ATI RN Nutrition Proctored

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Sample questions from ATI RN Nutrition Proctored

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift, the charge nurse learns that a client receiving total parenteral nutrition (TPN) has a new prescription for a blood glucose check. Which action should the nurse take first?

   • A.Stop the TPN until the result is available
   • B.Ask dietary services to provide a high-carbohydrate meal
   • C.Increase the TPN rate to prevent hypoglycemia
   • D.Check the client's blood glucose as prescribed

   Rationale: Checking the glucose provides the information needed to identify and manage TPN-associated hyperglycemia. Increasing the infusion without an order can worsen hyperglycemia, and stopping TPN abruptly can cause hypoglycemia. A meal does not replace prescribed monitoring or correct an infusion-related glucose problem.

2. 2.A hospitalized client with dysphagia is prescribed a pureed diet and nectar-thick liquids. Which task is appropriate for the nurse to delegate to an assistive personnel (AP)?

   • A.Position the client upright in a chair for meals
   • B.Assess the client's ability to swallow the first bite
   • C.Teach the client to use a chin-tuck maneuver
   • D.Determine whether the prescribed liquid thickness is effective

   Rationale: Positioning a client upright is a routine task that can be delegated to trained AP. Swallowing assessment, evaluating diet effectiveness, and teaching a compensatory technique require nursing judgment. The nurse remains responsible for assessing aspiration risk and monitoring the response to the diet.

3. 3.A client with chronic kidney disease asks the nurse why a dietitian is being consulted. Which response is best?

   • A.The dietitian can replace the need for follow-up with your provider
   • B.The dietitian can prescribe medication to improve your kidney function
   • C.The dietitian can help tailor food choices to your laboratory results and treatment plan
   • D.The dietitian will decide whether you need dialysis

   Rationale: A registered dietitian can individualize nutrition recommendations based on kidney function, laboratory results, and the prescribed plan of care. Dietitians do not prescribe medication or independently determine the need for dialysis. Nutrition counseling complements, rather than replaces, provider follow-up.

4. 4.Refer to the client's chart. Which actions should the nurse take to address the client's current nutrition-related priorities? Select all that apply.

   • A.Notify the provider of the rising potassium level
   • B.Request a dietitian consultation for an individualized renal diet
   • C.Offer a banana as a high-calorie snack
   • D.Reassess intake and output and review the prescribed fluid limit
   • E.Encourage the client to drink unrestricted fluids

   Answer and rationale are in the full material.

5. 5.A client receiving enteral nutrition is being discharged to home. Which team member should coordinate instruction about pump use, formula delivery, and home feeding supplies?

   • A.Unit receptionist
   • B.Case manager or home-care coordinator
   • C.Laboratory technician
   • D.Radiology technologist

   Answer and rationale are in the full material.