ATI Nutrition Practice A

1. A nurse is teaching a client who has hypertension about decreasing sodium intake. Which of the following information should the nurse include in the teaching A. Use soy sauce as a marinade for meats B. Season foods with herbs ad spices C. Select processed cheese products when available D. Choose a frozen dinner for a quick meal option - B. Season foods with herbs and spices 2. A nurse is providing dietary instructions for a client who has a prescription for warfarin. Which of the following foods should the nurse recommend the client eat in moderation while taking this medication? A. Leafy green vegetables B. Whole grains C. Fruits with skin D. Nuts and seeds - A. Leafy green vegetables 3. A nurse is caring for a client who has acute inflammatory bowel disease. Which of the following nutritional supplements should the nurse anticipate providing to this client? A. Hydrolyzed formula B. Plymeric formula C. Milk-based supplement formula D. Modular product supplement formula - A. Hydrolyzed formula 4. A nurse in a clinic is reviewing the laboratory findings of a client who recently began a Dietary Approaches to Stop Hypertension (DASH) diet. Which of the following laboratory findings indicates the client has reached one of the goals of the DASH diet? A. Sodium 150 mEq/L B. Chloride 106 mEq/L C. Fasting glucose 130 mg/dL D. Total cholesterol 190 mg/dL - D. Total cholesterol 190 mg/dL 5. A nurse is assessing a client who has fluid volume excess. Which of the following manifestations should the nurse expect? A. Weak peripheral pulses B. Increased hematocrit C. Crackles in the lungs D. Weight loss from baseline - C. Crackles in the lungs 6. A home health nurse is reviewing the medical record of a client who had an open reduction internal fixation of the tibia. Which of the following findings should the nurse identify as a risk factor for impaired wound healing? A. The client's hemoglobin is 15 g/dL B. The client's peripheral pulses are +3 distal to the affected extremity C. The client consumes 1,000 kCal daily D. The client takes zinc supplements - C. The client consumes 1,000 kCal daily 7. A nurse in an acute care facility is planning care for a client who has chosen to follow Islamic dietary laws during Ramadan. Which of the following actions should the nurse plan to take? A. Place the client on NPO status during nighttime hours B. Provide a snack for the client after sunset C. Offer the client hot tea with daytime meals D. Allow the client to eat privately with his family each day at 1300 - B. Provide a snack for the client after sunset 8. A nurse is teaching a client who is newly diagnosed with type 1 diabetes mellitus how to count carbohydrates. Which of the following statements made by the client indicates an understanding of the teaching? A. "I am including vegetables as starch items in my carbohydrate count." B. "I am limiting the number of carbohydrates to four carbohydrate choices or 60 grams per day." C. "I know the serving size can affect the number of carbohydrates I eat." D. "I know the carbohydrate count is dependent on the calories in the food item." - C. "I know the serving size can affect the number of carbohydrates I eat." 9. A client is experiencing anorexia related to cancer treatment. Which of the following interventions should the nurse implement to increase the client's nutritional intake? A. Recommend cooking aromatic foods to stimulate appetite B. Serve hot foods rather than cold foods C. Instruct the client to eat three meals per day D. Add extra calories and protein to every meal - D. Add extra calories and protein to every meal 10. A nurse is caring for an adolescent who has type 1 diabetes mellitus. Which of the following actions should the nurse take to assess for Somogyi phenomenon? A. Monitor blood glucose levels during during the night B. Check for urinary ketones at the same time each day for 1 week C. Perform an oral glucose tolerance test after administering a dose of insulin D. Compare current glycosylated hemoglobin level with the level at the time of diagnosis - A. Monitor blood glucose levels during during the night 11. A nurse is providing discharge teaching to a postpartum client about breast milk use and storage. Which of the following statements should the nurse make? A. "Refrigerate unused breast milk immediately after bottle feeding." B. "You cannot place thawed breast milk back in the freezer." C. "You can store expressed breast milk in the freezer for up to 18 months." D. "Defrost frozen breast milk on the lowest defrost setting in the microwave." - B. "You cannot place thawed breast milk back in the freezer." 12. A nurse is preparing to bottle feed an infant who has cleft lip. Which of the following actions should the nurse take to reduce the risk of aspiration? A. Burp the infant once at the end of feeding B. Use a bottle that has a two-way valve C. Place a low-flow rate nipple on the bottle D. Squeeze the infant's cheeks together while feeding - D. Squeeze the infant's cheeks together while feeding 13. A nurse is performing a cultural nursing assessment for a client whose religious practices include fasting 1 day each week. Which of the following questions should the nurse ask the client? (Select all that apply.) A. "Are you exempt from fasting during illness?" B. "Does fasting mean refraining from drinking liquids?" C. "Does your fasting occur during certain hours of the day?" D. "Is vegetarianism a form of fasting?" E. "Does fasting mean eating only a certain type of food?" – A. "Are you exempt from fasting during illness?" B. "Does fasting mean refraining from drinking liquids?" C. "Does your fasting occur during certain hours of the day?" E. "Does fasting mean eating only a certain type of food?" 14. A nurse is administering a continuous feeding at 60ml/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? (Record the answer to the nearest whole number. Do not use a trailing zero.)_____ mL - 580 mL 15. 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. 1 (Very Poor) B. 2 (Probably Inadequate) C. 3 (Adequate) D. 4 (Excellent) - C. 3 (Adequate) 16. 