ATI-Style Nutrition Proctored NGN Practice Exam
2026 | 250 Questions with Detailed Rationales |
Instructor + Student Edition
Practice Exam Type: ATI-Style NGN Nutrition Comprehensive Assessment
Total Questions: 250
Includes: NGN Case Studies, Lab Tables, Adult Health, Maternal & Pediatric
Instructions:
• Select the best answer unless otherwise stated.
• Detailed rationales follow each question.
1. (NGN Clinical Scenario) A client with Type 2 diabetes mellitus is admitted with
blood glucose of 320 mg/dL. Laboratory results show: - Sodium: 150 mEq/L -
Potassium: 5.6 mEq/L - BUN: 30 mg/dL - Creatinine: 1.5 mg/dL Which nutritional
intervention is the priority?
A. Initiate high-protein, low-carbohydrate diet immediately
B. Begin controlled carbohydrate meal plan with consistent carb intake
C. Restrict fluids to reduce sodium levels
D. Encourage potassium-rich foods
Rationale: Correct Answer: B In hyperglycemia management, controlled carbohydrate intake with
consistent meal timing supports glycemic stability. Elevated sodium and potassium reflect dehydration
and metabolic imbalance. High protein intake (A) does not directly correct hyperglycemia. Fluid
restriction (C) worsens dehydration. Potassium-rich foods (D) are contraindicated due to hyperkalemia.
Clinical priority focuses on glycemic stabilization and safe metabolic correction.
2. (NGN Clinical Scenario) A client with Type 2 diabetes mellitus is admitted with
blood glucose of 320 mg/dL. Laboratory results show: - Sodium: 150 mEq/L -
Potassium: 5.6 mEq/L - BUN: 30 mg/dL - Creatinine: 1.5 mg/dL Which nutritional
intervention is the priority?
A. Initiate high-protein, low-carbohydrate diet immediately
B. Begin controlled carbohydrate meal plan with consistent carb intake
C. Restrict fluids to reduce sodium levels
D. Encourage potassium-rich foods
ATI-Style Nutrition Proctored NGN Practice Exam 2026 | 250 Questions with Detailed Rationales | Instructor + Student Edition
,Rationale: Correct Answer: B In hyperglycemia management, controlled carbohydrate intake with
consistent meal timing supports glycemic stability. Elevated sodium and potassium reflect dehydration
and metabolic imbalance. High protein intake (A) does not directly correct hyperglycemia. Fluid
restriction (C) worsens dehydration. Potassium-rich foods (D) are contraindicated due to hyperkalemia.
Clinical priority focuses on glycemic stabilization and safe metabolic correction.
3. (NGN Clinical Scenario) A client with Type 2 diabetes mellitus is admitted with
blood glucose of 320 mg/dL. Laboratory results show: - Sodium: 150 mEq/L -
Potassium: 5.6 mEq/L - BUN: 30 mg/dL - Creatinine: 1.5 mg/dL Which nutritional
intervention is the priority?
A. Initiate high-protein, low-carbohydrate diet immediately
B. Begin controlled carbohydrate meal plan with consistent carb intake
C. Restrict fluids to reduce sodium levels
D. Encourage potassium-rich foods
Rationale: Correct Answer: B In hyperglycemia management, controlled carbohydrate intake with
consistent meal timing supports glycemic stability. Elevated sodium and potassium reflect dehydration
and metabolic imbalance. High protein intake (A) does not directly correct hyperglycemia. Fluid
restriction (C) worsens dehydration. Potassium-rich foods (D) are contraindicated due to hyperkalemia.
Clinical priority focuses on glycemic stabilization and safe metabolic correction.
4. (NGN Clinical Scenario) A client with Type 2 diabetes mellitus is admitted with
blood glucose of 320 mg/dL. Laboratory results show: - Sodium: 150 mEq/L -
Potassium: 5.6 mEq/L - BUN: 30 mg/dL - Creatinine: 1.5 mg/dL Which nutritional
intervention is the priority?
