11/17/23, 8:15 AM ATI Nutrition Notes
ATI Nutrition Notes
1. BMI
a. Healthy: 18.5 – 24.9
b. Overweight: 25 – 29.9
c. Obesity: greater than or equal to 30
2. Negative nitrogen balance lab value indicates a client is in a catabolic state (using protein
faster than protein is being synthesized) – an acute change – could be from trauma in a
motor vehicle collision
3. Clinical findings suggestive of malnutrition:
a. Poor wound healing, dry hair, weak hand grips, and impaired coordination
4. Risk factors for women developing osteoporosis:
a. Inactivity NOT:
b. Family history obesity or hyperlipidemia
c. Cigarette smoking
5. Vegans are at risk for being deficient of what nutrients?
a. Vitamin D, Calcium, and Vitamin B12
6. What should be included in the teaching for a nutrition class?
a. Progress toward limiting saturated fat to 7% of total daily intake.
7. Essential nutrients for normal functioning of the nervous system – what should be
included?
a. Calcium, thiamin, vitamin B6, and sodium
8. Which is a required component of food labels that the nurse should include in the
teaching?
a. Total carbohydrates, total fat, calories, and dietary fiber.
9. Vitamin K negates anticoagulation effects on warfarin (leafy green vegetables are a
natural source of vitamin K)
10. Acute inflammatory bowel disease – which nutritional supplements should the nurse
anticipate providing?
a. Hydrolyzed formula – provides protein and nutrients in their simplest form,
requiring little or no digestion and decreases stimulation of the bowel.
11. Lab value that shows client has reached goal of a DASH diet (Dietary Approaches to Stop
Hypertension)
a. Total Cholesterol normal range < 200
12. Manifestations of fluid volume excess
a. Crackles in lungs – ATI answer
b. Other manifestations: SOB, dyspnea, bounding peripheral pulses, decreased
hematocrit, weight gain from baseline
13. Finding that would be a risk factor for poor wound healing:
a. Client consumes 1,000 kcal daily – adults who have had surgery require at least
1500 kcal daily to meet energy needs and build protein for tissue healing.
14. Islamic dietary laws during Ramadan. Which action should the nurse plan to take?
a. Provide a snack for the client after sunset – during Ramadan, clients who follow
Islamic dietary laws consume meals before dawn and after sunset. The nurse
should offer the client a snack or light meal after sunset.
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,11/17/23, 8:15 AM ATI Nutrition Notes
15. Client is experiencing anorexia related to cancer treatment. Which intervention should
the nurse implement to increase the client’s nutritional intake?
a. Add extra calories and protein to every meal.
b. Don’t: recommend cooking aromatic foods to stimulate appetite – cancer
treatments can cause increased sensitivity to odors, precipitating nausea and
increasing anorexia. Serve hot foods rather than cold foods – serve cold foods,
hot foods emit odors that can further decrease the client’s appetite. Instruct the
client to eat three meals per day – the nurse should advise the client to eat small,
frequent meals approximately every 2 hours.
16. Patient with type 1 diabetes – actions to take to assess for Somogyi phenomenon
a. Monitor blood glucose levels during the night – Somogyi phenomenon is fasting
hyperglycemia that occurs in the morning in response to hypoglycemia during
the nighttime.
17. Discharge teaching to a postpartum client about breast milk use and storage. Which
statement should the nurse make?
a. “You cannot place thawed breast milk back in the freezer”
b. Don’t: Any milk left in a bottle from a feeding should be immediately discarded.
18. Bottle feeding an infant with a cleft lip – which action should the nurse take to reduce
the risk of aspiration?
a. Squeeze the infant’s cheeks together while feeding – infants with cleft lip can’t
get an adequate seal, gently squeezing the infant’s cheeks together decreases
the width of the cleft, allowing the infant to achieve a better seal which reduces
the risk of aspiration.
19. A nurse is performing a cultural nursing assessment for a client whose religious practices
include fasting 1 day each week. Which questions should the nurse ask the client?
a. All questions listed:
i. “Are you exempt from fasting during illness?”
ii. “Does fasting mean refraining from drinking liquids?”
iii. “Does your fasting occur during certain hours of the day?”
iv. “Does fasting mean eating only a certain type of food?”
20. A nurse is administering a continuous tube feeding at 60 mL/hr. with 50 mL of water
every 4 hr. What should the nurse document as the total mL of enteral fluid
administered during the 8-hour shift?
a. Step 1: What is the unit of measurement the nurse should calculate? mL
b. Step 2: Should the nurse convert the units of measurement? No
c. Step 3: Calculate the total amount of enteral tube feeding administered during
the 8-hr shift. The nurse should administer the continuous tube feeding at 60
mL/hr for the 8-hr shift.
60 mL x 8 = 480 mL
d. Step 4: Calculate the total amount of water administered via the enteral route
during the 8-hr shift. If the nurse should administer 50 mL every 4 hr then the
client should receive this amount 2 times during the 8-hr shift.
