Question 1

The dietary management of acute gastritis includes

Accepted Answer

A) avoiding antacids. 
B) dry crackers. 
C) increasing aspirin for pain. 
D) avoiding alcohol. 
A) avoiding antacids. 
B) dry crackers. 
C) increasing aspirin for pain. 
D) avoiding alcohol. D

Question 2

Which of the following can cause nausea and vomiting?

Accepted Answer

A) Lactose intolerance 
B) Peptic ulcer 
C) Esophageal stricture 
D) All of the above 
A) Lactose intolerance 
B) Peptic ulcer 
C) Esophageal stricture 
D) All of the above B

Question 3

Techniques to help patients learn how to compensate for dysphagia include all of the following except:

Accepted Answer

A) learning exercises that can strengthen the jaws, tongue, or larynx. 
B) relying strictly on tube feedings for nutrition. 
C) learning new methods of swallowing. 
D) changing head and neck posture while eating. 
A) learning exercises that can strengthen the jaws, tongue, or larynx. 
B) relying strictly on tube feedings for nutrition. 
C) learning new methods of swallowing. 
D) changing head and neck posture while eating. B

Question 4

Which of the following beverages is most appropriate for a client with dysphagia with an order for nectar-like liquids?

Accepted Answer

A) Water 
B) Chicken broth 
C) Iced tea 
D) Tomato juice 
A) Water 
B) Chicken broth 
C) Iced tea 
D) Tomato juice

Question 5

Steatorrhea or fat malabsorption occurs as a result of which of the following?

Accepted Answer

A) Accelerated transit of food material 
B) The duodenum has been removed or bypassed 
C) Bacterial overgrowth occurs 
D) all of the above 
E) b and c only 
A) Accelerated transit of food material 
B) The duodenum has been removed or bypassed 
C) Bacterial overgrowth occurs 
D) all of the above 
E) b and c only

Question 6

Anemia after a gastrectomy is usually associated with all of the following except

Accepted Answer

A) reduced gastric secretions. 
B) deficiency of vitamin B12. 
C) iron deficiencies. 
D) deficiency of vitamin B6. 
A) reduced gastric secretions. 
B) deficiency of vitamin B12. 
C) iron deficiencies. 
D) deficiency of vitamin B6.

Question 7

Which of the following helps to decrease the incidence of oral infections in persons with HIV?

Accepted Answer

A) Antiretroviral therapy 
B) Smoking 
C) Regular use of mouthwash 
D) All of the above 
A) Antiretroviral therapy 
B) Smoking 
C) Regular use of mouthwash 
D) All of the above

Question 8

Which of the following medical conditions can cause symptoms of dyspepsia?

Accepted Answer

A) GERD 
B) Tumors 
C) Malabsorptive disorders 
D) Gallbladder disease 
E) All of the above 
A) GERD 
B) Tumors 
C) Malabsorptive disorders 
D) Gallbladder disease 
E) All of the above

Question 9

The home health care nurse is visiting Paul Cantu, an 82-year-old man recovering from a stroke.Upon assessment, the nurse observes that Mr.Cantu has lost weight, has a hoarse voice, and exhibits a gurgling noise after swallowing.In this situation, the nurse should suspect

Accepted Answer

A) reduced saliva flow. 
B) dysphagia. 
C) reflux esophagitis. 
D) peptic ulcer disease. 
A) reduced saliva flow. 
B) dysphagia. 
C) reflux esophagitis. 
D) peptic ulcer disease.

Question 10

Case Studies
Cassandra Lyons is a 73-year-old retired administrative assistant.She has had recurrent episodes of pneumonia with weight loss for the past 5 months.Her past medical history includes high cholesterol and diabetes.Once again she is admitted to the hospital.
-Cassandra is placed on a modified diet for her swallowing problem.Which food would you expect her to have the most difficulty with?

Accepted Answer

A) Mashed potatoes 
B) Pureed meat 
C) Cream cheese 
D) Slurried cookies
James Hammond is a 37-year-old business executive.He travels worldwide and has a very stressful schedule.He self-diagnoses an episode of food poisoning.However, after 5 days of nausea, vomiting, and blood in his stool he visits his physician and is diagnosed with gastritis. 
A) Mashed potatoes 
B) Pureed meat 
C) Cream cheese 
D) Slurried cookies
James Hammond is a 37-year-old business executive.He travels worldwide and has a very stressful schedule.He self-diagnoses an episode of food poisoning.However, after 5 days of nausea, vomiting, and blood in his stool he visits his physician and is diagnosed with gastritis.

Question 11

All of the following may be caused by dumping syndrome except

Accepted Answer

A) a surge of energy. 
B) rapid heart rate. 
C) dizziness. 
D) sweating. 
A) a surge of energy. 
B) rapid heart rate. 
C) dizziness. 
D) sweating.

Question 12

Mr.Brown has been suffering from GERD.He is 25% above his ideal body weight.Substances that Mr.Brown should avoid include all of the following except

Accepted Answer

A) alcohol. 
B) yogurt. 
C) fried chicken. 
D) chocolate. 
A) alcohol. 
B) yogurt. 
C) fried chicken. 
D) chocolate.

Question 13

James Hammond is a 37-year-old business executive. He travels worldwide and has a very stressful schedule. He self-diagnoses an episode of food poisoning. However, after 5 days of nausea, vomiting, and blood in his stool he visits his physician and is diagnosed with gastritis.
-Mr.Hammond is prescribed antibiotics.Which is the primary cause of his gastritis?