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. "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 each day." D. "I will introduce a new solid food every 5 day." - D. "I will introduce a new solid food every 5 day." 17. A nurse is providing teaching to a client who has diabetes mellitus and an HbA1c of 8.7%. Which of the following statement by the client indicates an understanding of this laboratory value? A. "I should have gone to my exercise class yesterday." B. "This shows that my result is finally within a normal range." C. "This shows that I have not been following my diet." D. "I should have my blood work done first thing in the morning." - C. "This shows that I have not been following my diet." 18. A nurse is providing teaching about lowering solid fat intake to an adolescent client who usually consume about 2,000 calories per day. Which of the following instructions should the nurse include? A. "Choose ground beef that is at least 70% lean." B. "Restrict your daily meat intake to 5 ounces." C. "Select cheeses that contain no more than 6 grams of fat per serving." D. "Choose margarine that contains no more than 4 grams of saturated fat per tablespoon." - B. "Restrict your daily meat intake to 5 ounces." 19. A nurse is teaching a client about measures to reduce the risk of osteomälacia. Which of the following instructions should the nurse include in the teaching? A. Consume 20 mcg of vitamin D daily B. Avoid foods with copious amounts of antioxidants C. Increase intake of foods high in purine D. Take 150 mg of vitamin E daily - A. Consume 20 mcg of vitamin D daily 20. A nurse is caring for a client who adheres to a kosher diet. Which of the following food choices would be appropriate for this client? A. Vegetable salad with cheese B. Lean cuts of pork C. Turkey and cheese on rye bread D. Shrimp salad and crackers - A. Vegetable salad with cheese 21. A nurse is developing an educational program about the glycemic index of foods for clients who have diabetes mellitus. Which of the following foods should the nurse identify as having the highest glycemic index? A. Sweet corn B. Macaroni C. Baked potato D. Peanuts - C. Baked potato 22. A nurse is providing education to an adolescent about making nutrient-dense food choices. Which of the following statements by the client indicates an understanding of the teaching? 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." - C. "Canned pinto beans are a better choice than refried beans." 23. A nurse is assessing a client who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia? A. Diaphoresis B. Bradycardia C. Abdominal cramps D. Acetone breath - A. Diaphoresis 24. A nurse is assessing a client for dysphagia following a stroke. The nurse should identify which of the following findings as a manifestation of dysphagia? A. The client reports abdominal pain after eating B. The client has an increase in bowel sounds after eating C. The client has an increased interest in eating D. The client's voices changes after eating - D. The client's voices changes after eating 25. A nurse is planning dietary teaching for a client who has dumping syndrome following a gastrectomy. Which of the following interventions should the nurse include in the client's plan of care? A. Use of simple sugars to sweeten foods B. Remain upright for 1 hr following meals C. Limit eating to three large meals per day D. Select grain with less than 2 g fiber per serving - D. Select grain with less than 2 g fiber per serving 26. A nurse is caring for a client who is receiving total parenteral nutrition (TPN) through a peripherally inserted central catheter. The pharmacist informs the nurse that there will be a delay in delivering the next bag of TPN solution. Which of the following actions should the nurse take? A. Slow the rate of the current infusion B. Infuse 0.9 % sodium chloride when the current infusion ends C. Infuse dextrose 10% in water when the current infusion ends D. Remove the tubing and flush the access device when the current infusion ends - C. Infuse dextrose 10% in water when the current infusion ends 27. A nurse is teaching a prenatal education class about breastfeeding. Which of the following instructions should the nurse include in the teaching? A. Offer supplemental formula until the milk supply is established B. Offer the newborn 30 mL (1 oz) of glucose water after the first breastfeeding session C. Plan to breastfeed the newborn every 4 hr D. Plan 5-min feedings on each breast on the first day after birth - D. Plan 5- min feedings on each breast on the first day after birth 28. A nurse is providing teaching to a client who has dumping syndrome. Which of the following information should the nurse include? A. Drink liquids with meals B. Apply pectin to foods C. Remain active after eating a meal D. Replace sugars with honey - B. Apply pectin to foods 29. A nurse is assessing a client who has an elevated blood pressure, headache, and is sweating. The client recently started an MAOI. The nurse should question the client regarding the consumption of which of the following foods? A. Grapefruit juice B. Whole milk C. Whole grain bread D. Cheddar cheese - D. Cheddar cheese 30. A nurse is caring for a client who expresses a desire to lose weight. Which of the following actions should the nurse take first? A. Recommend checking weight once weekly B. Obtain a 24-hr dietary recall C. Assist with creating an exercise plan D. Initiate a plan for a diet modification - B. Obtain a 24-hr dietary recall 31. A nurse is caring for a client who is dehydrated and is receiving intermittent enteral feeding. Which of the following actions should the nurse plan A. Use a low-fat formula for administration B. Chill the formula prior to administration C. Provide the formula as a continuous infustion D. Dilute the formula before administration - C. Provide the formula as a continuous infustion 32. A nurse is caring for a client who is at 8 weeks of gestation and has a BMI of 34. The client asks about weight goals during her pregnancy. The nurse should advise the client to do which of the following? A. Maintain her current BMI B. Gain approximately 6.8 kg (15 lb) C. Lower her BMI D. Gain 12.7 to 15.8 kg (28 to 35 lb) - B. Gain approximately 6.8 kg (15 lb) 33. 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? A. The client eats all of their cake and a few bites of bread B. The client drools while eating