A. Initiate high-protein, low-carbohydrate diet immediately
B. Begin controlled carbohydrate meal plan with consistent carb intake
C. Restrict fluids to reduce sodium levels
D. Encourage potassium-rich foods
Rationale: Correct Answer: B In hyperglycemia management, controlled carbohydrate intake with
consistent meal timing supports glycemic stability. Elevated sodium and potassium reflect dehydration
and metabolic imbalance. High protein intake (A) does not directly correct hyperglycemia. Fluid
restriction (C) worsens dehydration. Potassium-rich foods (D) are contraindicated due to hyperkalemia.
Clinical priority focuses on glycemic stabilization and safe metabolic correction.
ATI-Style Nutrition Proctored NGN Practice Exam 2026 | 250 Questions with Detailed Rationales | Instructor + Student Edition
,5. (NGN Clinical Scenario) A client with Type 2 diabetes mellitus is admitted with
blood glucose of 320 mg/dL. Laboratory results show: - Sodium: 150 mEq/L -
Potassium: 5.6 mEq/L - BUN: 30 mg/dL - Creatinine: 1.5 mg/dL Which nutritional
intervention is the priority?
A. Initiate high-protein, low-carbohydrate diet immediately
B. Begin controlled carbohydrate meal plan with consistent carb intake
C. Restrict fluids to reduce sodium levels
D. Encourage potassium-rich foods
Rationale: Correct Answer: B In hyperglycemia management, controlled carbohydrate intake with
consistent meal timing supports glycemic stability. Elevated sodium and potassium reflect dehydration
and metabolic imbalance. High protein intake (A) does not directly correct hyperglycemia. Fluid
restriction (C) worsens dehydration. Potassium-rich foods (D) are contraindicated due to hyperkalemia.
Clinical priority focuses on glycemic stabilization and safe metabolic correction.
6. (NGN Clinical Scenario) A client with Type 2 diabetes mellitus is admitted with
blood glucose of 320 mg/dL. Laboratory results show: - Sodium: 150 mEq/L -
Potassium: 5.6 mEq/L - BUN: 30 mg/dL - Creatinine: 1.5 mg/dL Which nutritional
intervention is the priority?
A. Initiate high-protein, low-carbohydrate diet immediately
B. Begin controlled carbohydrate meal plan with consistent carb intake
C. Restrict fluids to reduce sodium levels
D. Encourage potassium-rich foods
Rationale: Correct Answer: B In hyperglycemia management, controlled carbohydrate intake with
consistent meal timing supports glycemic stability. Elevated sodium and potassium reflect dehydration
and metabolic imbalance. High protein intake (A) does not directly correct hyperglycemia. Fluid
restriction (C) worsens dehydration. Potassium-rich foods (D) are contraindicated due to hyperkalemia.
Clinical priority focuses on glycemic stabilization and safe metabolic correction.
7. (NGN Clinical Scenario) A client with Type 2 diabetes mellitus is admitted with
blood glucose of 320 mg/dL. Laboratory results show: - Sodium: 150 mEq/L -
Potassium: 5.6 mEq/L - BUN: 30 mg/dL - Creatinine: 1.5 mg/dL Which nutritional
intervention is the priority?
A. Initiate high-protein, low-carbohydrate diet immediately
B. Begin controlled carbohydrate meal plan with consistent carb intake
ATI-Style Nutrition Proctored NGN Practice Exam 2026 | 250 Questions with Detailed Rationales | Instructor + Student Edition
, C. Restrict fluids to reduce sodium levels
D. Encourage potassium-rich foods
Rationale: Correct Answer: B In hyperglycemia management, controlled carbohydrate intake with
consistent meal timing supports glycemic stability. Elevated sodium and potassium reflect dehydration
and metabolic imbalance. High protein intake (A) does not directly correct hyperglycemia. Fluid
restriction (C) worsens dehydration. Potassium-rich foods (D) are contraindicated due to hyperkalemia.
Clinical priority focuses on glycemic stabilization and safe metabolic correction.
