Question 1

A nurse is asked how many kcal per gram fats provided. How should the nurse answer?

Accepted Answer

A)  3 
B)  4 
C)  6 
D)  9 
A)  3 
B)  4 
C)  6 
D)  9

Question 2

In providing prenatal care to a pregnant patient, what does the nurse teach the expectant mother?

Accepted Answer

A)  Calcium intake is especially important in the first trimester. 
B)  Protein intake needs to decrease to preserve kidney function. 
C)  Folic acid is needed to help prevent birth defects and anemia. 
D)  Extra vitamins and minerals should be taken as much as possible. 
A)  Calcium intake is especially important in the first trimester. 
B)  Protein intake needs to decrease to preserve kidney function. 
C)  Folic acid is needed to help prevent birth defects and anemia. 
D)  Extra vitamins and minerals should be taken as much as possible.

Question 3

To honor cultural values of patients from different ethnic/religious groups, which actions demonstrate culturally sensitive care by the nurse? (Select all that apply.)

Accepted Answer

A)  Allows fasting on Yom Kippur for a Jewish patient 
B)  Allows caffeine drinks for a Mormon patient 
C)  Serves no ham products to a Muslim patient 
D)  Serves kosher foods to a Christian patient 
E)  Serves no meat or fish to a Hindu patient 
A)  Allows fasting on Yom Kippur for a Jewish patient 
B)  Allows caffeine drinks for a Mormon patient 
C)  Serves no ham products to a Muslim patient 
D)  Serves kosher foods to a Christian patient 
E)  Serves no meat or fish to a Hindu patient

Question 4

The patient has a calculated body mass index (BMI) of 34. How will the nurse classify this finding?

Accepted Answer

A)  Normal weight 
B)  Underweight 
C)  Overweight 
D)  Obese 
A)  Normal weight 
B)  Underweight 
C)  Overweight 
D)  Obese

Question 5

The nurse is concerned about pulmonary aspiration when providing the patient with an intermittent tube feeding. Which action is the $\bold{priority}$?

Accepted Answer

A)  Observe the color of gastric contents. 
B)  Verify tube placement before feeding. 
C)  Add blue food coloring to the enteral formula. 
D)  Run the formula over 12 hours to decrease overload. 
A)  Observe the color of gastric contents. 
B)  Verify tube placement before feeding. 
C)  Add blue food coloring to the enteral formula. 
D)  Run the formula over 12 hours to decrease overload.

Question 6

A nurse is teaching a patient about proteins that must be obtained through the diet and cannot be synthesized in the body. Which term used by the patient indicates teaching is successful?

Accepted Answer

A)  Amino acids 
B)  Triglycerides 
C)  Dispensable amino acids 
D)  Indispensable amino acids 
A)  Amino acids 
B)  Triglycerides 
C)  Dispensable amino acids 
D)  Indispensable amino acids

Question 7

The nurse is providing home care for a patient diagnosed with acquired immunodeficiency syndrome (AIDS). Which dietary intervention will the nurse add to the care plan?

Accepted Answer

A)  Provide small, frequent nutrient-dense meals for maximizing kilocalories. 
B)  Prepare hot meals because they are more easily tolerated by the patient. 
C)  Avoid salty foods and limit liquids to preserve electrolytes. 
D)  Encourage intake of fatty foods to increase caloric intake. 
A)  Provide small, frequent nutrient-dense meals for maximizing kilocalories. 
B)  Prepare hot meals because they are more easily tolerated by the patient. 
C)  Avoid salty foods and limit liquids to preserve electrolytes. 
D)  Encourage intake of fatty foods to increase caloric intake.

Question 8

Before giving the patient an intermittent gastric tube feeding, what should the nurse do?

Accepted Answer

A)  Make sure that the tube is secured to the gown with a safety pin. 
B)  Inject air into the stomach via the tube and auscultate. 
C)  Have the tube feeding at room temperature. 
D)  Check to make sure pH is at least 5. 
A)  Make sure that the tube is secured to the gown with a safety pin. 
B)  Inject air into the stomach via the tube and auscultate. 
C)  Have the tube feeding at room temperature. 
D)  Check to make sure pH is at least 5.

Question 9

A nurse is teaching about the energy needed at rest to maintain life-sustaining activities for a specific period of time. What is the nurse discussing?

Accepted Answer

A)  Resting energy expenditure (RE
E)  
B)  Basal metabolic rate (BMR) 
C)  Nutrient density 
D)  Nutrients 
A)  Resting energy expenditure (RE
E)  
B)  Basal metabolic rate (BMR) 
C)  Nutrient density 
D)  Nutrients

Question 10

A nurse is teaching a health class about the nutritional requirements throughout the life span. Which information should the nurse include in the teaching session? (Select all that apply.)

