Question 1

For the first time,the nurse is seeing a patient who has no history of nutrition-related problems.The initial nutritional screening should include which activity?

Accepted Answer

A) Calorie count of nutrients 
B) Anthropometric measures 
C) Complete physical examination 
D) Measurement of weight and weight history 
A) Calorie count of nutrients 
B) Anthropometric measures 
C) Complete physical examination 
D) Measurement of weight and weight history D

Question 2

If a 29-year-old woman weighs 156 pounds,and the nurse determines her ideal body weight to be 120 pounds,then how would the nurse classify the woman's weight?

Accepted Answer

A) Obese 
B) Mildly overweight 
C) Suffering from malnutrition 
D) Within appropriate range of ideal weight 
A) Obese 
B) Mildly overweight 
C) Suffering from malnutrition 
D) Within appropriate range of ideal weight A

Question 3

A mother and her 13-year-old daughter express their concern related to the daughter's recent weight gain and her increase in appetite.Which of these statements represents information the nurse should discuss with them?

Accepted Answer

A) Dieting and exercising are necessary at this age. 
B) Snacks should be high in protein, iron, and calcium. 
C) Teenagers who have a weight problem should not be allowed to snack. 
D) A low-calorie diet is important to prevent the accumulation of fat. 
A) Dieting and exercising are necessary at this age. 
B) Snacks should be high in protein, iron, and calcium. 
C) Teenagers who have a weight problem should not be allowed to snack. 
D) A low-calorie diet is important to prevent the accumulation of fat. B

Question 4

The nurse is providing care for a 68-year-old woman who is complaining of constipation.What concern exists regarding her nutritional status?

Accepted Answer

A) Absorption of nutrients may be impaired. 
B) Constipation may represent a food allergy. 
C) The patient may need emergency surgery to correct the problem. 
D) Gastrointestinal problems will increase her caloric demand. 
A) Absorption of nutrients may be impaired. 
B) Constipation may represent a food allergy. 
C) The patient may need emergency surgery to correct the problem. 
D) Gastrointestinal problems will increase her caloric demand.

Question 5

In teaching a patient how to determine total body fat at home,the nurse includes instructions to obtain measurements of:

Accepted Answer

A) Height and weight. 
B) Frame size and weight. 
C) Waist and hip circumferences. 
D) Mid-upper arm circumference and arm span. 
A) Height and weight. 
B) Frame size and weight. 
C) Waist and hip circumferences. 
D) Mid-upper arm circumference and arm span.

Question 6

The nurse is discussing appropriate foods with the mother of a 3-year-old child.Which of these foods are recommended?

Accepted Answer

A) Foods that the child will eat, no matter what they are 
B) Foods easy to hold such as hot dogs, nuts, and grapes 
C) Any foods, as long as the rest of the family is also eating them 
D) Finger foods and nutritious snacks that cannot cause choking 
A) Foods that the child will eat, no matter what they are 
B) Foods easy to hold such as hot dogs, nuts, and grapes 
C) Any foods, as long as the rest of the family is also eating them 
D) Finger foods and nutritious snacks that cannot cause choking

Question 7

The nurse is reviewing the nutritional assessment of an 82-year-old patient.Which of these factors will most likely affect the nutritional status of an older adult?

Accepted Answer

A) Increase in taste and smell 
B) Living alone on a fixed income 
C) Change in cardiovascular status 
D) Increase in gastrointestinal motility and absorption 
A) Increase in taste and smell 
B) Living alone on a fixed income 
C) Change in cardiovascular status 
D) Increase in gastrointestinal motility and absorption

Question 8

The nurse is assessing the body weight as a percentage of ideal body weight on an adolescent patient who was admitted for suspected anorexia nervosa.The patient's usual weight was 125 pounds,but today she weighs 98 pounds.The nurse calculates the patient's ideal body weight and concludes that the patient is:

Accepted Answer

A) Experiencing mild malnutrition. 
B) Experiencing moderate malnutrition. 
C) Experiencing severe malnutrition. 
D) Still within expected parameters with her current weight. 
A) Experiencing mild malnutrition. 
B) Experiencing moderate malnutrition. 
C) Experiencing severe malnutrition. 
D) Still within expected parameters with her current weight.

Question 9

The nurse recognizes which of these persons is at greatest risk for undernutrition?

Accepted Answer

A) 5-month-old infant 
B) 50-year-old woman 
C) 20-year-old college student 
D) 30-year-old hospital administrator 
A) 5-month-old infant 
B) 50-year-old woman 
C) 20-year-old college student 
D) 30-year-old hospital administrator

Question 10

The nurse is evaluating patients for obesity-related diseases by calculating the waist-to-hip ratios.Which one of these patients would be at increased risk?

