Question 1

Explain the purpose of a nutrition screening and describe the types of information collected during the process.

Accepted Answer

To identify patients who are malnourished or at risk for malnutrition, a nutrition screening is conducted within 24 hours of a patient's admission to a hospital or other extended-care facility. A screening may also be included in certain types of outpatient services and community health programs. The information collected in a nutrition screening varies according to the patient population, the type of care offered by the health care facility, and the patient's medical problem. Often included are the admitting diagnosis, physical measurements and laboratory test results obtained during the admission process, relevant symptoms, and information about diet and health status provided by the patient or caregiver. Several screening tools that use different combinations of these variables are available for use. The screening should be sensitive enough to identify patients who require nutrition care but simple enough to be completed within 10 to 15 minutes.

Question 2

When assessing for criteria that signify malnutrition risk, which element would most likely be included as part of the functional assessment data?

Accepted Answer

A)  severity of illness 
B)  history of diabetes 
C)  general weakness 
D)  presence of pressure sores 
E)  localized edema 
A)  severity of illness 
B)  history of diabetes 
C)  general weakness 
D)  presence of pressure sores 
E)  localized edema C

Question 3

What clinical sign is an indicator of good nutritional status?

Accepted Answer

A)  shiny hair 
B)  smooth tongue 
C)  lack of fat under the skin 
D)  rough skin 
E)  spoon-shaped nails 
A)  shiny hair 
B)  smooth tongue 
C)  lack of fat under the skin 
D)  rough skin 
E)  spoon-shaped nails A

Question 4

Nursing Exam Review Multiple Choice Weight gain due to fluid retention in a patient with liver cirrhosis can mask symptoms of:

Accepted Answer

A)  liver failure. 
B)  PEM. 
C)  obesity. 
D)  gallbladder disease. 
E)  heart failure. 
A)  liver failure. 
B)  PEM. 
C)  obesity. 
D)  gallbladder disease. 
E)  heart failure.

Question 5

In some cases, the patient's nutrition care is incorporated into the medical care plan developed by the entire health care team in particular types of plans called nursing diagnoses.

Accepted Answer

A) True 
 B)False

Question 6

John Wilson is a 74-year-old retired schoolteacher. He is 5'8" tall and weighs 136 pounds. His wife died nine months ago. During a routine visit to the doctor, it was noted that his weight had decreased 21 pounds since his visit a year ago. Mr. Wilson does not have any medical problems, though he does report feeling depressed and lonely. The physician ordered a panel of lab tests including hemoglobin, hematocrit, and albumin, which all were low.  A healthy BMI for a man his height is 24.
Mr. Wilson's low hemoglobin and hematocrit may be indicative of a deficiency of dietary:

Accepted Answer

A)  potassium. 
B)  calcium. 
C)  sodium. 
D)  iron . 
E)  magnesium. 
A)  potassium. 
B)  calcium. 
C)  sodium. 
D)  iron . 
E)  magnesium.

Question 7

Nursing Exam Review Multiple Choice What steps should the nurse include in order to successfully measure a patient's weight?

Accepted Answer

A)  Only use a scale that has been maintained and calibrated. 
B)  Avoid using electronic or beam balance scales. 
C)  Measure infants and children up to age 15 sitting on a scale. 
D)  Avoid using built-in scales found in some hospital beds. 
E)  Ask the patient his weight before measuring it. 
A)  Only use a scale that has been maintained and calibrated. 
B)  Avoid using electronic or beam balance scales. 
C)  Measure infants and children up to age 15 sitting on a scale. 
D)  Avoid using built-in scales found in some hospital beds. 
E)  Ask the patient his weight before measuring it.

Question 8

The medical history helps the clinician identify health problems or medical treatments that may interfere with food intake or require dietary changes.

Accepted Answer

A) True 
 B)False

Question 9

A coordinated program of treatment that merges the care plans of different health practitioners is a:

Accepted Answer

A)  critical pathway. 
B)  care map. 
C)  clinical pathway. 
D)  care plan. 
E)  nutrition screening. 
A)  critical pathway. 
B)  care map. 
C)  clinical pathway. 
D)  care plan. 
E)  nutrition screening.

Question 10

For an adult's height to be accurately measured, the person should:

Accepted Answer

A)  stand erect without shoes and with heels together. 
B)  stand erect with shoes. 
C)  stand with the feet slightly apart. 
D)  stand 2" away from the wall. 
E)  stand with the feet crossed. 
A)  stand erect without shoes and with heels together. 
B)  stand erect with shoes. 
C)  stand with the feet slightly apart. 
D)  stand 2" away from the wall. 
E)  stand with the feet crossed.

Question 11

A written account of foods and beverages consumed by a client over several days is called a nutrition diagnosis.

Accepted Answer

A) True 
 B)False

Question 12

In a child with kwashiorkor, physical signs of malnutrition may include:

Accepted Answer

A)  bleeding gums. 
B)  magenta tongue. 
C)  bruising under the skin. 
D)  sparse, brittle hair. 
E)  ridged fingernails. 
A)  bleeding gums. 
B)  magenta tongue. 
C)  bruising under the skin. 
D)  sparse, brittle hair. 
E)  ridged fingernails.

