ATI Nutrition Question Bank Flashcards

1
Q

A nurse is teaching a group of parents of toddlers about measures to reduce the risk of choking. Which of the following foods increase the risk of choking in toddlers? SATA

A

Hot dogs
Grapes
Bagels Marshmallows

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2
Q

A nurse is providing teaching to a female client who has a new prescription for pravastatin to treat hyperlipidemia. Which of the following pieces of information should the nurse include in the teaching?

A

Pravastatin can be taken with grapefruit juice.

reasoning: Pravastatin, unlike other statins (lovastatin, simvastatin, atorvastatin) is not affected by CYP3A4 inhibitors. It is safe for the client to consume grapefruit juice as desired.

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3
Q

A nurse is assessing a client’s nutritional status. The nurse determines the client is consuming 500 calories more per day than his energy level requires. If his dietary habits do not change, how long will it take the client to gain 4.5 kg (10 lb)?

A

10 weeks

Reasoning: 1 lb of fat is equal to 3,500 Cal, consuming 500 extra Cal each day for 7 days would equal 3,500 Cal and 1 lb gained per week.

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4
Q

A nurse is providing teaching to a client who is beginning a vegan diet and is concerned about maintaining adequate protein intake. Which of the following food servings should the nurse recommend as having the highest amount of protein?

A

2 tbsp of peanut butter

reasoning: Has 7.11 g of protein

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5
Q

A nurse is providing nutritional teaching to a group of clients. Which of the following definitions for the recommended dietary allowance (RDA) should the nurse include in the teaching?

A

The RDA defines the level of nutrient intake that meets the needs of healthy people in various groups.

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6
Q

A nurse is caring for a client during her first prenatal visit and notes that she is lactose-intolerant. Which of the following foods should the nurse include on a list of calcium sources for this client?

A

Collard greens

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7
Q

A nurse is talking with the parent of a preschool-aged child who tells the nurse, “My child has suddenly become disinterested in certain foods.” Which of the following statements should the nurse make?

A

“Keep a diary of the foods your child eats each day.”

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8
Q

A nurse is planning care for a client who is receiving chemotherapy and has a protein deficiency. Which of the following interventions should the nurse include in the plan of care? SATA

A

-Mix powdered skim milk into liquid milk
-Add a slice of cheese to hot vegetables
-Mix yogurt into fresh fruit

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9
Q

A nurse is assisting a client who has dysphagia with eating meals. Which of the following actions should the nurse take?

A

Ask the client to think of a food that produces salivation.

Reasoning: To prevent dryness in the mouth during meals, which can be a risk factor for choking, the nurse should ask the client to think of a food that promotes salivation (e.g., lemon slices or dill pickles).

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10
Q

A nurse is providing teaching to a young adult client who has a history of calcium oxalate renal calculi. Which of the following instructions should the nurse include?

A

“Consume 1,000 mg of dietary calcium daily.”

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11
Q

A nurse in a provider’s office is reviewing the medical records of a group of clients. Which of the following clients is at risk for iron deficiency? SATA

A

-A client who is a vegetarian
-A client who is pregnant
-A toddler who is overweight

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12
Q

A nurse is providing teaching to a client who has gout and urolithiasis. The client asks how to prevent future uric acid stones. Which of the following suggestions should the nurse provide? SATA

A

-Take allopurinol as prescribed
-Exercise several times a week
-Limit intake of foods high in purine

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13
Q

A nurse is caring for a client who has diverticulitis and a new prescription for a low-fiber diet. Which of the following food items should the nurse remove from the client’s meal tray?

A

Coleslaw

Reasoning: contains raw cabbage, which is high in fiber. Clients who are following a low-fiber diet should avoid most raw vegetables

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14
Q

A nurse is planning an in-service training session for a group of nurses regarding the role of enzymes in digestion. Which of the following enzymes plays a role in the digestion of protein?

A

Pepsin

Reasoning: is an enzyme secreted by the gastric mucosa that breaks down protein into polypeptides. Other enzymes, such as trypsin and aminopeptidase further break down the polypeptides into amino acids, which can be used by the body.

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15
Q

A nurse is caring for an infant who has gastroenteritis and is dehydrated. Which of the following characteristics places the infant at a higher risk of electrolyte imbalances compared to an adult client?

A

Reduced body surface area

Reasoning: compared to adults or older children, infants have a longer intestinal tract. This results in greater fluid losses, especially through diarrhea.

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16
Q

A nurse is caring for a group of clients on a medical-surgical unit. Which of the following disorders should the nurse identify as increasing the client’s metabolic needs? SATA

A

-COPD
-Cancer
-Parkinson’s disease
-Major burns

Reasoning: Patients with COPD develop hypermetabolism due to the increased amount of energy used to breathe. Cancer can cause several metabolic changes, including hypermetabolism due to tumor growth. Clients who have Parkinson’s disease develop hypermetabolism because they burn calories due to muscular rigidity. Patients who have major burns develop severe metabolic stress, which includes hypermetabolism and hypercatabolism.

