ATI Nutrition Practice A Test Already Passed

ATI Nutrition Practice A Test Already Passed A nurse in a providers office is talking with a client who has a prescription for fexofenadine. The client reports that their allergies remain unaffected. Which of the foll ...

ATI Nutrition Practice A Test Already Passed A nurse in a providers office is talking with a client who has a prescription for fexofenadine. The client reports that their allergies remain unaffected. Which of the following questions should the nurse ask the client to determine if the medication is being absorbed properly? ✔✔Are you still taking your antacids at this time? - The nurse should instruct the client to avoid taking fexofenadine with anatacids containing magnesium or aluminum, because the medications can decrease the absorption and effectiveness of fexofenadine. A nurse is reviewing laboratory reports for a client who is receiving continuous enteral feedings. Which of the following values should the nurse report to the provider? ✔✔BUN 25 mg/dl - A BUN level of 25 mg/dl is above the expected reference range of 10 to 20 mg/dl and is an indication of dehydration, a complication of enteral feedings. This value should be reported to the provider. A nurse is reviewing the medical record of a client who has HIV. Which of the following information should indicate to the nurse that the client is at risk for inadequate nutritional intake? ✔✔The client is receiving a daily calorie intake of 20 cal/kg. - A client who has HIV should consume a daily intake of at 25 to 30 cal/kg depending on activity level, metabolism and disease state. A nurse is assessing a client for findings that indicated fluid volume excess. The client has completed an extensive bike ride, drinking multiple bottles of water during the ride. The nurse should identify which of the following findings as an indication of fluid volume excess? ✔✔Sodium 130 mEq/L - A client who consumes too much water without replacing sodium will experience fluid volume excess and hyponatremia or a disease in serum sodium. This condition can lead to convulsions, coma, and even death if left untreated. A nurse is providing teaching to a client who is receiving dentures. Which of the following information should the nurse include? ✔✔You might need to be re-fit for your dentures if you lose a significant amount of weight - Weight loss can lead to lesions on the gingiva. Therefore, the nurse should instruct the client to monitor the fit of the dentures if significant weight loss occurs. A nurse is providing dietary teaching for a client who is at 8 weeks of gestation and was classified as overweight prior to pregnancy based on a BMI of 27.5. Which of the following statements by the client should the nurse identify as understanding of the teaching? ✔✔My vitamin D and calcium needs will not change during my pregnancy. - The nurse should inform the client that vitamin D and calcium requirements do not increase or change during pregnancy. Nutrients the client should increase during pregnancy include folate, zinc, and vitamins A, C, and E. A nurse is providing dietary teaching to a client who has chronic constipation. Which of the following instructions should the nurse include? ✔✔Increase fiber intake n the diet gradually. - The client should increase fiber intake gradually to reduce the risk for abdominal pain. gas. and diarrhea. A nurse is teaching a client who has gastroespohgeal reflux disease (GERD). Which of the following modifications should the nurse recommend? ✔✔Wear nonrestrictive clothing - Tight clothing restricts the abdomen and increases stomach pressure. To reduce the discomfort of GERD, the client should wear clothing that is loose, especially around the abdomen. A nurse is teaching a client who follows a vegan diet about sources of protein. The nurse should instruct the client that which of the following foods contains the highest amount of protein? ✔✔A 1/2 cup serving of hummus and one large piece of whole-wheat pita bread. - The nurse should determine that hummus and whole-wheat pita bread are the best food sources to recommend because hummus contains 9.7g of protein per 1/2 cup and whole-wheat pita bread contain 6.3g per one large piece. A nurse is calculating the body mass index (BMI) for four clients. Which of the following clients should the nurse classify as having a healthy body weight? ✔✔A client who has a BMI of 24 - A BMI of 18.5 to 24.9 is classified as a healthy body weight A nurse is teaching a client who has COPD about increasing nutritional intake. Which of the following instructions should the nurse include? ✔✔Eat high-calorie foods first - Clients who have COPD are encouraged to eat small, frequent meals of high-calorie, highprotein foods. The client should consume the high-calorie foods first to increase nutritional intake because they might tire out before completing the entire meal. A nurse is providing nutritional teaching to a client who has a colostomy. Which of the following instructions should the nurse include? ✔✔Avoid foods that cause gas - The nurse should instruct the client to avoid foods such as cruciferous vegetables, beans, and fatty foods, because these foods can cause gas and discomfort. A nurse is conducting a Nutrition Risk Screening (NRS) for a client. The nurse should identify that which of the following data places the client at a high