ATI Nutrition Dynamic Quizzing

A nurse is providing teaching for a client who has a prescription for a low sodium diet to manage hypertension. Which of the following statements by the client indicates an understanding of the teaching? A. "I can snack on fresh fruit" B. "I can continue to eat lunchmeat sandwhiches" C. "I can have cottage cheese with my meals" D. "Canned soup is a good lunch option"

Correct Answer: "I can snack on fresh fruit." The nurse should identify fresh fruits contain little to no sodium and are a good snack for a client who has hypertension. Incorrect Answers: B. Lunchmeats are usually high in sodium and should be avoided. The nurse should recommend choosing lower sodium option such as fresh fish or poultry, C. Cottage cheese contains 390 mg per 113 g (1/2 c) of sodium. The nurse should recommend choosing low fat yogurt as a low sodium snack D. Canned soups contain high amounts of sodium. The nurse should instruct the client to avoid convenience and fast foods such as canned or dry packaged soups.

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 in the teaching? A. "You can suck on popsicles to numb your mouth" B. "Season your food with spices instead of salt" C. "Avoid the use of a straw to drink liquids" D. "Eat foods at hot temperature"

Correct Answer: A. "You can suck on popsickles to numb your mouth" Incorrect Answers: B. The client should avoid spices, acidic foods, and salt, which can irritate and burn the mouth. C. The nurse should instruct the client that using a straw can decrease the discomfort when drinking liquids D. The client should consume foods that are cold or at room temperature. Hot foods can be irritating or possibly burn the mouth.

A nurse is teaching the parent of a school age child who has celiac disease. Which of the following foods selected by the parent indicates an understanding of the teaching? A. Corn tortilla with black beans B. Pizza C. Canned soup D. Hot dogs

Correct Answer: A. Corn tortilla with black beans Children who have celiac disease are placed on a gluten free diet. Gluten is found in wheat, rye, and barley. Selecting products made from corn indicates an understanding of the teaching, as corn and beans are gluten free foods. Incorrect Answers: B. Pizza often contains gluten. Gluten is found in wheat, rye, and barley and should be avoided by a child who has celiac disease. C. Prepared soups often contain gluten D. Hot dogs and hot dog buns often contain gluten

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 banans C. Steamed broccoli D. Green leafy vegetables

Correct Answer: A. Fortified milk Fortified milk provides 2.45 mcg of vitamin D, which promotes calcium absorption from the GI tract. Adults up to age 70 need 600 international units of vitamin D per day and 800 international units thereafter. Therefore, fortified milk is a good source of vitamin D. Incorrect Answers: B. Bananas are a good source of potassium and can reduce bone loss. However, bananas do not promote calcium absorption. C. Broccoli is a good source of vitamin C, which is important for bone matrix formation. However, streamed broccoli does not promote calcium absorption. D. Green leafy vegetables are a good source of vitamin K. However, green leafy vegetables contain oxalic acid which decreases calcium absorption.

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

Correct Answer: A. Grilled chicken Incorrect Answers: B. A client who has cirrhosis should avoid foods that are in sodium content, especially if ascites is present; therefore the nurse should recommend another food choice C. A client who has cirrhosis should avoid foods that are high in fat especially if the client is experiencing steatorrhea; therefore, the nurse should recommend another food choice. D. A client who has cirrhosis should avoid foods that are high in sodium especially if ascites is present; therefore, the nurse should recommend another food choice

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

Correct Answer: A. Lactose The nurse should identify that lactose is a form of sugar that is found in milk. Incorrect Answers: B. Sucrose is a table sugar and is also found in fruits and vegetables C. Maltose is found germinating cereals, such as barley D. Fructose is found in honey and fruit

A nurse is providing information about cardiovascular risk to a client who has received his lipid panel report. Which of the following is within an expected reference range to include in the information? A. Total cholesterol 210 mg/dL B. HDL 79 mg/dL C. Triglycerides 175 mg/dL D. LDL 137 mg/dL

Correct Answer: B. HDL 79 mg/dL An HDL level greater than 45 mg/dL for a male and greater than 55 mg/dL for a female is within the expected reference range. An HDL of 79 mg/dL indicates the client is at low risk for cardiovascular disease. Incorrect Answers: A. Total cholesterol 210 mg/dL: A total cholesterol level of 210 mg/dL is above the expected reference range of less than 200 mg/dL. C. Triglycerides 175 mg/dL: A triglyceride level of 175 mg/dL is above the expected reference range of 35 to 135 mg/dL for females and 40 to 160 mg/dL for males. D. LDL 137 mg/dL: An LDL level of 137 mg/dL is above the expected reference range of less than 130 mg/dL.

A nurse is planning an in-service training session regarding nutrition. Which of the following minerals should the nurse identify as involved in oxygen transportation? A. Zinc B. Iron C. Phosphorous D. Magnesium

Correct Answer: B. Iron Iron transports oxygen by means of hemoglobin and myoglobin. It is also a component of enzyme systems Incorrect Answers: A. Zinc plays a role in tissue growth and wound healing and supports immune function, but it does not affect oxygen transport. C. Phosphorous plays a role in bone and teeth formation and energy metabolism, but it does not affect oxygen transport D. Magnesium affects enzyme and neurochemical activities and the excitability of cardiac and skeletal muscles, but it does not affect oxygen transport.

