Question 1

Which is the appropriate intervention for a patient with the nursing diagnosis feeding self-care deficit related to neuromuscular hand and arm weakness?

Accepted Answer

A)  Provide meticulous oral hygiene before and after meals. 
B)  Consult a speech-language pathologist for swallow precautions. 
C)  Provide the patient with a pleasant,quiet environment for meals. 
D)  Teach the patient how to use adaptive utensils to facilitate independence. 
A)  Provide meticulous oral hygiene before and after meals. 
B)  Consult a speech-language pathologist for swallow precautions. 
C)  Provide the patient with a pleasant,quiet environment for meals. 
D)  Teach the patient how to use adaptive utensils to facilitate independence. D

Question 2

Which nursing diagnosis is the highest priority for a patient who had the large intestine removed?

Accepted Answer

A)  Risk for deficient fluid volume related to excessive fluid loss in stool 
B)  Risk for compromised human dignity related to stigma from ileostomy 
C)  Bathing/hygiene self-care deficit related to presence of ileostomy bag 
D)  Social isolation related to perceived offensive odor from ileostomy bag 
A)  Risk for deficient fluid volume related to excessive fluid loss in stool 
B)  Risk for compromised human dignity related to stigma from ileostomy 
C)  Bathing/hygiene self-care deficit related to presence of ileostomy bag 
D)  Social isolation related to perceived offensive odor from ileostomy bag A

Question 3

Which is the highest priority nursing diagnosis for a patient with dysphagia following a stroke?

Accepted Answer

A)  Risk for aspiration related to inability to ingest food and fluids safely 
B)  Feeding self-care deficit related to neuromuscular impairment and weakness 
C)  Risk for constipation related to intake of low-fiber foods and thickened liquids 
D)  Imbalanced nutrition: less than body requirements related to swallowing difficulty 
A)  Risk for aspiration related to inability to ingest food and fluids safely 
B)  Feeding self-care deficit related to neuromuscular impairment and weakness 
C)  Risk for constipation related to intake of low-fiber foods and thickened liquids 
D)  Imbalanced nutrition: less than body requirements related to swallowing difficulty A

Question 4

Which is the best menu option for a patient with celiac disease?

Accepted Answer

A)  Baked chicken breast with roll and butter 
B)  Spaghetti with meat sauce and tossed salad 
C)  Oatmeal with raisins,brown sugar,and milk 
D)  Pizza with tomato sauce,cheese,and mushrooms 
A)  Baked chicken breast with roll and butter 
B)  Spaghetti with meat sauce and tossed salad 
C)  Oatmeal with raisins,brown sugar,and milk 
D)  Pizza with tomato sauce,cheese,and mushrooms

Question 5

Which food item contains the most calories?

Accepted Answer

A)  1 g of cane sugar 
B)  1 g of lean meat 
C)  1 g of butter 
D)  1 g of banana 
A)  1 g of cane sugar 
B)  1 g of lean meat 
C)  1 g of butter 
D)  1 g of banana

Question 6

Which laboratory finding indicates that the patient has not been eating well?

Accepted Answer

A)  Serum albumin level 2.1 g/dL 
B)  Presence of nitrites in the urine 
C)  Prothrombin time 11.5 seconds 
D)  Serum creatinine level 0.8 mg/dL 
A)  Serum albumin level 2.1 g/dL 
B)  Presence of nitrites in the urine 
C)  Prothrombin time 11.5 seconds 
D)  Serum creatinine level 0.8 mg/dL

Question 7

Which is the most appropriate nursing diagnosis for a patient with a BMI of 46?

Accepted Answer

A)  Risk for imbalanced fluid volume related to rapid intravascular fluid shift 
B)  Risk for imbalanced body temperature related to impaired thermoregulation 
C)  Risk for compromised human dignity related to loss of control of body functions 
D)  Imbalanced nutrition: more than body requirements related to chronic overeating 
A)  Risk for imbalanced fluid volume related to rapid intravascular fluid shift 
B)  Risk for imbalanced body temperature related to impaired thermoregulation 
C)  Risk for compromised human dignity related to loss of control of body functions 
D)  Imbalanced nutrition: more than body requirements related to chronic overeating

Question 8

Which menu option is least likely to cause wide variations in the diabetic's blood sugar?

