ATI RN Nutrition Proctored Study Guide

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Sample questions from ATI RN Nutrition Proctored Study Guide

This material has 24 questions with answers and rationales. Here are the first 5.

1. 1.A client has a prescription for a newly inserted nasogastric feeding tube. Which action is required before the nurse begins the first feeding?

   • A.Obtain radiographic confirmation of tube location
   • B.Begin a small feeding and monitor for coughing
   • C.Place the tube end in water and observe for bubbles
   • D.Inject air while auscultating over the stomach

   Rationale: B is correct because radiographic confirmation establishes initial location of a blindly inserted tube before use. A is unreliable because sounds transmit across body structures. C does not establish gastrointestinal placement and is unsafe. D exposes the client to aspiration or pulmonary administration before placement is confirmed.

2. 2.An alert adult with diabetes has a glucose level of 61 mg/dL and can swallow safely. Which action should the nurse take first?

   • A.Wait 30 minutes and repeat the glucose measurement
   • B.Administer the scheduled rapid-acting insulin
   • C.Give a cheese sandwich
   • D.Give 15 g of glucose tablets

   Rationale: C provides rapidly absorbed carbohydrate for immediate treatment, followed by a glucose check in 15 minutes. A contains protein and fat and is not the preferred initial rescue. B can worsen hypoglycemia. D delays treatment of an established low glucose level.

3. 3.A severely undernourished client develops weakness and edema after nutrition support begins. Which laboratory finding most strongly supports refeeding syndrome?

   • A.Calcium 9.4 mg/dL
   • B.Hemoglobin 13.8 g/dL
   • C.Phosphorus 1.2 mg/dL
   • D.Sodium 139 mEq/L

   Rationale: A indicates marked hypophosphatemia, a characteristic electrolyte change during refeeding. Insulin-mediated intracellular shifts also affect potassium and magnesium. B and C are within common adult reference ranges. D is not evidence of the acute electrolyte-shift syndrome and does not explain the new symptoms.

4. 4.Which statement by a client taking warfarin demonstrates understanding of nutrition teaching?

   • A.I will double my warfarin whenever I eat spinach.
   • B.I will keep my intake of leafy green vegetables reasonably consistent.
   • C.I can replace my prescribed medicine with vitamin E supplements.
   • D.I will stop eating all foods that contain vitamin K.

   Answer and rationale are in the full material.

5. 5.A client with chronic kidney disease and potassium of 5.8 mEq/L asks about replacing table salt. Which product requires the nurse to intervene?

   • A.A salt substitute containing potassium chloride
   • B.A salt-free herb blend without potassium additives
   • C.Fresh lemon juice
   • D.Garlic powder without added salt

   Answer and rationale are in the full material.