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NUR1172 ATI Nutrition Exam 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" 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 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 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" 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? A) I cup apple slices B) 4 oz low-fat cottage cheese C) 4 oz ground beef patty D) 1 cup raw spinach 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" 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 A) Serum creatinine 1.5 mg/dl B) BUN 25 mg/dl C) hbA1c 6.5% D) Pre-meal blood glucose 145 mg/dl 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 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 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 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 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 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 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" 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" 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 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 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 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 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 glycemic index of foods for clients who have diabetes mellitus. Which of the following foods should the nurse identify as having the highest glycemic index? A) Sweet corn B) Macaroni C) Baked potato D) Peanuts A nurse in a clinic is providing nutritional counseling to a client who wants to lose weight. The nurse should identify that which of the following statements indicates the client understands the counseling? A) "I will taste my foods while I am cooking" B) "I will exclude breads and pastries from my diet" C) "I will make a list before I go grocery shopping" D) "I will skip lunch if I am too busy to have something healthy" A nurse is reviewing laboratory findings of a client who has acute pancreatitis. Which of the following is an expected finding? A) Increased serum calcium B) Decreased serum bilirubin C) Increased serum glucose D) Decreased serum alkaline phosphatase Due to decreased insulin production from pacreas, the glucose levels will rise.. The nurse should anticipate the rest of the answers with this diagnosis A nurse is performing dietary teaching with a client who has a family history of cardiovascular disease. Which of the following statements should the nurse include in the teaching? A) "Restrict your dietary potassium intake" B) "Increase your dietary fiber intake" C) "Increase your intake of trans fatty acids" D) "Restrict your protein intake" Increasing fiber can help reduce cholesterol levels, increase potassium can help prevent hypertension, increased fatty acids can increase risk of heart disease, increased protein can help prevent hypertension A nurse is reviewing the laboratory results of a client who has a pressure ulcer. Which if the following findings should indicate to the nurse that the client is at risk for impaired wound healing? A) Hgb 15 g/dl B) Serum Albumin 3.0 g/dl C) Prothrombin time 11.5 seconds D) WBC 6,000/mm3 Serum albumin range is 3.5-5.0, anything less will decrease wound healing A nurse is assessing a client who is suspected of having lactose intolerance. Which of the following is an expected finding? A) Flatulence B) Bloody stools C) Hyperemesis D) Steatorrhea A nurse in a long term care facility is monitoring a client who has Parkinson's disease during mealtime. Which of the following findings should the nurse identify as a priority? A) The client eats all his cake and a few bites of bread B) The client drools while eating C) The client's hand trembles when he holds his spoon D) The client chooses to sit alone during the meal Drooling could lead to a great risk of aspiration A nurse is updating a plan of care for a client who is recieveing intermittent enteral feedings and is experiencing diarrhea. Which of the following interventions should the nurse include in the plan of care? A) Discard the client's opened cans of formula within 48 hours B) Administer the client's formula cold C) Feed the client in small, frequent volumes D) Consider a low-calorie formula for the client A nurse is caring for a client who is receiving total parenteral nutrition through a peripherally inserted canal catheter. The pharmacist informs the nurse that there will be a delay in delivering the next bag of TPN solution. Which of the following actions should the nurse take? A) Slow the rate of the current infusion B) Infuse 0.9% sodium chloride when the current infusion ends C) Infuse dextrose 10% in water when current infusion ends D) Remove tubing and flush the access device when the current infusion ends A nurse in an acute care facility is 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) Place the client on NPO status during nighttime hours B) Provide a snack for the client after sunset C) Offer the client hot tea with daytime meals D) Allow the client to eat privately with his family each day at 1300 A nurse is providing education to an adolescent about making nutrition-dense food choices. Which of the following indications of the client indicates an understanding of the teaching? A) "Pasta with white sauce is a better choice than pasta with red sauce" B) "Sweetened fruit yogurt is a healthy breakfast choice" C) Canned pinto beans are a better choice than refried beans D) Sausage is a healthy choice of protein A nurse is providing teaching to a client who has Crohn's disease. Which of the following statements by the client indicates understanding of the teaching? A) "I will take a fiber supplement daily" B) "I will eat eggs for breakfast" C) "I will drink whole milk" D) "I will eat canned fruits as a daily" Crohn's patients want a low-fiber, high-protein diet A nurse is caring for a