ATI: VIRTUAL SCENARIO NUTRITION PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION

ATI: VIRTUAL SCENARIO NUTRITION PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION 1) At the beginning of the client's appointment, which of the following should you complete? Select all that apply. - ANSWER (not in a certain order) -Verify client identity using name and birthdate -Introduce self -Provide privacy -Perform hand hygiene 2) The nurse is preparing to perform a general survey of Marco. Which of the following potential findings could indicate poor nutritional status? Select all that apply. - ANSWER -dark circles under the eyes -muscle atrophy -facial edema -dry, cracked lips, and pale flaky skin 3) Obtain a dietary history. - ANSWER -can you describe your appetite? -can you tell me your food preferences? -what have you eaten in the last 24 hours? -do you do your own grocery shopping? 4) Which of the following interventions should the nurse expect the provider to prescribe for Marco? - ANSWER -daily weights -dietician consult -occupational therapy consult 5) Based on the prescribed diet in the client chart, which food would you select to test Marco's swallowing ability? - ANSWER -pudding 6) What to do at beginning - ANSWER Confirm name and date of birth Introduce yourself Hand hygiene Provide privacy 7) Questions to be asked about pain - ANSWER Pain severity using pain scale When did the pain get worse What makes it worse or better What does your pain feel like Does your pain radiate Does it come and go or constant 8) Question before getting medication - ANSWER Do you have any allergies 9) Actions to promote Amy's comfort - ANSWER Offer to bring extra pillows Adjust room temp Ask if Amy would like another blanket Offer to close window blinds 10) Select medication to administer - ANSWER Oxycodone 11) Common adverse effects of oxycodone - ANSWER Dizziness Nausea Dry mouth 12) Check back in - ANSWER 30 min to 1 hour 13) What to do if she's sleeping - ANSWER Check resp rate Gently awaken Reassess pain rating Ask if she needs to urinate 14) More talk - ANSWER Guided imagery 15) Get more info - ANSWER Favorite place? 16) Guided imagery questions - ANSWER Close eyes and breath deeply Describe sounds Describe smells Describe feeling Open eyes 17) Advise: - ANSWER -push your tongue to the roof of your mouth when swallowing -move the food around in your mouth before swallowing -swallow twice 18) Select where to put the spoon - ANSWER -to the left 19) The nurse should assess for which of the following findings is an indication that Marco might have impaired swallowing? Select all that apply. - ANSWER -report of feeling something in the throat change in tone of voice after swallowing 20) What should I do? - ANSWER Observe Marco to make sure he can clear his airway. 21) Advise for safe swallowing at home. - ANSWER -drink some thickened liquid after swallowing a bite of food -moisten your food with sauces and gravies -rest before meals and allow extra time for eating 22) Drag and drop the liquids Marco could consume without added thickener into the nectar-thick liquids category. - ANSWER -cream of mushroom soup -tomato juice -buttermilk 23) What should I recommend Marco increase? - ANSWER -protein 24) Which foods will provide complete proteins for Marco? Select all that apply. - ANSWER -wheat bread soaked in strained split pea soup -chickpea spread with well-cooked carrots -tofu rice pudding??? 25) Scenario: A nurse is providing nutritional education to a client who has been diagnosed with type 2 diabetes mellitus. The client has a BMI of 31 and reports eating fast food for most meals. The nurse is developing a care plan to support the client's dietary needs. What is the priority nutritional goal for this client? A. Reduce sodium intake to 2,300 mg/day B. Achieve moderate weight loss by reducing caloric intake C. Increase intake of vitamin D and calcium D. Eliminate all sources of sugar from the diet - ANSWER Correct Answer: B. Achieve moderate weight loss by reducing caloric intake Rationale: For a client with type 2 diabetes and a BMI over 30, moderate weight loss can significantly improve glycemic control and reduce the risk of complications. While reducing sodium and sugar is important, weight management is the priority intervention. 26) Scenario 1: Proteins A nurse is counselling a client who is recovering from surgery and has increased protein needs for wound healing. The client reports being vegetarian and asks for dietary recommendations. Which of the following foods should the nurse recommend to the client to ensure adequate protein intake? A. Brown rice and black beans B. Whole grain bread and peanut butter C. Hummus with pita bread D. All of the above - ANSWER Correct Answer: D. All of the above Rationale: Combining incomplete proteins, such as legumes and grains, creates a complete protein source that provides all essential amino acids. 27) Scenario 2: Energy Balance A nurse is educating a client about energy balance and weight management. The client reports consuming 2,500 calories daily but has a sedentary lifestyle with minimal physical activity. What recommendation should the nurse make to help the client achieve energy balance? A. Increase caloric intake to match activity level B. Reduce caloric intake to less than energy expenditure C. Maintain caloric intake and start a strength-training program D. Reduce protein intake to decrease caloric consumption - ANSWER Correct Answer: B. Reduce caloric intake to less than energy expenditure Rationale: For weight loss, caloric intake must be less than the number of calories burned. Increasing activity level is also effective, but reducing intake is the key focus in this case. 28) A nurse is providing teaching to a client who is a vegetarian and requires an increase in zinc intake. Which of the following foods should the nurse include in the teaching as the best source of zinc? - Pineapple - Green grapes - Cauliflower - Pinto beans - ANSWER - Pinto beans Rationale: The nurse should determine that pinto beans are the best food source to recommend because they contain the highest amount of zinc per serving. 29) A nurse is providing nutritional teaching to the guardians of a 2-year-old toddler. Which of the following snack foods should the nurse recommend including in the toddler's diet? - 1 cup of fruit gel bites - 1 cup of yogurt - 1/2 of a hot dog - 1/2 of a peanut butter and jelly sandwich - ANSWER - 1 cup of yogurt Rationale: The nurse should recommend yogurt as a snack food for a 2-year-old toddler. The consistency of yogurt poses no choking hazard, and because of their increased activity level, toddlers require 13 to 16 g of protein each day to meet the demands for muscle growth. At 8 g/cup, yogurt is a high-quality source of protein. The nurse can also teach the guardians to make yogurt smoothies by combining yogurt and the child's favorite fruit in a blender.