RN Nutrition Online Practice 2023 B
A nurse is providing education to an adolescent about making nutrient-dense food choices. Which of the following statements by the client indicates an understanding of the teaching? - "Pasta with white sauce if a better choice than pasta with red sauce." - "Sweetened fruit yogurt is a healthy breakfast choice." - "Canned pinto beans are a better choice than refried beans." - "Sausage is a healthy choice of protein."
"Canned pinto beans are a better choice than refried beans."
A nurse is teaching a client who has a prescription for ferrous sulfate about food interactions. Which of the following statements indicates that the client understands the teaching? - "I can take this medication with juice." - "I can take this medication with my eggs at breakfast." - "I will drink low-fat milk when taking this medication." - "I will take this medication with my coffee."
"I can take this medication with juice."
A nurse is teaching an adolescent who has a new diagnosis of celiac disease. Which of the following statements by the client indicates an understanding of the teaching? - "I need to decrease the amount of oil I use in cooking." - "I need to eat fewer acidic foods, such as tomatoes and oranges." - "I need to eliminate rye from my diet." - "I need to eliminate milk products from my diet."
"I need to eliminate rye from my diet."
A nurse is discussing dietary factors to assist in blood pressure management for a client who has hypertension. Which of the following client statements indicates an understanding of the teaching? - "I can drink up to three glasses of wine each day. - "I should choose whole grain pastas when selecting my foods." - "I should decrease my consumption of foods high in potassium." - "I can use low-sodium salt substitutes when I cook my food."
"I should choose whole grain pastas when selecting my foods."
A nurse is teaching a client about a healthy diet to control hypertension. Which of the following client statements indicates an understanding of the teaching - "I will eat four servings of unsalted nuts per week." - "I will decrease the potassium in my diet." - "I will drink two glasses of whole mill daily." - "I will limit alcohol consumption to three drinks per day."
"I will eat four servings of unsalted nuts per week."
A nurse is providing teaching to a client who is currently experiencing an exacerbation of Crohn's disease. Which of the following statements by the client indicates an understanding of dietary practices during acute episodes? - "I will follow a high-protein diet." - "I will increase my fat intake." - "I will take a fiber supplement daily." - "I will consume three large meals throughout the day."
"I will follow a high-protein diet."
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 statements indicates an understanding of the teaching? - "I will taste my foods while I am cooking." - "I will exclude breads and pastries from my diet." - "I will make a list before I go grocery shopping." - "I will skip lunch if I am too busy to have something healthy."
"I will make a list before I go grocery shopping."
A home health nurse is providing dietary teaching to the guardians of a 3 yr old. Which of the following statements by the guardians should the nurse identify as an understanding of the teaching? - "I will offer my child a cup of peanut butter to dip their celery in." - "I can leave their grapes whole, so they can practice getting them with their fork." - "I can give them popcorn as a snack to provide a serving of while grains" - "I will put low-fat milk in their cup for them to drink."
"I will put low-fat milk in their cup for them to drink."
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? - "I will thaw my food at room temperature." - "I will use leftovers within 24 hours." - "I should use home-canned goods within 2 years of canning." - "I should heat my food to at least 120 degrees F"
"I will use leftovers within 24 hours."
A nurse is caring for a client who has age-related macular degeneration (AMD) and asks the nurse if there are any nutritional changes to consider. Which of the following responses should the nurse make? - "Increase dietary intake of lutein." - "Add niacin-rich foods to your diet." - "Use soy products as much as possible." - "Consume foods with a high glycemic index."
"Increase dietary intake of lutein."
A community health nurse is planning to teach a class about weight management for cardiovascular health. Which of the following statements should the nurse plan to include? - "Limit your sodium intake to 1,800 mg per day." - "Reduce your daily intake of foods that contain protein." - "Taking a multivitamin will prevent cardiovascular disease." - "Plan to lose weight gradually at 1/2 to 1 pound per week."
