ATI Nutrition Proctored Exam
Retake ()
Q1
A nurse is providing dietary teaching to a client who has a new diagnosis of gastroesophageal reflux
disease. Which of the following foods or beverages should the nurse recommend to minimize
heartburn?
A. Orange juice
B. Decaffeinated coffee
C. Peppermint
D. Potatoes
Answer: D. Potatoes
Explanation: Potatoes are low-acid foods that do not trigger reflux. Orange juice and coffee are acidic,
and peppermint relaxes the lower esophageal sphincter, worsening GERD symptoms .
---
Q2
A nurse is preparing to teach a group of clients about vitamins and minerals. The nurse should include in
the teaching that which of the following minerals is necessary for the transmission of nerve impulses?
A. Phosphorus
B. Calcium
C. Chloride
D. Zinc
Answer: B. Calcium
,Explanation: Calcium is essential for nerve impulse transmission, muscle contraction, and blood clotting.
Phosphorus is important for bone health, chloride for fluid balance, and zinc for wound healing .
---
Q3
A nurse is caring for a client who has a body mass index (BMI) of 30. Four weeks after nutritional
counseling, which of the following evaluation findings indicates the plan of care was followed?
A. BMI of 25
B. Weight gain of 1.8 kg
C. BMI of 33
D. Weight loss of 2.7 kg
Answer: D. Weight loss of 2.7 kg
Explanation: A BMI of 30 indicates obesity. Healthy weight loss is 0.5-1 kg per week, so losing 2.7 kg in 4
weeks (approximately 0.675 kg/week) is appropriate and indicates the plan was effective .
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Q4
A nurse is caring for a client who follows the dietary laws of Orthodox Judaism. Which of the following
meal choices should the nurse request for the client?
A. Turkey and cheese sandwich
B. Spaghetti with tomato sauce
C. Pork chop and applesauce
D. Scrambled eggs and bacon
Answer: B. Spaghetti with tomato sauce
,Explanation: Orthodox Jewish dietary laws (Kashrut) prohibit mixing meat and dairy (eliminates A), pork
products (eliminates C and D). Spaghetti with tomato sauce is parve (neutral) and acceptable .
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Q5
A nurse in a long-term care facility is developing strategies to promote increased food intake for an older
adult client. Which of the following interventions should the nurse implement?
A. Offer sugar substitutes to increase the client's appetite
B. Provide opportunities to eat three large meals per day
C. Provide entertainment while the client is eating
D. Offer finger foods at mealtime
Answer: D. Offer finger foods at mealtime
Explanation: Finger foods are easier for older adults to manage, especially those with decreased fine
motor skills or appetite. Small, frequent meals are better than large meals, and entertainment can be
distracting .
---
Q6
A nurse is caring for four clients. The nurse should plan to administer total parenteral nutrition for which
of the following clients?
A. A client who is postoperative following a laminectomy and is receiving IV PCA
B. A client who has dysphagia and does not recognize his family
C. A client who has COPD and is going home with oxygen
D. A client who has colon cancer and will undergo a hemicolectomy
Answer: D. A client who has colon cancer and will undergo a hemicolectomy
, Explanation: TPN is indicated for clients with non-functioning GI tracts. A hemicolectomy may require
bowel rest. Dysphagia clients can often receive enteral nutrition, not TPN .
---
Q7
A nurse is performing a nutritional evaluation for a client who reports paresthesia of the hands and feet.
The nurse should identify this manifestation as an indication of which of the following dietary
deficiencies?
A. Iron
B. Riboflavin
C. Vitamin C
D. Vitamin B12
Answer: D. Vitamin B12
Explanation: Paresthesia (numbness/tingling) in extremities is a classic sign of vitamin B12 deficiency due
to its role in myelin sheath maintenance. Iron deficiency causes fatigue, riboflavin causes cracked lips,
vitamin C causes bleeding gums .
---
Q8
A nurse is providing teaching about prevention of neural tube defects in the fetus to a client who is
pregnant. Which of the following nutrients should the nurse recommend?