client who is at eight weeks gestation and has a BMI of 34. The client asks about weight goals during her pregnancy. The nurse should advise the client to do which of the following? A) Maintain her current BMI B) Gain approximately 15 pounds C) Lower her BMI 30 D) Gain 12.5 to 15.8 kg A nurse is planning to provide dietary teaching to a client who has chronic kidney disease and is prescribed hemodyalysis. Which of the following actions should the nurse plan to take first? A) Create a schedule for the client to limit fluid intake B) Provide the client with a list of foods that are high in sodium C) Determine whether the client has culture-related food preferences D) Explain the purpose of protein restriction in the diet A nurse is caring for a client who is being treated for cancer using chemotherapy. Which of the following interventions should the nurse suggest to aid in management of treatment-related changes in taste? A) Use plastic utensils B) Limit fluids with meals C) Serve meals while they are hot D) Eat bland, unseasoned foods A nurse is planning care for a client who has a new prescription for enteral nutrition by intermittent tube feeding. Which of the following actions should the nurse include in the plan of care? A) Use cooled formula for feeding B) Initiate the feeding at half-strength for the first 24 hours C) Administer the feeding over ten minutes D) Increase the volume for formula over the first four to six feedings A nurse is providing discharge teaching to a client who has a new ileostomy. Which of the following dietary guidelines should the nurse include in the teaching? A) Plan to reduce dietary salt intake B) Cook foods with limited amounts of pasta products C) Prepare meals on a schedule D) Reduce dietary B12 A nurse is planning discharge teaching for a client who is postoperative following placement of colostomy. Which of the following information should the nurse 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" D) "Drink 4 to 6 cups of water per day" A client is experiencing anorexia related to cancer treatment. Which of the following interventions should the nurse implement to increase the client's nutritional intake? A) Recommend cooking aromatic foods to stimulate appetite B) Serve hot foods rather than cold foods C) Instruct the client to eat three meals per day D) Add extra calories and protein to every meal A nurse is teaching a client who is overweight about nutritional recommendations during pregnancy. The nurse should identify that which of the following statements by the client indicates an understanding of teaching? A) "I should take an iron supplement during pregnancy" B) "I should reduce my protein intake during pregnancy" C) "I should gain about 30 pounds during pregnancy" D "I should increase my fat intake during pregnancy" A nurse is assessing an older adult client for dysphagia following a stroke. The nurse should identify which of the following findings as a manifestation of dysphagia? A) The client reports abdominal pain after eating B) The client has an increase in bowel sounds after eating C) The client has a loss of appetite D) The client has a change in his voice after eating A nurse is providing teaching regarding diet modifications to a client who is at high risk for cardiovascular disease. The client is accustomed to traditional Mexican foods and wants to continue to include them in her diet. Which if the following recommendations should the nurse give the client? A) Use canola oil instead of lard for frying B) Use soy milk instead of using cow's milk C) Use vegetables in salads rather than soups D) Limit ground beef intake to 8 oz per day A nurse is caring for a client who is receiving total parenteral nutrition and is prescribed an oral diet. The client asks the nurse why the TPN is being continued since he is now eating. Which of the following is an appropriate response by the nurse? A) "Your blood glucose levels need to be within normal range before the parenteral nutrition can be stopped B) "You should consume at least 60 percent of your calories orally before the parenteral nutrition can be discontinued C) You should have a weight gain of at least 1 kilogram per day before the therapy is stopped D) Your bowel movements need to be regular before the therapy can be discontinued A nurse in a provider's office is assessing a client who has HIV. The nurse should identify which of the following findings as an indication to increase the client's nutritional intake? A) T-helper (CD4 ) cells 700/mm3 B) Presence of herpes simplex virus C) HIV viral load below detectable levels D) Increased lean body mass A nurse is assessing a client who has an elevated blood pressure, headache, and is sweating. The client recently started taking an MAOI. The nurse should question the client regarding the consumption of which of the following foods. A) Grapefruit juice B) Whole milk C) Whole grain bread D) Cheddar cheese A nurse is administering a continuous feeding at 60 ml/hr with 50 ml of water every 4 hours. What should the nurse document as the total ml of enteral fluid administered during the 8 hour shift? 