ATI RN Nutrition Online Practice 2019 A

1. A nurse in an acute care facility is planning care for a client who has chosen to follow Islamic dietary

laws during Ramadan. Which of the following actions should the nurse plan to take?

a. Provide a snack for the client after sunset

i. Rationale: during Ramadan, pt following Islamic dietary laws eat meals before dawn

and after sunset.

2. A nurse is creating a plan of care for a client who has mucositis following a head and neck radiation

therapy to treat cancer. Which of the following interventions should the nurse include in the plan?

a. Increase fluid intake to 2 L per day

i. Rationale: promotes hydration and peristalsis

3. A nurse is providing discharge teaching to a postpartum client about breast milk use and storage.

Which of the following statements should the nurse make?

a. “You cannot place thawed breast milk back in the freezer”

i. Rationale: The nurse should instruct the client that completely thawed breast milk

can be stored in the refrigerator but must be used within 24 hr. Breast milk that has

been previously frozen should not be refrozen once it has thawed completely.

Thawing creates a possibility for bacterial growth and causes a decrease in

antibacterial activity, which destroys antibodies in the milk.

4. A nurse is caring for a client who adheres to a kosher diet. Which of the following food choices would

be appropriate for this client?

a. Vegetable salad with cheese

i. Rationale: Clients who adhere to a kosher diet can eat dairy products combined with

non-meat products at the same meal.

5. A community health nurse is planning to teach a class about weight management for cardiovascular

health. Which of the following statements should the nurse plan to include?

a. “Plan to lose weight gradually at ½ to 1 pound per week”

i. Rationale: The nurse should inform the participants that losing 0.23 to 0.45 kg (0.5

to 1 lb) per week is a healthy and attainable weight-loss goal. Setting realistic goals

for weight loss is an important element of success. Trying to lose weight too quickly

places clients at risk for nutritional deficiencies and inadequate energy, which can

lead to frustration and defeat

6. A client is experiencing anorexia related to cancer treatment. Which of the following interventions

should the nurse implement to increase the client's nutritional intake?

a. Add extra calories & protein to every meal

i. Rationale: Adding extra calories and protein to every meal will increase the client's

nutritional intake.

7. A nurse is teaching about nutritional requirements for a client who is starting a vegetarian diet.

Which of the following information should the nurse include in the teaching?

a. Include two servings per day of nuts when on a vegetarian diet

i. Rationale: The nurse should instruct the client to eat two servings of nuts or

flaxseed per day to receive the daily requirement of omega-3 fatty acids.

8. A nurse is teaching a female client about a healthy diet to control hypertension. Which of the

following client statements indicates an understanding of the teaching?

a. “I will eat four servings of unsalted nuts per week”

i. Rationale: Female clients should consume four to five servings of unsalted nuts,

seeds, or legumes per week for a heart-healthy diet.

9. A nurse is caring for a client who is dehydrated and is receiving intermittent enteral feeding. Which

of the following actions should the nurse plan to take?

a. Provide the formula as a continuous infusion

i. Rationale: A client who is experiencing dehydration should receive a continuous

infusion to prevent receiving a high carbohydrate load with each feeding.

10. A nurse is providing teaching to a client who has dumping syndrome and is experiencing weight loss.

Which of the following instructions should the nurse include in the teaching?

a. Consume liquids between meals

i. Rationale: The nurse should teach the client to drink liquids between meals to slow

movement of food from the stomach.