"Plan to lose weight gradually at 1/2 to 1 pound per week."
A nurse is providing teaching about lowering solid fat intake to an adolescent client who usually consumes about 2,000 calories per day. Which of the following instructions should the nurse include? - "Choose ground beef that is at least 70% lean." - "Restrict your daily meat intake to 5 ounces." - "Select cheeses that contain no more than 6 grams of fat per serving." - "Choose margarine that contains no more than 4 grams of saturated fat per tablespoon."
"Restrict your daily meat intake to 5 ounces."
A nurse is providing teaching to a client who has diabetes mellitus and has an A1C of 8.7. Which of the following statements by the client indicates an understanding of this laboratory value? - "I should have gone to my exercise class yesterday." - "This should that my result is finally within a normal range." - "This shows that I have not been following my diet." - "I should have my blood work done first thing in the morning."
"This shows that I have not been following my diet."
A nurse is teaching an older client about nutritional recommendations. Which of the following statements should the nurse make? - "You should increase your daily caloric intake." - "You should increase your daily protein intake." - "You receive an adequate amount of calcium from your diet, so a supplement is not recommended." - "You receive an adequate amount of vitamin D from sun exposure, so it is not necessary to take a supplement."
"You should increase your daily protein intake."
A nurse in a pediatrician's office is caring for for a newborn. The nurse is providing teaching to the parent about infant nutrition at the follow-up visit. Select the 3 statements that nurse should include? - "Your baby should weight about twenty pounds by one year of age." - "You can let your baby sleep up to six hours between feedings at night." - "You can keep pumped breast milk in the refrigerator up to one week." - "Your baby is gaining weight at the expected rate." - "Your baby's length should be around 27 inches long by one year of age."
"Your baby should weight about twenty pounds by one year of age." "Your baby is gaining weight at the expected rate." "Your baby's length should be around 27 inches long by one year of age."
A nurse is providing dietary teaching for a client who has osteoporosis. The nurse should instruct the client that which of the following foods has the highest amount of calcium? - 1 cup avocado - 2 TBS peanut butter - 1/2 c roasted sunflower seeds - 1/2 c roasted almonds
1/2 c roasted almonds
A nurse in a provider's office is caring for a client. Client is a college student who presents with report of frequent abd pain, bloating, and diarrhea after eating. Also experiencing fatigue and difficulty concentrating during class. Pathology confirms celiac disease The nurse is planning dietary teaching for the client during the follow-up visit. Identify which of the following information the nurse should include:
- it is safe to use potato flour when cooking - black beans are a safe source of fiber - corn is an acceptable food to eat - quinoa is an acceptable grain to consume
A charge nurse is reviewing the EMR of a client. Which of the following findings from the client's EMR should the nurse recognize as an indication that the client is experiencing hypovolemia? - Client Axox4. SOB on exertion. HR rapid. Brachial pulse +4 bilaterally. +1 pitting edema to LE. Crackles. abd soft, rounded.
- pulse - Respiratory - Edema - blood pressure - heart rate - sodium level
A nurse is conducting a dietary teaching for a group of clients who are trying to become pregnant. Which of the following food items should the nurse include as containing the highest amount of folate? - 1/2 cup of chickpeas - 3.5 oz of chicken liver - 1 medium orange - 1 slice of white bread
3.5 oz of chicken liver
A nurse is calculating the daily protein allowance of a client who weighs 176lbs. The clients daily protein allowance is 0.8 g/kg. How many g of protein should the client consume per day?