Accepted Answer

A) 29-year-old woman whose waist measures 33 inches and hips measure 36 inches 
B) 32-year-old man whose waist measures 34 inches and hips measure 36 inches 
C) 38-year-old man whose waist measures 35 inches and hips measure 38 inches 
D) 46-year-old woman whose waist measures 30 inches and hips measure 38 inches 
A) 29-year-old woman whose waist measures 33 inches and hips measure 36 inches 
B) 32-year-old man whose waist measures 34 inches and hips measure 36 inches 
C) 38-year-old man whose waist measures 35 inches and hips measure 38 inches 
D) 46-year-old woman whose waist measures 30 inches and hips measure 38 inches

Question 11

The nurse is performing a nutritional assessment on an 80-year-old patient.The nurse knows that physiologic changes can directly affect the nutritional status of the older adult and include:

Accepted Answer

A) Slowed gastrointestinal motility. 
B) Hyperstimulation of the salivary glands. 
C) Increased sensitivity to spicy and aromatic foods. 
D) Decreased gastrointestinal absorption causing esophageal reflux. 
A) Slowed gastrointestinal motility. 
B) Hyperstimulation of the salivary glands. 
C) Increased sensitivity to spicy and aromatic foods. 
D) Decreased gastrointestinal absorption causing esophageal reflux.

Question 12

A 50-year-old woman with elevated total cholesterol and triglyceride levels is visiting the clinic to find out about her laboratory results.What would be important for the nurse to include in patient teaching in relation to these tests?

Accepted Answer

A) The risks of undernutrition should be included. 
B) Offer methods to reduce the stress in her life. 
C) Provide information regarding a diet low in saturated fat. 
D) This condition is hereditary; she can do nothing to change the levels. 
A) The risks of undernutrition should be included. 
B) Offer methods to reduce the stress in her life. 
C) Provide information regarding a diet low in saturated fat. 
D) This condition is hereditary; she can do nothing to change the levels.

Question 13

The nurse is assessing a 30-year-old unemployed immigrant from an underdeveloped country who has been in the United States for 1 month.Which of these problems related to his nutritional status might the nurse expect to find?

Accepted Answer

A) Obesity 
B) Hypotension 
C) Osteomalacia (softening of the bones) 
D) Coronary artery disease 
A) Obesity 
B) Hypotension 
C) Osteomalacia (softening of the bones) 
D) Coronary artery disease

Question 14

A patient has been unable to eat solid food for 2 weeks and is in the clinic today complaining of weakness,tiredness,and hair loss.The patient states that her usual weight is 175 pounds,but today she weighs 161 pounds.What is her recent weight change percentage? To calculate recent weight change percentage,use this formula:

Accepted Answer

8%
175 - 161 = 14 po

Question 15

The nurse is assessing a patient who is obese for signs of metabolic syndrome.This condition is diagnosed when three or more certain risk factors are present.Which of these assessment findings are risk factors for metabolic syndrome? Select all that apply.

Accepted Answer

A) Fasting plasma glucose level less than 100 mg/dL 
B) Fasting plasma glucose level greater than or equal to 110 mg/dL 
C) Blood pressure reading of 140/90 mm Hg 
D) Blood pressure reading of 110/80 mm Hg 
E) Triglyceride level of 120 mg/dL 
A) Fasting plasma glucose level less than 100 mg/dL 
B) Fasting plasma glucose level greater than or equal to 110 mg/dL 
C) Blood pressure reading of 140/90 mm Hg 
D) Blood pressure reading of 110/80 mm Hg 
E) Triglyceride level of 120 mg/dL

Question 16

When assessing a patient's nutritional status,the nurse recalls that the best definition of optimal nutritional status is sufficient nutrients that:

Accepted Answer

A) Are in excess of daily body requirements. 
B) Provide for the minimum body needs. 
C) Provide for daily body requirements but do not support increased metabolic demands. 
D) Provide for daily body requirements and support increased metabolic demands. 
A) Are in excess of daily body requirements. 
B) Provide for the minimum body needs. 
C) Provide for daily body requirements but do not support increased metabolic demands. 
D) Provide for daily body requirements and support increased metabolic demands.

Question 17

A 16-year-old girl is being seen at the clinic for gastrointestinal complaints and weight loss.The nurse determines that many of her complaints may be related to erratic eating patterns,eating predominantly fast foods,and high caffeine intake.In this situation,which is most appropriate when collecting current dietary intake information?

Accepted Answer

A) Scheduling a time for direct observation of the adolescent during meals 
B) Asking the patient for a 24-hour diet recall, and assuming it to be reflective of a typical day for her 
C) Having the patient complete a food diary for 3 days, including 2 weekdays and 1 weekend day 
D) Using the food frequency questionnaire to identify the amount of intake of specific foods 
A) Scheduling a time for direct observation of the adolescent during meals 
B) Asking the patient for a 24-hour diet recall, and assuming it to be reflective of a typical day for her 
C) Having the patient complete a food diary for 3 days, including 2 weekdays and 1 weekend day 
D) Using the food frequency questionnaire to identify the amount of intake of specific foods

Question 18

How should the nurse perform a triceps skinfold assessment?

