Question 1

A nurse is teaching a nutrition class about the different daily values. When teaching about the referenced daily intakes (RDIs), which information should the nurse include?

Accepted Answer

A)  Have values for protein, vitamins, and minerals 
B)  Are based on percentages of fat, cholesterol, and fiber 
C)  Have replaced recommended daily allowances (RDAs) 
D)  Are used to develop diets for chronic illnesses requiring 1800 cal/day 
A)  Have values for protein, vitamins, and minerals 
B)  Are based on percentages of fat, cholesterol, and fiber 
C)  Have replaced recommended daily allowances (RDAs) 
D)  Are used to develop diets for chronic illnesses requiring 1800 cal/day A

Question 2

A patient has a decreased gag reflex, left-sided weakness, and drooling. Which action will the nurse take when feeding this patient?

Accepted Answer

A)  Position in semi-Fowler's. 
B)  Flex head with chin tuck. 
C)  Place food on left side. 
D)  Offer fruit juice. 
A)  Position in semi-Fowler's. 
B)  Flex head with chin tuck. 
C)  Place food on left side. 
D)  Offer fruit juice. B

Question 3

The nurse is planning care for a group of patients. Which task will the nurse assign to the nursing assistive personnel?

Accepted Answer

A)  Measuring capillary blood glucose level 
B)  Measuring nasoenteric tube for insertion 
C)  Measuring pH in gastrointestinal aspirate 
D)  Measuring the patient's risk for aspiration 
A)  Measuring capillary blood glucose level 
B)  Measuring nasoenteric tube for insertion 
C)  Measuring pH in gastrointestinal aspirate 
D)  Measuring the patient's risk for aspiration A

Question 4

In providing diabetic teaching for a patient with type 1 diabetes mellitus, which instructions will the nurse provide to the patient?

Accepted Answer

A)  Insulin is the only consideration that must be taken into account. 
B)  Saturated fat should be limited to less than 7% of total calories. 
C)  Nonnutritive sweeteners can be used without restriction. 
D)  Cholesterol intake should be greater than 200 mg/day. 
A)  Insulin is the only consideration that must be taken into account. 
B)  Saturated fat should be limited to less than 7% of total calories. 
C)  Nonnutritive sweeteners can be used without restriction. 
D)  Cholesterol intake should be greater than 200 mg/day.

Question 5

The patient is on parenteral nutrition and is lethargic. The patient reports thirst and headache and has had increased urination. Which problem does the nurse prepare to address?

Accepted Answer

A)  Hyperglycemia 
B)  Hypoglycemia 
C)  Hypercapnia 
D)  Hypocapnia 
A)  Hyperglycemia 
B)  Hypoglycemia 
C)  Hypercapnia 
D)  Hypocapnia

Question 6

In teaching mothers-to-be about infant nutrition, which instruction should the nurse provide?

Accepted Answer

A)  Supplement breast milk with corn syrup. 
B)  Give cow's milk during the first year of life. 
C)  Add honey to infant formulas for increased energy. 
D)  Provide breast milk or formula for the first 4 to 6 months. 
A)  Supplement breast milk with corn syrup. 
B)  Give cow's milk during the first year of life. 
C)  Add honey to infant formulas for increased energy. 
D)  Provide breast milk or formula for the first 4 to 6 months.

Question 7

The nurse is preparing to check the gastric aspirate for pH. Which equipment will the nurse obtain?

Accepted Answer

A)  10-mL Luer-Lok syringe 
B)  Asepto syringe 
C)  Sterile gloves 
D)  Double gloves 
A)  10-mL Luer-Lok syringe 
B)  Asepto syringe 
C)  Sterile gloves 
D)  Double gloves

Question 8

A nurse is caring for a group of patients. Which patient will the nurse see $\bold{first}$?

Accepted Answer

A)  Patient receiving total parenteral nutrition of 2-in-1 for 50 hours 
B)  Patient receiving total parenteral nutrition infusing with same tubing for 26 hours 
C)  Patient receiving continuous enteral feeding with same feeding bag for 12 hours 
D)  Patient receiving continuous enteral feeding with same tubing for 24 hours 
A)  Patient receiving total parenteral nutrition of 2-in-1 for 50 hours 
B)  Patient receiving total parenteral nutrition infusing with same tubing for 26 hours 
C)  Patient receiving continuous enteral feeding with same feeding bag for 12 hours 
D)  Patient receiving continuous enteral feeding with same tubing for 24 hours

Question 9

A nurse is caring for a patient with a postsurgical wound. When planning care, which goal will be the priority?