64
A nurse is providing dietary teaching to a client who is postoperative following a gastric bypass procedure. Which of the following instructions should the nurse include? - Eat six small meals per day - Begin each meal with protein - Finish each meal even if feeling full - Plan to eat each meal over 15 minutes
Begin each meal with protein
A client is experiencing anorexia related to cancer treatment. Which of the following interventions should the nurse implement to increase the client's nutritional intake? - Recommend cooking aromatic foods to stimulate appetite - Serve hot food rather than cold foods - Instruct the client to eat three meals per day - Add extra calories and protein to every meal
Add extra calories and protein to every meal
A nurse is conducting a screening assessment for the protein status of a client. Which of the following laboratory values should the nurse review? - Albumin - Bilirubin - D-dimer - Phosphorus
Albumin
A nurse is assessing a client who experienced a 5% weight loss in the past 30 days. Which of the following findings should the nurse identify as an indication of malnutrition? - Moist skin - Dilated pupils - Hyperreflexia - Ankle edema
Ankle edema
A nurse is providing teaching to a client who has dumping syndrome. Which of the following information should the nurse include? - Drink liquids with meals - Apply pectin to foods - Remain active after eating a meal - Replace sugars with honey
Apply pectin to foods
A nurse is developing an educational program about the glycemic index of foods for clients who have diabetes mellitus. Which of the following foods should the nurse identify as having the highest glycemic index? - Sweet corn - Macaroni - Baked potato - Peanuts
Baked potato
A nurse is caring for a client who is prescribed captopril. The nurse should recognize that which of the following foods could cause a potential medication interaction? - Watermelon - Cantaloupe - Lettuce - Carrots
Cantaloupe
A nurse is caring for a client who has diabetes mellitus and reports feeling dizzy, weak, and shaky. Which of the following is the priority action by the nurse? - Offer the client 180 mL of orange juice - Document the client's intake from the most recent meal - Teach the client manifestations of hypoglycemia - Check the patient's blood glucose level
Check the patient's blood glucose level
A nurse is observing a client during mealtime who had a stroke and has left-sided facial weakness. Which of the following findings places the client at risk for aspiration? - Client places food on the right side of their mouth when eating - Client avoids liquids to help swallow solid food that is in their mouth - Client tucks their chin down and tilts their head forward when eating - Client is positioned at a 30 degree angle when eating
Client is positioned at a 30 degree angle when eating
A nurse is providing teaching to a client who is breastfeeding about increasing protein intake. Which of the following foods should the nurse recommend as the best source of protein? - Legumes - Cottage Cheese - Peanut butter - Whole grain cereal
Cottage cheese
A nurse is assessing a client who has fluid volume excess. Which of the following manifestations should the nurse expect? - Weak peripheral pulses - Increased hematocrit - Crackles in the lungs - Weight loss from baseline
Crackles in the lungs
A nurse is caring for a client who is receiving continuous tube feedings via a gastrostomy tube. The client has had three loose stools in the last 4 hrs. Which of the following prescriptions should the nurse anticipate? - Reposition the tube and verify placement - Decrease the rate of the feeding - Administer a prokinetic medication - Irrigate the tubing with 30 mL of water
Decrease the rate of the feeding
A nurse is evaluating a client who is receiving a continuous enteral feeding and has diarrhea. Which of the following actions should the nurse take to reduce the client's diarrhea? - Flush the client's feeding tube - Administer promethazine to the client - Decrease the rate of the feeding - Check the client's gastric residual
Decrease the rate of the feeding
A nurse in a clinic is reviewing the laboratory findings of a client who recently began a Dietary Approach to Stop Hypertension (DASH) diet. Which of the following laboratory changes indicates the client is moving towards achieving goals of the DASH diet? - Increased sodium level - Decreased chloride level - Increased fasting glucose level - Decreased total cholesterol
Decreased total cholesterol
