ATI Nutrition
a nurse is assessing a client's nutritional status. The nurse determines the client is consuming 500 calories more per day than his energy level requires. If dietary habits do not change, how long will it take the client to gain 4.5 kg (10lb)? A) 10 months B) 5 months C) 5 weeks D) 10 weeks
D- CORRECT (1 lb = 3,500)
a nurse is assisting a client who has dysphagia with eating meals. Which of the following actions should the nurse take? A) add water to soups for a thinner consistency B) encourage using water to clear the clients mouth C) ask the client to think of a food that produces salivation D) remind the client to rest after meals
C- CORRECT (to prevent dryness during meals)
a nurse is planning an in service training session for a group of nurses regarding the role of enzymes in digestion. Which of the following enzymes plays a role in digestion of protein? A) amylase B) lipase C) steapsin D) pepsin
D- CORRECT (P for Pepsin!) (amylase breaks down starch to glucose) (lipase breaks down triglycerides into monoglycerides) (steapsin breaks down triglycerides into monoglycerides)
a nurse is caring for a client whois recovering at home after inpatient treatment for burn injuries. To increase the protein density of the client's meals, which of the following recommendations should the nurse make to the client's caregiver? A) use sour cream instead of plain yogurt B) add honey to cooked cereals C) use salad dressing in place of mayonnaise D) add chopped hard-boiled eggs to soups and casseroles
D- CORRECT (eggs are a good source of protein)
a nurse is providing dietary teaching for a client with AIDS who has stomatitis of the mouth. Which of the following instructions should the nurse include the teaching? A) you can suck on popsicles to numb your mouth B) season food with spices instead of salt C) avoid the use of a straw to drink liquids D) eat foods at hot temperatures
A- CORRECT (the straw one is not correct because it can decrease comfort)
a nurse is teaching a group of parents of toddlers about measures to reduce the risk of chocking. Which of the following foods increase the risk of chocking in toddlers (SATA) A) hot dogs B) grapes C) bagels D) marshmallows E) graham crakcers
A,B,C,D- CORRECT (graham crackers become soft quickly when mixed with saliva therefore, is less likely to choke)
a nurse is caring for a group of clients on a medical surgical unit. Which of the following disorders should the nurse identify as increasing the client's metabolic needs? (SATA) A) COPD B) hyperthyroidism C) cancer D) Parkinson's disease E) major burns
A,C,D,E-CORRECT
a nurse is caring for a client during her first prenatal visit and notes that she is lactose intolerant. Which of the following foods should the nurse include on a list of calcium sources for this client? A) collared greens B) cottage cheese C) orange juice D) Broccoli
A- CORRECT
a nurse is caring for a client who has a deficiency of vitamin D. Which of the following foods should the nurse recommend the client include in his diet? A) whole milk B) chicken C) oranges D) dried peas
A- CORRECT
a nurse is caring for a client who has osteoporosis and a new prescription for calcium supplements. Which of the following foods should the nurse recommend to promote calcium absorption? A) fortified milk B) ripe bananas C) steamed broccoli D) green leafy vegetables
A- CORRECT
a nurse is presenting an in service training session about nutrition. Which of the following simple sugars should the nurse identify as the carbohydrate found in milk? A) lactose B) sucrose C) maltose D) fructose
A- CORRECT
a nurse is reviewing the laboratory results of a client who has end stage renal disease and reports fatigue. The client's hemoglobin feel is 8 g/dL. The nurse should expect a prescription for which of the following medications? A) erythropoietin B) erythromycin C) filgrastim D) calcitriol
A- CORRECT
a nurse is teaching a client with chronic kidney disease about predialysis dietary recommendations. The nurse should recommend restricting the intake of which of the following nutrients? A) protein B) carbohydrates C) calcium D) monounsaturated fats
A- CORRECT
a nurse is teaching a group of clients about the functions of the liver and gallbladder. Which of the following should the nurse include in the teaching as the purpose of bile? A) digesting fats B) producing chyme C) stimulating gastric acid secretion D) providing energy
A- CORRECT
a nurse is teaching about a low-cholesterol die to a client who had a myocardial infarction. Which of the following meal selections by the client indicates an understanding of the teaching? A) chicken breast and corn on the cobb B) shrimp and rice C) cheese omelet and turkey bacon D) liver and onions
A- CORRECT
a nurse in a pediatric clinic is talking with the parent of a toddler who states that her child will not sit at the table to eat with the family. She asks the nurse for recommendations for "finger foods" for her child. Which of the following foods should the nurse suggest? A) slices of ripe banana B) popcorn C) slices of hot dogs D) raw carrots
A- CORRECT (does not present chocking hazard)
A nurse is teaching dietary-modification strategies to a client who has been newly diagnosed with cirrhosis. Which of the following foods should the nurse recommend? A) grilled chicken B) potato soup C) fish sticks D) baked ham
A- CORRECT (has most protein)
a nurse is providing nutritional counseling for a client who is pregnant. Which of the following nutrients should the nurse instruct the client to increase in her daily weight? A) iron B) calcium C) vitamin E D) vitamin K
A- CORRECT (to promote iron transfer to fetus)
a nurse is planning an in service training session about various dietary practices. Which of the following pieces of information should the nurse include in the teaching? A) ovo-vegetarian diets exclude eggs B) kosher diets have restrictions regarding how the food must be prepared C) macrobiotic diets are plant based and exclude all animals and seafood D) flexitarian diets exclude the consumption of dairy products
B- CORRECT
a nurse is providing nutritional teaching to a group of clients. Which of the following definitions for the recommended dietary allowance (RDA) should the nurse include in the teaching? A) the RDA is a comprehensive erm that includes various dietary standards and scales B) the RDA defines the level of trident intake that meets the needs of healthy people in various groups C) the RDA defines the levels of nutrients the should not be exceeded to prevent adverse health effects. D) the RDA is the daily percentage of energy intake values for fat, carbohydrate, and protein
