ATI Nutrition Retake Examination 2026/2027 Actual Exam –
Complete Exam-Style Questions with Detailed Rationales | 100%
Verified – Pass Guaranteed – A+ Graded
Time Allowed: 90 Minutes
Total Questions: 70 (Multiple-Choice and Select All That Apply)
Instructions: Read each question carefully. For Select All That Apply (SATA) questions,
select all options that are correct. No partial credit is awarded on SATA items.
Question 1
A client reports fatigue, pale conjunctiva, and craving ice (pagophagia). Laboratory
studies reveal hemoglobin 9.2 g/dL and MCV 68 fL. Which dietary instruction should the
nurse include?
A. "Drink milk with your iron supplement to enhance absorption."
B. "Take your iron with orange juice or other vitamin C sources."
C. "Consume tea or coffee within 30 minutes of taking iron."
D. "Focus on spinach as your primary iron source without meat."
Correct Answer: B
Rationale: Vitamin C enhances non-heme iron absorption. Milk and calcium inhibit
absorption. Tea and coffee contain tannins that reduce iron absorption. Heme iron from
meat is more bioavailable than non-heme iron from spinach alone; combining sources is
optimal.
,Question 2 (Select all that apply.)
A nurse is caring for a client with a dehisced surgical wound. Which foods should the
nurse recommend to promote collagen synthesis and wound healing?
A. Citrus fruits
B. Grilled chicken breast
C. Butter
D. Lentils
E. Strawberries
Correct Answer: A, B, D, E
Rationale: Collagen synthesis requires vitamin C (citrus, strawberries) and adequate
protein with zinc (chicken, lentils). Butter provides fat and minimal protein, offering no
specific benefit for collagen formation.
Question 3
A client has prealbumin 12 mg/dL (reference 15–35) and albumin 2.8 g/dL (reference
3.5–5.0). Which conclusion by the nurse is most accurate?
A. The client has acute protein depletion.
B. The client has chronic malnutrition over months.
C. Fluid overload is diluting both values.
D. The liver has lost synthetic function permanently.
Correct Answer: A
,Rationale: Prealbumin has a half-life of 2–3 days and reflects recent nutritional status.
Albumin has a 20-day half-life and reflects longer-term status. Low prealbumin with
moderately low albumin indicates acute depletion. Chronic malnutrition would show low
albumin with normal or low-normal prealbumin.
Question 4
A client taking warfarin asks whether green vegetables must be avoided completely.
Which response by the nurse is most appropriate?
A. "You should avoid all green vegetables to prevent bleeding."
B. "Keep your vitamin K intake consistent from week to week."
C. "Take a vitamin K supplement daily to stabilize your INR."
D. "Double your warfarin dose on days you eat salad."
Correct Answer: B
Rationale: Warfarin efficacy depends on consistent vitamin K intake; fluctuations
antagonize or potentiate therapy. Complete avoidance is unnecessary and unhealthy.
Patients should maintain steady intake rather than adjusting medication around diet.
Question 5
A client is 68 inches tall and weighs 198 lb. What is the client's BMI?
A. 28.5
B. 30.1
C. 32.4
D. 35.2
, Correct Answer: B
Rationale: BMI = weight (kg) / height (m)². 198 lb = 89.8 kg. 68 in = 1.73 m. 89.8 /
(1.73)² = 30.0, which rounds to 30.1, indicating Class I obesity.
Question 6 (Select all that apply.)
A nurse is teaching a postmenopausal client with osteoporosis about dietary prevention
of fractures. Which instructions are appropriate?
A. Perform weight-bearing exercises regularly.
B. Consume 1,200 mg of elemental calcium daily.
C. Take calcium carbonate supplements between meals.
D. Limit caffeine intake to less than 300 mg per day.
E. Increase sodium intake to improve calcium retention.
Correct Answer: A, B, D
Rationale: Weight-bearing exercise, 1,200 mg calcium, and caffeine limitation support
bone health. Calcium carbonate requires gastric acid and should be taken with meals.
High sodium increases urinary calcium excretion and is contraindicated.
Question 7
A client with stage 4 chronic kidney disease is prescribed a renal diet. Which dietary
modification is the priority?
