ATI RN NUTRITION PRACTICE A questions and answers latest 2023

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A nurse is preparing to bottle feed an infant who has a cleft lip. Which of the following actions should the nurse take to reduce the risk of aspiration? a) burp the infant once at the end of the fee... ding b) use a bottle that has a two way valve c) place a low-flow rate nipple on the bottle d) squeeze the infants cheeks together while feeding D) squeeze the infants cheeks together while feeding * nurse should identify that an infant who has a cleft lip will have difficulty in obtaining an adequate seal during feeding. nurse should gently squeeze the infants cheeks together to decrease the width of the cleft allowing the infant to achieve a better seal, which reduces risk of aspiration A nurse is preparing a health promotion seminar for a group of clients about cancer prevention. Which of the following information should the nurse include? a) consume high-calorie foods and beverages at meal time b) eat at least 2.5 cups of fruits and vegetables each day c) plant to perform moderate-intensity exercise for 90 minutes/week d) limit alcohol consumption to no more than 3 drinks per day B) Eat at least 2.5 cups of fruits and vegetables each day * The nurse should include in the teaching that clients should eat at least 2.5 cups of fruits and vegetables daily to help maintain body weight and reduce risk for cancer of the lungs and gastrointestinal system A nurse is teaching a client about stress management. Which of the following statements by the client indicates an understanding of the teaching? a) I will take a long walk every evening b) I will keep a daily diet and activity log c) I will avoid eating 1 hr before each bedtime d) I will drink a full glass of water with each meal a) I will take a long walk every evening * Exercise has many benefits including reduction of tension, promotion of relaxation and improved sense of well being. All of these will assist the client in stress management A nurse is providing dietary instructions for a client who has a prescription for warfarin. Which of the following foods should the nurse recommend the client eat in moderation while taking this medication? a) leafy green vegetables b) whole grains c) fruits with skin d) nuts and seeds a) leafy green vegetables * the nurse should recommend the client eat in moderation and maintain consistent intake of leafy green veggies which contain a natural form of vit k that can negate the anticoagulation effects of warfarin A nurse in a long term care facility is monitoring a client during mealtime who has Parkinson's disease. Which of the following findings should the nurse identify as the priority? a) the client eats all their cake and a few bites of bread b) the client drools while eating c) the clients hand trembles when they hold their spoon d) the client chooses to sit alone during the meal b) the client drools while eating * drooling while eating can indicate that this client is at greatest risk for aspiration of food from dysphagia, which can lead to pulmonary complications: therefore nurse should identify this as a priority problem A nurse is reviewing the laboratory values of a group of clients. Which of the following clients should the nurse identify as experiencing dehydration? a) a client who has a potassium level of 4.4 mEq/L b) a client who has a hematocrit of 45% c) a client who has a sodium level of 150 mEq/L d) a client who has a BUN of 18 mg/dL c) a client who has a sodium level of 150 mEq/L * the nurse should identify that a sodium level of 150 mEq/L is above expected reference range of 136-145 mEq/L and indicates hypernatremia. Hypernatremia often called water diuretic is a decrease of sodium concentration in blood caused by excess of water. Manifestations of hypernatremia include: confusion, headache, nausea, and fatigue A nurse is providing teaching to a client who has diabetes mellitus and an HbA1c of 8.7%. Which of the following statements by the client indicates an understanding of this laboratory value? a) I should have gone to my exercise class yesterday b) This shows that my results is finally within a normal range c) This shows that I have not been following my diet d) I should have my blood work done first thing in the morning c) This shows that I have not been following my diet * An HbA1c level of 8.7% is not within the expected reference range. The HbA1c goal level for a client who has diabetes is between 6.5-7% A nurse is caring for a client who has undergone a radical head and neck resection to treat cancer and is receiving