B- CORRECT
a nurse is caring for a client who is receiving total parental nutrition (TPN). Which of the following actions should the nurse take? A) administer 0.9% sodium chloride until TPN is available from the pharmacy B) check the client's capillary blood glucose level every 4 hrs C) obtain the client's weight each week D) change the IV tubing every 3 days
B- CORRECT (due to risk of hyperglycemia)
a nurse is conducting dietary teaching with a client who has a history of renal calculi. Which of the following instructions should the nurse include in the teaching? A) consume foods containing vitamin C B) drink 3.8 L (4 qt) of water throughout the day C) suggest almonds as a snack D) limit sodium intake to 3 g per day
B- CORRECT (keeps urine dilated to decrease kidney stone formation)
a nurse is planning an in service training session about nutrition. Which of the following pieces of information should the nurse include? A) fat breaks down amino acids B) protein serves as an energy source when other sources are inadequate C) glucose breaks down into ammonia D) carbohydrates provide 9 cal/g of energy
B-CORRECT (used as an energy source when carbs and fats are unavailable or low.) (protein breaks down amino acids) (protein breaks down into ammonia) (carbs provide 4 cal/g. fats provide 9 cal/g)
a nurse is caring for a client who has diverticulitis and a new prescription for a low fiber diet. Which of the following food items should the nurse remove from the clients meal tray? A) canned fruit B) white bread C) broiled hamburger D) coleslaw
D- CORRECT ( raw cabbage is high in fiber)
A nurse is providing teaching about calcium intake to a client who is breastfeeding. Which of the following is the recommended daily calcium intake for a client who is breastfeeding? A) 800 mg B) 400 mg C) 1,000 mg D) 2,000 mg
C- CORRECT
A nurse is providing teaching about nutrients to a client. Which of the following statements should then nurse include? A) carbohydrates transport nutrients throughout the body B) fats preven ketosis C) protein builds and repairs body tissue D) carbohydrates help regulate body temperature
C- CORRECT
A nurse is providing teaching to a client regarding protein intake. Which of the following foods should the nurse include as an example of an incomplete protein? A) eggs B) soybeans C) lentils D) yogurt
C- CORRECT
a nurse is caring for a client who has a new diagnosis of pernicious anemia. The nurse should expect the client's provider to prescribe which of the following medications for this client? A) ferrous sulfate B) epoetin alpha C) vitamin B12 D) folic acid
C- CORRECT
a nurse is caring for a client who has xerostomia with a lack of saliva. Which of the following nutrients will be affected by the lack of salary amylase? A) fat B) protein C) starch D) fiber
C- CORRECT
a nurse is providing teaching about nutritious diets to a group of adult women. Which of the following statements should the nurse include? A) include at least 3 g of sodium in your diet B) limit wine consumption of 230 mL daily C) include 2.5 cups of vegetables in your daily diet D) limit water intake to 1.5 L each day
C- CORRECT
a nurse is reviewing the dietary choices of a client who has chronic pancreatitis. Which f the following food items should the nurse suggest removing from the client's menu for the following day? A) white rice B) broiled cod C) ice cream D) canned peaches
C- CORRECT (ice cream is high in fats)
a nurse is caring for a client who has scurvy. Which of following vitamin deficiencies should the nurse identify as the cause of this disease? A) vitamin A B) vitamin B3 C) vitamin C D) vitamin D
C- CORRECT (lack of vitamin C)
a nurse is caring for an infant who has gastroenteritis and is dehydrated. Which of the following characteristics places the infant at a higher risk of electrolyte imbalances compared to an adult client? A) less extracellular fluid B) reduced body surface area C) longer intestinal tract D) decreased rate of metabolism
C- CORRECT (longer intestinal tracts lead to greater fluid losses, especially through diarrhea)
a nurse is providing teaching to the guardian of a child who has celiac disease. Which of the following foods should the nurse instruct the guardian to omit from the child's diet? A) cornflakes B) reduced fat milk C) canned fruits D) wheat bread
D- CORRECT
a nurse is caring for a client whois receiving radiation therapy for breast cancer and reports a metallic taste in the mouth. Which of the following dietary recommendations should the nurse share with the client? A) eat with metal utensils B) limit coffee C) avoid citrus foods D) offer mints
D- CORRECT
a nurse is eroding teaching about nutrition to an older adult client. The client asks "don't I need he see amount of nutrients that I did when I was younger?" Which of the following responses should the nurse make? A) older adults need less protein B) older adults need an increased amount of carbohydrates C) older adults need an increased amount of iron D) oder adults need an increased amount of calcium
D- CORRECT
a nurse is providing postoperative teaching about the management of duping syndrome to a client who has a partial gastrectomy. Which of the following instructions should the nurse include in the teaching? A) consume at least 4 oz of fluid with meals B) take a short walk after each meal C) use honey to flavor foods such as cereal D) eat protein with each meal
D- CORRECT
a nurse is educating a client who is at 10 weeks gestation and reports request nausea and vomiting. Which of the follow statements should the nurse include in the teaching? A) you should eat foods served at warm temperatures B) you should brush your teeth right after you eat C) you should ry to eat sweet foods when you feel nauseated D)you should eat dry foods that are high in carbohydrates when you wake up
D- CORRECT (helps with nausea)
A nurse is providing dietary teaching to a client who has dumping syndrome following gastric bypass surgery 4 days ago. Which of the following recommendations should the nurse include in the teaching? A) avoid foods containing protein B) drink liquids during each meal C) eat foods that contain simple sugars D) maintain a supine position after meals
D- CORRECT (supine position helps slow the rapid emptying of food into small intestines)