A. Calcium
B. Folate
C. Vitamin B12
D. Magnesium
Retake ()
Q1
A nurse is providing dietary teaching to a client who has a new diagnosis of gastroesophageal reflux
disease. Which of the following foods or beverages should the nurse recommend to minimize
heartburn?
A. Orange juice
B. Decaffeinated coffee
C. Peppermint
D. Potatoes
Answer: D. Potatoes
Explanation: Potatoes are low-acid foods that do not trigger reflux. Orange juice and coffee are acidic,
and peppermint relaxes the lower esophageal sphincter, worsening GERD symptoms .
---
Q2
A nurse is preparing to teach a group of clients about vitamins and minerals. The nurse should include in
the teaching that which of the following minerals is necessary for the transmission of nerve impulses?
A. Phosphorus
B. Calcium
C. Chloride
D. Zinc
Answer: B. Calcium
,Explanation: Calcium is essential for nerve impulse transmission, muscle contraction, and blood clotting.
Phosphorus is important for bone health, chloride for fluid balance, and zinc for wound healing .
---
Q3
A nurse is caring for a client who has a body mass index (BMI) of 30. Four weeks after nutritional
counseling, which of the following evaluation findings indicates the plan of care was followed?
A. BMI of 25
B. Weight gain of 1.8 kg
C. BMI of 33
D. Weight loss of 2.7 kg
Answer: D. Weight loss of 2.7 kg
Explanation: A BMI of 30 indicates obesity. Healthy weight loss is 0.5-1 kg per week, so losing 2.7 kg in 4
weeks (approximately 0.675 kg/week) is appropriate and indicates the plan was effective .
---
Q4
A nurse is caring for a client who follows the dietary laws of Orthodox Judaism. Which of the following
meal choices should the nurse request for the client?
A. Turkey and cheese sandwich
B. Spaghetti with tomato sauce
C. Pork chop and applesauce
D. Scrambled eggs and bacon
Answer: B. Spaghetti with tomato sauce
,Explanation: Orthodox Jewish dietary laws (Kashrut) prohibit mixing meat and dairy (eliminates A), pork
products (eliminates C and D). Spaghetti with tomato sauce is parve (neutral) and acceptable .
---
Q5
A nurse in a long-term care facility is developing strategies to promote increased food intake for an older
adult client. Which of the following interventions should the nurse implement?
A. Offer sugar substitutes to increase the client's appetite
B. Provide opportunities to eat three large meals per day
C. Provide entertainment while the client is eating
D. Offer finger foods at mealtime
Answer: D. Offer finger foods at mealtime
Explanation: Finger foods are easier for older adults to manage, especially those with decreased fine
motor skills or appetite. Small, frequent meals are better than large meals, and entertainment can be
distracting .
---
Q6
A nurse is caring for four clients. The nurse should plan to administer total parenteral nutrition for which
of the following clients?
A. A client who is postoperative following a laminectomy and is receiving IV PCA
B. A client who has dysphagia and does not recognize his family
C. A client who has COPD and is going home with oxygen
D. A client who has colon cancer and will undergo a hemicolectomy
Answer: D. A client who has colon cancer and will undergo a hemicolectomy
, Explanation: TPN is indicated for clients with non-functioning GI tracts. A hemicolectomy may require
bowel rest. Dysphagia clients can often receive enteral nutrition, not TPN .
---
Q7
A nurse is performing a nutritional evaluation for a client who reports paresthesia of the hands and feet.
The nurse should identify this manifestation as an indication of which of the following dietary
deficiencies?
A. Iron
B. Riboflavin
C. Vitamin C
D. Vitamin B12
Answer: D. Vitamin B12
Explanation: Paresthesia (numbness/tingling) in extremities is a classic sign of vitamin B12 deficiency due
to its role in myelin sheath maintenance. Iron deficiency causes fatigue, riboflavin causes cracked lips,
vitamin C causes bleeding gums .
---
Q8
A nurse is providing teaching about prevention of neural tube defects in the fetus to a client who is
pregnant. Which of the following nutrients should the nurse recommend?
A. Calcium
B. Folate
C. Vitamin B12
D. Magnesium
