ATI Nutrition Practice A & B 2019: ATI Nutrition Practice Exam A& B: Questions & Answers: Latest Updated

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A nurse is caring for a client who expresses a desire to lose weight. Which of the following actions should the nurse take first? A. Recommend checking weight once weekly. B. Obtain a 24-hour diet... ary recall. C. Assist with creating an exercise plan. D. Initiate a plan for diet modification. (Ans- B. Obtain a 24-hour dietary recall. Explanations: A. The nurse should recommend the client weigh themselves regularly to monitor weight loss or gain; however, there is another action the nurse should take first. B. The first action the nurse should take using the nursing process is to obtain a diet history, such as a 24-hr dietary recall. Having the client write down everything consumed over a 24-hr period is a crucial component of the assessment process to identify eating behaviors and therefore be able to recommend dietary modifications based on the data received. C. The nurse should assist the client with the creation of a personalized exercise plan to increase strength and promote weight loss; however, there is another action the nurse should take first. D. The nurse should initiate a personalized diet modification plan with the client based on the client's assessment data to promote weight loss; however, there is another action the nurse should take first. A nurse is teaching about nutritional requirements for a client who is starting a vegetarian diet. Which of the following information should the nurse include in the teaching? A. Consume high-fat cheese to replace meats when on a vegetarian diet. B. A vegetarian diet is high in vitamin B12. C. Fewer calories are required when on a vegetarian diet. D. Include two servings per day of nuts when on a vegetarian diet. (Ans- D. Include two servings per day of nuts when on a vegetarian diet. Explanations: A. The nurse should instruct the client to consume low-fat cheese as a protein substitute. High-fat cheese has more saturated fat and calories than meat. B. Foods that contain vitamin B12 are animal-related. The best sources of dietary vitamin B12 are meats and other animal products. As vitamin B12 is generally not present in plant-based foods, the nurse should instruct the client to take vitamin B12 supplements or consume foods fortified with B12 to compensate for a potential deficiency. C. Clients who are consuming a vegetarian diet require a deceased intake of dietary fat rather than fewer calories. The nurse should instruct the client to increase intake of nutrient-dense foods to avoid the breakdown of the body's protein for energy requirements. D. The nurse should instruct the client to eat two servings of nuts or flaxseed per day to receive the daily requirement of omega-3 fatty acids. A nurse is caring for a client who has acute inflammatory bowel disease. Which of the following nutritional supplements should the nurse anticipate providing to this client? A. Hydrolyzed formula B. Polymeric formula C. Milk-based supplement formula D. Modular product supplement formula (Ans- A. Hydrolyzed formula Explanations: A. Hydrolyzed or elemental formula provides protein and other nutrients in their simplest form, requiring little or no digestion and decreasing stimulation of the bowel. This type of formula is beneficial for clients who have impaired digestion due to conditions such as inflammatory bowel disease. B. Polymeric formula contains complex nutrient molecules and is not indicated for clients who have impaired digestion. C. Milk-based supplemental formulas contain lactose and are poorly tolerated by clients who have inflammatory bowel disease. D. Modular formulas are intended to increase the intake of a specific nutrient without increasing volume; they are not intended for clients who have impaired digestion. 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 and 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 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 calories in the food item." (Ans- C. "I know the serving size can affect the number of carbohydrates I eat." Explanation: A. The nurse should instruct the client about the difference between starchy and nonstarchy vegetables to accurately calculate the carbohydrate count. B. The nurse should instruct the client that generally three to five carbohydrate choices, or 45 g, are allowed per meal, plus one to two carbohydrate choices for each snack. C. The nurse should instruct the client that the portion size affects the number of carbohydrates. D. The nurse should instruct the client that the carbohydrate count is not dependent on the calorie count of a food item. Fats and proteins can provide calories as well. A nurse is providing dietary teaching for a client who has osteoporosis. The nurse should instruct the client that which of the following foods has the highest amount of calcium? A. 1 cup avocado B. 2 tablespoons peanut butter C. ½ cup roasted sunflower seeds D. ½ cup roasted almonds (Ans- D. ½ cup roasted almonds [Show More]

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