ATI RN
ATI Nutrition 2024 NGN Exam
1. A client has a body mass index (BMI) of 30. Four weeks after nutritional counseling, which of the following evaluation findings indicates the plan of care was followed?
- A. BMI of 25
- B. Weight gain of 1.8 kg
- C. BMI of 33
- D. Weight loss of 2.7 kg
Correct answer: D
Rationale: The correct answer is D. A weight loss of 2.7 kg in four weeks indicates effective adherence to a nutritional plan aimed at reducing body mass index (BMI), moving towards a healthier weight. Choices A, B, and C are incorrect because a decrease in weight is expected for a client with a BMI of 30 undergoing nutritional counseling for weight management, rather than an increase in weight or BMI.
2. A nurse is caring for a client who is taking antibiotics and develops diarrhea. Which of the following foods should the nurse recommend to include in the client’s diet?
- A. Whole wheat bread
- B. Fresh orange sections
- C. Ice cream
- D. Yogurt
Correct answer: D
Rationale: Yogurt contains probiotics that can help restore normal gut flora and reduce antibiotic-associated diarrhea.
3. A nurse is preparing to remove a client’s clogged NG tube prior to re-inserting a new tube. Which of the following actions should the nurse take first?
- A. Assist the client to blow her nose.
- B. Ask the client to take a deep breath and hold it.
- C. Pinch the proximal end of the tube.
- D. Disconnect the tube from suction source.
Correct answer: D
Rationale: Disconnecting the tube from the suction source is the first step in safely removing a clogged NG tube.
4. A nurse is teaching a group of clients about stress. Which of the following should the nurse include in the teaching?
- A. Protein requirements decrease in times of stress.
- B. Acute stress causes an increase in metabolism.
- C. Stress causes a positive nitrogen balance in the body.
- D. Glucose is broken down more slowly during times of stress.
Correct answer: B
Rationale: Acute stress causes an increase in metabolism, which is an important factor in stress management.
5. A nurse is caring for four clients. The nurse should plan to administer total parenteral nutrition for which of the following clients?
- A. A client who is postoperative following a laminectomy and is receiving IV PCA
- B. A client who has dysphagia and does not recognize his family
- C. A client who has COPD and is going home with oxygen
- D. A client who has colon cancer and will undergo a hemicolectomy
Correct answer: D
Rationale: Total parenteral nutrition (TPN) is essential for clients undergoing significant surgical procedures like a hemicolectomy to ensure they receive adequate nutrition when oral intake is not possible.
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