Question 1

Examples of liquids that can be incorporated into a diet for a client with an order for spoon-thick liquids include all of the following except

Accepted Answer

A) pudding. 
B) custard. 
C) yogurt. 
D) thickened applesauce. 
A) pudding. 
B) custard. 
C) yogurt. 
D) thickened applesauce.

Question 2

A technique to help ease the task of swallowing is

Accepted Answer

A) doing exercises to strengthen the tongue. 
B) limiting fluids during the meal. 
C) serving cold foods. 
D) limiting sugars in the diet. 
A) doing exercises to strengthen the tongue. 
B) limiting fluids during the meal. 
C) serving cold foods. 
D) limiting sugars in the diet.

Question 3

Susan has recently been diagnosed with Zollinger-Ellison syndrome.If surgery is recommended for Susan, what is the primary desired outcome?

Accepted Answer

A) Decrease gastric acid production 
B) Increase gastric acid production 
C) Reduce inflammation 
D) Control gastric bleeding 
A) Decrease gastric acid production 
B) Increase gastric acid production 
C) Reduce inflammation 
D) Control gastric bleeding

Question 4

Mr.Brown has been suffering from GERD.He is 25% above his ideal body weight.Health care professionals may prescribe a medication to treat Mr.Brown's esophageal reflux.An example of such a medication would be

Accepted Answer

A) proton-pump inhibitors. 
B) histamine-2 receptor blocking agents. 
C) antacids. 
D) a and c 
E) a, b, and c 
A) proton-pump inhibitors. 
B) histamine-2 receptor blocking agents. 
C) antacids. 
D) a and c 
E) a, b, and c

Question 5

Why is a person with diabetes mellitus at higher risk for periodontal disease?

Accepted Answer

A) Impaired immune response 
B) Increased rigidity of the collagen structure of tissues 
C) Tendency for higher arterial plaque accumulations 
D) All of the above 
A) Impaired immune response 
B) Increased rigidity of the collagen structure of tissues 
C) Tendency for higher arterial plaque accumulations 
D) All of the above

Question 6

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.
-The nurse suspects a swallowing problem and recommends an evaluation.All of the following can be used to evaluate Cassandra except:

Accepted Answer

A) a barium swallow test. 
B) an endoscopy. 
C) a neurological exam. 
D) surgery. 
A) a barium swallow test. 
B) an endoscopy. 
C) a neurological exam. 
D) surgery.

Question 7

Which of the following is useful for managing dry mouth?

Accepted Answer

A) Sucking on sugarless candy 
B) Chewing gum 
C) Using over-the-counter saliva substitutes 
D) b and c 
E) a, b, and c 
A) Sucking on sugarless candy 
B) Chewing gum 
C) Using over-the-counter saliva substitutes 
D) b and c 
E) a, b, and c

Question 8

Dietary interventions for nausea include consuming all of the following except

Accepted Answer

A) ice cream. 
B) clear, cold fluids. 
C) crackers. 
D) small meals. 
A) ice cream. 
B) clear, cold fluids. 
C) crackers. 
D) small meals.

Question 9

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.
-Which beverage should Mr.Hammond consume while being treated for gastritis?

Accepted Answer

A) Coffee 
B) Tea 
C) Cola 
D) Apple juice 
A) Coffee 
B) Tea 
C) Cola 
D) Apple juice

Question 10

All of the following meet the guidelines for a post-gastrectomy diet except

Accepted Answer

A) unlimited liquids with meals. 
B) limited simple sugar intake. 
C) small, frequent meals. 
D) pectin added to meals. 
A) unlimited liquids with meals. 
B) limited simple sugar intake. 
C) small, frequent meals. 
D) pectin added to meals.

Question 11

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.
-Which of the following may have caused Cassandra's diagnosis to be delayed?

Accepted Answer

A) Respiratory infection 
B) Abnormal cough reflux 
C) Dehydration 
D) Weight loss 
A) Respiratory infection 
B) Abnormal cough reflux 
C) Dehydration 
D) Weight loss

Question 12

All of the following may cause symptoms of dyspepsia except:

Accepted Answer

A) aspirin and other NSAIDs. 
B) antibiotics. 
C) high-dose iron supplements. 
D) a low-fat diet. 
A) aspirin and other NSAIDs. 
B) antibiotics. 
C) high-dose iron supplements. 
D) a low-fat diet.

