nutrition exam
A nurse is teaching a client about high-fiber foods that can assist in lowering LDL. Which of the following foods should the nurse include? (select all that apply) A. beans B. cheese C. whole grains D. broccoli E. yogurt
A C D
A nurse is providing teaching to a client who has vitamin B12 deficiency. Which of the following foods should the nurse instruct the client to consume? (select all that apply) A. meat B. flaxseed C. beans D. eggs E. milk
A D E
a nurse is reinforcing dietary teaching to a client who has type 2 diabetes mellitus. which of the following instructions should the nurse include? (select all that apply) A. "carbohydrates should compromise 55% of daily caloric intake." B. "use hydrogenated oils for cooking." C. "you can add table sugars to cereal." D. "eat something if you chose to drink alcohol." E. "use the same portion sizes to exchange carbohydrates."
A,C,D,E
A nurse is planning care for a client who has a new prescription for peripheral parenteral nutrition (PPN). Which of the following actions should the nurse include in the plan of care? Select all that apply. A. Add a micron filter to IV tubing. B. Administer an IV solution of 20% dextrose. C. Use an IV infusion pump. D. Examine trends in weight loss. E. Review prealbumin finding.
A. Add a micron filter to IV tubing. C. Use an IV infusion pump. D. Examine trends in weight loss. E. Review prealbumin finding.
A nurse is collecting data from a client who has peptic ulcer disease (PUD). Which of the following findings should the nurse expect? Select all that apply. A. Anemia B. Epigastric pain C. Tarry stools D. Steatorrhea E. Swollen lymph nodes
A. Anemia B. Epigastric pain C. Tarry stools
A nurse is teaching a client who has constipation about a high-fiber, low-fat diet. Which of the following food choices by the client indicates understanding of the teaching? A. Brown rice B. Peanut butter C. Peeled apples D. Hardboiled egg
A. Brown rice
A nurse is assessing a client who is postoperative from a gastric bypass and who just finished eating a meal. Which of the following findings are manifestations of dumping syndrome? Select all that apply. A. Diarrhea B. Bradycardia C. Dizziness D. Hypotension E. Dry skin
A. Diarrhea C. Dizziness D. Hypotension
A nurse is teaching a community program on nutritional guidelines for cancer prevention. Which of the following instructions should the nurse include? (Select all that apply.) A. Eat foods high in vitamin A. B. Add cruciferous vegetables. C. Increase intake of red meats. D. Use saturated cooking oil. E. Consume refined grains.
A. Eat foods high in vitamin A. B. Add cruciferous vegetables.
A charge nurse is teaching a group of nurses about medication compatibility with TPN. Which of the following statements should the charge nurse make? A. Regular insulin can be added to the TPN solution. B. Use the Y-port on the TPN IV tubing to administer antibiotics. C. Administer heparin through a port on the TPN tubing. D. Administer vitamin K IV bolus via a Y-port on the TPN tubing.
A. Regular insulin can be added to the TPN solution.
A nurse is teaching a client who has cancer about ways to increase protein and calories in foods. Which of the following actions should the nurse include? (Select all that apply.) A. Use peanut butter as a spread on crackers. B. Add water in place of milk in soups. C. Top fruit with yogurt. D. Dip chicken in eggs before cooking. E. Sprinkle cheese on a baked potato.
A. Use peanut butter as a spread on crackers. C. Top fruit with yogurt. D. Dip chicken in eggs before cooking. E. Sprinkle cheese on a baked potato.
A nurse is administering bolus enteral feedings to a client who has malnutrition. Which of the following are appropriate nursing interventions? Select all that apply. A. Verify the presence of bowel sounds. B. Instill the formula over 60 minutes. C. Elevate the head of the bed 20°. D. Flush the feeding tube with warm water. E. Administer the feeding at room temperature.
A. Verify the presence of bowel sounds. D. Flush the feeding tube with warm water. E. Administer the feeding at room temperature.
a nurse is assessing a client who has hypoglycemia. which of the following findings should the nurse expect? A. fruity breath odor B. diaphoresis C. ketones in urine D. polyuria
B
a nurse is caring for a client who has diabetes mellitus and reports feeling shaky and weak. the client's blood glucose is 53mg/dL. which of the following actions should the nurse take? A. provide subcutaneous insulin for the client B. offer the client 120 mL (4oz) of fruit juice C. give the client IV potassium D. administer sodium bicarbonate
B
a nurse is reviewing a client health record that includes a report of abdominal obesity and laboratory findings of elevated blood glucose and elevated triglycerides. These findings meet the criteria of which of the following conditions? A. Anemia B. metabolic syndrome C. heart failure D. hypertension
B
a nurse is talking with a client who has a new diagnosis of diabetes mellitus type 2 and their caregiver. which of the following sweeteners should the nurse include as a zero-calorie sweetener option? (select all that apply) A. sucrose B. aspartame C. mannitol D. xylitol E. sucralose
B E
a nurse is caring for a client following an appendectomy who has a postoperative prescription that reads "discontinue NPO status; advance diet as tolerated." which of the following are appropriate for the nurse to offer the client initially? (select all that apply) A. applesauce B. chicken broth C. sherbet D. wheat toast E. cranberry juice
B,E
A nurse is teaching a client who is undergoing cancer treatment about interventions to manage stomatitis. Which of the following statements by the client indicates understanding of the teaching? A. "I will try chewing larger pieces of food." B. "I will avoid toasting my bread." C. "I will consume more food in the morning." D. "I will add more citrus foods to my diet."