nutritional risk for malnourishment? ✔✔10% weight loss in 6 months - The nurse should recognize that a client who has experienced a 5% weight loss in 1 month or a 10% weight loss over 6 months is considered to have a high nutritional risk for malnourishment. A nurse is observing a 24-month old toddler at mealtime during a home visit. Which of the following findings should the nurse expect? ✔✔The toddler drinks milk using a straw - The nurse should expect a toddler to be able to drink using a straw by 24 months of age. A nurse is counseling a client about healthy eating behaviors. Which of the following client statements should the nurse identify as understanding the teaching? ✔✔I will choose polyunsaturated sources for fat intake. - The nurse should instruct the client to choose monounsaturated and polyunsaturated fats rather than saturated fats. Current recommendations include saturated fat intake of less than 10% of the total fat intake. A nurse is teaching a group of pre-menopausal clients about the use of calcium supplements to prevent the development of osteoporosis. Which of the following instructions should the nurse include in the teaching? ✔✔Take calcium supplements in three divided doses throughout the day. - Spreading the doses throughout the day increases overall absorption of calcium supplements. A nurse is teaching the parent of a 6 month old infant who is breastfed about changes to the infant's diet. Which of the following recommendations should the nurse make? ✔✔Mix fruit juice into dry rice cereal to increase iron absorption. - The vitamin C found in fruit juice increases iron absorption of iron present in the dry cereal. A nurse is providing dietary teaching to a group of prenatal clients who have gestational diabetes. Which of the following client statements should the nurse identify as an understanding of the teaching? ✔✔I should limit carbohydrates to 45 to 50 percent of my daily diet. - This statement by the client indicates understanding of the teaching. Maintaining blood glucose control while facilitating the growth and development of the fetus is a goal for clients who have gestational diabetes. Current recommendations are to limit carbohydrate intake to 45% to 50% of the daily calorie intake. A nurse is providing discharge teaching to a client who is postpartum and plans to breastfeed her infant. Which of the following instructions should the nurse include in the teaching? ✔✔Awaken the infant every 3 hours to feed during the day. - The nurse should instruct the client to feed the infant every 3 hr during the day and at least every 4 hr at night in order to provide adequate nutrition. If the infant is asleep, the mother should wake her to breastfeed. A nurse is monitoring the diet of a client who has chronic kidney disease. Which of the following laboratory tests should the nurse assess to adjust the client's diet? ✔✔Phosphate level -The nurse should identify that a phosphate level is used to adjust the diet of a client who has chronic kidney disease. The inability of the kidneys to metabolize vitamin D can lead to decreased levels of active vitamin D and calcium and increased phosphate levels. The nurse should instruct the client to avoid high-phosphorus foods such as salmon and sunflower seeds. A nurse is reviewing laboratory findings for an adolescent client. Which of the following findings should the nurse expect? ✔✔Total cholesterol 150 mg/dl - The nurse should identify this finding as being below 200 mg/dl and therefore expected. Adolescents can have increased risk for elevated cholesterol due to an increased intake of solid fats. A nurse at a long-term care facility is observing a client who has unilateral weakness feed themselves. The nurse should identify that which of the following actions by the client increases the clients risk for aspiration? ✔✔Chewing large bites of food quickly before swallowing. - The nurse should intervene and instruct the client to take a small, single bite of food at a time to reduce the risk for aspiration. The client should chew food thoroughly and swallow before taking another bite. A nurse is planning care for a client who is receiving continuous enteral feedings through a nasogastric (NG)tube. Which of the following interventions should the nurse include to reduce the client's risk for aspiration? ✔✔Check for gastric residual every 4 hrs - The nurse should aspirate for gastric residual every 4 to 8 hr to evaluate the absorption of the feeding and reduce the risk for aspiration. A nurse is assessing a client who has hemiparesis and weighs 91 kg (200lbs). The client's BMI is classified as normal. Which of the following findings should the nurse identify as a risk factor for impaired skin integrity? ✔✔Obtains 5% of calories from protein sources - The nurse should identify this finding as below the expected protein intake of 10% to 35% of total calories for adults. Protein is necessary for tissue repair and immune function. The nurse should assist the client to modify dietary intake to obtain further calories from quality protein sources. A nurse is assessing a client who has diabetes mellitus. The nurse should identify that which of the following findings is a manifestation of hypoglycemia? ✔✔Diaphoresis - The nurse should identify that diaphoresis is a manifestation of hypoglycemia. Other manifestations include