P R O C T O R E D E X A M I N AT I O N 20 26 ED I TI ON
Ultimate ATI RN
Nutrition 2026
Proctored Exam Bundle
70 NGN questions with answers and rationales. Actual and
retake versions combined into a single comprehensive
examination aligned with the ATI Registered Nurse Nutrition
proctored assessment framework.
EXAMINATION ATI RN Nutrition Proctored
QUESTION COUNT 70 NGN items (single full exam)
TIME LIMIT 3 hours (180 minutes)
PASSING SCORE 70.0% proficiency level
FORMAT NGN case-based, inline answers with rationales
AC T U AL & R E TAK E VE R S I O N S B U N D L E R N P R O C T O R E D AS S E S S M E N T S E R I
,Proctored Assessment — Actual & Retake Versions Bundle Page 2
,Examination: 70 NGN Questions
Single continuous exam — Questions 1 through 70 — Inline answers and rationales
Question 1
Domain: Basic Nutrition
Case Scenario
Mr. Alan Parker, a 42-year-old office worker, is 5 ft 10 in tall and weighs 195 lb
(BMI 28.0). He reports feeling fatigued and wants to lose weight. His 24-hour
dietary recall reveals: breakfast (pastry + coffee), lunch (fast-food burger + fries +
soda), dinner (pasta with cream sauce), and a late-night bowl of ice cream.
Estimated daily intake is approximately 3,200 kcal. He is sedentary and drinks 2
alcoholic beverages nightly.
Which modification to Mr. Parker's meal plan should the nurse
recommend FIRST to support safe, sustainable weight loss?
A. Replace all simple carbohydrates with complex carbohydrates to reduce
insulin spikes.
B. Reduce daily intake by 500-1,000 kcal per day to achieve a 1-2 lb weekly
weight loss.
C. Eliminate all fats from the diet to maximize the caloric deficit.
D. Begin a high-protein, very-low-calorie diet (800 kcal/day) under medical
supervision.
Correct Answer
B | See rationale below.
Rationale
A daily reduction of 500-1,000 kcal produces a safe 1-2 lb weekly weight loss,
which is the established guideline for sustainable adult weight reduction. Option A
is too narrow; complex carbs are beneficial but addressing total caloric surplus is
the primary issue. Option C is unsafe because essential fatty acids are
required for absorption of fat-soluble vitamins and hormone synthesis. Option D
(very-low-calorie diet) is reserved for BMI ≥ 30 with comorbidities and requires
strict medical supervision; Mr. Parker does not meet criteria. The nurse should
also reinforce increased physical activity and lifestyle counseling.
Question 2
Domain: Basic Nutrition
Proctored Assessment — Actual & Retake Versions Bundle Page 3
, Case Scenario
Mrs. Linh Tran, a 28-year-old vegetarian of 6 years, presents with fatigue, brittle
nails, and pallor. Labs reveal hemoglobin 10.2 g/dL (low), serum ferritin 9 ng/mL
(low), and MCV 76 fL (low). Her diet consists primarily of refined grains, cheese,
vegetables, and tofu, with minimal legumes, fortified cereals, or leafy greens.
Which nursing intervention is the PRIORITY to address Mrs. Tran's
identified nutritional deficit?
A. Educate the client to increase intake of vitamin C-rich foods to enhance non-
heme iron absorption.
B. Recommend that the client begin consuming lean red meat at least twice per
week.
C. Advise the client to take a calcium supplement with each meal to support
bone health.
D. Recommend discontinuation of the vegetarian diet immediately.
Correct Answer
A | See rationale below.
Proctored Assessment — Actual & Retake Versions Bundle Page 4
Ultimate ATI RN
Nutrition 2026
Proctored Exam Bundle
70 NGN questions with answers and rationales. Actual and
retake versions combined into a single comprehensive
examination aligned with the ATI Registered Nurse Nutrition
proctored assessment framework.
EXAMINATION ATI RN Nutrition Proctored
QUESTION COUNT 70 NGN items (single full exam)
TIME LIMIT 3 hours (180 minutes)
PASSING SCORE 70.0% proficiency level
FORMAT NGN case-based, inline answers with rationales
AC T U AL & R E TAK E VE R S I O N S B U N D L E R N P R O C T O R E D AS S E S S M E N T S E R I
,Proctored Assessment — Actual & Retake Versions Bundle Page 2
,Examination: 70 NGN Questions
Single continuous exam — Questions 1 through 70 — Inline answers and rationales
Question 1
Domain: Basic Nutrition
Case Scenario
Mr. Alan Parker, a 42-year-old office worker, is 5 ft 10 in tall and weighs 195 lb
(BMI 28.0). He reports feeling fatigued and wants to lose weight. His 24-hour
dietary recall reveals: breakfast (pastry + coffee), lunch (fast-food burger + fries +
soda), dinner (pasta with cream sauce), and a late-night bowl of ice cream.
Estimated daily intake is approximately 3,200 kcal. He is sedentary and drinks 2
alcoholic beverages nightly.
Which modification to Mr. Parker's meal plan should the nurse
recommend FIRST to support safe, sustainable weight loss?
A. Replace all simple carbohydrates with complex carbohydrates to reduce
insulin spikes.
B. Reduce daily intake by 500-1,000 kcal per day to achieve a 1-2 lb weekly
weight loss.
C. Eliminate all fats from the diet to maximize the caloric deficit.
D. Begin a high-protein, very-low-calorie diet (800 kcal/day) under medical
supervision.
Correct Answer
B | See rationale below.
Rationale
A daily reduction of 500-1,000 kcal produces a safe 1-2 lb weekly weight loss,
which is the established guideline for sustainable adult weight reduction. Option A
is too narrow; complex carbs are beneficial but addressing total caloric surplus is
the primary issue. Option C is unsafe because essential fatty acids are
required for absorption of fat-soluble vitamins and hormone synthesis. Option D
(very-low-calorie diet) is reserved for BMI ≥ 30 with comorbidities and requires
strict medical supervision; Mr. Parker does not meet criteria. The nurse should
also reinforce increased physical activity and lifestyle counseling.
Question 2
Domain: Basic Nutrition
Proctored Assessment — Actual & Retake Versions Bundle Page 3
, Case Scenario
Mrs. Linh Tran, a 28-year-old vegetarian of 6 years, presents with fatigue, brittle
nails, and pallor. Labs reveal hemoglobin 10.2 g/dL (low), serum ferritin 9 ng/mL
(low), and MCV 76 fL (low). Her diet consists primarily of refined grains, cheese,
vegetables, and tofu, with minimal legumes, fortified cereals, or leafy greens.
Which nursing intervention is the PRIORITY to address Mrs. Tran's
identified nutritional deficit?
A. Educate the client to increase intake of vitamin C-rich foods to enhance non-
heme iron absorption.
B. Recommend that the client begin consuming lean red meat at least twice per
week.
C. Advise the client to take a calcium supplement with each meal to support
bone health.
D. Recommend discontinuation of the vegetarian diet immediately.
Correct Answer
A | See rationale below.
Proctored Assessment — Actual & Retake Versions Bundle Page 4