Question 13

The study of the effects of diet on gene expression is called:

Accepted Answer

A)  gene representation. 
B)  nutritional genomics. 
C)  nutritional science. 
D)  gene therapy. 
E)  epigenetics. 
A)  gene representation. 
B)  nutritional genomics. 
C)  nutritional science. 
D)  gene therapy. 
E)  epigenetics.

Question 14

When performing a nutrition assessment, the practitioner should include what information as part of the patient's food and nutrition history?

Accepted Answer

A)  dietary restrictions 
B)  religious beliefs 
C)  prescription drugs 
D)  surgical history 
E)  past medical problems 
A)  dietary restrictions 
B)  religious beliefs 
C)  prescription drugs 
D)  surgical history 
E)  past medical problems

Question 15

Depending on the patient population, estimates of malnutrition in hospital patients range from 15 to 60 percent.

Accepted Answer

A) True 
 B)False

Question 16

Segments of a DNA strand that can be translated into proteins are called:

Accepted Answer

A)  chromosomes. 
B)  noncoding sequences. 
C)  genomics. 
D)  genes. 
E)  nucleotides. 
A)  chromosomes. 
B)  noncoding sequences. 
C)  genomics. 
D)  genes. 
E)  nucleotides.

Question 17

What element would most likely be included as part of the nutrition intervention step of the nutrition care process?

Accepted Answer

A)  assessing the success of the patient's nutritional care goals 
B)  adjusting the types of treatments offered to the patient 
C)  formulating a statement that correctly describes the patient's condition 
D)  reviewing the patient's laboratory results 
E)  reading the patient's chart to gain an accurate medical history 
A)  assessing the success of the patient's nutritional care goals 
B)  adjusting the types of treatments offered to the patient 
C)  formulating a statement that correctly describes the patient's condition 
D)  reviewing the patient's laboratory results 
E)  reading the patient's chart to gain an accurate medical history

Question 18

A child's height is measured in the standing position once she or he:

Accepted Answer

A)  can sit. 
B)  can roll over . 
C)  can stand. 
D)  reaches the age of 3. 
E)  can run. 
A)  can sit. 
B)  can roll over . 
C)  can stand. 
D)  reaches the age of 3. 
E)  can run.

Question 19

The four steps of the nutrition care process include nutrition assessment, nutrition diagnosis, nutrition intervention, and nutrition monitoring and evaluation.

Accepted Answer

A) True 
 B)False

Question 20

Fluid retention can cause lab values to be deceptively high, whereas dehydration may cause the values to be deceptively low.

Accepted Answer

A) True 
 B)False

Exam 13: Nutrition Care and Assessment

Explain the purpose of a nutrition screening and describe the types of information collected during the process.

When assessing for criteria that signify malnutrition risk, which element would most likely be included as part of the functional assessment data?

What clinical sign is an indicator of good nutritional status?

Nursing Exam Review Multiple Choice Weight gain due to fluid retention in a patient with liver cirrhosis can mask symptoms of:

In some cases, the patient's nutrition care is incorporated into the medical care plan developed by the entire health care team in particular types of plans called nursing diagnoses.

Nursing Exam Review Multiple Choice What steps should the nurse include in order to successfully measure a patient's weight?

The medical history helps the clinician identify health problems or medical treatments that may interfere with food intake or require dietary changes.

A coordinated program of treatment that merges the care plans of different health practitioners is a:

For an adult's height to be accurately measured, the person should:

A written account of foods and beverages consumed by a client over several days is called a nutrition diagnosis.

In a child with kwashiorkor, physical signs of malnutrition may include:

The study of the effects of diet on gene expression is called:

When performing a nutrition assessment, the practitioner should include what information as part of the patient's food and nutrition history?

Depending on the patient population, estimates of malnutrition in hospital patients range from 15 to 60 percent.

Segments of a DNA strand that can be translated into proteins are called:

What element would most likely be included as part of the nutrition intervention step of the nutrition care process?

A child's height is measured in the standing position once she or he:

The four steps of the nutrition care process include nutrition assessment, nutrition diagnosis, nutrition intervention, and nutrition monitoring and evaluation.

Fluid retention can cause lab values to be deceptively high, whereas dehydration may cause the values to be deceptively low.

Overview of Nutrition and Health

Digestion and Absorption

Carbohydrates

Lipids

Protein

Energy Balance and Body Composition

Weight Management

The Vitamins

Water and the Minerals

Nutrition Through the Life Span: Pregnancy and Lactation

Nutrition Through the Life Span: Infancy, Childhood, and Adolescence

Nutrition Through the Life Span: Later Adulthood

Nutrition Intervention and Diet-Drug Interactions

Enteral and Parenteral Nutrition Support

Nutrition in Metabolic and Respiratory Stress

Nutrition and Upper Gastrointestinal Disorders

Nutrition and Lower Gastrointestinal Disorders

Nutrition and Liver Diseases

Nutrition and Diabetes Mellitus

Nutrition and Cardiovascular Diseases

Nutrition and Renal Diseases

Nutrition, Cancer, and Hiv Infection

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