radiation therapy. The nurse should monitor for which of the following potential adverse effects? a) bone marrow suppression b) radiation enteritis c) malabsorption of nutrients d) changes in the production of saliva d) changes in the production of saliva * changes in salvation are a potential complication of a head and neck resection and radiation therapy A nurse is providing dietary teaching to a client who is postoperative following a gastric bypass procedure. Which of the following instructions should the nurse include? a) eat 6 small meals per day b) begin each meal with a protein c) finish each meal even if feeling full d) plan to eat each meal over 15 min b) begin each meal with a protein * the nurse should instruct the client to begin each meal by eating a protein. the client should consume 60-120 g of protein each day A nurse is providing dietary teaching for a client who has osteoporosis. The nurse should instruct the client that which of the following foods has the highest amount of calcium? a) 1 cup avocado b) 2 tablespoons peanut butter c) 1/2 cup roasted sunflower seeds d) 1/2 cup of roasted almonds d) 1/2 cup of roasted almonds * nurse should determine that 1/2 cup roasted almonds is the best food source to recommend bc 1/2 cup of almonds contains 185 mg of calcium. Calcium helps to prevent bone loss in clients who have osteoporosis A nurse is caring for an adolescence who has type 1 diabetes mellitus. Which of the following actions should the nurse take to assess for Somogyi phenomenon? a) monitor blood glucose levels during the night b) check for urinary ketones at the same time each day for 1 week c) perform oral glucose tolerance test after administering dose of insulin d) compare current glycosylated hemoglobin level with the level at time of diagnosis a) monitor blood glucose levels during the night * somogyi phenomenon is fasting hyperglycemia that occurs in the morning in response to hypoglycemia during the nighttime. nurse should assess this phenomenon by monitoring blood glucose levels during the night A nurse is caring for a client who has a new prescription for parenteral nutrition (PN) containing a mixture of dextrose, amino acids, and lipids. Prior to administration of the PN, the nurse should report which of the following food allergies to the provider? a) gelatin b) peanuts c) shellfish d) eggs d) eggs * lipid emulsions are isotonic and are composed of soybean or safflower plus soybean oil, with egg phospholipid used as an emulsifier. Client who are allergic to eggs can have a reaction to the emulsifier. Therefore, the nurse should report this finding to the provider A nurse is assessing a client who has fluid volume excess. Which of the following manifestations should the nurse expect? a) weak peripheral pulses b) increased hematocrit c) crackles in the lungs d) weight loss from baseline c) crackles in the lungs * s/s shortness of breath, dyspnea A nurse is teaching a client who has hypertension about decreasing sodium intake. Which of the following information should the nurse include in the teaching? a) use soy sauce as a marinade for meats b) season foods with herbs and spices c) select processed cheese products when available d) choose a frozen dinner for a quick meal option b) season foods with herbs and spices * nurse should instruct client to replace salt with herbs and spices when seasoning foods A nurse is developing an educational program about the glycemic index of foods for clients who have diabetes mellitus. Which of the following foods should the nurse identify as having the highest glycemic index? a) sweet corn b) macaroni c) baked potato d) peanuts c) baked potato * baked potato has highest glycemic index. the glycemic index of potato is 85-90. Glycemic index is a tool used to rank foods according to degree in which food raises serum glucose levels A nurse is caring for a client who is at 8 weeks gestation and has a BMI of 34. The client asks about weight goals during her pregnancy. Nurse should advise client to do which of the following? a) maintain her current bmi b) gain approximately 6.8 kg ( 15lbs) c) lower her BMI to 30 d) gain 12.7 to 15.8 (28-35lbs) b) gain approximately 6.8 kg (15 lbs) * she should gain 4.9 to 9.1 kg (11-20lbs) A nurse is providing teaching to a client who is a vegetarian and requires an increase in zinc intake. Which of the following foods should nurse include in teaching of best source of zinc? a) pineapple b) green grapes c) cauliflower d) pinto beans d) pinto beans * highest amount zinc per serving [Show More]

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