Accepted Answer

A)  Ham sandwich on whole wheat bread 
B)  Sesame bagel with vegetable cream cheese 
C)  Spaghetti with meat sauce and parmesan cheese 
D)  Peanut butter and jelly sandwich on white bread 
A)  Ham sandwich on whole wheat bread 
B)  Sesame bagel with vegetable cream cheese 
C)  Spaghetti with meat sauce and parmesan cheese 
D)  Peanut butter and jelly sandwich on white bread

Question 9

Which nursing diagnoses are priorities for a patient taking prednisone 40 mg PO daily for chronic inflammation?

Accepted Answer

A)  Risk for deficient fluid volume related to excessive hormonal fluid loss through kidneys 
B)  Risk for unstable blood glucose related to hyperglycemic side effects of corticosteroids 
C)  Risk for impaired dentition related to loss of minerals for teeth and bone support within the jaw 
D)  Risk for constipation related to side effects of corticosteroids with loss of urge to defecate 
E)  Risk for imbalanced nutrition: more than body requirements related to increased appetite 
A)  Risk for deficient fluid volume related to excessive hormonal fluid loss through kidneys 
B)  Risk for unstable blood glucose related to hyperglycemic side effects of corticosteroids 
C)  Risk for impaired dentition related to loss of minerals for teeth and bone support within the jaw 
D)  Risk for constipation related to side effects of corticosteroids with loss of urge to defecate 
E)  Risk for imbalanced nutrition: more than body requirements related to increased appetite

Question 10

Which foods are recommended options for a patient with high cholesterol?

Accepted Answer

A)  Pure Irish butter with sea salt added 
B)  Unsalted cashews,pecans,and pistachios 
C)  Cottage cheese made with 2% milk 
D)  Salad dressing made with vinegar and olive oil 
E)  Guacamole made with fresh avocado and tomato 
A)  Pure Irish butter with sea salt added 
B)  Unsalted cashews,pecans,and pistachios 
C)  Cottage cheese made with 2% milk 
D)  Salad dressing made with vinegar and olive oil 
E)  Guacamole made with fresh avocado and tomato

Question 11

Which nursing diagnosis is most appropriate for a newborn who did not receive vitamin K supplementation immediately after birth?

Accepted Answer

A)  Ineffective breastfeeding related to inability to latch on 
B)  Ineffective protection related to impaired blood clotting 
C)  Risk for unstable blood glucose related to developmental level 
D)  Disorganized infant behavior related to altered primitive reflexes 
A)  Ineffective breastfeeding related to inability to latch on 
B)  Ineffective protection related to impaired blood clotting 
C)  Risk for unstable blood glucose related to developmental level 
D)  Disorganized infant behavior related to altered primitive reflexes

Question 12

Which action of the nurse is best to reduce abdominal discomfort when administering intermittent gravity feedings through a gastrostomy tube?

Accepted Answer

A)  Chill the formula. 
B)  Dilute the formula. 
C)  Infuse the formula slowly. 
D)  Lower the head of the bed. 
A)  Chill the formula. 
B)  Dilute the formula. 
C)  Infuse the formula slowly. 
D)  Lower the head of the bed.

Question 13

The nurse is caring for a pediatric patient with the nursing diagnosis constipation related to side effects of medications.Which menu option will the nurse recommend to the patient?

Accepted Answer

A)  Baked chicken nuggets and canned peaches 
B)  Pancakes with sausage,butter,and maple syrup 
C)  Peanut butter and jelly sandwich on white bread 
D)  Snack mix with dried apricots,raisins,and almonds 
A)  Baked chicken nuggets and canned peaches 
B)  Pancakes with sausage,butter,and maple syrup 
C)  Peanut butter and jelly sandwich on white bread 
D)  Snack mix with dried apricots,raisins,and almonds

Question 14

Which soup is appropriate for a patient who follows a vegan diet?

Accepted Answer

A)  Cream of broccoli and cheddar cheese soup 
B)  Moroccan carrot,apple,and cauliflower soup 
C)  Minestrone soup with lamb,vegetables,and pasta 
D)  Egg drop soup with chow mein noodles and scallions 
A)  Cream of broccoli and cheddar cheese soup 
B)  Moroccan carrot,apple,and cauliflower soup 
C)  Minestrone soup with lamb,vegetables,and pasta 
D)  Egg drop soup with chow mein noodles and scallions

Question 15

Which outcome is most appropriate for a patient with the nursing diagnosis imbalanced nutrition: more than body requirements related to recent pregnancy and childbirth?

