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ATI RN Nutrition Proctored Exam
with NGN Questions and Verified Rationalized Answers,
100% Guarantee Pass Score
this test consisting of 70 multiple-choice ques with Ans
1. A nurse is caring for a client.
Exhibit 1
Nurses' Notes
2 months ago
Client discharged from hospital following total gastrectomy. Client tolerating
full liquid diet. May advance to pureed diet in 1 week. Client instructed to
schedule appointments with surgeon for monthly follow-up vis- its.
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Today Client presents to surgeon's office for monthly follow-up visit. Client
reports that they advanced their diet to a soft diet as instructed. Client states,
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"I am eating fine, but about 15 minutes after I eat, I get abdominal cramps,
nausea, diarrhea, and it feels like my heart is racing. When that happens, my
muscles feel weak, and I get sweaty."
Exhibit 2
Vital Signs
2 months ago
Temperature 37° C (98.6° F)
Heart rate 82/min
Respiratory rate 14/min
Blood pressure 129/84 mm Hg
SpO2 98% on room air
Today
Temperature 37° C (98.6° F)
Heart rate 62/min
Respiratory rate 16/min
Blood pressure 122/76 mm Hg
SpO2 99% on ro
Ans>> For each assessment finding, click to specify if the finding is consistent
with dumping syndrome, hypoglycemia, or refeeding syndrome. Each finding
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may support more than one condition.
Assessment Findings
Dumping Syndrome
Abdominal cramping
Muscle Weakness
Nausea
Diarrhea
Sweating
Timing of manifestations after eating
Hypoglycemia:
Muscle Weakness
Sweating
Refeeding
Syndrome:Muscle
weakness
2. A nurse is caring for a client in a health clinic.
Exhibit 1
Nurses' Notes
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6 months ago
Older adult client brought to the clinic by adult child for reports of increasing
forgetfulness and confusion. Child states, "My father went shopping and
forgot where he left the car." Today's weight is 75.7 kg (167 lb).
Today
Client presented to provider's office with adult child for follow-up visit for
dementia that was diagnosed 6 months ago. Child reports client has continued
forgetfulness and confusion. Child states, "Sometimes I come over to his house
and find uneaten food in the microwave." Client denies forgetting to eat and
reports eating 3 meals per day.Today's weight is 68 kg (150 lb). Malnu- trition
Screening Tool (MST) score of 4 which indicates potential malnutrition.
Exhibit 2
Vital Signs
6 months ag
Temperature 37° C (98.6° F)
Heart rate 72/min
Respiratory rate 14/min
Blood pressure 122/82 mm Hg
SpO2 98
Ans>> Age, weight, albumin level, medical history
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When recognizing cues, the nurse should identify that the client's age, weight
loss, albumin results, diagnosis of dementia, and MST score are risk factors for
malnutrition. Clients between the ages of 65 to 75 years old are at moderate
risk for malnutrition. The client is displaying an unintentional 10% weight loss
over the past 6 months, which places them at high risk for malnutrition. The
client's albumin level is below the expected range, indicating a compromised
protein status, which is a risk factor for malnutrition and requires further
evaluation. The client's medical history of dementia also increases the risk for
malnutrition. The client's MST score
is 4. A score of greater than 2 indicates the client is at risk for malnutrition which
requires a nutritional consult and immediate nutritional interventions.
3. 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?
"I can return to my normal diet after I follow this diet for 1 month."
"I can have tapioca pudding for dessert."
"I will choose canned soups that do not contain meat products."
"I will eat my sandwiches on whole wheat bread."
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Ans>> "I can have tapioca pudding for dessert."
A client who has celiac disease can consume tapioca because starch does not
contain gluten.
Avoid processed foods like canned soup and whole wheat bread. Must follow
dietary restrictions throughout lifetime.
4. A nurse is caring for a client who is receiving total parental nutrition (TPN)
and is prescribed an oral diet. The client asks the nurse why the TPN is being
continued since they are now eating. Which of the following responses should
the nurse make?
"Your blood glucose levels need to be within a normal range before the
parental nutrition can be stopped."
"You should consume at least 60 percent of your calories orally before the
parental nutrition can be discontinued."
"You should have a weight gain of at least 1 kilogram per day before the
therapy is stopped."
"Your bowel movements need to be regular before therapy can be discontinued."
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Ans>> "You should consume at least 60 percent of your calories orally before
the parental nutrition can be discontinued."
Blood glucose levels are monitored when a client is receiving TPN; however, this
is not a criterion for discontinuation of the therapy. A weight gain of 1 kg/day is
indicative of fluid overload, an adverse effect of TPN. Bowel function is monitored
when a client is receiving TPN; however, it is not a criterion for discontinuation
of the therapy.
5. A client reports constipation during a routine checkup. The client was pre-
viously encouraged to increase their intake of mineral supplements. Which of
the following minerals should the nurse identify as the possible cause of the
constipation?
- Phosphorus
- Potassium
- Magnesium
- Calcium
Ans>> Calcium
Rationale: Calcium can lead to constipation by decreasing peristalsis.
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6. A nurse is caring for a client who is receiving total parenteral nutrition (TPN)
and is prescribed an oral diet. The client asks the nurse why the TPN is being
continued since they are now eating. Which of the following responses should
the nurse make?
- "Your blood glucose levels need to be within a normal range before the
parenteral nutrition can be stopped."
- "You should consume at least 60 percent of your calories orally before the
parenteral nutrition can be discontinued."
- "You should have a weight gain of at least 1 kilogram per day before the
therapy is stopped."
- "Your bowel movements need to be regular before the therapy can be
discontinued."
Ans>> "You should consume at least 60 percent of your calories orally before
the parenteral nutrition can be discontinued."
Rationale: TPN can be discontinued when oral intake exceeds at least 60% of
the client's estimated daily caloric requirements.
7. A nurse is assessing the meal pattern of a client who has diverticular
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