Accepted Answer

A)  Infants triple weight at 1 year. 
B)  Toddlers become picky eaters. 
C)  School-age children need to avoid hot dogs and grapes. 
D)  Breastfeeding women need an additional 750 kcal/day. 
E)  Older adults have altered food flavor from a decrease in taste cells. 
A)  Infants triple weight at 1 year. 
B)  Toddlers become picky eaters. 
C)  School-age children need to avoid hot dogs and grapes. 
D)  Breastfeeding women need an additional 750 kcal/day. 
E)  Older adults have altered food flavor from a decrease in taste cells.

Question 11

The patient has just started on enteral feedings, and the patient is reporting abdominal cramping. Which action will the nurse take $\bold{next}$?

Accepted Answer

A)  Slow the rate of tube feeding. 
B)  Instill cold formula to "numb" the stomach. 
C)  Change the tube feeding to a high-fat formula. 
D)  Consult with the health care provider about prokinetic medication. 
A)  Slow the rate of tube feeding. 
B)  Instill cold formula to "numb" the stomach. 
C)  Change the tube feeding to a high-fat formula. 
D)  Consult with the health care provider about prokinetic medication.

Question 12

In general, when a patient's energy requirements are completely met by kilocalorie (kcal) intake in food, which assessment finding will the nurse observe?

Accepted Answer

A)  Weight increases. 
B)  Weight decreases. 
C)  Weight does not change. 
D)  Weight fluctuates daily. 
A)  Weight increases. 
B)  Weight decreases. 
C)  Weight does not change. 
D)  Weight fluctuates daily.

Question 13

The nurse is caring for a patient receiving total parenteral nutrition (TPN). Which action will the nurse take?

Accepted Answer

A)  Run lipids for no longer than 24 hours. 
B)  Take down a running bag of TPN after 36 hours. 
C)  Clean injection port with alcohol 5 seconds before and after use. 
D)  Wear a sterile mask when changing the central venous catheter dressing. 
A)  Run lipids for no longer than 24 hours. 
B)  Take down a running bag of TPN after 36 hours. 
C)  Clean injection port with alcohol 5 seconds before and after use. 
D)  Wear a sterile mask when changing the central venous catheter dressing.

Question 14

The patient is asking the nurse about the best way to stay healthy. The nurse explains to the patient which teaching points? (Select all that apply.)

Accepted Answer

A)  Increase physical activity. 
B)  Keep total fat intake to 10% or less. 
C)  Maintain body weight in a healthy range. 
D)  Choose and prepare foods with little salt. 
E)  Increase intake of meat and other high-protein foods. 
A)  Increase physical activity. 
B)  Keep total fat intake to 10% or less. 
C)  Maintain body weight in a healthy range. 
D)  Choose and prepare foods with little salt. 
E)  Increase intake of meat and other high-protein foods.

Question 15

When planning care for an adolescent who plays sports, which modification should the nurse include in the care plan?

Accepted Answer

A)  Increasing carbohydrates to 55% to 60% of total intake 
B)  Providing vitamin and mineral supplements 
C)  Decreasing protein intake to 0.75 g/kg/day 
D)  Limiting water before and after exercise 
A)  Increasing carbohydrates to 55% to 60% of total intake 
B)  Providing vitamin and mineral supplements 
C)  Decreasing protein intake to 0.75 g/kg/day 
D)  Limiting water before and after exercise

Question 16

A nurse is preparing to administer an enteral feeding. In which order will the nurse implement the steps, starting with the first one?
1) Elevate head of bed to at least 30 degrees.
2) Check for gastric residual volume.
3) Flush tubing with 30 mL of water.
4) Verify tube placement.
5) Initiate feeding.

Accepted Answer

A)  4, 2, 1, 5, 3 
B)  2, 4, 1, 3, 5 
C)  1, 4, 2, 3, 5 
D)  2, 1, 4, 5, 3 
A)  4, 2, 1, 5, 3 
B)  2, 4, 1, 3, 5 
C)  1, 4, 2, 3, 5 
D)  2, 1, 4, 5, 3

Question 17

The patient is an 80-year-old male who is visiting the clinic today for a routine physical examination. The patient's skin turgor is fair, but the patient reports fatigue and weakness. The skin is warm and dry, pulse rate is 116 beats/min, and urinary sodium level is slightly elevated. Which instruction should the nurse provide?

