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Rn Nutrition 2023 Exam-4

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Exam Details

Title Rn Nutrition 2023 Exam-4

Type Nursing

Category RN Nursing Exams

Subcategory ATI Exams (RN)

Domain NUTRITION (RN ati)

Fragment N/A

Module RN-NURSING

Status active

Rating 95.00%

Attempts 15

Year 2025

Duration 180 min

Questions 10

Pass Score 90%

Difficulty Intermediate

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1 :
A nurse in a clinic is caring for a client.

Nurses' Notes
Diagnostic Results

2100, 1 week ago:

Client presents to the emergency department with reports of flank pain as 9 on a scale of 0 to 10, nausea, and blood in the urine. The provider ordered a CT scan of the abdomen. Awaitin results.

2400:

Client passed kidney stone. Stone sent to laboratory for analysis. Client discharged to home and instructed to follow up with urology in 1 week.

Today, 1 week later:

Client informed of ways to prevent kidney stones from reoccurring.

2200, 1 week ago:

CT without contrast: 3-mm non-obstructing stone visualized in the left proxima ureter

Which of the following client statements indicate an understanding of the teaching? Select all that apply.

Answer Options

"l will choose plant-based proteins over animal proteins several days per week."

"l will not need to limit my caffeine intake."

"l will increase my fiber intake."

"l will drink at least 1 liter of fluid each day."

"l will not severely restrict calcium in my diet"

Hint : 💡Think about oxalate handling and how diet influences it.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

2 :
A nurse on a postpartum unit is caring for a parent and newborn.

Nurses' Notes
Plan of Care

1 day ago:
Parent and newborn bonding. Newborn is exclusively breastfeeding. Parent reports having difficulty with keeping the newborn awake during feedings. Breastfeeding observed. Newborn fell asleep after feeding on one breast.

Today:
Parent requests assistance during breastfeeding. Newborn is awake and alert, feeding well for 15 min on left breast. The parent states, "Breastfeeding is important to me, but my nipples are sore, and I can't tell if my baby is getting enough. Should I maybe give a bottle until my milk comes in? "

Today
Plan to discharge parent and newborn to home today. Follow with pediatrician within 48 hr for weight check. Parent to have consultation with lactation consultant prior to discharge

Which of the following actions should the nurse take to promote successful breastfeeding? Select all that apply.

Answer Options

Instruct the parent to offer the infant both breasts at each feeding.

Teach the parent how to use the "football hold' technique.

Observe a feeding to ensure the infant's lips make a tight seal around the nipple and areola.

Encourage the parent to offer bottle feedings when breastmilk supply is being established.

Educate the parent to limit length of nursing sessions during the first few days to prevent sore nipples.

Hint : 🔎Prioritize a deep latch and effective positioning.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

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3 :
A nurse is assessing a client who has cirrhosis.

Vital Signs
Laboratory Results
Nurses' Notes
Provider Prescriptions

Day 1:

Temperature 37.8°C (100°F)

Heart rate 70/min

Respiratory rate 18/min

Blood pressure 120/70 mm Hg

Oxygen saturation 96% on room air

Day 2:

Temperature 37.2°C (99°F)

Heart rate 80/min

Respiratory rate 24/min

Blood pressure 126/74 mm Hg

Oxygen saturation 95% on room air

Day 1:

Sodium 148 mEq/L (16 to 145 mEq/L)
Potassium 5 mEq/L (3.5 mEq/L to 5 mEq/L)
BUN 22 mg/dL (10 mg/dL to 20mg/dL)
Creatinine 0.8 mg/dL (0.5 mg/dL to 1 mg/dL)
Hgb 18 g/dL (12 g/dL to 16 g/dL)
Hct 48% (37% to 47%)

Day 2:

Sodium 140 mEq/L (136 to 145 mEq/L)
Potassium 3.8 mEq/L (3.5 mEq/L to 5 mEq/L)
BUN 20 mg/dL (10 mg/dL to 20 mg/dL)
Creatinine 0.8 mg/dL (0.5 mg/dL to 1 mg/dL)
Hgb 17 g/dL (12 g/dL to 16 g/dL) Hct 47% (37% to 47%)

