Latest ATI RN Nutrition 2026-2027 Proctored Exam
with NGN – 150 Practice Questions & Answers
Practice Exam A & B Format | Next Generation NCLEX
(NGN) Style
PART 1: FUNDAMENTAL NUTRITION CONCEPTS (Questions
1-30)
Q1. A nurse is performing a comprehensive nutritional assessment for a client.
Which of the following laboratory findings should the nurse report to the
provider?
A) WBC 6,000/mm³
B) Sodium 139 mEq/L
C) Prealbumin 8.0 mg/dL
D) Thyroxine 9.2 mcg/dL
Answer: C
Rationale: Prealbumin is a plasma protein with a normal range of 15-36 mg/dL. A level
of 8 mg/dL indicates severe malnutrition and should be reported to the provider for
nutritional intervention . The other lab values are within normal ranges.
Q2. A nurse is providing teaching to a client who has heart failure and is on a low-
sodium diet. Which of the following food choices has the least amount of sodium?
A) 2 slices of tomato
B) 1 cup of brown rice
C) 2 graham crackers
D) 1 slice of whole wheat bread
,Answer: B
Rationale: Brown rice is naturally low in sodium and is an appropriate choice for a low-
sodium diet. The other options contain higher sodium levels due to processing or added
salt .
Q3. A client receiving warfarin therapy has an INR of 4.5. Which of the following
factors most likely contributed to this elevated INR?
A) Increased consumption of kale and spinach
B) Reduced intake of vitamin K-rich foods
C) Supplementation with vitamin E 800 IU/day
D) Increased intake of green tea and cranberry juice
Answer: B
Rationale: Warfarin's anticoagulant effect is antagonized by vitamin K. Reduced intake
of vitamin K-rich foods leads to lower vitamin K levels, which can increase the INR above
therapeutic range. Conversely, increased consumption of leafy greens (vitamin K) would
lower INR .
Q4. A nurse is reinforcing teaching with a client about managing irritable bowel
syndrome (IBS). Which of the following information should the nurse include?
A) Increase intake of fresh fruit high in fructose
B) Limit foods that contain probiotics
C) Take peppermint oil during exacerbation of manifestations
D) Substitute white sugar with honey
Answer: C
Rationale: Peppermint oil relaxes smooth muscle of the GI tract and decreases
manifestations of IBS. Probiotics are beneficial, not limited. Fructose and honey can
exacerbate symptoms .
,Q5. A nurse is providing teaching to an adolescent about making nutrient-dense
food choices. Which of the following statements should the nurse include?
A) "Pasta with white sauce is a better choice than pasta with red sauce."
B) "Sweetened fruit yogurt is a healthy breakfast choice."
C) "Canned pinto beans are a better choice than refried beans."
D) "Sausage is a healthy choice of protein."
Answer: C
Rationale: Canned pinto beans contain less fat than refried beans, making them a more
nutrient-dense choice. Refried beans often contain added lard or saturated fats .
Q6. Which of the following menu choices should a nurse select to improve protein
intake for a client who follows a vegan diet?
A) Cheese wedges with soda crackers
B) Vanilla milkshake
C) Peanut butter with sliced apples
D) Baked flounder with spinach
Answer: C
Rationale: Peanut butter provides plant-based protein suitable for a vegan diet. Cheese,
milkshakes (dairy), and fish are not vegan-compliant options .
Q7. A nurse is caring for a client who has anemia and is prescribed an iron
supplement. To increase the iron supplement's absorption rate, the nurse should
recommend consuming which of the following with the supplement?
A) Protein shake
B) Skim milk
C) Tomato juice
D) Green tea
Answer: C
, Rationale: Vitamin C enhances iron absorption. Tomato juice is a rich source of vitamin
C. Dairy products (calcium) and tannins (green tea) inhibit iron absorption .
Q8. A nurse is reviewing the introduction of solid foods with the parent of an
infant who is 4 months old. Which of the following statements by the parent
indicates an understanding of the teaching?
A) "My baby should consume 2 tablespoons of solid food at each feeding."
B) "The majority of my baby's calories should come from solid food."
C) "I will give my baby one bottle of fruit juice per day."
D) "I will introduce a new solid food every 5 days."
Answer: D
Rationale: New solid foods should be introduced one at a time, with 5-7 days between
introductions to monitor for allergic reactions. Solid foods should not constitute the
majority of calories at 4 months .
Q9. A nurse is caring for a client who has diabetes mellitus and reports feeling
dizzy, weak, and shaky. Which of the following is the priority action by the nurse?