Accepted Answer

A)  The patient will lose 1 pound per week for the next 6 weeks. 
B)  The patient will use fashion strategies to enhance appearance. 
C)  The patient will regain normal liver enzymes within 1 month. 
D)  The patient will demonstrate adaptation to body changes from pregnancy. 
A)  The patient will lose 1 pound per week for the next 6 weeks. 
B)  The patient will use fashion strategies to enhance appearance. 
C)  The patient will regain normal liver enzymes within 1 month. 
D)  The patient will demonstrate adaptation to body changes from pregnancy.

Question 16

Which condiment is the healthiest option for the patient to reduce the chances of having a heart attack?

Accepted Answer

A)  Olive oil 
B)  Margarine 
C)  Shortening 
D)  Cream cheese 
A)  Olive oil 
B)  Margarine 
C)  Shortening 
D)  Cream cheese

Question 17

Which dish must be removed from the meal tray of an orthodox Jewish patient?

Accepted Answer

A)  Penne pasta with marinara sauce and soft breadsticks 
B)  Scrambled eggs,bacon,and toast with strawberry jelly 
C)  Stir-fried chicken with noodles,broccoli,and teriyaki 
D)  Green salad with red peppers,carrots,beets,and radishes 
A)  Penne pasta with marinara sauce and soft breadsticks 
B)  Scrambled eggs,bacon,and toast with strawberry jelly 
C)  Stir-fried chicken with noodles,broccoli,and teriyaki 
D)  Green salad with red peppers,carrots,beets,and radishes

Question 18

Which is the first action of the nurse when administering intermittent enteral tube feedings to the patient?

Accepted Answer

A)  Irrigate the tube with sterile saline. 
B)  Place the patient in a supine position. 
C)  Make sure that the feeding solution is chilled. 
D)  Check to see that the tube is in the proper position. 
A)  Irrigate the tube with sterile saline. 
B)  Place the patient in a supine position. 
C)  Make sure that the feeding solution is chilled. 
D)  Check to see that the tube is in the proper position.

Question 19

Which action of the patient will facilitate aspiration of food and fluids into the airway?

Accepted Answer

A)  The patient avoids talking when eating or swallowing. 
B)  The patient tilts the head backward when swallowing. 
C)  The patient thickens liquids to the consistency of honey. 
D)  The patient clears the throat after every few bites of food. 
A)  The patient avoids talking when eating or swallowing. 
B)  The patient tilts the head backward when swallowing. 
C)  The patient thickens liquids to the consistency of honey. 
D)  The patient clears the throat after every few bites of food.

Question 20

Which menu item should be removed from the tray of a patient on a full liquid diet?

Accepted Answer

A)  Cup of chicken bouillon 
B)  Cup of tomato cream soup 
C)  Cup of orange frozen yogurt 
D)  Cup of strawberry applesauce 
A)  Cup of chicken bouillon 
B)  Cup of tomato cream soup 
C)  Cup of orange frozen yogurt 
D)  Cup of strawberry applesauce

Exam 35: Nutrition

Which is the appropriate intervention for a patient with the nursing diagnosis feeding self-care deficit related to neuromuscular hand and arm weakness?

Which nursing diagnosis is the highest priority for a patient who had the large intestine removed?

Which is the highest priority nursing diagnosis for a patient with dysphagia following a stroke?

Which is the best menu option for a patient with celiac disease?

Which food item contains the most calories?

Which laboratory finding indicates that the patient has not been eating well?

Which is the most appropriate nursing diagnosis for a patient with a BMI of 46?

Which menu option is least likely to cause wide variations in the diabetic's blood sugar?

Which nursing diagnoses are priorities for a patient taking prednisone 40 mg PO daily for chronic inflammation?

Which foods are recommended options for a patient with high cholesterol?

Which nursing diagnosis is most appropriate for a newborn who did not receive vitamin K supplementation immediately after birth?

Which action of the nurse is best to reduce abdominal discomfort when administering intermittent gravity feedings through a gastrostomy tube?

The nurse is caring for a pediatric patient with the nursing diagnosis constipation related to side effects of medications.Which menu option will the nurse recommend to the patient?

Which soup is appropriate for a patient who follows a vegan diet?

Which outcome is most appropriate for a patient with the nursing diagnosis imbalanced nutrition: more than body requirements related to recent pregnancy and childbirth?

Which condiment is the healthiest option for the patient to reduce the chances of having a heart attack?

Which dish must be removed from the meal tray of an orthodox Jewish patient?

Which is the first action of the nurse when administering intermittent enteral tube feedings to the patient?

Which action of the patient will facilitate aspiration of food and fluids into the airway?

Which menu item should be removed from the tray of a patient on a full liquid diet?

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