ATI RN Nutrition Online Practice 2025 A
A client reports constipation during a routine checkup. The client was previously encouraged
to increase their intake of mineral supplements. Which of the following minerals should the
nurse identify as the possible cause of the constipation?
- Phosphorus
- Potassium
- Magnesium
- Calcium - ANS-- Calcium
Rationale: Calcium can lead to constipation by decreasing peristalsis.
A nurse in a long-term care facility is monitoring a client during mealtime who has
Parkinson's disease. Which of the following findings should the nurse identify as the priority?
- The client eats all of their cake and a few bites of bread.
- The client drools while eating.
- The client's hand trembles when they hold their spoon.
- The client chooses to sit alone during the meal. - ANS-- The client drools while eating.
Rationale: Drooling while eating can indicate that this client is at greatest risk for aspiration
of food from dysphagia, which can lead to pulmonary complications; therefore, the nurse
should identify this as the priority finding.
A nurse in a pediatric clinic is caring for a toddler.
The nurse is preparing a dietary teaching plan for the toddler's parent.
For each food, click to specify if the food is recommended or not recommended for the
toddler.
- Plain steamed brown rice
- Peanut butter on wheat crackers
- Oatmeals with raisins
- Vegetable barley soup
- Scrambled egg with cheddar cheese
- Canned mixed fruit
- Baked potato with butter - ANS-Recommended:
- Plain steamed brown rice
- Scrambled egg with cheddar cheese
- Baked potato with butter
- Canned mixed fruit
Not Recommended:
- Peanut butter on wheat crackers
,- Oatmeals with raisins
- Vegetable barley soup
Rationale: When generating solutions, the nurse should recommend foods that do not have
gluten as the toddler's manifestations of diarrhea, fatigue, abdominal distention, and weight
gain below the expected standards, accompanied by an elevated tissue transglutaminase
IgA result indicate that the toddler has celiac disease. The nurse should recommend foods
such as eggs, cheese, vegetables, fruits, corn, potatoes, and rice as these do not contain
gluten. Foods that contain gluten include those made from wheat, rye, barley, and oats,
should be avoided.
A nurse in a provider's office is assessing a client who has HIV. The nurse should identify
which of the following findings as an indication to increase the client's nutritional intake?
- A 2.3 kg (5 lb.) weight gain since last appointment
- Presence of herpes simplex virus infection
- HIV viral load below detectable levels
- Increased lean body mass - ANS-- Presence of herpes simplex virus infection
Rationale: Secondary infection triggers inflammatory responses that increase the client's
metabolic rate. Therefore, the nurse should identify the presence of herpes simplex virus
infection as an indication to increase the client's nutritional intake.
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?
- "I should take a daily iron supplement during my pregnancy."
- "I should decrease protein intake during my pregnancy."
- "I should plan to gain at least 50 pounds during my pregnancy."
- "I should increase my fat intake during the first trimester of my pregnancy." - ANS-- "I
should take a daily iron supplement during my pregnancy."
Rationale: Clients who are pregnant should take 30 mg of iron supplementation daily to
reduce the risk for iron-deficiency anemia.
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
hr shift? (Round the answer to the nearest whole number. Do not use a trailing zero.) -
ANS-580 mL
Rationale:
60 mL/hr x 8 hr
= 480 mL
50 mL of water q 4 hr.
50 mL x 2
= 100 mL
480 mL + 100 mL
= 580 mL
, A nurse is admitting a client who has diabetic ketoacidosis. Which of the following findings
should the nurse expect?
- Tremors
- Increased urination
- Heart palpitations
- Sweating - ANS-- Increased urination
Rationale: The nurse should identify that increased urination is a manifestation of diabetic
ketoacidosis. Other manifestations can include fruity breath, Kussmaul respirations,
excessive thirst, and orthostatic hypotension.
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?
- Distended neck veins
- Orthostatic hypotension
- Weight gain
- Peripheral edema - ANS-- Orthostatic hypotension
Rationale: The nurse should identify a client who is dehydrated can experience orthostatic
hypotension due to the fluid loss from the client's body, which causes low blood volume,
resulting in low blood pressure.
A nurse is assessing a client who has an elevated blood pressure, headache, and is
sweating. The client recently started taking an MAOI. The nurse should question the client
regarding the consumption of which of the following foods?
- Grapefruit juice
- Whole milk
- Whole grain bread
- Cheddar cheese - ANS-- Cheddar cheese
Rationale: Clients who take MAOIs should avoid the consumption of most types of cheese
and other foods that contain high levels of tyramine, which can lead to hypertensive crisis.
A nurse is assessing a client who has end-stage kidney disease (ESKD). Which of the
following dietary habits increases the client's risk for dysrhythmias?
- Consuming a diet low in fat
- Eating a diet rich in potassium
- Consuming a diet rich in protein
- Eating a diet deficient in iron - ANS-- Eating a diet rich in potassium
Rationale: A client who has ESKD has impaired kidney function and is unable to eliminate
potassium. As urine output declines, hyperkalemia develops, which can cause cardiac
dysrhythmias.
A nurse is assessing a client who has type 2 diabetes mellitus. The nurse should recognize
which of the following as a manifestation of hypoglycemia?
