ATI: Skills Module- Nutrition
A client has finished a 16-oz container of orange juice. The intake and output sheet
documents fluid in milliliters. What amount should the nurse document as the client's intake?
- ANS-480 mL
A nurse is caring for a client who has sustained a head injury and whose level of
consciousness fluctuates. The provider prescribes a full liquid diet progressing to a pureed
diet as tolerated. Before initiating feedings, it is essential that this client undergo which of the
following?
A) Chest xray
B) Swallowing examination
C) Nasogastric tube insertion
D) Olfactory nerve evaluation - ANS-Swallowing examination
A nurse is caring for a patient who has impaired swallowing due to a cerebrovascular
accident. Which of the following interventions should the nurse use to assist the patient with
feeding?
A) Provide the patient with a straw
B) Offer the patient thin fluids
C) Elevate the head of the bed 45 to 90 degrees
D) Place food in the weaker side of the mouth - ANS-Elevate the head of the bed 45 to 90
degrees.
A nurse is performing a nutritional assessment. When obtaining and interpreting
anthropometric values, the nurse should recognize which of the following?
A) Isolated measurements of height and weight are of greater significance than changes
over time
B) A weight increase of 4 lbs in a patient with renal failure indicates retention of 1,000 mL of
fluid
C) The patient should be weighed on the same scale at the same time each day
D) The ratio of height-to-weight circumference is the most accurate way to identify obesity -
ANS-The patient should be weighed on the same scale at the same time each day.
A nurse should recognize that which of the following is correct regarding albumin level as a
diagnostic marker for nutritional status?
A) Albumin level is a poor short-term indicator of protein status
B) Hydration status does not affect a patient's albumin level
C) An albumin level of 3.2 g/dL is within the normal reference range
D) Albumin level is calculated by keeping a 24-hr record of protein intake - ANS-Albumin
level is a poor short-term indicator of protein status.
To assess a stroke patient for complications secondary to inadequate swallowing, the nurse
should do which of the following?
A client has finished a 16-oz container of orange juice. The intake and output sheet
documents fluid in milliliters. What amount should the nurse document as the client's intake?
- ANS-480 mL
A nurse is caring for a client who has sustained a head injury and whose level of
consciousness fluctuates. The provider prescribes a full liquid diet progressing to a pureed
diet as tolerated. Before initiating feedings, it is essential that this client undergo which of the
following?
A) Chest xray
B) Swallowing examination
C) Nasogastric tube insertion
D) Olfactory nerve evaluation - ANS-Swallowing examination
A nurse is caring for a patient who has impaired swallowing due to a cerebrovascular
accident. Which of the following interventions should the nurse use to assist the patient with
feeding?
A) Provide the patient with a straw
B) Offer the patient thin fluids
C) Elevate the head of the bed 45 to 90 degrees
D) Place food in the weaker side of the mouth - ANS-Elevate the head of the bed 45 to 90
degrees.
A nurse is performing a nutritional assessment. When obtaining and interpreting
anthropometric values, the nurse should recognize which of the following?
A) Isolated measurements of height and weight are of greater significance than changes
over time
B) A weight increase of 4 lbs in a patient with renal failure indicates retention of 1,000 mL of
fluid
C) The patient should be weighed on the same scale at the same time each day
D) The ratio of height-to-weight circumference is the most accurate way to identify obesity -
ANS-The patient should be weighed on the same scale at the same time each day.
A nurse should recognize that which of the following is correct regarding albumin level as a
diagnostic marker for nutritional status?
A) Albumin level is a poor short-term indicator of protein status
B) Hydration status does not affect a patient's albumin level
C) An albumin level of 3.2 g/dL is within the normal reference range
D) Albumin level is calculated by keeping a 24-hr record of protein intake - ANS-Albumin
level is a poor short-term indicator of protein status.
To assess a stroke patient for complications secondary to inadequate swallowing, the nurse
should do which of the following?