580 ml A nurse is educating a group of women about vitamin and mineral intake during pregnancy. Which of the following should the nurse instruct the women to avoid taking at the same time as iron supplements? A) Magnesium B) Vitamin b12 C) Vitamin A D) Calcium A nurse is assisting a client who has dysphagia with an oral feeding. Which of the following actions should the nurse take? (Select all that apply) A nurse is providing information about cardiovascular risk to a client who has received his lipid panel report. Which of the following is within an expected reference range to include this information? A) Total cholesterol 210 mg/dl B) HDL 79 mg/dl C) Triglycerides 175 mg/dl D) LDL 137 mg/dl A nurse is planning strategies to reduce the intake of solid fats for a client who has hyperlipidemia. Which of the following strategies should the nurse include in the plan? A) Choose cheese with 4 g of fat per serving B) Limit eating four eggs with yolks per week C) Choose eating ground meat that is 75% lean D) Limit meat to 5 oz per day 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) 1/2 cup roasted sunflower seeds D) 1/2 cup roasted almonds A nurse is caring for a client who practices Orthodox Judaism and adheres to a kosher diet. Which of the following food choices would be appropriate for this client? A) Vegetable salad with cheese B) Lean cuts of pork C) Turkey and cheese on rye bread D) Shrimp salad and crackers A nurse is teaching a client who has a prescription for ferrous sulfate about food interactions. Which of the following statements indicates that the client understands the teaching? A) "I can take this medication with juice" B) " I can take this medication with eggs at breakfast" C) "I will drink low-fat milk when taking this medication" D) "I will take this medication with my coffee" A nurse is reviewing the introduction of solid foods with the parent of a 4-month-old infant. Which if the following statements by the parent indicates an understand of the teaching? A) "My baby should consume 2 tablespoons of solid food at each feeding" B) "The majority of my baby's calories should come from solid food" C) "I will give my baby one bottle of fruit juice every day" D) "I will introduce a new solid food every 5 days" A nurse is providing teaching to a client who has dumping syndrome and is experiencing weight loss. Which of the following instructions should the nurse include in the teaching? A) Consume liquids between meals B) Increase the intake of simple carbohydrates C) Decrease foods high in fat content D) Eat meals low in protein A nurse is planning care for a client who is obese and wants to lose weight. Which of the following actions should the nurse take first? A) Recommend checking weight once weekly B) Obtain a 24-hour dietary recall C) Assist with creating an exercise plan D) Initiate a diet modification plan A nurse is planning nutritional teaching for the parents of a toddler who has failure to thrive. Which of the following instructions should the nurse include in the teaching? (Select all that apply) A nurse is preparing a healthy promotion seminar for a group of clients about cancer prevention. Which of the following information should the nurse include in the seminar? A) Consume high-calorie foods and beverages at meal time B) Eat at least 2.5 cups of fruit and vegetables each day C) Plan to perform moderate-intensity exercise for 90 minutes a week D) Limit alcohol consumption to no more than three drinks per week A nurse is teaching a client about dietary recommendations during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? A) "I should avoid a vegetarian diet during pregnancy" B) " I should decrease my intake of protein during pregnancy" C) "I should increase my fat intake during pregnancy" D) "I should gain 30 pounds during pregnancy, since I am at average weight" A nurse is caring for a client who has advanced Parkinson's disease and dysphagia. Which of the following actions should the nurse take? A) Turn the television on to distract the client during meals B) Give the client fluids to clear his mouth of solid foods during meals C) Offer the client a high-calorie diet D) Encourage the client to maintain a low-Fowler's position following meals a nurse is caring for a client who is receiving total parenteral nutrition (TPN). The current bag of TPN is empty and a new bag is not available on the unit. Which of the following solutions should the nurse infuse until a new bag of TPN is available? choose margarine no more than 2 g of saturated fat per tablespoon a nurse is providing dietary teaching to a client who has celiac disease. Which of the following statements by the client indicates an understanding of the teaching? bread a nurse is preforming a comprehensive nutritional assessment for a client. after reviewing the clients lab results which of the following findings should the nurse report to the provider? a nurse is providing discharge teaching to a client who has parkinson disease and a prescription for levodopa carbidopa. Which of the following foods should the nurse instruct the client to consume with the medication ? a nurse is assessing a clients risk for pressure ulcers using the Braden Scale. The client eats more than half of most meals but occasionally refuses a meal. Which of the following information should the nurse document on the nutrition category of the Braden scale? adequate- 3 a nurse is providing teaching about cancer prevention to a group of clients. Which of the following client statements indicates and understanding of the teaching? a nurse is caring for a client who has cirrhosis and ascites. which of the following dietary instructions should the nurse provide for this client? decrease your sodium intake to 1-2 grams a day. - this decreases fluid retention a nurse is assessing a client who has type 2 diabetes mellitus. The nurse should recognize which of the following as a manifestation of hypoglycemia? a nurse is in the ER reviewing the lab report for an older adult client who is confused and reports nausea and abdominal cramping. Nurse should suspect the clients lab results to indicate a dietary deficiency of which of the following minerals? seeing at night. which micronutrients should nurse include in teaching? a nurse is providing nutritional teaching to parents of 2 yr old. Which snack should she recommend? a nurse is caring for a client who is prescribed captopril. which food can cause a potential medication interaction? a nurse is teaching an adolescent who has a new diagnosis of celiac disease. what indicates that they understand teaching? a nurse is providing diet instructions to a client who has a prescription for warfarin. [Show More]

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