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ATI RN NUTRITION PROCTORED TEST BANK
with NGN Questions and Verified Rationalized Answers,
100% Guarantee Pass Score
this test bank consisting of 450+ 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.
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, "I am eating fine, but about 15 minutes after I eat, I get abdominal
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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
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2 months ago:Temperature 37° C (98.6° F)Heart rate 82/minRespiratory rate
14/minBlood pressure 129/84 mm HgSpO2 98% on room air
Today:Temperature 37° C (98.6° F)Heart rate 62/minRespiratory rate 16/min- Blood
pressure 122/76 mm HgSpO2 99% on room air: Dumping syndrome: abdominal
cramping, muscle weakness, nausea, diarrhea, and sweating that occur after eating.
Hypoglycemia: muscle weakness and sweating. Refeeding
syndrome: muscle weakness.
Clients who have had a total gastrectomy are at risk for dumping syndrome due to the
rapid emptying of food into the small intestine which stimulates bowel motility. Dumping
syndrome can cause vasomotor responses, such as muscle weakness, flushing,
tachycardia, and sweating which are similar to manifestations of hypo- glycemia.
2. A nurse is caring for a client.
Exhibit 1: Nurses' Notes
0800: Client is admitted for treatment of hypovolemia due to vomiting and diarrhea for
2 days.
Client is awake, but lethargic. Reports dizziness upon standing and no urination since
1600 yesterday. Client states, "I feel like I am going to faint when I stand up." Heart
rhythm regular, S1 and S2 present. Respirations even and non-labored, lung sounds
clear bilaterally. Abdomen soft, non-distended, hyperactive bowel sounds. Bilateral
extremities cool to
the touch. Skin is dry and intact. Skin turgor with tenting noted. Capillary refill 4 seconds.
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20 gauge IV initiated in left cephalic with 0.45% sodium chloride infusing via infusion
pump at 125 mL/hr.
2200: Client is alert and oriented to person, place, time, and situation. Denies dizziness
upon standing. Heart rhythm regular. S1 and S2 present. Respirations even and nonlabored. Lungs clear anterior and posteri: alert and oriented
to person, place, time and situation, reports no dizziness upon standing, abdomen
soft rounded with normoactive bowel sounds in all 4 quadrants, urine output 300 mL in
past 8 hr, skin is warm, dry, and intact, and capillary refill is 2 seconds.
These are expected findings for a client who has received IV fluids to treat a fluid volume
deficit.
3. 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?
a. "your blood glucose levels need to be within normal range before the TPN can be
stopped"
b. "you should consume at least 60% of your calories orally before the par- enteral
nutrition can be discontinued"
c. "you should have a weight gain of at least 1 kg per day before the therapy is
stopped"
d. "your bowel movements need to be regular before the therapy can be discontinued"
Ans>>"you should consume at least 60% of your calories orally before the parenteral
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nutrition can be discontinued"
TPN can be discontinued when oral intake exceeds at least 60% of the client's estimated
daily caloric requirements.
4. A nurse is assessing the meal pattern of a client who has diverticular disease and a
prescription for a high-fiber diet. Which of the following food choices by the client
contains the most fiber?
a. 1 medium banana
b. 1/2 cup oatmeal
c. 1 medium apple with skin
d. 1/2 cup bran cereal
Ans>>1/2 cup of bran cereal
A high-fiber diet is recommended for clients who have diverticular disease because bulky,
soft stools are easier for the client to pass and result in decreased pressure within the
colon. The nurse should determine that a ½ cup of bran cereal contains the most fiber at
10 g per serving.
5. A nurse is assessing a client who is suspected of having lactose intoler- ance.
Which of the following is an expected finding?
a. flatulence
b. bloody stools
c. hyperemesis
d. steatorrhea
Ans>>flatulence
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Flatulence, bloating, cramping, and diarrhea are expected findings associated with lactose
intolerance.
6. 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. confusion
b. polydipsia
c. vomiting
d. ketonuria
Ans>>confusion
The nurse should recognize confusion as a manifestation of hypoglycemia.
7. A nurse is assessing a client's risk for pressure injuries using a skin risk assessment
tool.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
skin risk assessment tool?
a. 1 (very poor)
b. 2 (probably inadequate)
c. 3 (adequate)
d. 4 (excellent)
Ans>>3 (adequate)
A client who eats more than half of most meals, occasionally refuses a meal, and has four
servings of protein each day scores a 3 (Adequate) in the nutrition category of the skin risk
assessment tool.
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8. A nurse is providing dietary teaching about increased zinc intake 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. 1 cup of apple slices
b. 4 oz low-fat cottage cheese
c. 4 oz ground beef patty
d. 1 cup of raw spinach
Ans>>4 oz ground beef patty.
The nurse should determine that a ground beef patty is the best food source to
recommend because a 4 oz ground beef patty contains 5.49 mg of zinc.
9. A nurse is assessing a client who has end-stage kidney disease (ESKD). Which of the
following dietary habits increases the client's risk for dysrhyth- mias?
a. consuming a diet low in fat
b. eating a diet rich in potassium
c. consuming a diet rich in protein
d. eating a diet deficient in iron
Ans>>eating a diet rich in potassium.
A client who has ESKD has impaired kidney function and is unable to eliminate potassium.
As urine output declines, hyperkalemia develops, which can cause cardiac dysrhythmias.
10. A nurse is caring for a client who is receiving total parenteral nutrition (TPN)
therapy. Which of the following findings indicates the client is experi6 / 18
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encing a complication of the therapy?
a. cardiac dysrhythmias
b. oliguria
c. hyperkalemia
d. neutropenia
Ans>>cardiac dysrhythmias.
Cardiac dysrhythmias can occur as a complication of TPN therapy due to refeeding
syndrome. TPN therapy can increase the client's blood glucose and insulin levels causing
electrolytes like potassium to quickly move out of the bloodstream. Hy- pokalemia can
lead to cardiac dysrhythmias.
11. A nurse is updating a plan of care for a client who is receiving intermittent enteral
feedings and is experiencing diarrhea. Which of the following interven- tions should the
nurse include in the plan?
a. Discard the client's opened cans of formula within 48 hr.
b. Administer the client's formula cold.
c. Feed the client in small, frequent volumes.
d. Consider a low-calorie formula for the client
Ans>>Feed the client in small, frequent volumes.
The nurse should administer the feedings in small, frequent volumes because a large
volume or rapid feeding of the formula can cause diarrhea.
12. 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
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nutritional intake?
a. A 2.3 kg (5 lb) weight gain since last appointment
b. Presence of herpes simplex virus infection
c. HIV viral load below detectable levels
d. Increased lean body mass
Ans>>Presence of herpes simplex virus infection Secondary infection triggers
inflammatory responses that increase the client's meta- bolic rate.Therefore, the nurse
should identify the presence of herpes simplex virus infection as an indication to increase
the client's nutritional intake.
13. A client reports constipation during a routine checkup.The client was previously
encouraged to increase their intake of mineral supplements.Which of the following
minerals should the nurse identify as the possible cause of the constipation?
a. Phosphorus
b. Potassium
c. Magnesium
d. Calcium
Ans>>Calcium
Calcium can lead to constipation by decreasing peristalsis.
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