the nurse is completing a nutritional assessment on a client which statement made by the client is most concerning to the nurse

ATI RN

ATI Nutrition Practice Test B 2019

1. The nurse is completing a nutritional assessment on a client. Which statement made by the client is most concerning to the nurse?

A. "I notice when I take a vitamin E supplement, I bruise more easily."
B. "I work nights and rarely go outside during the day."
C. "I take warfarin, so I need to limit the amount of green leafy vegetables I eat."
D. "My vitamin supplement has the recommended daily allowance of vitamin A."

Correct answer: A

Rationale: The correct answer is A. Excessive intake of vitamin E can increase the risk of bleeding as it acts as a blood thinner. Bruising easily may indicate too much vitamin E. Choice B is not as concerning as it describes a lifestyle that may lead to vitamin D deficiency due to lack of sunlight exposure. Choice C shows awareness of the interaction between warfarin and vitamin K, which is expected. Choice D indicates knowledge of the vitamin A content in the supplement, which is not a cause for concern.

2. Which student lunch is the least nutritious?

A. Ham sandwich, apple, and milk
B. Hamburger, fries, and soft drink
C. Macaroni and cheese, green beans, and peaches
D. Meatloaf, broccoli, and pear slices

Correct answer: B

Rationale: The correct answer is B - 'Hamburger, fries, and soft drink' as it contains foods high in unhealthy fats, sugars, and low nutritional value. A hamburger, fries, and a soft drink are considered less nutritious compared to the other options. Choice A includes a ham sandwich, apple, and milk, which provide a balance of protein, fiber, and calcium. Choice C consists of macaroni and cheese, green beans, and peaches, offering a mix of carbohydrates, vegetables, and fruits. Choice D contains meatloaf, broccoli, and pear slices, which provide a good source of protein, vitamins, and fiber. Therefore, option B is the least nutritious among the given choices.

3. A client is being instructed by a nurse about foods that should be included in a low-fiber diet. Which statement by the client indicates understanding?

A. I can cut up carrots and celery sticks for my lunch.
B. I will eat a bran muffin for my mid-morning snack.
C. I will have oatmeal with skim milk for my breakfast.
D. I should choose canned peaches for my fruit serving.

Correct answer: D

Rationale: The correct answer is D because canned peaches are lower in fiber compared to the other options. Carrots, celery sticks, bran muffins, and oatmeal are high-fiber choices, which are not suitable for a low-fiber diet. Choosing canned peaches aligns with the requirements of a low-fiber diet.

4. What is the first step in the scientific method?

A. Conduct an experiment
B. Make an observation and ask a question
C. Formulate a hypothesis
D. Reach a consensus

Correct answer: B

Rationale: The first step in the scientific method is to make an observation and ask a question. This is because the scientific method is a systematic process of investigation that begins with observing a phenomenon or asking a question about it. This is followed by formulating a hypothesis (Choice C), designing and conducting an experiment to test the hypothesis (Choice A), and analyzing the results to reach a consensus or conclusion (Choice D). Therefore, choices A, C, and D are incorrect as they represent steps that occur after the initial observation and question.

5. A patient on a low-sodium diet should avoid which of the following foods?

A. Fresh fruits
B. Unsalted nuts
C. Canned soup
D. Plain rice

Correct answer: C

Rationale: Canned soup is the correct answer. Canned soups are often high in sodium due to added salt and should be avoided on a low-sodium diet. Fresh fruits (Choice A) are typically low in sodium and a good choice for a low-sodium diet. Unsalted nuts (Choice B) are also low in sodium and can be included in a low-sodium diet. Plain rice (Choice D) is a low-sodium food and can be part of a low-sodium diet.