8. (NGN Clinical Scenario) A client with Type 2 diabetes mellitus is admitted with
blood glucose of 320 mg/dL. Laboratory results show: - Sodium: 150 mEq/L -
Potassium: 5.6 mEq/L - BUN: 30 mg/dL - Creatinine: 1.5 mg/dL Which nutritional
intervention is the priority?
A. Initiate high-protein, low-carbohydrate diet immediately
B. Begin controlled carbohydrate meal plan with consistent carb intake
C. Restrict fluids to reduce sodium levels
D. Encourage potassium-rich foods
Rationale: Correct Answer: B In hyperglycemia management, controlled carbohydrate intake with
consistent meal timing supports glycemic stability. Elevated sodium and potassium reflect dehydration
and metabolic imbalance. High protein intake (A) does not directly correct hyperglycemia. Fluid
restriction (C) worsens dehydration. Potassium-rich foods (D) are contraindicated due to hyperkalemia.
Clinical priority focuses on glycemic stabilization and safe metabolic correction.
9. (NGN Clinical Scenario) A client with Type 2 diabetes mellitus is admitted with
blood glucose of 320 mg/dL. Laboratory results show: - Sodium: 150 mEq/L -
Potassium: 5.6 mEq/L - BUN: 30 mg/dL - Creatinine: 1.5 mg/dL Which nutritional
intervention is the priority?
A. Initiate high-protein, low-carbohydrate diet immediately
B. Begin controlled carbohydrate meal plan with consistent carb intake
C. Restrict fluids to reduce sodium levels
D. Encourage potassium-rich foods
Rationale: Correct Answer: B In hyperglycemia management, controlled carbohydrate intake with
consistent meal timing supports glycemic stability. Elevated sodium and potassium reflect dehydration
and metabolic imbalance. High protein intake (A) does not directly correct hyperglycemia. Fluid
restriction (C) worsens dehydration. Potassium-rich foods (D) are contraindicated due to hyperkalemia.
Clinical priority focuses on glycemic stabilization and safe metabolic correction.
ATI-Style Nutrition Proctored NGN Practice Exam 2026 | 250 Questions with Detailed Rationales | Instructor + Student Edition
2026 | 250 Questions with Detailed Rationales |
Instructor + Student Edition
Practice Exam Type: ATI-Style NGN Nutrition Comprehensive Assessment
Total Questions: 250
Includes: NGN Case Studies, Lab Tables, Adult Health, Maternal & Pediatric
Instructions:
• Select the best answer unless otherwise stated.
• Detailed rationales follow each question.
1. (NGN Clinical Scenario) A client with Type 2 diabetes mellitus is admitted with
blood glucose of 320 mg/dL. Laboratory results show: - Sodium: 150 mEq/L -
Potassium: 5.6 mEq/L - BUN: 30 mg/dL - Creatinine: 1.5 mg/dL Which nutritional
intervention is the priority?
A. Initiate high-protein, low-carbohydrate diet immediately
B. Begin controlled carbohydrate meal plan with consistent carb intake
C. Restrict fluids to reduce sodium levels
D. Encourage potassium-rich foods
Rationale: Correct Answer: B In hyperglycemia management, controlled carbohydrate intake with
consistent meal timing supports glycemic stability. Elevated sodium and potassium reflect dehydration
and metabolic imbalance. High protein intake (A) does not directly correct hyperglycemia. Fluid
restriction (C) worsens dehydration. Potassium-rich foods (D) are contraindicated due to hyperkalemia.
Clinical priority focuses on glycemic stabilization and safe metabolic correction.
2. (NGN Clinical Scenario) A client with Type 2 diabetes mellitus is admitted with
blood glucose of 320 mg/dL. Laboratory results show: - Sodium: 150 mEq/L -
Potassium: 5.6 mEq/L - BUN: 30 mg/dL - Creatinine: 1.5 mg/dL Which nutritional
intervention is the priority?