A nurse is planning to provide dietary teaching to a client who has chronic kidney disease and is prescribed hemodialysis. Which of the following actions should the nurse plan to take first? - Create a schedule for the client to limit fluid intake - Provide a client with a list of foods that are high in sodium - Determine whether the client has culture-related food preferences - Explain the purpose of the prescribed protein increase in the diet
Determine whether the client has culture-related food preferences
A nurse is assessing a client who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia - Diaphoresis - Bradycardia - Abdominal cramps - Acetone breath
Diaphoresis
A nurse is preparing a health promotion seminar for a group of clients about cancer prevention. Which of the following information should the nurse include? - Consume high-calorie foods and beverages at meal time - Eat at least 2.5 cups of fruits and vegetables each day - Plan to perform moderate-intensity exercise for 90 min/week - Limit alcohol consumption to no more than three drinks per day
Eat at least 2.5 cups of fruits and vegetables each day
The nurse is caring for a client on a medical-surgical unit. Which of the following findings indicate that the client is not tolerating enteral feedings? SATA - Urine output - Stool output - Emesis output - Diagnostic results - Intake - Client's reported concern
Emesis output Client's reported concern
A nurse is caring for a client who is at 8 weeks of gestation and has a BMI of 34. The client asks about weight goals during their pregnancy. The nurse should advise the client to do which of the following? - Maintain their current BMI - Gain approx 15lb - Lower their BMI to 30 - Gain 28-35 lbs
Gain approx 15lb
A nurse is initiating an enteral feeding for a client who has chronic bronchitis. Which of the following types of formula should the nurse anticipate administering to the client? - High calorie - High carbohydrate - Low protein - Low fat
High calorie
A nurse is caring for a client who has acute inflammatory bowel disease. Which of the following nutritional supplements should the nurse anticipate providing to this client? - Hydrolyzed formula - Polymeric formula - Milk-based supplement formula - Modular product supplemental formula
Hydrolyzed formula
A nurse is caring for a client who is receiving total parenteral nutrition (TPN) through a peripherally inserted central catheter. The pharmacist informs the nurse that there will be a delay in delivering the next bag of TPN solution. Which of the following actions should the nurse take? - Slow the rate of the current infusion - Infuse 0.9% sodium chloride when the current infusion ends - Infuse D10% in water when the current infusion ends - Remove the tubing and flush the access device when the current infusion ends
Infuse D10% in water when the current infusion ends
A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. Which of the following information should the nurse include? - Replace legumes with broiled meats - Consume 1/2 cup of bran daily - Leave the skin on when eating fruit - Decrease fluid intake while increasing fiber
Leave the skin on when eating fruit
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The nurse identifies which of the following as a complication of TPN? - Magnesium 1.1 - Triglycerides 35 - Phosphorous 4.8 - Alkaline Phosphate (ALP) 25 units/L
Magnesium 1.1
A nurse is caring for a client who is receiving continuous enteral tube feedings. Which of the following actions should the nurse take to prevent aspiration? - Monitor gastric residuals every 4 hrs - Maintain elevation of the head of the client's bed at 15 degrees - Confirm proper tube placement by radiography every 24 hrs - Flush tubing with 30 mL of water before and after medications
Monitor gastric residuals every 4 hrs
A nurse is teaching a prenatal education class about breastfeeding. Which of the following instructions should the nurse include in the teaching? - Offer supplemental formula until the milk supply is established - Offer the newborn 30 mL (1oz) of glucose water after the first breastfeeding session - Plan to breastfeed the newborn every 4 hrs - Plan 5-minute feedings on each breast on the first day after birth
Plan 5-minute feedings on each breast on the first day after birth
A nurse is caring for a client who is immobile and has a pressure injury. Which of the following laboratory findings can be an indicator for delayed wound healing? - Iron 180mcg/dl - BGL 60 mg/dl - Total 25-hydroxy D 20 ng/dl - Prealbumin 10 mg/dl
Prealbumin 10 mg/dl
A nurse is providing discharge teaching to a client who has a new ileostomy. Which of the following dietary guidelines should the nurse include in the teaching? - Plan to reduce dietary salt intake - Consume limited amounts of pasta products - Prepare meals on a schedule - Reduce dietary b12
