1 | P a g e NGN ATI RN NUTRITION PROCTORED EXAM 2024 ACTUAL EXAM COMPLETE 100 QUESTIONS WITH DETAILED VERIFIED ANSWERS AND RATIONALES (100% CORRECT ANSWERS) /ALREADY GRADED A+ // BRAND NEW!! A nurse is providing nutritional teaching to a client who reports wanting to lose weight. The nurse should identify that which of the following client stateme nts indicates an understanding of the teaching? a. "I will taste my foods while I am cooking." b. "I will exclude breads and pastries from my diet." c. "I will make a list before I go grocery shopping." d. "I will skip lunch if I am too busy to have somet hing healthy." - ....ANSWER...c. "I will make a list before I go grocery shopping." 2 | P a g e RATIONALE: Developing a shopping list allows the client to adhere to meal planning, prevent impulse buying, and purchase only the quantity of food needed. A nurse is reviewing the laboratory results of a client who is receiving continuous TPN. Which of the following results should the nurse report to the provider? a. Glucose 238 mg/dL b. Potassium 4.7 mEq/L c. Calcium 9.8 mg/dL d. Sodium 140 mEq/L - ....ANS WER...a. Glucose 238 mg/dL RATIONALE: This laboratory finding is above the expected reference range for casual glucose and requires reporting to the provider. A nurse is reviewing the laboratory data of four clients. The nurse should identify that which of the foll owing clients is experiencing fluid overload? a. A client who has an albumin level of 5.5 g/dL b. A client who has a urine specific gravity of 1.035 3 | P a g e c. A client who has a Hct of 55% d. A client who has a sodium level of 130 mEq/L - ....ANSWER...c. A clien t who has a sodium level of 130 mEq/L RATIONALE: The nurse should identify that this client's sodium level is lower than the expected reference range of 136 to 145 mEq/L and indicates hyponatremia. Hyponatremia, often called water deficit, is a decrease of sodium co ncentration in the blood caused by an excess of water. Manifestations of hyponatremia include confusion, headache, nausea, and fatigue. A nurse is teaching a client who is preparing for bowel surgery about a low -residue diet. Which of the following food c hoices by the client indicates an understanding of the teaching? a. Three slices of bacon and oatmeal toast b. Granola with raisins and strawberries c. Whole wheat French toast with blueberries and maple syrup d. Two poached eggs and a banana - ....ANSWER ...d. Two poached eggs and a banana 4 | P a g e RATIONALE: A low -residue diet limits the amount of stool traveling through the intestinal tract. The nurse should teach the client to avoid foods high in fiber. Poached eggs and bananas are acceptable low -residue menu choices. A nurse is providing dietary teaching about reducing the risk of infection to a client who has cancer and is receiving chemotherapy. Which of the following client statements indicates an understanding of the teaching? a. "I will thaw my food at room temperature." b. "I will use leftovers within 24 hours." c. "I should use home -canned goods within 2 years of canning." d. "I should heat my food to at least 120 degrees Fahrenheit." - ....ANSWER...b. "I will use leftovers w ithin 24 hours." RATIONALE: The client should use leftovers within 24 hr to reduce the risk of infection from a foodborne pathogen.
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