A. Initiate high-protein, low-carbohydrate diet immediately
B. Begin controlled carbohydrate meal plan with consistent carb intake
C. Restrict fluids to reduce sodium levels
D. Encourage potassium-rich foods
ATI-Style Nutrition Proctored NGN Practice Exam 2026 | 250 Questions with Detailed Rationales | Instructor + Student Edition
,Rationale: Correct Answer: B In hyperglycemia management, controlled carbohydrate intake with
consistent meal timing supports glycemic stability. Elevated sodium and potassium reflect dehydration
and metabolic imbalance. High protein intake (A) does not directly correct hyperglycemia. Fluid
restriction (C) worsens dehydration. Potassium-rich foods (D) are contraindicated due to hyperkalemia.
Clinical priority focuses on glycemic stabilization and safe metabolic correction.
3. (NGN Clinical Scenario) A client with Type 2 diabetes mellitus is admitted with
blood glucose of 320 mg/dL. Laboratory results show: - Sodium: 150 mEq/L -
Potassium: 5.6 mEq/L - BUN: 30 mg/dL - Creatinine: 1.5 mg/dL Which nutritional
intervention is the priority?
A. Initiate high-protein, low-carbohydrate diet immediately
B. Begin controlled carbohydrate meal plan with consistent carb intake
C. Restrict fluids to reduce sodium levels
D. Encourage potassium-rich foods
Rationale: Correct Answer: B In hyperglycemia management, controlled carbohydrate intake with
consistent meal timing supports glycemic stability. Elevated sodium and potassium reflect dehydration
and metabolic imbalance. High protein intake (A) does not directly correct hyperglycemia. Fluid
restriction (C) worsens dehydration. Potassium-rich foods (D) are contraindicated due to hyperkalemia.
Clinical priority focuses on glycemic stabilization and safe metabolic correction.
4. (NGN Clinical Scenario) A client with Type 2 diabetes mellitus is admitted with
blood glucose of 320 mg/dL. Laboratory results show: - Sodium: 150 mEq/L -
Potassium: 5.6 mEq/L - BUN: 30 mg/dL - Creatinine: 1.5 mg/dL Which nutritional
intervention is the priority?
A. Initiate high-protein, low-carbohydrate diet immediately
B. Begin controlled carbohydrate meal plan with consistent carb intake
C. Restrict fluids to reduce sodium levels
D. Encourage potassium-rich foods
Rationale: Correct Answer: B In hyperglycemia management, controlled carbohydrate intake with
consistent meal timing supports glycemic stability. Elevated sodium and potassium reflect dehydration
and metabolic imbalance. High protein intake (A) does not directly correct hyperglycemia. Fluid
restriction (C) worsens dehydration. Potassium-rich foods (D) are contraindicated due to hyperkalemia.
Clinical priority focuses on glycemic stabilization and safe metabolic correction.
ATI-Style Nutrition Proctored NGN Practice Exam 2026 | 250 Questions with Detailed Rationales | Instructor + Student Edition
,5. (NGN Clinical Scenario) A client with Type 2 diabetes mellitus is admitted with
blood glucose of 320 mg/dL. Laboratory results show: - Sodium: 150 mEq/L -
Potassium: 5.6 mEq/L - BUN: 30 mg/dL - Creatinine: 1.5 mg/dL Which nutritional
intervention is the priority?
A. Initiate high-protein, low-carbohydrate diet immediately
B. Begin controlled carbohydrate meal plan with consistent carb intake
C. Restrict fluids to reduce sodium levels
D. Encourage potassium-rich foods
Rationale: Correct Answer: B In hyperglycemia management, controlled carbohydrate intake with
consistent meal timing supports glycemic stability. Elevated sodium and potassium reflect dehydration
and metabolic imbalance. High protein intake (A) does not directly correct hyperglycemia. Fluid
restriction (C) worsens dehydration. Potassium-rich foods (D) are contraindicated due to hyperkalemia.
Clinical priority focuses on glycemic stabilization and safe metabolic correction.
6. (NGN Clinical Scenario) A client with Type 2 diabetes mellitus is admitted with
blood glucose of 320 mg/dL. Laboratory results show: - Sodium: 150 mEq/L -
Potassium: 5.6 mEq/L - BUN: 30 mg/dL - Creatinine: 1.5 mg/dL Which nutritional
intervention is the priority?