Prepare meals on a schedule
A nurse in an acute care facility is planning care for a client who has chosen to follow Islamic dietary laws during Ramadan. Which of the following actions should the nurse plan to take? - Place the client in NPO status during nighttime hours - Provide a snack for the client after sunset - Offer the client hot tea with daytime meals - Allow the client to eat privately with their family each day at 1300
Provide a snack for the client after sunset
A nurse is planning dietary teaching for a client who has dumping syndrome following a gastrectomy. Which of the following interventions should the nurse include in the client's plan of care? - Use simple sugars to sweeten foods - Remain upright for 1 hr following meals - Limit eating to three large meals per day - Select grains with less than 2 g fiber per serving
Select grains with less than 2 g fiber per serving
A nurse is preparing to bottle feed an infant who has a cleft lip. Which of the following actions should the nurse take to reduce the risk of aspiration? - Burp the infant once at the end of the feeding - Use a bottle that has a two-way valve - Place the low-flow rate nipple on the bottle - Squeeze the infant's cheeks together while feeding
Squeeze the infant's cheeks together while feeding
A nurse on a pediatric unit is planning care for a school-aged child. Parent report child is not as active as before and appears to be tired a lot and concerned that child is not gaining weight. Child is awake, alert, and oriented to person, place, time and event. Parents report 9 loose stools within the last 24 hrs. The nurse should first address the child's _____________ followed by the child's _____________
TEMPERATURE STOOL PATTERN
A nurse is teaching a client about managing irritable bowel syndrome (IBS). Which of the following information should the nurse include in the teaching? - Increase intake of fresh fruit high in fructose - Limit foods that contain probiotics - Take peppermint oil during exacerbations of manifestations - Substitute white sugar with honey
Take peppermint oil during exacerbations of manifestations
A home health nurse is reviewing the medical record of a male client who has an open reduction internal fixation of the tibia. Which of the following findings should the nurse identify as a risk factor for impaired wound healing? - The client's hemoglobin is 18.5 - The client's peripheral pulses are +3 distal to the affected extremity - The client consumes 1,000 kcal daily - The client takes zinc supplements
The client consumes 1,000 kcal daily
A nurse is caring for a client who has anemia and a new prescription for an iron supplement. The nurse should recommend the client consume the supplement with which of the following beverages to increase absorption? - Protein shake - Skim milk - Tomato juice - Green tea
Tomato juice
A nurse is teaching a client who is preparing for bowel surgery about a low-residue diet. Which of the following food choices by the client indicates an understanding of the teaching? - Three sliced of bacon and oatmeal toast - Granola with raisins and strawberries - Whole wheat French toast with blueberries and maple syrup - Two poached eggs and a banana
Two poached eggs and a banana
A nurse is caring for a client who is being treated for cancer using chemotherapy. Which of the following interventions should the nurse suggest to aid in management of treatment-related changes in taste? - Use plastic utensils - Limit fluids with meals - Serve meals while they are hot - Eat bland, unseasoned foods
Use plastic utensils
A nurse is caring for a client who is at 16 weeks of gestation. Client is G2P1. Client has received several non-pharmacological therapies without relief of frequent nausea and vomiting. Mucous membranes dry. Skin turgor with tenting. After initiating the client's prescriptions, the nurse should identify that the client as at risk for developing _________ and __________
VENOUS THROMBOSIS HYPERGLYCEMIA
A nurse is caring for a client who has been receiving TPN and has a prescription to discontinue TPN. Which of the following findings should indicate to the nurse that the client is experiencing a complication from discontinuing the TPN? - Confusion - Hot and dry skin - Nausea and vomiting - Stomatitis
Confusion
A nurse is caring for a client who has a new prescription for parenteral nutrition (PN) containing a mixture of dextrose, amino acids, and lipids. Prior to administration of the PN, the nurse should report which of the following food allergies to the provider? - Gelatin - Peanuts - Shellfish - Eggs
Eggs
