ATI RN
ATI Nutrition 2024 NGN Exam
1. A nurse is providing dietary teaching to a client who has a body mass index of 28. Which of the following actions should the nurse take?
- A. Encourage the client to continue current daily caloric intake.
- B. Recommend a total fiber intake of 12g each day.
- C. Advise the client to add 500 calories per day to the diet.
- D. Refer the client to a weight-loss support group.
Correct answer: D
Rationale: Referring the client to a weight-loss support group can provide the necessary support and motivation to achieve weight loss goals.
2. A nurse is caring for a client who is receiving parenteral nutrition. Which of the following findings indicates the therapy is effective?
- A. Client has soft, formed bowel movements.
- B. Client’s mucous membranes are pink.
- C. Client reports ability to complete ADLs.
- D. Client’s blood glucose level is within the expected reference range.
Correct answer: D
Rationale: Having a blood glucose level within the expected reference range indicates that parenteral nutrition is effectively meeting the client's nutritional needs.
3. A nurse is reviewing the lab findings of a client who has Clostridium Difficile. Which of the following findings should indicate to the nurse that the client is experiencing Fluid Volume Deficit?
- A. Hct 53%
- B. Potassium 3.5
- C. Sodium 145
- D. HbA1c 5
Correct answer: A
Rationale: An elevated hematocrit level (Hct 53%) indicates hemoconcentration, a sign of fluid volume deficit.
4. 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.
5. A nurse is preparing to remove a client’s clogged NG tube prior to re-inserting a new tube. Which of the following actions should the nurse take first?
- A. Assist the client to blow her nose.
- B. Ask the client to take a deep breath and hold it.
- C. Pinch the proximal end of the tube.
- D. Disconnect the tube from suction source.
Correct answer: D
Rationale: Disconnecting the tube from the suction source is the first step in safely removing a clogged NG tube.
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