A. Initiate high-protein, low-carbohydrate diet immediately
B. Begin controlled carbohydrate meal plan with consistent carb intake
C. Restrict fluids to reduce sodium levels
D. Encourage potassium-rich foods
Rationale: Correct Answer: B In hyperglycemia management, controlled carbohydrate intake with
consistent meal timing supports glycemic stability. Elevated sodium and potassium reflect dehydration
and metabolic imbalance. High protein intake (A) does not directly correct hyperglycemia. Fluid
restriction (C) worsens dehydration. Potassium-rich foods (D) are contraindicated due to hyperkalemia.
Clinical priority focuses on glycemic stabilization and safe metabolic correction.
7. (NGN Clinical Scenario) A client with Type 2 diabetes mellitus is admitted with
blood glucose of 320 mg/dL. Laboratory results show: - Sodium: 150 mEq/L -
Potassium: 5.6 mEq/L - BUN: 30 mg/dL - Creatinine: 1.5 mg/dL Which nutritional
intervention is the priority?
A. Initiate high-protein, low-carbohydrate diet immediately
B. Begin controlled carbohydrate meal plan with consistent carb intake
ATI-Style Nutrition Proctored NGN Practice Exam 2026 | 250 Questions with Detailed Rationales | Instructor + Student Edition
, C. Restrict fluids to reduce sodium levels
D. Encourage potassium-rich foods
Rationale: Correct Answer: B In hyperglycemia management, controlled carbohydrate intake with
consistent meal timing supports glycemic stability. Elevated sodium and potassium reflect dehydration
and metabolic imbalance. High protein intake (A) does not directly correct hyperglycemia. Fluid
restriction (C) worsens dehydration. Potassium-rich foods (D) are contraindicated due to hyperkalemia.
Clinical priority focuses on glycemic stabilization and safe metabolic correction.
8. (NGN Clinical Scenario) A client with Type 2 diabetes mellitus is admitted with
blood glucose of 320 mg/dL. Laboratory results show: - Sodium: 150 mEq/L -
Potassium: 5.6 mEq/L - BUN: 30 mg/dL - Creatinine: 1.5 mg/dL Which nutritional
intervention is the priority?
A. Initiate high-protein, low-carbohydrate diet immediately
B. Begin controlled carbohydrate meal plan with consistent carb intake
C. Restrict fluids to reduce sodium levels
D. Encourage potassium-rich foods
Rationale: Correct Answer: B In hyperglycemia management, controlled carbohydrate intake with
consistent meal timing supports glycemic stability. Elevated sodium and potassium reflect dehydration
and metabolic imbalance. High protein intake (A) does not directly correct hyperglycemia. Fluid
restriction (C) worsens dehydration. Potassium-rich foods (D) are contraindicated due to hyperkalemia.
Clinical priority focuses on glycemic stabilization and safe metabolic correction.
9. (NGN Clinical Scenario) A client with Type 2 diabetes mellitus is admitted with
blood glucose of 320 mg/dL. Laboratory results show: - Sodium: 150 mEq/L -
Potassium: 5.6 mEq/L - BUN: 30 mg/dL - Creatinine: 1.5 mg/dL Which nutritional
intervention is the priority?
A. Initiate high-protein, low-carbohydrate diet immediately
B. Begin controlled carbohydrate meal plan with consistent carb intake
C. Restrict fluids to reduce sodium levels
D. Encourage potassium-rich foods
Rationale: Correct Answer: B In hyperglycemia management, controlled carbohydrate intake with
consistent meal timing supports glycemic stability. Elevated sodium and potassium reflect dehydration
and metabolic imbalance. High protein intake (A) does not directly correct hyperglycemia. Fluid
restriction (C) worsens dehydration. Potassium-rich foods (D) are contraindicated due to hyperkalemia.
Clinical priority focuses on glycemic stabilization and safe metabolic correction.
ATI-Style Nutrition Proctored NGN Practice Exam 2026 | 250 Questions with Detailed Rationales | Instructor + Student Edition