Accepted Answer

A) After pinching the skin and fat, the calipers are vertically applied to the fat fold. 
B) The skin and fat on the front of the patient's arm are gently pinched, and then the calipers are applied. 
C) After applying the calipers, the nurse waits 3 seconds before taking a reading. After repeating the procedure three times, an average is recorded. 
D) The patient is instructed to stand with his or her back to the examiner and arms folded across the chest. The skin on the forearm is pinched. 
A) After pinching the skin and fat, the calipers are vertically applied to the fat fold. 
B) The skin and fat on the front of the patient's arm are gently pinched, and then the calipers are applied. 
C) After applying the calipers, the nurse waits 3 seconds before taking a reading. After repeating the procedure three times, an average is recorded. 
D) The patient is instructed to stand with his or her back to the examiner and arms folded across the chest. The skin on the forearm is pinched.

Question 19

A pregnant woman is interested in breastfeeding her baby and asks several questions about the topic.Which information is appropriate for the nurse to share with her?

Accepted Answer

A) Breastfeeding is best when also supplemented with bottle feedings. 
B) Babies who are breastfed often require supplemental vitamins. 
C) Breastfeeding is recommended for infants for the first 2 years of life. 
D) Breast milk provides the nutrients necessary for growth, as well as natural immunity. 
A) Breastfeeding is best when also supplemented with bottle feedings. 
B) Babies who are breastfed often require supplemental vitamins. 
C) Breastfeeding is recommended for infants for the first 2 years of life. 
D) Breast milk provides the nutrients necessary for growth, as well as natural immunity.

Question 20

In performing an assessment on a 49-year-old woman who has imbalanced nutrition as a result of dysphagia,which data would the nurse expect to find?

Accepted Answer

A) Increase in hair growth 
B) Inadequate nutrient food intake 
C) Weight 10% to 20% over ideal 
D) Sore, inflamed buccal cavity 
A) Increase in hair growth 
B) Inadequate nutrient food intake 
C) Weight 10% to 20% over ideal 
D) Sore, inflamed buccal cavity

Exam 11: Nutritional Assessment

For the first time,the nurse is seeing a patient who has no history of nutrition-related problems.The initial nutritional screening should include which activity?

If a 29-year-old woman weighs 156 pounds,and the nurse determines her ideal body weight to be 120 pounds,then how would the nurse classify the woman's weight?

A mother and her 13-year-old daughter express their concern related to the daughter's recent weight gain and her increase in appetite.Which of these statements represents information the nurse should discuss with them?

The nurse is providing care for a 68-year-old woman who is complaining of constipation.What concern exists regarding her nutritional status?

In teaching a patient how to determine total body fat at home,the nurse includes instructions to obtain measurements of:

The nurse is discussing appropriate foods with the mother of a 3-year-old child.Which of these foods are recommended?

The nurse is reviewing the nutritional assessment of an 82-year-old patient.Which of these factors will most likely affect the nutritional status of an older adult?

The nurse recognizes which of these persons is at greatest risk for undernutrition?

The nurse is evaluating patients for obesity-related diseases by calculating the waist-to-hip ratios.Which one of these patients would be at increased risk?

The nurse is performing a nutritional assessment on an 80-year-old patient.The nurse knows that physiologic changes can directly affect the nutritional status of the older adult and include:

A 50-year-old woman with elevated total cholesterol and triglyceride levels is visiting the clinic to find out about her laboratory results.What would be important for the nurse to include in patient teaching in relation to these tests?

The nurse is assessing a 30-year-old unemployed immigrant from an underdeveloped country who has been in the United States for 1 month.Which of these problems related to his nutritional status might the nurse expect to find?

The nurse is assessing a patient who is obese for signs of metabolic syndrome.This condition is diagnosed when three or more certain risk factors are present.Which of these assessment findings are risk factors for metabolic syndrome? Select all that apply.

When assessing a patient's nutritional status,the nurse recalls that the best definition of optimal nutritional status is sufficient nutrients that:

How should the nurse perform a triceps skinfold assessment?

A pregnant woman is interested in breastfeeding her baby and asks several questions about the topic.Which information is appropriate for the nurse to share with her?

In performing an assessment on a 49-year-old woman who has imbalanced nutrition as a result of dysphagia,which data would the nurse expect to find?

Evidence-Based Assessment

Cultural Competence

The Interview

The Complete Health History

Mental Status Assessment

Substance Use Assessment

Domestic and Family Violence Assessments

Assessment Techniques and Safety in the Clinical Setting

General Survey, Measurement, Vital Signs

Pain Assessment: The Fifth Vital Sign

Skin, Hair, and Nails

Head, Face, and Neck, Including Regional Lymphatics

Eyes

Ears

Nose, Mouth, and Throat

Breasts and Regional Lymphatics

Thorax and Lungs

Heart and Neck Vessels

Peripheral Vascular System and Lymphatic System

Abdomen

Musculoskeletal System

Neurologic System

Male Genitourinary System

Anus,Rectum,and Prostate

Female Genitourinary System

The Complete Health Assessment: Adult

The Complete Physical Assessment: Infant, Child, and Adolescent

Bedside Assessment of the Hospitalized Patient

The Pregnant Woman

Functional Assessment of the Older Adult

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