Question 1

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

Question 2

The nurse is providing nutrition information to the mother of a 1-year-old child. Which of these statements represents accurate information for this age group?

Accepted Answer

A)   Maintaining adequate fat and caloric intake is important for a 1-year-old child.
B)   The recommended dietary allowances for an infant are the same as for an adolescent.
C)   The baby's growth is minimal at this age; therefore, caloric requirements are decreased.
D)   The baby should be placed on skim milk to decrease the risk for coronary artery disease when he or she grows older. A

Question 3

Which of these interventions is most appropriate when the nurse is planning nutritional interventions for a healthy, active 74-year-old woman?

Accepted Answer

A)   Decreasing the amount of carbohydrates to prevent lean muscle catabolism
B)   Increasing the amount of soy and tofu in her diet to promote bone growth and reverse osteoporosis
C)   Increasing the number of calories she is eating because of the increased energy needs of the older adult
D)   Decreasing the number of calories she is eating because of the decrease in energy requirements from the loss of lean body mass D

Question 4

The nurse is performing a nutritional assessment on an 80-year-old patient. What is one of the many physiologic changes that can directly affect the nutritional status of the older adult?

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

Question 5

A 21-year-old woman has been on a low-protein liquid diet for the past 2 months. She has had adequate intake of calories and appears well nourished. After further assessment, what would the nurse expect to find?

Accepted Answer

A)   Poor skin turgor
B)   Decreased serum albumin
C)   Increased lymphocyte count
D)   Triceps skinfold less than standard

Question 6

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

Accepted Answer

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

Question 7

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

Accepted Answer

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

Question 8

Which of these conditions is due to an inadequate intake of both protein and calories?

Accepted Answer

A)   Bulimia
B)   Obesity
C)   Marasmus
D)   Kwashiorkor

Question 9

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? _______

Accepted Answer

The answer of A patient has been unable to eat...

Question 10

A mother and her 13-year-old daughter express their concern r/t 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.

Question 11

A patient is asked to indicate on a form how many times he eats a specific food. This method describes which of these tools for obtaining dietary information?

Accepted Answer

A)   Food diary
B)   Calorie count
C)   24-hour recall
D)   Food-frequency questionnaire

Question 12

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

Question 13

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

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.

Question 14

The nurse is performing a nutritional assessment on a 15-year-old girl who tells the nurse that she is "so fat." Assessment reveals that she is 5 feet 4 inches and weighs 110 pounds. What is an appropriate response by the nurse?

Accepted Answer

A)   "How much do you think you should weigh?"
B)   "Don't worry about it; you're not that overweight."
C)   "The best thing for you would be to go on a diet."
D)   "I used to always think I was fat when I was your age."

Question 15

In teaching a patient how to determine total body fat at home, what should the nurse instruct the patient to measure?

Accepted Answer

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

Question 16

During an assessment of a patient who has been homeless for several years, the nurse notices that his tongue is magenta in color, which is an indication of a deficiency in what mineral and/or vitamin?

Accepted Answer

A)   Iron
B)   Riboflavin
C)   Vitamin C
D)   Vitamin D and calcium

Question 17

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

Question 18

A 50-year-old patient has been brought to the emergency department after a housemate found that the patient could not get out of bed alone. He has lived in a group home for years but for several months has not participated in the activities and has stayed in his room. The nurse assesses for signs of undernutrition, and an x-ray study reveals that he has osteomalacia. What deficiency is likely the cause?

Accepted Answer

A)   Iron
B)   Vitamin C
C)   Riboflavin
D)   Vitamin D and calcium

Question 19

An older adult patient in a nursing home has been receiving tube feedings for several months. During an oral examination, the nurse notes that patient's gums are swollen, ulcerated, and bleeding in some areas. The nurse suspects that the patient has what condition?

Accepted Answer

A)   Rickets
B)   Vitamin A deficiency
C)   Linoleic-acid deficiency
D)   Vitamin C deficiency

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)   Weight 10% to 20% over ideal
C)   Sore, inflamed buccal cavity
D)   Inadequate nutrient or food intake

Exam 12: Nutrition Assessment