Accepted Answer

A)  Drink more water to prevent further dehydration. 
B)  Drink more calorie-dense fluids to increase caloric intake. 
C)  Drink more milk and dairy products to decrease the risk of osteoporosis. 
D)  Drink more grapefruit juice to enhance vitamin C intake and medication absorption. 
A)  Drink more water to prevent further dehydration. 
B)  Drink more calorie-dense fluids to increase caloric intake. 
C)  Drink more milk and dairy products to decrease the risk of osteoporosis. 
D)  Drink more grapefruit juice to enhance vitamin C intake and medication absorption.

Question 18

In determining malnourishment in a patient, which assessment finding is consistent with this disorder?

Accepted Answer

A)  Moist lips 
B)  Pink conjunctivae 
C)  Spoon-shaped nails 
D)  Not easily plucked hair 
A)  Moist lips 
B)  Pink conjunctivae 
C)  Spoon-shaped nails 
D)  Not easily plucked hair

Question 19

The nurse is providing nutrition education to a Korean patient using the five food groups. In doing so, what should be the focus of the teaching?

Accepted Answer

A)  Discouraging the patient's ethnic food choices 
B)  Changing the patient's diet to a more conventional American diet 
C)  Including racial and ethnic practices with food preferences of the patient 
D)  Comparing the patient's ethnic preferences with American dietary choices 
A)  Discouraging the patient's ethnic food choices 
B)  Changing the patient's diet to a more conventional American diet 
C)  Including racial and ethnic practices with food preferences of the patient 
D)  Comparing the patient's ethnic preferences with American dietary choices

Question 20

The patient has just been started on an enteral feeding and has developed diarrhea after being on the feeding for 2 hours. What does the nurse suspect is the $\bold{most}$ likely cause of the diarrhea?

Accepted Answer

A)  Antibiotic therapy 
B)  Clostridium difficile 
C)  Formula intolerance 
D)  Bacterial contamination 
A)  Antibiotic therapy 
B)  Clostridium difficile 
C)  Formula intolerance 
D)  Bacterial contamination

Exam 45: Nutrition

A nurse is asked how many kcal per gram fats provided. How should the nurse answer?

In providing prenatal care to a pregnant patient, what does the nurse teach the expectant mother?

To honor cultural values of patients from different ethnic/religious groups, which actions demonstrate culturally sensitive care by the nurse? (Select all that apply.)

The patient has a calculated body mass index (BMI) of 34. How will the nurse classify this finding?

The nurse is concerned about pulmonary aspiration when providing the patient with an intermittent tube feeding. Which action is the priority\bold{priority}priority ?

A nurse is teaching a patient about proteins that must be obtained through the diet and cannot be synthesized in the body. Which term used by the patient indicates teaching is successful?

The nurse is providing home care for a patient diagnosed with acquired immunodeficiency syndrome (AIDS). Which dietary intervention will the nurse add to the care plan?

Before giving the patient an intermittent gastric tube feeding, what should the nurse do?

A nurse is teaching about the energy needed at rest to maintain life-sustaining activities for a specific period of time. What is the nurse discussing?

A nurse is teaching a health class about the nutritional requirements throughout the life span. Which information should the nurse include in the teaching session? (Select all that apply.)

The patient has just started on enteral feedings, and the patient is reporting abdominal cramping. Which action will the nurse take next\bold{next}next ?

In general, when a patient's energy requirements are completely met by kilocalorie (kcal) intake in food, which assessment finding will the nurse observe?

The nurse is caring for a patient receiving total parenteral nutrition (TPN). Which action will the nurse take?

The patient is asking the nurse about the best way to stay healthy. The nurse explains to the patient which teaching points? (Select all that apply.)

When planning care for an adolescent who plays sports, which modification should the nurse include in the care plan?

In determining malnourishment in a patient, which assessment finding is consistent with this disorder?

The nurse is providing nutrition education to a Korean patient using the five food groups. In doing so, what should be the focus of the teaching?

The patient has just been started on an enteral feeding and has developed diarrhea after being on the feeding for 2 hours. What does the nurse suspect is the most\bold{most}most likely cause of the diarrhea?

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The nurse is concerned about pulmonary aspiration when providing the patient with an intermittent tube feeding. Which action is the $\bold{priority}$ ?

The patient has just started on enteral feedings, and the patient is reporting abdominal cramping. Which action will the nurse take $\bold{next}$ ?

The patient has just been started on an enteral feeding and has developed diarrhea after being on the feeding for 2 hours. What does the nurse suspect is the $\bold{most}$ likely cause of the diarrhea?