Question 1

Serum protein values can be affected by fluid imbalances, pregnancy, infections, and some medications.

Accepted Answer

A) True 
 B)False  True

Question 2

Which of the following is most often used to monitor a client's response to and compliance with medical nutrition therapy?

Accepted Answer

A) food record 
B) food frequency checklist 
C) 24-hour recall 
D) usual intake record 
A) food record 
B) food frequency checklist 
C) 24-hour recall 
D) usual intake record A

Question 3

The nurse recognizes that 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. 
A) liver failure. 
B) PEM. 
C) obesity. 
D) gallbladder disease. B

Question 4

List three different methods for obtaining food intake data and describe the major uses, advantages, and limitations of each.

Accepted Answer

1. Food Frequency Questionnaires (FFQs):

Question 5

The dietitian asks the nurse to observe a patient's food intake and record the kinds and quantities of foods the patient receives and leaves on his plate.The nurse realizes that the dietitian is interested in keeping a _____ for this patient.

Accepted Answer

A) food record 
B) 24-hour recall 
C) kcalorie count 
D) usual intake record 
A) food record 
B) 24-hour recall 
C) kcalorie count 
D) usual intake record

Question 6

Signs of fluid retention include all of the following except:

Accepted Answer

A) tight-fitting shoes. 
B) puffy face. 
C) abdominal distension. 
D) reduced skin tension. 
A) tight-fitting shoes. 
B) puffy face. 
C) abdominal distension. 
D) reduced skin tension.

Question 7

Limitations of a 24-hour recall include all of the following except:

Accepted Answer

A) the previous day's intake may not be typical. 
B) they are difficult to obtain. 
C) the person may not be able to accurately report portion sizes. 
D) they provide data for one day only. 
A) the previous day's intake may not be typical. 
B) they are difficult to obtain. 
C) the person may not be able to accurately report portion sizes. 
D) they provide data for one day only.

Question 8

A patient's diet order is prescribed by the:

Accepted Answer

A) registered dietitian. 
B) physician. 
C) registered nurse. 
D) registered dietetic technician. 
A) registered dietitian. 
B) physician. 
C) registered nurse. 
D) registered dietetic technician.

Question 9

"What is the first thing you ate or drank yesterday morning?" is often the first question asked in a:

Accepted Answer

A) food frequency questionnaire. 
B) kcalorie count. 
C) food diary. 
D) 24-hour recall. 
A) food frequency questionnaire. 
B) kcalorie count. 
C) food diary. 
D) 24-hour recall.

Question 10

Which of the following is not a criterion for identifying malnutrition risk?

Accepted Answer

A) depression 
B) recent changes in appetite 
C) medical diagnosis 
D) gender 
A) depression 
B) recent changes in appetite 
C) medical diagnosis 
D) gender

Question 11

Describe the major biochemical tests of protein status and briefly discuss their major advantages and disadvantages.

Accepted Answer

The major biochemical tests for protein

Question 12

Which of the following nursing diagnoses has a nutritional implication?

Accepted Answer

A) feeding self-care deficit 
B) impaired verbal communication 
C) bowel incontinence 
D) sleep deprivation 
A) feeding self-care deficit 
B) impaired verbal communication 
C) bowel incontinence 
D) sleep deprivation

Question 13

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

Accepted Answer

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

Question 14

The nurse understands the importance of evaluating the progress of growth in pregnant women, infants, children, and adolescents, detecting under- and over-nutrition in all age groups, and measuring changes in body composition over time.The nurse should recognize that all of these purposes can be served through:

Accepted Answer

A) anthropometric measurements. 
B) functional tests of nutrition status. 
C) biochemical tests of protein status. 
D) physical examination for signs of malnutrition. 
A) anthropometric measurements. 
B) functional tests of nutrition status. 
C) biochemical tests of protein status. 
D) physical examination for signs of malnutrition.

Question 15

Which of the following health professionals does not assume a primary role for developing and implementing nutrition care plans?

Accepted Answer

A) dietetic technician 
B) dietitian 
C) nurse 
D) pharmacist 
A) dietetic technician 
B) dietitian 
C) nurse 
D) pharmacist

Question 16

The nurse reviews the dietitian's note that includes a specific nutrition problem, its etiology, and evidence of the problem.The nurse recognizes this as the:

Accepted Answer

A) nursing diagnosis. 
B) physician's diet order. 
C) hospital diet manual. 
D) nutrition diagnosis. 
A) nursing diagnosis. 
B) physician's diet order. 
C) hospital diet manual. 
D) nutrition diagnosis.

Question 17

Tools for obtaining food intake data include all of the following except:

Accepted Answer

A) 24-hour recall. 
B) food frequency questionnaires. 
C) food records. 
D) diet manuals. 
A) 24-hour recall. 
B) food frequency questionnaires. 
C) food records. 
D) diet manuals.

Question 18

Jim is 5'10" tall, is of medium frame, and weighs 135 pounds.Based on his IBW, what is his level of nutritional risk?

Accepted Answer

A) no risk of malnutrition 
B) risk of mild malnutrition 
C) risk of moderate malnutrition 
D) risk of severe malnutrition 
A) no risk of malnutrition 
B) risk of mild malnutrition 
C) risk of moderate malnutrition 
D) risk of severe malnutrition

Question 19

Which of the following methods of collecting a dietary history is the most time-consuming and requires a high degree of motivation to complete?

Accepted Answer

A) 24-hour recall 
B) food frequency questionnaire 
C) food record 
D) direct observation 
A) 24-hour recall 
B) food frequency questionnaire 
C) food record 
D) direct observation

Question 20

Which of the following is used in infancy to assess brain development?

Accepted Answer

A) measure of abdominal girth 
B) fatfold measurement 
C) head circumference 
D) height and weight 
A) measure of abdominal girth 
B) fatfold measurement 
C) head circumference 
D) height and weight

Exam 13: Nutrition Care and Assessment

Serum protein values can be affected by fluid imbalances, pregnancy, infections, and some medications.

Which of the following is most often used to monitor a client's response to and compliance with medical nutrition therapy?

The nurse recognizes that weight gain due to fluid retention in a patient with liver cirrhosis can mask symptoms of:

List three different methods for obtaining food intake data and describe the major uses, advantages, and limitations of each.

The dietitian asks the nurse to observe a patient's food intake and record the kinds and quantities of foods the patient receives and leaves on his plate.The nurse realizes that the dietitian is interested in keeping a _____ for this patient.

Signs of fluid retention include all of the following except:

Limitations of a 24-hour recall include all of the following except:

A patient's diet order is prescribed by the:

"What is the first thing you ate or drank yesterday morning?" is often the first question asked in a:

Which of the following is not a criterion for identifying malnutrition risk?

Describe the major biochemical tests of protein status and briefly discuss their major advantages and disadvantages.

Which of the following nursing diagnoses has a nutritional implication?

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

Which of the following health professionals does not assume a primary role for developing and implementing nutrition care plans?

The nurse reviews the dietitian's note that includes a specific nutrition problem, its etiology, and evidence of the problem.The nurse recognizes this as the:

Tools for obtaining food intake data include all of the following except:

Jim is 5'10" tall, is of medium frame, and weighs 135 pounds.Based on his IBW, what is his level of nutritional risk?

Which of the following methods of collecting a dietary history is the most time-consuming and requires a high degree of motivation to complete?

Which of the following is used in infancy to assess brain development?

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 Infancy

Nutrition Through the Life Span: 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 Disorders of the Heart and Blood Vessels

Nutrition and Renal Diseases

Nutrition, Cancer, and Hiv Infection

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