Day 1:

Client has a past medical history of cirrhosis. Client reports recent insomnia. Client is alert to person, place, and situation. Reports no pain. Heart rate regular. Radial pulse +3 bilateral. Chest rounded. Respirations even and nonlabored. Lungs clear anterior and posterior. Abdomen firm, round, and distended. Reports last bowel movement was 1 day ago. Abdominal girth 60 cm (24 in). Capillary refill less than 3 seconds. Turgor without tenting. +2 edema bilateral lower extremities.

Day 2:

Client reports feeling better after receiving therapies. Heart rate regular. Respirations even and nonlabored. Scattered crackles bilateral bases. Abdominal girth 66 cm (26 in).

Day 1:

Furosemide 40 mg IV twice daily Measure abdominal girth daily. Monitor vital signs every 4 hr. Restrict fluids to 1,500 mL/day. Repeat CBC and electrolytes in morning.

Use the words from the choices below to fill in each blank in the following sentence. The nurse should identify that the client is at greatest risk for developingand.

Hint : 🧪Associate loop diuretics with potassium shifts.

Rationale :

Rationale to be Available Soon

Distractor Analysis :

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4 :
A nurse is assessing a client's nutritional status.

Vital Signs
Nurses' Notes

Day 1:

Temperature 36.7°C (98°F)

Heart rate 90/min

Respiratory rate 20/min

Blood pressure 126/74 mm Hg

SaO2, 98% on room air

Day 2:

Temperature 37.2°C (98.9°F)

Heart rate 110/min

Respiratory rate 20/min

Blood pressure 100/70 mm Hg

SaO2 96% on room air

Day 1:

Client is 1 day postoperative following gastric bypass surgery. Client has tolerated full liquids and will advance to solids today. Client is ambulating in hallway and reporting passing of flats.

Client is alert to person, place, time, and situation. Heart rate regular. Respirations even and nonlabored. Scattered rhonchi auscultated to bilateral lower anterior lung fields. Abdomen soft and rounded, and nondistended. Bowel sounds active in all 4 quadrants. Bladder nondistended; continent. Urine output of 50 mL/hr. Skin warm, dry, and intact.

Day 2:

Client is up to chair and reports abdominal cramping nausea after eating lunch. Discoloration of skin noted. Skin cool to touch with perspiration noted. Vital signs obtained.

Select the 4 actions the nurse should plan to take to address the client's current condition.

Answer Options

Ensure the client receives simple sugars with each meal.

Instruct the client to drink liquids with meals.

Encourage the client to limit consumption of lactose.

Encourage the client to eat small, frequent meals.

Ensure the client receives protein with each meal.

Ensure the client receives pureed foods.

Encourage the client to lie down 15 min after eating meals.

Hint : 🧭Reduce osmolar load entering the small intestine after meals.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

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5 :
A nurse is providing postpartum education about newborn feedings to a client who has recently given birth. Which of the following information should the nurse include about breastfeeding?

Feedings can be controlled by gravity.

Feedings should be started at 15 mL per feeding.

Feedings should begin within 1 hr after birth.

Feedings should not be on demand.

Hint : 🌟Capitalize on the newborn’s early alert period for first latch.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

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6 :
A nurse is assessing a client and determines the client's BMI is 27. In which of the following categories should the nurse classify this finding?

Healthy weight

Overweight

Obesity class 2

Obesity class 1

Hint : 🔢Recall the BMI thresholds for adult categories.

Correct Answers:

No Correct Answers Available !

Rationale :

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Distractor Analysis :

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7 :
A nurse is caring for a client in an outpatient clinic.

Nurses' Notes

Week 1:

Client is seen for a postoperative appointment following gastric bypass surgery. Client is tolerating eating and continues to follow and progress the postoperative diet client is currently consuming full liquids and tolerating well with no adverse effects reported.

