ATI RN
ATI Nutrition 2024 NGN Exam
1. A nurse is reviewing the laboratory findings of a client who has heart failure. Which of the following findings indicates that the client is experiencing fluid volume excess?
- A. BUN 8 mg/dL
- B. Hgb 15 g/dL
- C. Creatinine 0.8 mg/dL
- D. Sodium 140 mEq/L
Correct answer: A
Rationale: A BUN level of 8 mg/dL is indicative of fluid volume excess, which is common in clients with heart failure.
2. A nurse is caring for a client who reports she is having difficulty losing weight. Which of the following responses by the nurse is appropriate?
- A. Eat small portions of the high-calorie foods first.
- B. Set a goal and you will be able to attain it.
- C. It is helpful to self-monitor your eating.
- D. Taste food while cooking to help curb your appetite.
Correct answer: C
Rationale: Self-monitoring dietary intake is an evidence-based strategy that enhances awareness and accountability, making it an effective approach for weight management.
3. 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.
4. A nurse is providing teaching to an obese client who has gestational diabetes and is at 25 weeks of gestation. Which of the following statements made by the client indicates a need for further teaching?
- A. This does not mean that my baby will have this disease.
- B. This means that I will have diabetes for the rest of my life.
- C. If I feel dizzy, I should drink six ounces of a non-diet soda.
- D. Being obese might be one reason why I developed diabetes.
Correct answer: B
Rationale: The belief that gestational diabetes results in lifelong diabetes is incorrect; it often resolves after pregnancy, though it does indicate a higher risk for developing type 2 diabetes in the future.
5. A nurse is planning care for a client who practices Islam and is currently observing dietary restrictions for the month of Ramadan. Which of the following interventions should the nurse include in the plan of care?
- A. Remove beef products from the dietary plan
- B. Facilitate fasting during daylight hours
- C. Serve meat and dairy items separately
- D. Provide a strictly vegetarian diet on Fridays
Correct answer: B
Rationale: Facilitating fasting during daylight hours respects the dietary practices of clients observing Ramadan.
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