ATI RN
ATI Nutrition 2024 NGN Exam Questions
Question 1 of 5
A nurse has just inserted an NG tube for a client who is to start enteral tube feedings. Which of the following actions should the nurse take to verify tube placement?
Correct Answer: B
Rationale: Verifying the placement of an NG tube is crucial to prevent complications like aspiration. The correct answer, obtaining an abdominal x-ray (Option B), is the gold standard for confirming tube placement. X-ray allows visualization of the tube's position in the stomach, ensuring it's in the correct place for safe feeding. Options A, C, and D are incorrect. Measuring the tube length (Option A) only confirms insertion depth, not placement in the stomach. Flushing the tube with water (Option C) or auscultating the client's lungs (Option D) are unreliable methods and do not definitively confirm tube placement. In an educational context, emphasizing the importance of using evidence-based practices like x-rays to verify NG tube placement ensures safe and effective care for patients. Nurses need to understand and follow established protocols to prevent potential harm and provide quality care.
Question 2 of 5
A nurse is developing a plan of care for a client who has anorexia nervosa. Which of the following actions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is option A: Encourage the client to participate in developing a system of rewards. This is the most appropriate action to include in the plan of care for a client with anorexia nervosa because it focuses on positive reinforcement for desired behaviors, which can help motivate the client to engage in the treatment process and work towards recovery. By involving the client in developing a system of rewards, the nurse empowers the client to take ownership of their progress and promotes a sense of control over their condition. Option B, arranging for someone to remain with the client for 30 minutes after meals, may not be as effective because it can foster dependence rather than autonomy in the client. Anorexia nervosa is often characterized by control issues, so promoting independence and self-regulation is crucial in the treatment plan. Option C, offering the client a selection of beverages at each meal, may not directly address the underlying psychological and behavioral aspects of anorexia nervosa. While proper nutrition is important, focusing solely on food choices may overlook the deeper emotional and mental health components of the disorder. Option D, informing the client that a weight gain of 2.3 kg per week is expected, could be counterproductive as it may increase anxiety and resistance in a client with anorexia nervosa. Setting rigid weight gain expectations can be overwhelming and may not align with the individualized nature of treatment for eating disorders. In an educational context, it is important for nurses to understand the complexities of eating disorders like anorexia nervosa and to approach care with empathy, sensitivity, and a focus on holistic well-being. Incorporating strategies that empower the client, such as involving them in goal-setting and positive reinforcement, can contribute to a more collaborative and effective treatment approach.
Question 3 of 5
A client is prescribed a 1500 calorie diet. Thirty percent of the calories are to be derived from fat. How many grams of fat should the nurse tell the client to consume per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: D
Rationale: In this question, the correct answer is option D) 50 grams of fat per day. To determine this, we first calculate 30% of the total calories in a 1500 calorie diet, which equals 450 calories from fat. Since 1 gram of fat is equivalent to 9 calories, we then divide 450 by 9 to find that the client should consume 50 grams of fat per day. Option A) 21 grams, Option B) 49 grams, and Option C) 60 grams are incorrect. Option A is too low because it does not meet the 30% fat requirement for a 1500 calorie diet. Option B is close but not rounded to the nearest whole number as required by the question. Option C is too high and exceeds the calculated amount of fat needed for a 1500 calorie diet with 30% coming from fat. Educationally, this question tests the nurse's ability to apply nutrition knowledge and conversion skills to calculate the appropriate daily fat intake based on a prescribed calorie diet. Understanding how to interpret and apply dietary recommendations is crucial for providing effective patient care and promoting optimal health outcomes.
Question 4 of 5
A home health nurse is conducting an initial visit with an older adult client. The client lives alone and has difficulty preparing his own meals. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: In this scenario, the correct action for the home health nurse to take first is option D: Perform a nutrition screening. This is the most appropriate initial step because it allows the nurse to assess the client's current nutritional status and identify any specific dietary needs or concerns. By conducting a nutrition screening, the nurse can gather essential information to develop a personalized care plan for the client. Option A, discussing nutritional requirements with the client, is not the most immediate action to take as it assumes the client's baseline knowledge and does not provide a comprehensive assessment of the client's current nutritional status. Option B, referring the client to a senior citizen center, may be a helpful resource in the long term but does not address the client's immediate need for assistance with meal preparation. Option C, arranging for a home-delivered meal program, could be a beneficial intervention after the nutrition screening has been completed and specific dietary requirements have been identified. However, without knowing the client's nutritional needs, this option may not address the underlying issues effectively. Educationally, it is essential for nurses to prioritize assessments and screenings to gather data before implementing interventions. Understanding the client's individual needs and challenges is crucial in providing holistic care and promoting optimal health outcomes. By starting with a nutrition screening, the nurse can lay the foundation for a client-centered care plan that addresses the older adult's unique nutritional requirements and promotes overall well-being.
Question 5 of 5
A nurse is providing teaching about formula feeding to the parents of an infant. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: In the context of formula feeding education, selecting option D, "If the infant turns away after taking most of the feeding, stop the feeding," is crucial for promoting healthy feeding practices. This instruction aligns with responsive feeding, where infants self-regulate their intake. Stopping the feeding when the infant signals fullness helps prevent overfeeding, which can lead to issues like obesity. Option A is incorrect because leftover formula shouldn't be reused due to contamination risks. Option B is inaccurate as whole milk is not recommended before the age of 1 due to inadequate iron and nutrients. Option C is unsafe advice as diluting formula can lead to inadequate nutrition and dehydration. Educationally, teaching parents about infant feeding requires knowledge of responsive feeding cues and the importance of proper nutrition for growth and development. By emphasizing the importance of recognizing infant cues and promoting a healthy feeding environment, nurses can support parents in providing optimal nutrition to their infants.