Week 5:

Client returns to the clinic. Client was doing well with eating until the last 2 days. Client is now experiencing a lack of appetite. They are struggling to intake enough fluids and have not been able to keep down prescribed supplements due to intermittent vomiting throughout the day without correlation to their meals. Client reports having multiple liquid stools throughout the day. Client weighs themselves weekly and has lost more weight than usual this week.

Use the words from the choices below to fill in each blank in the following sentence. The potential complications the nurse should assess the client for first areand

Hint : 🚰Prioritize fluid status in persistent GI losses.

Rationale :

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Distractor Analysis :

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8 :
A nurse is providing teaching to a client who recently had a hemoglobin A1c level obtained. Which of the following statements should the nurse include in the teaching?

"This lab value should be at least 15 milligrams per deciliter."

"This lab value is a good indicator of short-term nutritional status."

"This lab value measures your average blood glucose over a 3-month timeframe."

"Cardiac dysrhythmias might occur if this lab value is too low.”

Hint : 🧪Link A1c to RBC lifespan when estimating timeframe.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

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9 :
A nurse is assessing a client who has received treatment for hypernatremia. Which of the following findings indicates the treatment has been effective?

Fatigue

Firm grip bilaterally

Weight gain

Urine output 25 mL/hr

Hint : ⚖️Think about how volume restoration shows up objectively.

Correct Answers:

No Correct Answers Available !

Rationale :

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10 :
A nurse is planning care for a 2-month-old infant who is receiving intermittent enteral feedings. Which of the following interventions should the nurse include?

Secure the enteral tube to the infant's forehead with paper tape.

Flush the feeding tube with 0.5 mL of water before each feeding.

Position the infant on their left side for 30 min after the feeding.

Provide a pacifier to the infant during feedings.

Hint : 🧭Think about promoting aspiration safety while supporting oral–feeding skills.

Correct Answers:

No Correct Answers Available !

Rationale :

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Distractor Analysis :

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Ans

1 : A nurse in a clinic is caring for a client.

Answer Options

2 : A nurse on a postpartum unit is caring for a parent and newborn.

Answer Options

3 : A nurse is assessing a client who has cirrhosis.

4 : A nurse is assessing a client's nutritional status.

Answer Options

5 : A nurse is providing postpartum education about newborn feedings to a client who has recently given birth. Which of the following information should the nurse include about breastfeeding?

6 : A nurse is assessing a client and determines the client's BMI is 27. In which of the following categories should the nurse classify this finding?

7 : A nurse is caring for a client in an outpatient clinic.

8 : A nurse is providing teaching to a client who recently had a hemoglobin A1c level obtained. Which of the following statements should the nurse include in the teaching?

9 : A nurse is assessing a client who has received treatment for hypernatremia. Which of the following findings indicates the treatment has been effective?

10 : A nurse is planning care for a 2-month-old infant who is receiving intermittent enteral feedings. Which of the following interventions should the nurse include?

1 :
A nurse in a clinic is caring for a client.

2 :
A nurse on a postpartum unit is caring for a parent and newborn.

3 :
A nurse is assessing a client who has cirrhosis.

4 :
A nurse is assessing a client's nutritional status.

5 :
A nurse is providing postpartum education about newborn feedings to a client who has recently given birth. Which of the following information should the nurse include about breastfeeding?

6 :
A nurse is assessing a client and determines the client's BMI is 27. In which of the following categories should the nurse classify this finding?

7 :
A nurse is caring for a client in an outpatient clinic.

8 :
A nurse is providing teaching to a client who recently had a hemoglobin A1c level obtained. Which of the following statements should the nurse include in the teaching?

9 :
A nurse is assessing a client who has received treatment for hypernatremia. Which of the following findings indicates the treatment has been effective?

10 :
A nurse is planning care for a 2-month-old infant who is receiving intermittent enteral feedings. Which of the following interventions should the nurse include?