50 mL x 2 = 100 mL
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, 11/17/23, 8:15 AM ATI Nutrition Notes
e. Step 5: Add the amount of tube feeding administered with the amount of water
administered.
480 mL + 100 mL = 580 mL
f. Step 6: Round if necessary.
g. Step 7: Reassess to determine whether the total amount makes sense. If the
client is to receive 60 mL/hr for 8 hr, as well as 50 mL of water every 4 hr. during
an 8-hr shift, it makes sense that the client’s total fluid intake is 580 mL. The
nurse should document 580 mL of enteral fluid administered during the 8-hr
shift.
21. A nurse is assessing a client’s risk for pressure injuries using the Braden scale. The client
eats more than half of most meals but occasionally refuses a meal. Which of the
following information should the nurse document on the nutrition category of the
Braden scale?
a. Adequate – a client who eats more than half of most meals, occasionally refuses
a meal, and has four servings of protein each day scores a 3 (Adequate) in the
nutrition category of the Braden scale.
22. A nurse is reviewing the introduction of solid foods with the guardian of a 4-month-old
infant. Which of the following statements by the guardian indicates an understanding of
the teaching?
a. “I will introduce a new solid food every 5 days” – new food should be introduced
every 4 to 7 days to monitor for food allergies.
b. Other information:
i. Infants should consume 1 to 2 teaspoons of solid food initially at each
feeding.
ii. The infant should receive the majority of calories from infant formula or
breast milk.
iii. Fruit juices should be introduced at 6 months of age, limited to 120 mL (4
oz) and offered in a cup.
23. A nurse is teaching about lowering solid fat intake to an adolescent client who usually
consumes about 2,000 calories per day. Which of the following instructions should the
nurse include?
a. Restrict your daily meat intake to 5 ounces – a meat portion should be no larger
than a deck of cards.
b. Other information:
i. Client should select ground beef that is at least 90% lean
ii. Client should select cheeses that contain no more than 3g of fat per
serving.
iii. Client should choose margarine that contains no more than 2g of
saturated fat per tablespoon.
24. Measures to reduce the risk of osteomalacia. Which instruction should the nurse include
in the teaching?
a. Consume 20 mcg of vitamin D daily
b. Osteomalacia is characterized by a lack of vitamin D, which leads to insufficient
bone mineralization.
about:blank 3/17
ATI Nutrition Notes
1. BMI
a. Healthy: 18.5 – 24.9
b. Overweight: 25 – 29.9
c. Obesity: greater than or equal to 30
2. Negative nitrogen balance lab value indicates a client is in a catabolic state (using protein
faster than protein is being synthesized) – an acute change – could be from trauma in a
motor vehicle collision
3. Clinical findings suggestive of malnutrition:
a. Poor wound healing, dry hair, weak hand grips, and impaired coordination
4. Risk factors for women developing osteoporosis:
a. Inactivity NOT:
b. Family history obesity or hyperlipidemia
c. Cigarette smoking
5. Vegans are at risk for being deficient of what nutrients?
a. Vitamin D, Calcium, and Vitamin B12
6. What should be included in the teaching for a nutrition class?
a. Progress toward limiting saturated fat to 7% of total daily intake.
7. Essential nutrients for normal functioning of the nervous system – what should be
included?
a. Calcium, thiamin, vitamin B6, and sodium
8. Which is a required component of food labels that the nurse should include in the
teaching?
a. Total carbohydrates, total fat, calories, and dietary fiber.
9. Vitamin K negates anticoagulation effects on warfarin (leafy green vegetables are a
natural source of vitamin K)
10. Acute inflammatory bowel disease – which nutritional supplements should the nurse
anticipate providing?
a. Hydrolyzed formula – provides protein and nutrients in their simplest form,
requiring little or no digestion and decreases stimulation of the bowel.
11. Lab value that shows client has reached goal of a DASH diet (Dietary Approaches to Stop
Hypertension)
a. Total Cholesterol normal range < 200
12. Manifestations of fluid volume excess
a. Crackles in lungs – ATI answer
b. Other manifestations: SOB, dyspnea, bounding peripheral pulses, decreased
hematocrit, weight gain from baseline
13. Finding that would be a risk factor for poor wound healing:
a. Client consumes 1,000 kcal daily – adults who have had surgery require at least
1500 kcal daily to meet energy needs and build protein for tissue healing.