A nurse is reviewing the dietary choices of a client who has chronic pancreatitis. Which of the following food items should the nurse suggest removing from the client's menu the following day? A. White rice B. Broiled cod C. Ice cream D. Canned peaches

Correct Answer: C Clients who have chronic pancreatitis should limit their fat intake to no more than 30 to 40% of total calories. Ice cream is high in fat, with 48 g of fat in a 1 cup serving of vanilla ice cream. The client should choose healthier fat containing options to support a balanced diet. Incorrect Answers: A. Foods high in fiber can reduce lipase activity, making a low-fiber diet helpful for clients who have chronic pancreatitis. White rice is low in fiber, with only 1g of fiber in a 1 cup serving B. Clients who have chronic pancreatitis need an adequate amount of protein, about 1.5g/kg/day. Fish is a good source of protein, with 26 g of protein in a 170 g portion of cod. D. Foods high in fiber can reduce lipase activity, making a lower fiber diet helpful for clients who have chronic pancreatitis. Canned peaches are low in fiber, with only 3 grams of fiber in a 1 cup serving.

A nurse is providing teaching to a client who has constipation. Which of the following instructions should the nurse include? A. Use bismuth subsalicylate regularly B. Consume a low-fiber diet C. Eat yogurt with live cultures D. Use bisacodyl suppositories regularly

Correct Answer: C. Eat yogurt with live cultures Yogurt with live bacterial growth provides dietary probiotics that help maintain and promote bowel function. Incorrect Answers: A. Bismuth subsalicylate is an antidiarrheal agent and will increase constipation B. Increasing fiber gradually can prevent constipation. A low fiber duet is recommend for patients who have diarrhea D. The regular use of stimulant laxatives result in decreased defecation reflexes, causing a reliance on stimulant laxatives for bowel movements. This may eventually cause electrolyte imbalances and colitis.

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

Correct Answer: C. Lentils Incomplete proteins are missing 1 more of the essential amino acids necessary for the synthesis of protein in the body. Examples of incomplete proteins inclued: - lentils - vegetables - grains - nuts - seeds

A nurse is caring for a client who has Parkinson's Disease and dysphagia. Which of the following actions should the nurse take first? A. Turn the television on to distract the client during meals. B. Give the client fluids to clear the mouth of solid foods during meals. C. Offer the client a high-calorie diet. D. Encourage the client to maintain a low-Fowler's position following meals.

Correct Answer: C. Offer the client a high-calorie diet. The nurse should add high-calorie food to the client's diet because muscular rigidity increases metabolic rate, which increases caloric need. Incorrect Answers: A. Turn the television on to distract the client during meals. The nurse should limit distractions so that the client can concentrate on eating, which reduces the risk of aspiration. B. Give the client fluids to clear the mouth of solid foods during meals. The nurse should not offer liquids to clear the client's mouth of solid foods because this increases the risk for aspiration. D. Encourage the client to maintain a low-Fowler's position following meals. The nurse should position a client who has advanced Parkinson's disease in a high-Fowler's position following meals to prevent aspiration.

A nurse is teaching a client about managing IBS. Which of the following should the nurse include in the teaching? A. Increase intake of fresh fruit high in fructose. B. Limit foods that contain probiotics. C. Take peppermint oil during exacerbation of manifestations. D. Substitute white sugar with honey

Correct Answer: C. Take peppermint oil during exacerbation of manifestations. The nurse should teach the client to take peppermint oil because peppermint relaxes the smooth muscle of the GI tract and decreases the manifestations of IBS. Incorrect Answer: A. Increase intake of fresh fruit high in fructose. Fruit that is high in fructose, such as fresh pears, can increase a client's manifestations of IBS. B. Limit foods that contain probiotics. The client should increase intake of food containing probiotics because probiotics decrease bacteria in the bowel and can decrease the manifestations of IBS. D. Substitute white sugar with honey. Honey is high in fructose and is difficult to absorb, causing manifestations of IBS. White sugar contains glucose, which is easy to absorb and can help the absorption of fructose.

A nurse is providing teaching about food choices to a client who has diabetes mellitus. Which of the following statement by the client indicates an understanding of the teaching? A. "I will need to eliminate sweet desserts from my diet" B. "I should avoid using sucralose in my coffee" C. I" should consume alcohol between meas in moderation" D. "I should replace white bread with whole grain bread"

Correct Answer: D. "I should replace white bread with whole-grain bread" Clients with diabetes mellitus have the same fiber requirements as the general population. Fiber content can be increased by substituting white bread, which is made with refined grains, with whole-grain bread, which retains the outer later of the grain that is higher in fiber. Incorrect Answers: A. Sweet desserts are not prohibited for clients who have diabetes mellitus. Instead, they should be consumed in moderation and substituted for other carbohydrates in the clients meal plan. B. Sucralose is a non-nutritive sweetener that has been approved by FDA for this sue. It is considered safe for clients who have diabetes mellitus. C. Although clients who have diabetes mellitus can consume alcohol in moderation, the nurse should instruct the client to consume alcohol with food to avoid hypoglycemia

A nurse is educating a group of women about vitamin and mineral intake during pregnancy. Which of the following should the nurse instruct the women to avoid taking at the same time as iron supplements? A. Magnesium B. Vitamin B12 C. Vitamin A D. Calcium

Correct Answer: D. Calcium The nurse should instruct the client to take calcium and iron supplements at different times, or between meals, because calcium can interfere with iron absorption if taken together with meals. Incorrect Answers: A. Magnesium Magnesium does not interfere with iron absorption. B. Vitamin B12 Vitamin B12 does not interfere with iron absorption. C. Vitamin A Vitamin A does not interfere with iron absorption.

A nurse is preparing to administer the influenza vaccine to a client who has food allergies. Which of the following food allergies could place the client at risk? A. Peanuts B. Milk C. Shellfish D. Eggs

Correct Answer: Eggs A hypersensitivity to eggs can place a client at risk for allergic reactions when receiving the influenza vaccine. The vaccine should only be administered by a healthcare provider who can recognize and respond to severe allergic reactions.