Accepted Answer

A)  Reduce dependent nitrogen balance. 
B)  Maintain negative nitrogen balance. 
C)  Promote positive nitrogen balance. 
D)  Facilitate neutral nitrogen balance. 
A)  Reduce dependent nitrogen balance. 
B)  Maintain negative nitrogen balance. 
C)  Promote positive nitrogen balance. 
D)  Facilitate neutral nitrogen balance.

Question 10

The patient has been diagnosed with cardiovascular disease and placed on a low-fat diet. The patient asks the nurse, "How much fat should I have? I guess the less fat, the better." Which information will the nurse include in the teaching session?

Accepted Answer

A)  Cholesterol intake needs to be less than 300 mg/day. 
B)  Fats have no significance in health and the incidence of disease. 
C)  All fats come from external sources so this can be easily controlled. 
D)  Deficiencies occur when fat intake falls below 10% of daily nutrition. 
A)  Cholesterol intake needs to be less than 300 mg/day. 
B)  Fats have no significance in health and the incidence of disease. 
C)  All fats come from external sources so this can be easily controlled. 
D)  Deficiencies occur when fat intake falls below 10% of daily nutrition.

Question 11

The patient is to receive multiple medications via the nasogastric tube. The nurse is concerned that the tube may become clogged. Which action is $\bold{best}$ for the nurse to take?

Accepted Answer

A)  Instill nonliquid medications without diluting. 
B)  Irrigate the tube with 60 mL of water after all medications are given. 
C)  Mix all medications together to decrease the number of administrations. 
D)  Check with the pharmacy for availability of the liquid forms of medications. 
A)  Instill nonliquid medications without diluting. 
B)  Irrigate the tube with 60 mL of water after all medications are given. 
C)  Mix all medications together to decrease the number of administrations. 
D)  Check with the pharmacy for availability of the liquid forms of medications.

Question 12

The nurse is teaching a health class about the ChooseMyPlate program. Which guidelines will the nurse include in the teaching session?

Accepted Answer

A)  Balancing sodium and potassium 
B)  Decreasing water consumption 
C)  Increasing portion size 
D)  Balancing calories 
A)  Balancing sodium and potassium 
B)  Decreasing water consumption 
C)  Increasing portion size 
D)  Balancing calories

Question 13

A patient is on a full liquid diet. Which food item choice by the patient will cause the nurse to intervene?

Accepted Answer

A)  Custard 
B)  Frozen yogurt 
C)  Pureed vegetables 
D)  Mashed potatoes and gravy 
A)  Custard 
B)  Frozen yogurt 
C)  Pureed vegetables 
D)  Mashed potatoes and gravy

Question 14

The nurse is describing the ChooseMyPlate program to a patient. Which statement from the patient indicates successful learning?

Accepted Answer

A)  "I can use this to make healthy lifestyle food choices." 
B)  "I can use this to count specific calories of food." 
C)  "I can use this for my baby girl." 
D)  "I can use this when I am sick." 
A)  "I can use this to make healthy lifestyle food choices." 
B)  "I can use this to count specific calories of food." 
C)  "I can use this for my baby girl." 
D)  "I can use this when I am sick."

Question 15

The patient has H. pylori. Which action should the nurse take?

Accepted Answer

A)  Encourage avoidance of wheat and oats. 
B)  Encourage milkshakes as a nutritious snack. 
C)  Encourage completion of antibiotic therapy. 
D)  Encourage nonsteroidal antiinflammatory drugs. 
A)  Encourage avoidance of wheat and oats. 
B)  Encourage milkshakes as a nutritious snack. 
C)  Encourage completion of antibiotic therapy. 
D)  Encourage nonsteroidal antiinflammatory drugs.

Question 16

In providing diet education for a patient on a low-fat diet, which information is important for the nurse to share?

Accepted Answer

A)  Polyunsaturated fats should be less than 7% of the total calories. 
B)  Trans fat should be less than 7% of the total calories. 
C)  Unsaturated fats are found mostly in animal sources. 
D)  Saturated fats are found mostly in animal sources. 
A)  Polyunsaturated fats should be less than 7% of the total calories. 
B)  Trans fat should be less than 7% of the total calories. 
C)  Unsaturated fats are found mostly in animal sources. 
D)  Saturated fats are found mostly in animal sources.