Question 13

The postgastrectomy diet includes

Accepted Answer

A) fluid with meals. 
B) refined carbohydrates. 
C) foods high in fat. 
D) an emphasis on foods high in complex carbohydrates. 
A) fluid with meals. 
B) refined carbohydrates. 
C) foods high in fat. 
D) an emphasis on foods high in complex carbohydrates.

Question 14

All of the following conditions may lead to dysphagia except

Accepted Answer

A) esophageal tumor. 
B) brain tumor. 
C) poliomyelitis. 
D) T7 fracture. 
A) esophageal tumor. 
B) brain tumor. 
C) poliomyelitis. 
D) T7 fracture.

Question 15

When dysphagia impairs the passage of solid foods but not liquids, the cause is usually:

Accepted Answer

A) achalasia. 
B) a stroke. 
C) a motility disorder. 
D) an obstruction of the esophagus. 
A) achalasia. 
B) a stroke. 
C) a motility disorder. 
D) an obstruction of the esophagus.

Question 16

Sam has been diagnosed with esophageal dysphagia.This means that he has:

Accepted Answer

A) difficulty passing a bolus of food through the esophagus into the stomach. 
B) coughing during swallowing. 
C) an inability to initiate swallowing. 
D) all of the above 
A) difficulty passing a bolus of food through the esophagus into the stomach. 
B) coughing during swallowing. 
C) an inability to initiate swallowing. 
D) all of the above

Question 17

Susan has recently been diagnosed with Zollinger-Ellison syndrome.What characteristics are associated with this condition?

Accepted Answer

A) Tumors in the pancreas or duodenum 
B) Patient history of NSAID use 
C) Infection by H.pylori 
D) All of the above 
A) Tumors in the pancreas or duodenum 
B) Patient history of NSAID use 
C) Infection by H.pylori 
D) All of the above

Question 18

A characteristic of dumping syndrome is rapid digestion.Which of the following would be an expected outcome?

Accepted Answer

A) Increased blood volume 
B) Diarrhea 
C) Hyperglycemia 
D) All of the above 
A) Increased blood volume 
B) Diarrhea 
C) Hyperglycemia 
D) All of the above

Question 19

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's gastritis may have been caused by:

Accepted Answer

A) infection. 
B) intake of acidic foods. 
C) antibodies. 
D) intake of high-fiber foods. 
A) infection. 
B) intake of acidic foods. 
C) antibodies. 
D) intake of high-fiber foods.

Question 20

Pain, bloating, or discomfort in the upper abdominal area is termed

Accepted Answer

A) dysphagia. 
B) dyspepsia. 
C) epigastric. 
D) none of the above 
A) dysphagia. 
B) dyspepsia. 
C) epigastric. 
D) none of the above

Exam 23: Upper Gastrointestinal Disorders

Examples of liquids that can be incorporated into a diet for a client with an order for spoon-thick liquids include all of the following except

A technique to help ease the task of swallowing is

Susan has recently been diagnosed with Zollinger-Ellison syndrome.If surgery is recommended for Susan, what is the primary desired outcome?

Mr.Brown has been suffering from GERD.He is 25% above his ideal body weight.Health care professionals may prescribe a medication to treat Mr.Brown's esophageal reflux.An example of such a medication would be

Why is a person with diabetes mellitus at higher risk for periodontal disease?

Which of the following is useful for managing dry mouth?

Dietary interventions for nausea include consuming all of the following except

All of the following meet the guidelines for a post-gastrectomy diet except

All of the following may cause symptoms of dyspepsia except:

The postgastrectomy diet includes

All of the following conditions may lead to dysphagia except

When dysphagia impairs the passage of solid foods but not liquids, the cause is usually:

Sam has been diagnosed with esophageal dysphagia.This means that he has:

Susan has recently been diagnosed with Zollinger-Ellison syndrome.What characteristics are associated with this condition?

A characteristic of dumping syndrome is rapid digestion.Which of the following would be an expected outcome?

Pain, bloating, or discomfort in the upper abdominal area is termed

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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