weakness, shakiness, dizziness, headache, and confusion. The nurse should give the client 15g of readily absorbable carbohydrate. such as 1/2 cup of fruit juice or 2 tsp of sugar. A nurse is developing a plan of care for a client who is receiving radiation therapy to the neck. Which of the following dietary alterations should the nurse include in the plan? ✔✔Serve foods that are cold or at room temperature - A client who is receiving radiation therapy to the neck can experience anorexia, nausea, and stomatitis. The nurse should serve foods cold or at room temperature to decrease discomfort from stomatitis and decrease manifestations of nausea and vomiting A nurse is caring for a client who has a potassium level of 5.5 mEq/L. Which of the following beverages should the nurse recommend as the best choice for limiting potassium in the clients diet? ✔✔Cranberry Juice - The nurse should determine that cranberry juice is the best beverage to recommend because it contains 195 mg of potassium per 240 ml (8oz) serving. A nurse is teaching about food sources to a client who has anemia caused by a folate deficiency. Which of the following foods should the nurse recommend as the best source of folate? ✔✔1 cup of cooked spinach - The nurse should determine that cooked spinach is the best food source to recommend because 1 cup of cooked spinach contains 263 mcg of folate. A nurse is teaching a client who is receiving radiation therapy and reports diarrhea. Which of the following instructions should the nurse include? ✔✔Eat foods that are high in pectin - The nurse should instruct the client to eat foods high in pectin or soluble fiber, such as oatmeal, bananas, and applesauce, to slow intestinal motility and reduce diarrhea. A nurse is discussing how the body processes food with a client during a routine provider's visit. Which of the following statements should the nurse include? ✔✔The liver converts unused glucose into glycogen. A nurse is reveiwing prescribed medications for a newly admitted client. Which of the following medications increases the body's rate of metabolism? ✔✔Levothyroxine A charge nurse is conducting a nutritional class for a group of newly licensed nurses regarding basal metabolic rate (BMR). The charge nurse should inform the class that which of the following factors increases BMR? ✔✔lactation prolonged stress puberty Aschool nurse is teaching a high school health class about the possible causes of a negative nitrogen balance. Which of the following causes should the nurse include in the teaching? ✔✔illness Malnutrition trauma A nurse is educating a client who has anemia about dietary intake of iron. Which of the following is a non- heme source of iron? ✔✔Dried beans A nurse is discussing foods that are high in vitamin D with a client who is unable to be out in the sunlight. Which of the following should be included in the teaching? ✔✔2 large, poached eggs A nurse is reviewing dietary recommendations with a group of clients at a health fair. Which of the following information should the nurse include? ✔✔Make protein 10% to 35% of total calories each day. A nurse is conducting a nutritional class on minerals and electrolytes. The nurse should include which of the following foods is a major source of magnesium? ✔✔Tuna, halibut, green, leafy vegetables, nuts, and chocolate are a major source of magnesium. A nurse is discussing health problems associated with nutrient deficiencies with a group of clients. Which of the following conditions is associated with a deficiency of vitamin c? ✔✔Scurvy and bleeding gums are associated with a vitamin C deficiency. A nurse is providing teaching to a client who follows vegan dietary practices. The nurse should instruct the client that there is a risk of having a deficit in which of the following nutrients? ✔✔Vitamin D, Calcium, Vitamin B12 A nurse is conducting a nutrition class at a local community center. Which of the following information should the nurse include in the teaching? ✔✔Progress toward limiting saturated fat to 7% of total daily intake. A nurse is discussing essential nutrients for normal functioning of the nervous system with a client. Which of the following should the nurse include in the teaching? ✔✔Calcium, Thiamin, Vitamin B6, and sodium A school nurse is teaching a group of students how to read food labels. Which of the following is a required component of food labels that the nurse should include in the teaching. ✔✔Total fat, calories, and dietary fiber. A nurse is assisting a client with selecting food choices oh a menu. Which of the following by the nurse demonstrates ethnocentrism? ✔✔Recommending one's own favorite foods A nurse is caring for a client who has hypertension. Which of the dietary patterns is sometimes followed by Asian clients and places clients at risk for this condition? ✔✔Preparation of foods using sodium A nurse educator is teaching a class on culture and food to a group of newly hired nurses. Which of the following statements by a nurse indicates an understanding of the teaching? ✔✔Most clients who practice orthodox Judaism do not eat meat with dairy products. A nurse is reviewing the effect of culture on nutrition during a staff in-service. Which of the following groups prescribes eating specific foods to balance forces in the body during illness? ✔✔Asian culture and Hispanic/Latino culture A nurse at a community center ✔✔