Question 17

The patient is having at least 75% of nutritional needs met by enteral feeding, so the health care provider has ordered the parenteral nutrition (PN) to be discontinued. However, the nurse notices that the PN infusion has fallen behind. What should the nurse do?

Accepted Answer

A)  Increase the rate to get the volume caught up before discontinuing. 
B)  Stop the infusion as ordered. 
C)  Taper infusion gradually. 
D)  Hang 5% dextrose. 
A)  Increase the rate to get the volume caught up before discontinuing. 
B)  Stop the infusion as ordered. 
C)  Taper infusion gradually. 
D)  Hang 5% dextrose.

Question 18

A small-bore feeding tube is placed. Which technique will the nurse use to best verify tube placement?

Accepted Answer

A)  X-ray 
B)  pH testing 
C)  Auscultation 
D)  Aspiration of contents 
A)  X-ray 
B)  pH testing 
C)  Auscultation 
D)  Aspiration of contents

Question 19

The nurse is assessing a patient for nutritional status. Which action will the nurse take?

Accepted Answer

A)  Forego the assessment in the presence of chronic disease. 
B)  Use the Mini Nutritional Assessment for pediatric patients. 
C)  Choose a single objective tool that fits the patient's condition. 
D)  Combine multiple objective measures with subjective measures. 
A)  Forego the assessment in the presence of chronic disease. 
B)  Use the Mini Nutritional Assessment for pediatric patients. 
C)  Choose a single objective tool that fits the patient's condition. 
D)  Combine multiple objective measures with subjective measures.

Question 20

The patient with cardiovascular disease is receiving dietary instructions from the nurse. Which information from the patient indicates teaching is successful?

Accepted Answer

A)  Maintain a prescribed carbohydrate intake. 
B)  Eat fish at least 5 times per week. 
C)  Limit trans fat to less than 1%. 
D)  Avoid high-fiber foods. 
A)  Maintain a prescribed carbohydrate intake. 
B)  Eat fish at least 5 times per week. 
C)  Limit trans fat to less than 1%. 
D)  Avoid high-fiber foods.

Exam 45: Nutrition

A nurse is teaching a nutrition class about the different daily values. When teaching about the referenced daily intakes (RDIs), which information should the nurse include?

A patient has a decreased gag reflex, left-sided weakness, and drooling. Which action will the nurse take when feeding this patient?

The nurse is planning care for a group of patients. Which task will the nurse assign to the nursing assistive personnel?

In providing diabetic teaching for a patient with type 1 diabetes mellitus, which instructions will the nurse provide to the patient?

The patient is on parenteral nutrition and is lethargic. The patient reports thirst and headache and has had increased urination. Which problem does the nurse prepare to address?

In teaching mothers-to-be about infant nutrition, which instruction should the nurse provide?

The nurse is preparing to check the gastric aspirate for pH. Which equipment will the nurse obtain?

A nurse is caring for a group of patients. Which patient will the nurse see first\bold{first}first ?

A nurse is caring for a patient with a postsurgical wound. When planning care, which goal will be the priority?

The patient has been diagnosed with cardiovascular disease and placed on a low-fat diet. The patient asks the nurse, "How much fat should I have? I guess the less fat, the better." Which information will the nurse include in the teaching session?

The patient is to receive multiple medications via the nasogastric tube. The nurse is concerned that the tube may become clogged. Which action is best\bold{best}best for the nurse to take?

The nurse is teaching a health class about the ChooseMyPlate program. Which guidelines will the nurse include in the teaching session?

A patient is on a full liquid diet. Which food item choice by the patient will cause the nurse to intervene?

The nurse is describing the ChooseMyPlate program to a patient. Which statement from the patient indicates successful learning?

The patient has H. pylori. Which action should the nurse take?

In providing diet education for a patient on a low-fat diet, which information is important for the nurse to share?

The patient is having at least 75% of nutritional needs met by enteral feeding, so the health care provider has ordered the parenteral nutrition (PN) to be discontinued. However, the nurse notices that the PN infusion has fallen behind. What should the nurse do?

A small-bore feeding tube is placed. Which technique will the nurse use to best verify tube placement?

The nurse is assessing a patient for nutritional status. Which action will the nurse take?

The patient with cardiovascular disease is receiving dietary instructions from the nurse. Which information from the patient indicates teaching is successful?

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A nurse is caring for a group of patients. Which patient will the nurse see $\bold{first}$ ?

The patient is to receive multiple medications via the nasogastric tube. The nurse is concerned that the tube may become clogged. Which action is $\bold{best}$ for the nurse to take?