated drinks that can cause heartburn A nurse is teaching a client who is newly diagnosed with type 1 diabetes mellitus how to count carbohydrates. Which of the following statements made by the client indicates the understanding of the teaching? A) "I am including vegetables as starch items in my carbohydrate count B) "I am limiting the number of carbohydrates to four carbohydrates to four carbohydrate choices or 60 grams per day" C) "I know the serving size can affect the number of carbohydrates I eat" D) "I know the carbohydrate count is dependent on the calorie in the food items" Answer: I know the serving size can affect the number of carbohydrates I eat The nurse should teach the client between starchy and nonstarchy vegetables, 45 grams are usually allowed during a meal (three to five carb choices), carbohydrate count is not dependent on calorie count A nurse is preparing to administer intermittent enteral tube feedings to a client. In what order should the nurse perform the following actions before beginning feeding? 1. Flush tubing with 30 ml of water 2. Place the client in Fowler's position 3. Check residual 4. Verify tube placement Answer: 2. Place client in Fowler's position, 4. Verify tube placement, 3. Check residual, 1. Flush tubing with 30 ml of water 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? A) Monitor blood glucose levels during the night B) Check for urinary ketones at the same time each day for 1 week C) Perform an oral glucose tolerance test after administering a dose of insulin D) Compare current glycosylated hemoglobin level with the level at the time of diagnosis Answer: Monitor blood glucose levels during the night Somogyi phenomenon is elevated blood sugars in the morning, checking them at night can help prevent A client reports constipation during a routine check up. The client was previously encouraged to increase his intake of mineral supplements. Which of the following minerals should the nurse identify as the cause of constipation? A) Phosphorus B) Potassium C) Magnesium D) Calcium Answer: Calcium Calcium decreases peristalsis A nurse is planning dietary teaching for a client who has dumping syndrome following a gastrectomy. Which of the following interventions should the nurse include in the client's plan of care? A) Use simple sugars to sweeten food B) Remain upright for one hour following meals C) Limit eating three large meals per day D) Select grains with less than 2 g fiber per serving Answer: Select grains with less than 2 g fiber serving Selecting grains with low fiber can help slow gastric emptying time allowing food to sit and digest longer in the stomach A nurse is developing an educational program about the [Show More]

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