ATI Proctored Nutrition Retake ACTUAL EXAM
2026/2027: 100% Verified Questions & Correct
Answers
Question 1: A client with type 1 diabetes receives 6 units of rapid-acting insulin at 07:30. Which
breakfast timing best prevents hypoglycemia?
A. 07:30
B. 08:00
C. 08:30
D. 09:00
Correct Answer: B
Rationale: Rapid-acting insulin peaks in 30–90 min; food should be ingested within 5–10 min of
injection to match onset.
Question 2: A nurse teaches a client with chronic kidney disease (CKD) stage 4 about protein
modification. Which statement indicates understanding?
A. “I will increase my egg whites to 4 a day.”
B. “I will limit high-biological-value protein to 0.6 g/kg/day.”
,C. “I will avoid all dairy to cut phosphorus.”
D. “I will use protein powder after dialysis.”
Correct Answer: B
Rationale: KDIGO 2025 guidelines recommend 0.6 g/kg/day of ≥50 % high-biological-value protein
to slow CKD progression.
Question 3: A 9-month-old infant is admitted with iron-deficiency anemia. Which food should the
nurse prioritize first?
A. Iron-fortified infant cereal
B. Cow’s milk
C. Honey-sweetened oatmeal
D. Spinach puree
Correct Answer: A
Rationale: Iron-fortified cereals provide bioavailable iron without allergy risk and are
age-appropriate.
Question 4: A client receiving warfarin is prescribed a 7-day course of
trimethoprim-sulfamethoxazole. The nurse should reinforce monitoring of which dietary factor?
A. Sodium <2 g/day
B. Vitamin K–consistent intake
,C. Calcium 1,200 mg/day
D. Protein 1.5 g/kg/day
Correct Answer: B
Rationale: Antibiotics alter gut flora, increasing warfarin effect; maintain consistent vitamin K to
stabilize INR.
Question 5: A client with heart failure on 2 g sodium restriction asks about seasonings. Which
option is acceptable?
A. Garlic salt
B. Lemon-pepper no-salt blend
C. Soy sauce (low sodium) 2 tbsp
D. Baking soda 1 tsp
Correct Answer: B
Rationale: Salt-free herb blends provide flavor without sodium; 1 tsp garlic salt = 1,840 mg sodium.
Question 6: A client is receiving TPN with 20 % dextrose at 100 mL/hr. Which lab value requires
immediate intervention?
A. Blood glucose 240 mg/dL
B. Potassium 4.0 mEq/L
, C. Sodium 138 mEq/L
D. Hemoglobin 12 g/dL
Correct Answer: A
Rationale: Hyperglycemia >180 mg/dL on TPN increases infection risk; insulin protocol indicated.
Question 7: A postpartum lactating client asks how much additional energy she needs daily.
A. +200 kcal
B. +330 kcal
C. +500 kcal
D. +650 kcal
Correct Answer: B
Rationale: RDA 2025: exclusively breastfeeding clients require +330 kcal/day first 6 months.
Question 8: A client with celiac disease selects oatmeal labeled “gluten-free.” Which action is
essential?
A. Verify oats are certified gluten-free
B. Limit portion to ¼ cup dry
C. Add wheat germ for fiber
2026/2027: 100% Verified Questions & Correct
Answers
Question 1: A client with type 1 diabetes receives 6 units of rapid-acting insulin at 07:30. Which
breakfast timing best prevents hypoglycemia?
A. 07:30
B. 08:00
C. 08:30
D. 09:00
Correct Answer: B
Rationale: Rapid-acting insulin peaks in 30–90 min; food should be ingested within 5–10 min of
injection to match onset.
Question 2: A nurse teaches a client with chronic kidney disease (CKD) stage 4 about protein
modification. Which statement indicates understanding?
A. “I will increase my egg whites to 4 a day.”
B. “I will limit high-biological-value protein to 0.6 g/kg/day.”
,C. “I will avoid all dairy to cut phosphorus.”
D. “I will use protein powder after dialysis.”
Correct Answer: B
Rationale: KDIGO 2025 guidelines recommend 0.6 g/kg/day of ≥50 % high-biological-value protein
to slow CKD progression.
Question 3: A 9-month-old infant is admitted with iron-deficiency anemia. Which food should the
nurse prioritize first?
A. Iron-fortified infant cereal
B. Cow’s milk
C. Honey-sweetened oatmeal
D. Spinach puree
Correct Answer: A
Rationale: Iron-fortified cereals provide bioavailable iron without allergy risk and are
age-appropriate.
Question 4: A client receiving warfarin is prescribed a 7-day course of
trimethoprim-sulfamethoxazole. The nurse should reinforce monitoring of which dietary factor?
A. Sodium <2 g/day
B. Vitamin K–consistent intake
,C. Calcium 1,200 mg/day
D. Protein 1.5 g/kg/day
Correct Answer: B
Rationale: Antibiotics alter gut flora, increasing warfarin effect; maintain consistent vitamin K to
stabilize INR.
Question 5: A client with heart failure on 2 g sodium restriction asks about seasonings. Which
option is acceptable?
A. Garlic salt
B. Lemon-pepper no-salt blend
C. Soy sauce (low sodium) 2 tbsp
D. Baking soda 1 tsp
Correct Answer: B
Rationale: Salt-free herb blends provide flavor without sodium; 1 tsp garlic salt = 1,840 mg sodium.
Question 6: A client is receiving TPN with 20 % dextrose at 100 mL/hr. Which lab value requires
immediate intervention?
A. Blood glucose 240 mg/dL
B. Potassium 4.0 mEq/L
, C. Sodium 138 mEq/L
D. Hemoglobin 12 g/dL
Correct Answer: A
Rationale: Hyperglycemia >180 mg/dL on TPN increases infection risk; insulin protocol indicated.
Question 7: A postpartum lactating client asks how much additional energy she needs daily.
A. +200 kcal
B. +330 kcal
C. +500 kcal
D. +650 kcal
Correct Answer: B
Rationale: RDA 2025: exclusively breastfeeding clients require +330 kcal/day first 6 months.
Question 8: A client with celiac disease selects oatmeal labeled “gluten-free.” Which action is
essential?
A. Verify oats are certified gluten-free
B. Limit portion to ¼ cup dry
C. Add wheat germ for fiber