- Confusion
A client reports constipation during a routine checkup. The client was previously encouraged
to increase their intake of mineral supplements. Which of the following minerals should the
nurse identify as the possible cause of the constipation?
- Phosphorus
- Potassium
- Magnesium
- Calcium - ANS-- Calcium
Rationale: Calcium can lead to constipation by decreasing peristalsis.
A nurse in a long-term care facility is monitoring a client during mealtime who has
Parkinson's disease. Which of the following findings should the nurse identify as the priority?
- The client eats all of their cake and a few bites of bread.
- The client drools while eating.
- The client's hand trembles when they hold their spoon.
- The client chooses to sit alone during the meal. - ANS-- The client drools while eating.
Rationale: Drooling while eating can indicate that this client is at greatest risk for aspiration
of food from dysphagia, which can lead to pulmonary complications; therefore, the nurse
should identify this as the priority finding.
A nurse in a pediatric clinic is caring for a toddler.
The nurse is preparing a dietary teaching plan for the toddler's parent.
For each food, click to specify if the food is recommended or not recommended for the
toddler.
- Plain steamed brown rice
- Peanut butter on wheat crackers
- Oatmeals with raisins
- Vegetable barley soup
- Scrambled egg with cheddar cheese
- Canned mixed fruit
- Baked potato with butter - ANS-Recommended:
- Plain steamed brown rice
- Scrambled egg with cheddar cheese
- Baked potato with butter
- Canned mixed fruit
Not Recommended:
- Peanut butter on wheat crackers
,- Oatmeals with raisins
- Vegetable barley soup
Rationale: When generating solutions, the nurse should recommend foods that do not have
gluten as the toddler's manifestations of diarrhea, fatigue, abdominal distention, and weight
gain below the expected standards, accompanied by an elevated tissue transglutaminase
IgA result indicate that the toddler has celiac disease. The nurse should recommend foods
such as eggs, cheese, vegetables, fruits, corn, potatoes, and rice as these do not contain
gluten. Foods that contain gluten include those made from wheat, rye, barley, and oats,
should be avoided.
A nurse in a provider's office is assessing a client who has HIV. The nurse should identify
which of the following findings as an indication to increase the client's nutritional intake?
- A 2.3 kg (5 lb.) weight gain since last appointment
- Presence of herpes simplex virus infection
- HIV viral load below detectable levels
- Increased lean body mass - ANS-- Presence of herpes simplex virus infection
Rationale: Secondary infection triggers inflammatory responses that increase the client's
metabolic rate. Therefore, the nurse should identify the presence of herpes simplex virus
infection as an indication to increase the client's nutritional intake.
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?
- "I should take a daily iron supplement during my pregnancy."
- "I should decrease protein intake during my pregnancy."
- "I should plan to gain at least 50 pounds during my pregnancy."
- "I should increase my fat intake during the first trimester of my pregnancy." - ANS-- "I
should take a daily iron supplement during my pregnancy."
Rationale: Clients who are pregnant should take 30 mg of iron supplementation daily to
reduce the risk for iron-deficiency anemia.
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
hr shift? (Round the answer to the nearest whole number. Do not use a trailing zero.) -
ANS-580 mL
Rationale:
60 mL/hr x 8 hr
= 480 mL
50 mL of water q 4 hr.
50 mL x 2
= 100 mL
480 mL + 100 mL
= 580 mL
, A nurse is admitting a client who has diabetic ketoacidosis. Which of the following findings
should the nurse expect?
- Tremors
- Increased urination
- Heart palpitations
- Sweating - ANS-- Increased urination
Rationale: The nurse should identify that increased urination is a manifestation of diabetic
ketoacidosis. Other manifestations can include fruity breath, Kussmaul respirations,
excessive thirst, and orthostatic hypotension.
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?
- Distended neck veins
- Orthostatic hypotension
- Weight gain
- Peripheral edema - ANS-- Orthostatic hypotension
Rationale: The nurse should identify a client who is dehydrated can experience orthostatic
hypotension due to the fluid loss from the client's body, which causes low blood volume,
resulting in low blood pressure.
A nurse is assessing a client who has an elevated blood pressure, headache, and is
sweating. The client recently started taking an MAOI. The nurse should question the client
regarding the consumption of which of the following foods?
- Grapefruit juice
- Whole milk
- Whole grain bread
- Cheddar cheese - ANS-- Cheddar cheese
Rationale: Clients who take MAOIs should avoid the consumption of most types of cheese
and other foods that contain high levels of tyramine, which can lead to hypertensive crisis.
A nurse is assessing a client who has end-stage kidney disease (ESKD). Which of the
following dietary habits increases the client's risk for dysrhythmias?
- Consuming a diet low in fat
- Eating a diet rich in potassium
- Consuming a diet rich in protein
- Eating a diet deficient in iron - ANS-- Eating a diet rich in potassium
Rationale: A client who has ESKD has impaired kidney function and is unable to eliminate
potassium. As urine output declines, hyperkalemia develops, which can cause cardiac
dysrhythmias.
A nurse is assessing a client who has type 2 diabetes mellitus. The nurse should recognize
which of the following as a manifestation of hypoglycemia?
- Confusion
