NGN ATI NUTRITION PROCTORED A&B 2019 EXAM LATEST
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse is caring for a client who expresses a desire to lose weight. Which
of the following actions should the nurse take first?
A. Recommend checking weight once
weekly.B. Obtain a 24-hour dietary recall.
C. Assist with creating an exercise
plan.D. Initiate a plan for diet
modification. (Ans- B. Obtain a 24-
hour dietary recall.
Explanations:
• The nurse should recommend the client weigh themselves regularly
tomonitor weight loss or gain; however, there is another action the
nurse should take first.
• The first action the nurse should take using the nursing process is to
obtain a diet history, such as a 24-hr dietary recall. Having the client
write down everything consumed over a 24-hr period is a crucial
component of the assessment process to identify eating behaviors and
therefore be ableto recommend dietary modifications based on the data
received.
• The nurse should assist the client with the creation of a personalized
exercise plan to increase strength and promote weight loss; however,
thereis another action the nurse should take first.
• The nurse should initiate a personalized diet modification plan with
theclient based on the client's assessment data to promote weight
loss; however, there is another action the nurse should take first.
A nurse is teaching about nutritional requirements for a client who is
starting a vegetarian diet. Which of the following information should the
nurse include in the teaching?
,• Consume high-fat cheese to replace meats when on a vegetarian diet.
• A vegetarian diet is high in vitamin B12.
• Fewer calories are required when on a vegetarian diet.
• Include two servings per day of nuts when on a vegetarian diet.
(Ans- D. Include two servings per day of nuts when on a vegetarian diet.
Explanations:
• The nurse should instruct the client to consume low-fat cheese as a
protein substitute. High-fat cheese has more saturated fat and calories
thanmeat.
• Foods that contain vitamin B12 are animal-related. The best sources
of dietary vitamin B12 are meats and other animal products. As vitamin
B12 is generally not present in plant-based foods, the nurse should
instruct the client to take vitamin B12 supplements or consume foods
fortified with B12 to compensate for a potential deficiency.
• Clients who are consuming a vegetarian diet require a deceased
intake of dietary fat rather than fewer calories. The nurse should instruct
the clientto increase intake of nutrient-dense foods to avoid the
breakdown of the body's protein for energy requirements.
• The nurse should instruct the client to eat two servings of nuts or
flaxseed per day to receive the daily requirement of omega-3 fatty
acids.
A nurse is caring for a client who has acute inflammatory bowel
disease. Which of the following nutritional supplements should the
nurse anticipateproviding to this client?
A. Hydrolyzed formula
B. Polymeric formula
C. Milk-based supplement formula
D. Modular product supplement
formula(Ans- A. Hydrolyzed formula
,Explanations:
• Hydrolyzed or elemental formula provides protein and other nutrients
intheir simplest form, requiring little or no digestion and decreasing
stimulation of the bowel. This type of formula is beneficial for clients
who
have impaired digestion due to conditions such as inflammatory
boweldisease.
• Polymeric formula contains complex nutrient molecules and is
notindicated for clients who have impaired digestion.
• Milk-based supplemental formulas contain lactose and are
poorlytolerated by clients who have inflammatory bowel disease.
• Modular formulas are intended to increase the intake of a specific
nutrient without increasing volume; they are not intended for clients
whohave impaired digestion.
A nurse is teaching a client who is newly diagnosed with type 1
diabetesmellitus how to count carbohydrates. Which of the following
statements made by the client indicates and understanding of the
teaching?
A. "I am including vegetables as starch items in my carbohydrate
count."
B. "I am limiting the number of carbohydrates to four carbohydrate
choicesor 60 grams per day."
C. "I know the serving size can affect the number of carbohydrates I
eat."
D. "I know the carbohydrate count is dependent on the calories in the
fooditem."
(Ans- C. "I know the serving size can affect the number of carbohydrates I
eat."
Explanation:
, A. The nurse should instruct the client about the difference between
starchyand nonstarchy vegetables to accurately calculate the
carbohydrate count.
B. The nurse should instruct the client that generally three to five
carbohydrate choices, or 45 g, are allowed per meal, plus one to two
carbohydrate choices for each snack.
C. The nurse should instruct the client that the portion size affects the
number of carbohydrates.
D. The nurse should instruct the client that the carbohydrate count is
notdependent on the calorie count of a food item. Fats and proteins
can provide calories as well.
A nurse is providing dietary teaching for a client who has osteoporosis.
Thenurse should instruct the client that which of the following foods has
the highest amount of calcium?
• 1 cup avocado
• 2 tablespoons peanut butter
• C. ½ cup roasted sunflower seeds
• D. ½ cup roasted almonds
(Ans- D. ½ cup roasted almonds
Explanation:
• The nurse should recommend a different food because there is
anotherchoice that contains a higher amount of calcium. One cup of
avocado contains 18 mg of calcium.
• The nurse should recommend a different food because there is
anotherchoice that contains a higher amount of calcium. Two
tablespoons of peanut butter contain 17 mg of calcium.
• The nurse should recommend a different food because there is
anotherchoice that contains a higher amount of calcium. One half cup
of roasted sunflower seeds contains 45 mg of calcium.
• The nurse should determine that ½ cup roasted almonds is the best
foodsource to recommend because ½ cup of almonds contains 185 mg
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