ATI Nutrition Proctored Exam
Retake (2023/2025) with NGN
Questions and VerifiedAnswers,
Guaranteed
**Q1: A client asks which macronutrient provides the most energy per gram. How should the nurse
respond?**
- A) Carbohydrates – 4 kcal/g
- B) Protein – 4 kcal/g
- C) Fats – 9 kcal/g
- D) Alcohol – 7 kcal/g
**Correct Answer: C**
,**Rationale:** Fats provide 9 kcal/g, the highest among macronutrients. Carbohydrates and protein
provide 4 kcal/g each. While alcohol provides 7 kcal/g, it is not considered a nutrient and provides
empty calories .
---
**Q2: A client's serum transferrin level is 150 mg/dL (normal: 200-360 mg/dL). This is consistent with:**
- A) Iron deficiency anemia
- B) Protein-calorie malnutrition
- C) Hemochromatosis
- D) Liver disease
**Correct Answer: B**
**Rationale:** Low transferrin indicates protein malnutrition since transferrin is a protein synthesized
by the liver. In iron deficiency anemia, transferrin levels are typically elevated .
---
**Q3: A client's pre-albumin level is 8 mg/dL (normal: 15-36 mg/dL). Which statement best interprets
this result?**
- A) Normal nutritional status
- B) Moderate risk for malnutrition
- C) Severe malnutrition
- D) Hyperalimentation
, **Correct Answer: B**
**Rationale:** Pre-albumin normal range is 15-36 mg/dL. Mild risk: 10-15 mg/dL; moderate risk: 5-10
mg/dL; severe risk: <5 mg/dL. Pre-albumin has a shorter half-life (2-3 days) than albumin, making it a
better indicator of acute protein status .
---
**Q4: A nurse is assessing a client's nutritional status. Which finding suggests protein deficiency?**
- A) Smooth, shiny tongue
- B) Edema
- C) Spoon-shaped nails (koilonychia)
- D) Brittle hair
**Correct Answer: B**
**Rationale:** Protein deficiency leads to decreased plasma oncotic pressure, causing edema
(especially pedal edema). Smooth, shiny tongue is associated with B vitamin deficiencies; spoon-shaped
nails suggest iron deficiency .
---
**Q5: Which of the following is a component of a nutritional screening?**
- A) Complete blood count
Retake (2023/2025) with NGN
Questions and VerifiedAnswers,
Guaranteed
**Q1: A client asks which macronutrient provides the most energy per gram. How should the nurse
respond?**
- A) Carbohydrates – 4 kcal/g
- B) Protein – 4 kcal/g
- C) Fats – 9 kcal/g
- D) Alcohol – 7 kcal/g
**Correct Answer: C**
,**Rationale:** Fats provide 9 kcal/g, the highest among macronutrients. Carbohydrates and protein
provide 4 kcal/g each. While alcohol provides 7 kcal/g, it is not considered a nutrient and provides
empty calories .
---
**Q2: A client's serum transferrin level is 150 mg/dL (normal: 200-360 mg/dL). This is consistent with:**
- A) Iron deficiency anemia
- B) Protein-calorie malnutrition
- C) Hemochromatosis
- D) Liver disease
**Correct Answer: B**
**Rationale:** Low transferrin indicates protein malnutrition since transferrin is a protein synthesized
by the liver. In iron deficiency anemia, transferrin levels are typically elevated .
---
**Q3: A client's pre-albumin level is 8 mg/dL (normal: 15-36 mg/dL). Which statement best interprets
this result?**
- A) Normal nutritional status
- B) Moderate risk for malnutrition
- C) Severe malnutrition
- D) Hyperalimentation
, **Correct Answer: B**
**Rationale:** Pre-albumin normal range is 15-36 mg/dL. Mild risk: 10-15 mg/dL; moderate risk: 5-10
mg/dL; severe risk: <5 mg/dL. Pre-albumin has a shorter half-life (2-3 days) than albumin, making it a
better indicator of acute protein status .
---
**Q4: A nurse is assessing a client's nutritional status. Which finding suggests protein deficiency?**
- A) Smooth, shiny tongue
- B) Edema
- C) Spoon-shaped nails (koilonychia)
- D) Brittle hair
**Correct Answer: B**
**Rationale:** Protein deficiency leads to decreased plasma oncotic pressure, causing edema
(especially pedal edema). Smooth, shiny tongue is associated with B vitamin deficiencies; spoon-shaped
nails suggest iron deficiency .
---
**Q5: Which of the following is a component of a nutritional screening?**
- A) Complete blood count