B. "I will avoid toasting my bread."
A charge nurse is providing information about fat emulsion added to total parenteral nutrition (TPN) to a group of nurses. Which of the following statements by the charge nurse are appropriate? Select all that apply. A. Lipids provide calories by increasing the osmolality of the PN solution. B. Lipid emulsion prevents essential fatty acid deficiency. C. Concentration of lipid emulsion can be up to 30%. D. Adding lipid emulsion gives the solution a milky appearance. E. Check for allergies to soybean oil.
B. Lipid emulsion prevents essential fatty acid deficiency. C. Concentration of lipid emulsion can be up to 30%. D. Adding lipid emulsion gives the solution a milky appearance. E. Check for allergies to soybean oil.
A nurse is teaching a client who is recovering from pancreatitis about following a low-fat diet. Which of the following foods should the nurse recommend? Select all that apply. A. Ice cream B. Oatmeal C. Pretzels D. Canned peaches E. Ribeye steak
B. Oatmeal C. Pretzels D. Canned peaches
A nurse is instructing a client on how to administer cyclic enteral feedings at home. Which of the following information should the nurse include? Select all that apply. A. Flush the tube with a carbonated beverage to dislodge clogs. B. Set the feeding up before you go to bed. C. Weigh yourself daily. D. Ensure your head is elevated to 15 degrees during administration. E. Give a feeding every 6 hours.
B. Set the feeding up before you go to bed. C. Weigh yourself daily.
A nurse is teaching a client who is starting continuous feedings about the various types of enteral nutrition (EN) formulas. Which of the following should the nurse include in the teaching? A. Formula rich in fiber is recommended when starting EN. B. Standard formula contains whole protein. C. The high-calorie formula has increased water content. D. Hydrolyzed formula is recommended for a full-functioning GI tract.
B. Standard formula contains whole protein.
A nurse is discussing the use of a low-profile gastrostomy device with the guardian of a child who is receiving enteral feeding. Which of the following is an appropriate statement by the nurse? A. This access requires less maintenance than a traditional nasal tube. B. The device is usually comfortable for children. C. Mobility of the child is limited with this device. D. Checking residual is much easier with this device.
B. The device is usually comfortable for children.
A nurse in an oncology clinic is caring for a client who is undergoing treatment for cancer and reports difficulty eating due to inability to taste food. Which of the following interventions should the nurse recommend? A. Avoid citrus juices. B. Use plastic utensils to eat. C. Eat foods that are warm. D. Increase foods high in pectin.
B. Use plastic utensils to eat.
a community health nurse is assessing a client who reports numbness of the hands and feet for the past 2 weeks. This finding is associated with which of the following nutritional deficiencies? A. folic acid B. potassium C. Vitamin B12 D. Iron
C
a nurse is teaching a group of clients who have diabetes about meal planning. which of the following client statements indicates understanding?" A. "I will avoid having snacks." B. "I should not eat anything containing sugar." C. "I will not eat fruit canned in syrup." D. "I will not eat more than 2,800 mg of sodium a day."
C
A nurse is caring for several clients in an extended care facility. Which of the following clients is the highest priority to observe during meals? A. A client who has decreased vision B. A client who has anorexia C. A client who has Parkinson's disease D. A client who has poor dentition
C. A client who has Parkinson's disease
A nurse is preparing to administer intermittent enteral feeding to a client. Which of the following are appropriate nursing interventions? Select all that apply. A. Fill the feeding bag with 24 hours worth of formula. B. Elevated the head of the client's bed for 15 minutes after administration. C. Discard feeding equipment after 24 hours. D. Place any unused formula in open cans in the refrigerator. E. Flush the feeding tube every 4 hours.
C. Discard feeding equipment after 24 hours. D. Place any unused formula in open cans in the refrigerator. E. Flush the feeding tube every 4 hours.
A nurse is instructing a client who has celiac disease about foods to avoid. Which of the following foods should the nurse include in the teaching? A. Wild rice B. Canned pears C. Graham crackers D. Potatoes
C. Graham crackers
A nurse is reviewing prescribed medications for a newly admitted client. Which of the following medications increases the body's rate of metabolism? A. Morphine B. Dilaudid C. Levothyroxine D. Phenobarbital
C. Levothyroxine
A nurse is collecting data from a client who has suspected HIV-associated muscle wasting. Which of the following findings supports the diagnosis? A. BMI 26 B. Fecal impaction C. Report of fever for 30 days D. Report of high alcohol consumption
C. Report of fever for 30 days
A nurse is preparing to administer lipid emulsion and notes a layer of fat floating in the IV solution bag. Which of the following actions should the nurse take? A. Shake the bag to mix the fat. B. Administer the bag of solution as it is. C. Return the bag to the pharmacy. D. Turn the bag upside down one time.
C. Return the bag to the pharmacy.
a nurse is teaching a client about dietary recommendations to lower high blood pressure. which of the following statements by the client indicated understanding? A. "my daily sodium consumption should be 3,000 milligrams." B. "I should consume foods low in potassium." C. " My limit is three cigarettes a day." D. "I should consume low-fat dairy products."
D