A. Increase phosphorus intake to maintain bone density.
B. Restrict protein to 0.6–0.8 g/kg/day as prescribed.
Complete Exam-Style Questions with Detailed Rationales | 100%
Verified – Pass Guaranteed – A+ Graded
Time Allowed: 90 Minutes
Total Questions: 70 (Multiple-Choice and Select All That Apply)
Instructions: Read each question carefully. For Select All That Apply (SATA) questions,
select all options that are correct. No partial credit is awarded on SATA items.
Question 1
A client reports fatigue, pale conjunctiva, and craving ice (pagophagia). Laboratory
studies reveal hemoglobin 9.2 g/dL and MCV 68 fL. Which dietary instruction should the
nurse include?
A. "Drink milk with your iron supplement to enhance absorption."
B. "Take your iron with orange juice or other vitamin C sources."
C. "Consume tea or coffee within 30 minutes of taking iron."
D. "Focus on spinach as your primary iron source without meat."
Correct Answer: B
Rationale: Vitamin C enhances non-heme iron absorption. Milk and calcium inhibit
absorption. Tea and coffee contain tannins that reduce iron absorption. Heme iron from
meat is more bioavailable than non-heme iron from spinach alone; combining sources is
optimal.
,Question 2 (Select all that apply.)
A nurse is caring for a client with a dehisced surgical wound. Which foods should the
nurse recommend to promote collagen synthesis and wound healing?
A. Citrus fruits
B. Grilled chicken breast
C. Butter
D. Lentils
E. Strawberries
Correct Answer: A, B, D, E
Rationale: Collagen synthesis requires vitamin C (citrus, strawberries) and adequate
protein with zinc (chicken, lentils). Butter provides fat and minimal protein, offering no
specific benefit for collagen formation.
Question 3
A client has prealbumin 12 mg/dL (reference 15–35) and albumin 2.8 g/dL (reference
3.5–5.0). Which conclusion by the nurse is most accurate?
A. The client has acute protein depletion.
B. The client has chronic malnutrition over months.
C. Fluid overload is diluting both values.
D. The liver has lost synthetic function permanently.
Correct Answer: A
,Rationale: Prealbumin has a half-life of 2–3 days and reflects recent nutritional status.
Albumin has a 20-day half-life and reflects longer-term status. Low prealbumin with
moderately low albumin indicates acute depletion. Chronic malnutrition would show low
albumin with normal or low-normal prealbumin.
Question 4
A client taking warfarin asks whether green vegetables must be avoided completely.
Which response by the nurse is most appropriate?
A. "You should avoid all green vegetables to prevent bleeding."
B. "Keep your vitamin K intake consistent from week to week."
C. "Take a vitamin K supplement daily to stabilize your INR."
D. "Double your warfarin dose on days you eat salad."
Correct Answer: B
Rationale: Warfarin efficacy depends on consistent vitamin K intake; fluctuations
antagonize or potentiate therapy. Complete avoidance is unnecessary and unhealthy.
Patients should maintain steady intake rather than adjusting medication around diet.
Question 5
A client is 68 inches tall and weighs 198 lb. What is the client's BMI?
A. 28.5
B. 30.1
C. 32.4
D. 35.2
, Correct Answer: B
Rationale: BMI = weight (kg) / height (m)². 198 lb = 89.8 kg. 68 in = 1.73 m. 89.8 /
(1.73)² = 30.0, which rounds to 30.1, indicating Class I obesity.
Question 6 (Select all that apply.)
A nurse is teaching a postmenopausal client with osteoporosis about dietary prevention
of fractures. Which instructions are appropriate?
A. Perform weight-bearing exercises regularly.
B. Consume 1,200 mg of elemental calcium daily.
C. Take calcium carbonate supplements between meals.
D. Limit caffeine intake to less than 300 mg per day.
E. Increase sodium intake to improve calcium retention.
Correct Answer: A, B, D
Rationale: Weight-bearing exercise, 1,200 mg calcium, and caffeine limitation support
bone health. Calcium carbonate requires gastric acid and should be taken with meals.
High sodium increases urinary calcium excretion and is contraindicated.
Question 7
A client with stage 4 chronic kidney disease is prescribed a renal diet. Which dietary
modification is the priority?
A. Increase phosphorus intake to maintain bone density.
B. Restrict protein to 0.6–0.8 g/kg/day as prescribed.
