ATI RN
ATI Nutrition 2024 NGN Exam
1. 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.
2. A nurse is teaching a client who has hypertension about a heart healthy diet. Which of the following statements indicates that the client understands the teaching?
- A. I will get 15% of my total daily calories from saturated fats.
- B. I will decrease the potassium in my diet.
- C. I will limit my daily sodium intake to 3 grams.
- D. I will eat five 8-ounce servings of fruit daily.
Correct answer: C
Rationale: Limiting daily sodium intake to 3 grams helps manage blood pressure and is a key part of a heart-healthy diet.
3. A nurse is providing anticipatory guidance to a client who has Phenylketonuria (PKU) and is planning a pregnancy. Which of the following information should the nurse include in the discussion?
- A. Diet sodas should not be consumed more than two or three times per week.
- B. Serum bilirubin should be monitored one or two times per month during pregnancy
- C. Breastfeeding will prevent your baby from developing PKU.
- D. A low-protein diet should be followed for three months prior to conception.
Correct answer: D
Rationale: A low-protein diet helps manage PKU by reducing phenylalanine levels, which is crucial for maternal and fetal health.
4. A nurse is teaching about implementing a heart-healthy diet to a client who has coronary artery disease. Which of the following foods should the nurse recommend to the client?
- A. Baked ham
- B. Processed cheese
- C. Broiled salmon
- D. Canned potato soup
Correct answer: C
Rationale: Broiled salmon is a heart-healthy food due to its high omega-3 fatty acid content, which helps reduce inflammation and improve cardiovascular health.
5. 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.
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