14. Islamic dietary laws during Ramadan. Which action should the nurse plan to take?
a. Provide a snack for the client after sunset – during Ramadan, clients who follow
Islamic dietary laws consume meals before dawn and after sunset. The nurse
should offer the client a snack or light meal after sunset.
about:blank 1/17
,11/17/23, 8:15 AM ATI Nutrition Notes
15. Client is experiencing anorexia related to cancer treatment. Which intervention should
the nurse implement to increase the client’s nutritional intake?
a. Add extra calories and protein to every meal.
b. Don’t: recommend cooking aromatic foods to stimulate appetite – cancer
treatments can cause increased sensitivity to odors, precipitating nausea and
increasing anorexia. Serve hot foods rather than cold foods – serve cold foods,
hot foods emit odors that can further decrease the client’s appetite. Instruct the
client to eat three meals per day – the nurse should advise the client to eat small,
frequent meals approximately every 2 hours.
16. Patient with type 1 diabetes – actions to take to assess for Somogyi phenomenon
a. Monitor blood glucose levels during the night – Somogyi phenomenon is fasting
hyperglycemia that occurs in the morning in response to hypoglycemia during
the nighttime.
17. Discharge teaching to a postpartum client about breast milk use and storage. Which
statement should the nurse make?
a. “You cannot place thawed breast milk back in the freezer”
b. Don’t: Any milk left in a bottle from a feeding should be immediately discarded.
18. Bottle feeding an infant with a cleft lip – which action should the nurse take to reduce
the risk of aspiration?
a. Squeeze the infant’s cheeks together while feeding – infants with cleft lip can’t
get an adequate seal, gently squeezing the infant’s cheeks together decreases
the width of the cleft, allowing the infant to achieve a better seal which reduces
the risk of aspiration.
19. A nurse is performing a cultural nursing assessment for a client whose religious practices
include fasting 1 day each week. Which questions should the nurse ask the client?
a. All questions listed:
i. “Are you exempt from fasting during illness?”
ii. “Does fasting mean refraining from drinking liquids?”
iii. “Does your fasting occur during certain hours of the day?”
iv. “Does fasting mean eating only a certain type of food?”
20. A nurse is administering a continuous tube feeding at 60 mL/hr. with 50 mL of water
every 4 hr. What should the nurse document as the total mL of enteral fluid
administered during the 8-hour shift?
a. Step 1: What is the unit of measurement the nurse should calculate? mL
b. Step 2: Should the nurse convert the units of measurement? No
c. Step 3: Calculate the total amount of enteral tube feeding administered during
the 8-hr shift. The nurse should administer the continuous tube feeding at 60
mL/hr for the 8-hr shift.
60 mL x 8 = 480 mL
d. Step 4: Calculate the total amount of water administered via the enteral route
during the 8-hr shift. If the nurse should administer 50 mL every 4 hr then the
client should receive this amount 2 times during the 8-hr shift.
50 mL x 2 = 100 mL
about:blank 2/17
, 11/17/23, 8:15 AM ATI Nutrition Notes
e. Step 5: Add the amount of tube feeding administered with the amount of water
administered.
480 mL + 100 mL = 580 mL
f. Step 6: Round if necessary.
g. Step 7: Reassess to determine whether the total amount makes sense. If the
client is to receive 60 mL/hr for 8 hr, as well as 50 mL of water every 4 hr. during
an 8-hr shift, it makes sense that the client’s total fluid intake is 580 mL. The
nurse should document 580 mL of enteral fluid administered during the 8-hr
shift.
21. A nurse is assessing a client’s risk for pressure injuries using the Braden scale. The client
eats more than half of most meals but occasionally refuses a meal. Which of the
following information should the nurse document on the nutrition category of the
Braden scale?
a. Adequate – a client who eats more than half of most meals, occasionally refuses
a meal, and has four servings of protein each day scores a 3 (Adequate) in the
nutrition category of the Braden scale.
22. A nurse is reviewing the introduction of solid foods with the guardian of a 4-month-old
infant. Which of the following statements by the guardian indicates an understanding of
the teaching?
a. “I will introduce a new solid food every 5 days” – new food should be introduced
every 4 to 7 days to monitor for food allergies.
b. Other information:
i. Infants should consume 1 to 2 teaspoons of solid food initially at each
feeding.
ii. The infant should receive the majority of calories from infant formula or
breast milk.
iii. Fruit juices should be introduced at 6 months of age, limited to 120 mL (4
oz) and offered in a cup.
23. A nurse is teaching about lowering solid fat intake to an adolescent client who usually
consumes about 2,000 calories per day. Which of the following instructions should the
nurse include?
a. Restrict your daily meat intake to 5 ounces – a meat portion should be no larger
than a deck of cards.
b. Other information:
i. Client should select ground beef that is at least 90% lean
ii. Client should select cheeses that contain no more than 3g of fat per
serving.
iii. Client should choose margarine that contains no more than 2g of
saturated fat per tablespoon.
24. Measures to reduce the risk of osteomalacia. Which instruction should the nurse include
in the teaching?
a. Consume 20 mcg of vitamin D daily
b. Osteomalacia is characterized by a lack of vitamin D, which leads to insufficient
bone mineralization.
about:blank 3/17
