ATI Nutrition Proctored Exam 2026/2027
Educational Assessment & Practice Question Sets
Paper 1: ATI Nutrition Proctored Exam 2026/2027 – Assessment Set A
Part I: Multiple Choice Questions
Question 1: A nurse is providing dietary teaching to a client newly diagnosed with gastroesophageal reflux
disease (GERD). Which of the following recommendations should the nurse include to minimize heartburn?
A. Orange juice
B. Decaffeinated coffee
C. Potatoes
D. Peppermint
Answer & Rationale:
Correct Answer: C
Rationale: Potatoes are a low-acid, low-fat carbohydrate option that does not trigger lower esophageal sphincter
(LES) relaxation. Orange juice (citrus), coffee (even decaffeinated), and peppermint lower LES pressure and worsen
heartburn.
Question 2: A nurse is reviewing dietary sources of vitamins for a client at risk for neural tube defects
during pregnancy. Which of the following foods should the nurse recommend as the highest source of
folate?
A. Enriched cereal
B. Medium apple
C. Cottage cheese
D. White rice
Answer & Rationale:
Correct Answer: A
Rationale: Enriched grains and cereals are fortified with folic acid, making them highly concentrated sources essential
for neural tube defect prevention during early pregnancy.
Question 3: A nurse is caring for a client receiving Total Parenteral Nutrition (TPN). Which of the following
findings indicates a potential adverse complication of TPN administration?
, A. Blood glucose level of 98 mg/dL
B. Weight gain of 1.5 kg (3.3 lb) per day
C. Body temperature of 36.8°C (98.2°F)
D. Hemoglobin of 14 g/dL
Answer & Rationale:
Correct Answer: B
Rationale: A rapid weight gain exceeding 1 kg (2.2 lb) per day usually indicates fluid retention and potential fluid
volume overload, a recognized complication of TPN.
Question 4: A nurse is instructing a client who has dysphagia following a cerebrovascular accident (CVA).
Which of the following actions should the nurse teach the client to perform during swallowing?
A. Tilt the head back slightly when taking a bite
B. Tuck the chin down toward the chest when swallowing
C. Drink thin liquids with every bite of solid food
D. Lie flat in bed for 30 minutes immediately after eating
Answer & Rationale:
Correct Answer: B
Rationale: Tucking the chin to the chest closes off the airway, widens the esophagus, and reduces the risk of food
aspiration into the lungs.
Question 5: A nurse is providing discharge instructions to a client prescribed warfarin. Which of the
following dietary recommendations is most appropriate?
A. Completely eliminate dark green leafy vegetables
B. Maintain a consistent daily intake of green leafy vegetables
C. Double the intake of foods high in Vitamin K
D. Take Vitamin K supplements daily
Answer & Rationale:
Correct Answer: B
Rationale: Consistency in Vitamin K intake is critical when taking warfarin. Sudden increases or decreases in Vitamin K
affect the INR and blood clotting time.
Question 6: A nurse is planning nutritional care for a client who sustained second- and third-degree burns
over 25% of total body surface area (TBSA). Which enteral formulation should the nurse anticipate?
A. Low-protein fluid restriction formula
B. High-protein, high-calorie liquid supplement
Educational Assessment & Practice Question Sets
Paper 1: ATI Nutrition Proctored Exam 2026/2027 – Assessment Set A
Part I: Multiple Choice Questions
Question 1: A nurse is providing dietary teaching to a client newly diagnosed with gastroesophageal reflux
disease (GERD). Which of the following recommendations should the nurse include to minimize heartburn?
A. Orange juice
B. Decaffeinated coffee
C. Potatoes
D. Peppermint
Answer & Rationale:
Correct Answer: C
Rationale: Potatoes are a low-acid, low-fat carbohydrate option that does not trigger lower esophageal sphincter
(LES) relaxation. Orange juice (citrus), coffee (even decaffeinated), and peppermint lower LES pressure and worsen
heartburn.
Question 2: A nurse is reviewing dietary sources of vitamins for a client at risk for neural tube defects
during pregnancy. Which of the following foods should the nurse recommend as the highest source of
folate?
A. Enriched cereal
B. Medium apple
C. Cottage cheese
D. White rice
Answer & Rationale:
Correct Answer: A
Rationale: Enriched grains and cereals are fortified with folic acid, making them highly concentrated sources essential
for neural tube defect prevention during early pregnancy.
Question 3: A nurse is caring for a client receiving Total Parenteral Nutrition (TPN). Which of the following
findings indicates a potential adverse complication of TPN administration?
, A. Blood glucose level of 98 mg/dL
B. Weight gain of 1.5 kg (3.3 lb) per day
C. Body temperature of 36.8°C (98.2°F)
D. Hemoglobin of 14 g/dL
Answer & Rationale:
Correct Answer: B
Rationale: A rapid weight gain exceeding 1 kg (2.2 lb) per day usually indicates fluid retention and potential fluid
volume overload, a recognized complication of TPN.
Question 4: A nurse is instructing a client who has dysphagia following a cerebrovascular accident (CVA).
Which of the following actions should the nurse teach the client to perform during swallowing?
A. Tilt the head back slightly when taking a bite
B. Tuck the chin down toward the chest when swallowing
C. Drink thin liquids with every bite of solid food
D. Lie flat in bed for 30 minutes immediately after eating
Answer & Rationale:
Correct Answer: B
Rationale: Tucking the chin to the chest closes off the airway, widens the esophagus, and reduces the risk of food
aspiration into the lungs.
Question 5: A nurse is providing discharge instructions to a client prescribed warfarin. Which of the
following dietary recommendations is most appropriate?
A. Completely eliminate dark green leafy vegetables
B. Maintain a consistent daily intake of green leafy vegetables
C. Double the intake of foods high in Vitamin K
D. Take Vitamin K supplements daily
Answer & Rationale:
Correct Answer: B
Rationale: Consistency in Vitamin K intake is critical when taking warfarin. Sudden increases or decreases in Vitamin K
affect the INR and blood clotting time.
Question 6: A nurse is planning nutritional care for a client who sustained second- and third-degree burns
over 25% of total body surface area (TBSA). Which enteral formulation should the nurse anticipate?
A. Low-protein fluid restriction formula
B. High-protein, high-calorie liquid supplement