A) Offer the client 180 mL (6 oz) of orange juice
B) Document the client's intake from the most recent meal
C) Teach the client manifestations of hypoglycemia
D) Check the client's blood glucose level
Answer: D
Rationale: Using the nursing process, the first action is to assess the client. Checking the
blood glucose level is the priority to confirm hypoglycemia before implementing
treatment .
with NGN – 150 Practice Questions & Answers
Practice Exam A & B Format | Next Generation NCLEX
(NGN) Style
PART 1: FUNDAMENTAL NUTRITION CONCEPTS (Questions
1-30)
Q1. A nurse is performing a comprehensive nutritional assessment for a client.
Which of the following laboratory findings should the nurse report to the
provider?
A) WBC 6,000/mm³
B) Sodium 139 mEq/L
C) Prealbumin 8.0 mg/dL
D) Thyroxine 9.2 mcg/dL
Answer: C
Rationale: Prealbumin is a plasma protein with a normal range of 15-36 mg/dL. A level
of 8 mg/dL indicates severe malnutrition and should be reported to the provider for
nutritional intervention . The other lab values are within normal ranges.
Q2. A nurse is providing teaching to a client who has heart failure and is on a low-
sodium diet. Which of the following food choices has the least amount of sodium?
A) 2 slices of tomato
B) 1 cup of brown rice
C) 2 graham crackers
D) 1 slice of whole wheat bread
,Answer: B
Rationale: Brown rice is naturally low in sodium and is an appropriate choice for a low-
sodium diet. The other options contain higher sodium levels due to processing or added
salt .
Q3. A client receiving warfarin therapy has an INR of 4.5. Which of the following
factors most likely contributed to this elevated INR?
A) Increased consumption of kale and spinach
B) Reduced intake of vitamin K-rich foods
C) Supplementation with vitamin E 800 IU/day
D) Increased intake of green tea and cranberry juice
Answer: B
Rationale: Warfarin's anticoagulant effect is antagonized by vitamin K. Reduced intake
of vitamin K-rich foods leads to lower vitamin K levels, which can increase the INR above
therapeutic range. Conversely, increased consumption of leafy greens (vitamin K) would
lower INR .
Q4. A nurse is reinforcing teaching with a client about managing irritable bowel
syndrome (IBS). Which of the following information should the nurse include?
A) Increase intake of fresh fruit high in fructose
B) Limit foods that contain probiotics
C) Take peppermint oil during exacerbation of manifestations
D) Substitute white sugar with honey
Answer: C
Rationale: Peppermint oil relaxes smooth muscle of the GI tract and decreases
manifestations of IBS. Probiotics are beneficial, not limited. Fructose and honey can
exacerbate symptoms .
,Q5. A nurse is providing teaching to an adolescent about making nutrient-dense
food choices. Which of the following statements should the nurse include?
A) "Pasta with white sauce is a better choice than pasta with red sauce."
B) "Sweetened fruit yogurt is a healthy breakfast choice."
C) "Canned pinto beans are a better choice than refried beans."
D) "Sausage is a healthy choice of protein."
Answer: C
Rationale: Canned pinto beans contain less fat than refried beans, making them a more
nutrient-dense choice. Refried beans often contain added lard or saturated fats .
Q6. Which of the following menu choices should a nurse select to improve protein
intake for a client who follows a vegan diet?
A) Cheese wedges with soda crackers
B) Vanilla milkshake
C) Peanut butter with sliced apples
D) Baked flounder with spinach
Answer: C
Rationale: Peanut butter provides plant-based protein suitable for a vegan diet. Cheese,
milkshakes (dairy), and fish are not vegan-compliant options .
Q7. A nurse is caring for a client who has anemia and is prescribed an iron
supplement. To increase the iron supplement's absorption rate, the nurse should
recommend consuming which of the following with the supplement?
A) Protein shake
B) Skim milk
C) Tomato juice
D) Green tea
Answer: C
, Rationale: Vitamin C enhances iron absorption. Tomato juice is a rich source of vitamin
C. Dairy products (calcium) and tannins (green tea) inhibit iron absorption .
Q8. A nurse is reviewing the introduction of solid foods with the parent of an
infant who is 4 months old. Which of the following statements by the parent
indicates an understanding of the teaching?
A) "My baby should consume 2 tablespoons of solid food at each feeding."
B) "The majority of my baby's calories should come from solid food."
C) "I will give my baby one bottle of fruit juice per day."
D) "I will introduce a new solid food every 5 days."
Answer: D
Rationale: New solid foods should be introduced one at a time, with 5-7 days between
introductions to monitor for allergic reactions. Solid foods should not constitute the
majority of calories at 4 months .
Q9. A nurse is caring for a client who has diabetes mellitus and reports feeling
dizzy, weak, and shaky. Which of the following is the priority action by the nurse?
A) Offer the client 180 mL (6 oz) of orange juice
B) Document the client's intake from the most recent meal
C) Teach the client manifestations of hypoglycemia
D) Check the client's blood glucose level
Answer: D
Rationale: Using the nursing process, the first action is to assess the client. Checking the
blood glucose level is the priority to confirm hypoglycemia before implementing
treatment .