17
Q

A nurse is planning care of a client who has anorexia and nausea due to cancer treatment. Which of the following interventions should the nurse include?

A

Limit drinking liquids with food

Reasoning: drinking beverages with food leads to early satiety and bloating, which results in the client consuming fewer calories

18
Q

A nurse in a provider’s office is teaching a client about foods that are high in fiber. Which of the following food choices made by the client indicate an understanding of the teaching? SATA

A

black beans
whole-grain bread

19
Q

A nurse is providing teaching to a client regarding protein intake. Which of the following foods should the nurse include as an example of an incomplete protein?

A

lentils

reasoning: missing 1 or more essential amino acids other examples are vegetables, grains, nuts, seeds

20
Q

A nurse is providing dietary teaching to a client who has dumping syndrome following gastric bypass surgery 4 days ago. Which of the following recommendations should the nurse include in the teaching?

A

Maintain a supine position after meals

Reasoning: to help slow the rapid emptying of food into the small intestine

21
Q

A nurse is completing dietary teaching with a client who has heart failure and is prescribed a 2 g sodium diet. Which of the following statements by the client indicates an understanding of the teaching?

A

“I can have yogurt as a dessert.”

22
Q

A nurse is assessing a client. Which fo the following findings should the nurse identify as an indication of protein-calorie malnourishment? SATA

A

-Dry, brittle hair
-Edema
-Poor wound healing

23
Q

A nurse is reviewing the laboratory reports of a client who is receiving enteral feedings. Which of the following values indicates a complication of enteral feeding that the nurse should report to the provider?

A

BUN 25 mg/dL

normal range is 10-20 mg/dL

24
Q

A nurse is providing teaching to a client who has COPD about maintaining proper nutrition. Which of the following statements by the client indicates an understanding of the teaching?

A

“I will eat more cold foods at meals rather than hot foods.”

Reasoning: should prepare more cold foods to eat because they provide a decreased feeling of fullness compared to hot foods

25
Q

A nurse is caring for a client who has a new diagnosis of pernicious anemia. The nurse should expect the client’s provider to prescribe which of the following medications for this client?

A

Vitamin B12

26
Q

A nurse is providing teaching about calcium intake to a client who is breastfeeding. Which of the following is the recommended daily calcium intake for that client who is breastfeeding?

A

1,000 mg

27
Q

A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take?

A

Check the client’s capillary blood glucose level every 4 hr

28
Q

A nurse is reviewing a client’s 24 hr dietary recall. The client reports eating a slice of toasted white bread with butter, a banana, a glass of milk, and a cup of coffee for breakfast; grilled chicken, a baked potato, and a glass of milk for lunch; an apple and cheddar cheese for a snack and 2 servings of chicken, 2 cups of steamed broccoli, and a glass of milk for dinner. The client’s diet is deficient in which of the following food groups?

A

Grains

29
Q

A nurse is planning an in-service training session about nutrition. Which of the following statement should the nurse include in the teaching?

A

“Fats provide energy.”

30
Q

A nurse is caring for a client who is receiving intermittent enteral feeding through an NG tube. The specific gravity for the client’s urine is 1.035. Which of the following actions should the nurse take?

A

Provide more water with feedings

31
Q

A nurse is teaching a client who chronic kidney disease about predialysis dietary recommendations. The nurse should be recommending restricting the intake of which of the following nutrients?

A

Protein

Reasoning: CKD varies based on the degree of kidney function; however; most clients need protein limitations. Predialysis protein restriction can help preserve some kidney function.

32
Q

A nurse is planning dietary teaching for a client who has diabetes mellitus. Which of the following actions should the nurse plan to take first?

A

Ask the client to identify the types of foods she prefers

33
Q

A nurse is presenting an in-service training session about nutrition. How many of the amino acids must be obtained from dietary intake?

A

9

34
Q

A nurse is planning care for a client who has AIDs and has developed stomatitis. Which of the following interventions should the nurse include in the plan of care?

A

Avoid salty foods

35
Q

A nurse is teaching a group of clients about the functions of the liver and gallbladder. Which of the following should the nurse include in the teaching as the purpose of bile?

A

digesting fats

36
Q

A nurse is providing dietary teaching for a client with AIDs who has stomatitis of the mouth. Which of the following instructions should the nurse include in the teaching?

A

” you can suck on popsicles to numb your mouth.”

37
Q

A nurse is teaching a client who has lactose intolerance about dietary modifications. Which of the following foods should the nurse recommend?

A

Soy cheese

38
Q

A nurse is caring for a client who has osteoporosis and a new prescription for calcium supplements. Which of the following foods should the nurse recommend to promote calcium absorption?

A

Fortified milk