Accepted Answer

A) Intake of alcohol 
B) Helicobacter pylori 
C) Radiation therapy 
D) Bile reflux 
A) Intake of alcohol 
B) Helicobacter pylori 
C) Radiation therapy 
D) Bile reflux

Question 14

Indigestion is also called

Accepted Answer

A) dysphagia. 
B) dyspnea. 
C) dysgeusia. 
D) dyspepsia. 
A) dysphagia. 
B) dyspnea. 
C) dysgeusia. 
D) dyspepsia.

Question 15

What do the following three conditions have in common: goiter, stroke, and Parkinson's disease?

Accepted Answer

A) They require a person to be placed on a diet containing pureed foods. 
B) They affect a person's ability to communicate. 
C) They affect a person's ability to swallow food. 
D) They require a person to avoid salty foods. 
A) They require a person to be placed on a diet containing pureed foods. 
B) They affect a person's ability to communicate. 
C) They affect a person's ability to swallow food. 
D) They require a person to avoid salty foods.

Question 16

Trevor complains of bloating and stomach gas.Which of the following should be omitted to resolve this problem?

Accepted Answer

A) Eating slowly 
B) Drinking iced tea 
C) Chewing gum 
D) Sipping from a cup 
A) Eating slowly 
B) Drinking iced tea 
C) Chewing gum 
D) Sipping from a cup

Question 17

Which of the following foods does not affect lower esophageal sphincter pressure?

Accepted Answer

A) Chocolate 
B) Coffee 
C) Peppermint candy 
D) Whole-wheat bread 
A) Chocolate 
B) Coffee 
C) Peppermint candy 
D) Whole-wheat bread

Question 18

Which of the following professionals is usually responsible for teaching dysphagia patients alternate feeding techniques?

Accepted Answer

A) Speech and language therapist 
B) Occupational therapist 
C) Registered dietitian 
D) Registered nurse 
A) Speech and language therapist 
B) Occupational therapist 
C) Registered dietitian 
D) Registered nurse

Question 19

Which of the following is a risk factor for the development of periodontal disease?

Accepted Answer

A) Wearing dentures 
B) Tobacco smoking 
C) History of cardiovascular disease 
D) All of the above 
A) Wearing dentures 
B) Tobacco smoking 
C) History of cardiovascular disease 
D) All of the above

Question 20

Which level of the National Dysphagia Diet is for patients with mild dysphagia?

Accepted Answer

A) Level 1 
B) Level 2 
C) Level 3 
A) Level 1 
B) Level 2 
C) Level 3

Exam 23: Upper Gastrointestinal Disorders

The dietary management of acute gastritis includes

Which of the following can cause nausea and vomiting?

Techniques to help patients learn how to compensate for dysphagia include all of the following except:

Which of the following beverages is most appropriate for a client with dysphagia with an order for nectar-like liquids?

Steatorrhea or fat malabsorption occurs as a result of which of the following?

Anemia after a gastrectomy is usually associated with all of the following except

Which of the following helps to decrease the incidence of oral infections in persons with HIV?

Which of the following medical conditions can cause symptoms of dyspepsia?

The home health care nurse is visiting Paul Cantu, an 82-year-old man recovering from a stroke.Upon assessment, the nurse observes that Mr.Cantu has lost weight, has a hoarse voice, and exhibits a gurgling noise after swallowing.In this situation, the nurse should suspect

All of the following may be caused by dumping syndrome except

Mr.Brown has been suffering from GERD.He is 25% above his ideal body weight.Substances that Mr.Brown should avoid include all of the following except

Indigestion is also called

What do the following three conditions have in common: goiter, stroke, and Parkinson's disease?

Trevor complains of bloating and stomach gas.Which of the following should be omitted to resolve this problem?

Which of the following foods does not affect lower esophageal sphincter pressure?

Which of the following professionals is usually responsible for teaching dysphagia patients alternate feeding techniques?

Which of the following is a risk factor for the development of periodontal disease?

Which level of the National Dysphagia Diet is for patients with mild dysphagia?

An Overview of Nutrition

Planning a Healthy Diet

Digestion, Absorption, and Transport

The Carbohydrates: Sugars, Starches and Fibers

The Lipids: Triglycerides, Phospholipids, and Sterols

Protein: Amino Acids

Metabolism: Transformations and Interactions

Energy Balance and Body Composition

Weight Management: Overweight, Obesity, and Underweight

The Water-Soluble Vitamins: B Vitamins and Vitamin C

The Fat-Soluble Vitamins: A, D, E, and K

Water and the Major Minerals

The Trace Minerals

Life Cycle Nutrition: Pregnancy and Lactation

Life Cycle Nutrition: Infancy, Childhood, and Adolescence

Life Cycle Nutrition: Adulthood and the Later Years

Nutrition Care and Assessment

Nutrition Intervention

Medications, Diet-Drug Interactions, and Herbal Products

Enteral Nutrition Support

Parenteral Nutrition Support

Metabolic and Respiratory Stress

Lower Gastrointestinal Disorders

Liver Disease and Gallstones

Diabetes Mellitus

Cardiovascular Diseases

Kidney Diseases

Cancer and Hiv Infection

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