ATI RN NUTRITION PRACTICE B EXAM
QUESTIONS AND ANSWERS
A nurse is reviewing the laboratory date of four clients. The nurse identify that which of
the following clients is experiencing fluid overload?
a. a client who has an albumin level of 5.5 g/dl
b. a client who has a urine specific gravity of 1.035
c. a client who has a Hct of 55%
d. a client who has a sodium level of 130 mEq/L - d. a client who has a sodium level of
130 mEq/L
*The nurse should identify that this client's sodium level is lower than the expected
reference range of 136 to 145 mEq/L and indicates hyponatremia. Hyponatremia, often
called water deficit, is a decrease of sodium concentration in the blood caused by an
excess of water. Manifestations of hyponatremia include confusion, headache, nausea,
and fatigue.
A nursing is planning discharge teaching for a client who is postoperative following a
placement of a colostomy. Which of the following information should the nurse include?
A. "resume a regular diet by 4 weeks after surgery"
B. "Add high fiber foods to your diet"
C. "increase your intake of foods containing pectin"
D. "drink 4 to 6 cups of water per day" - C. "increase your intake of foods containing
pectin"
*the nurse should instruct the client to consume foods that thicken the consistency of
feces, such as foods containing pectin.
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A nurse is reviewing the laboratory results of a client who has a pressure ulcer. Which if
the following findings should indicate to the nurse that the client is at risk for impaired
wound healing?
A) Hgb 15 g/dl
B) Serum Albumin 3.0 g/dl
C) Prothrombin time 11.5 seconds
D) WBC 6,000/mm3 - B) Serum Albumin 3.0 g/dl
*The nurse should identify that this albumin level is less than the expected reference
range of 3.5 to 5 g/dL. A decreased albumin level is a manifestation of malnutrition and
can increase the risk for poor wound healing and infection.
a nurse is providing teaching to a client who is lactating about increasing her protein
intake. which of the following foods should the nurse recommend as the best source of
protein?
a.) legumes
b.) cottage cheese
c.)peanut butter
d) whole grain cereal
b.) cottage cheese - b.) cottage cheese
*The nurse should recommend cottage cheese as the best source of protein because it is a
complete protein. Complete proteins contain all nine essential amino acids and provide
the best support for human growth and nourishment.
A nurse is creating a plan of care for a client who has anorexia nervosa. Which
intervention should she include?
a.) Weigh the client once weekly at the same time of the day.
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b.) Stay with the client for 30 min after meals.
c.) Allow the client to schedule mealtimes.
d.) Assign privileges based on direct weight gain. - d.) Assign privileges based on direct
weight gain.
*The nurse should explain to the client that restrictions and privileges will be dependent
on treatment compliance and direct weight gain. This approach involves the client in
development of the plan of care and gives them control in achieving desired privileges.
a nurse in an antepartum clinic is teaching a client about nutritional recommendations
during pregnancy. which of the following client statements indicates an understanding of
the teaching?
a.) "I should take a daily iron supplement during my pregnancy."
b.) "I should decrease protein intake during my pregnancy."
c.) "I should plan to gain at least 50 pounds during my pregnancy."
d.) "I should increase my fat intake during the first trimester of my pregnancy." - a.) "I
should take a daily iron supplement during my pregnancy."
*Clients who are pregnant should take 30 mg of iron supplementation daily to reduce the
risk for iron-deficiency anemia.
A nurse is admitting a client who has had a fever and diarrhea for the past 3 days. which
of the following findings should indicate to the nurse the client is dehydrated?
a.) Distended neck veins
b.) Orthostatic hypotension
c.) Weight gain
d.) Peripheral edema - b.) Orthostatic hypotension
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