Question 1

The nurse is assessing a patient for dehydration. Which is the best early indicator of dehydration?

Accepted Answer

A)   Confusion
B)   Thirst
C)   Dry, hacking cough
D)   Dry mucous membranes D

Question 2

The nurse is preparing to conduct a physical assessment as part of the nutritional assessment. Which tool will the nurse use during this process?

Accepted Answer

A)   Otoscope
B)   Ophthalmoscope
C)   Measuring tape
D)   Doppler ultrasound C

Question 3

Which nutritional deficit is associated with sudden cardiac death?

Accepted Answer

A)   Vitamin C
B)   Thiamine
C)   Phosphorus
D)   Iron A

Question 4

Which action by the nurse is appropriate when conducting a 24-hour dietary recall during the nutritional assessment process?

Accepted Answer

A)   Asking the patient to recall everything eaten over the past 3 to 5 days
B)   Asking the patient to record everything eaten or drunk during the last day
C)   Using this method for a patient who is receiving chemotherapy
D)   Using this method for a patient with severe burns

Question 5

The nurse is teaching a patient ways to increase the amount of dietary carbohydrates to increase current level of energy. Which meal, highest in carbohydrates, indicates the patient understands the information presented?

Accepted Answer

A)   Turkey sandwich, chips, side salad, and fruit cup
B)   Steak, baked potato, and cheesecake
C)   Baked chicken breast, green beans, and ice cream sundae
D)   Filet of sole with tartar sauce

Question 6

The nurse is reviewing the medical record for a patient who will be seen for a health maintenance assessment later in the day. Which data would necessitate a nutritional assessment?

Accepted Answer

A)   History of intentional weight loss
B)   Blood glucose of 90 mg/dL
C)   Total lymphocyte count less than 1500 cells/mm3
D)   History of osteoarthritis

Question 7

Which nutritional deficit is associated with dementia?

Accepted Answer

A)   Vitamin A
B)   Vitamin B
C)   Niacin
D)   Calcium

Question 8

The nurse is providing care to a vegan patient who is hospitalized. Which is an appropriate meal for this patient?

Accepted Answer

A)   Whole wheat toast, strawberry jam, and tofu
B)   Whole wheat pancakes, butter, and cranberries
C)   Omelet, bacon, and orange juice
D)   Scrambled eggs, bran muffin, and coffee

Question 9

The nurse is conducting a health history interview for a patient who requires a nutritional assessment. Which question is appropriate when doing the review of systems?

Accepted Answer

A)   "Who shops and prepares meals in your family?"
B)   "When was your last dental exam?"
C)   "What is your usual activity level?"
D)   "Do you experience nosebleeds?"

Question 10

The nurse notes that the patient's skin is scaly during a nutritional head-to-toe assessment. Which is the most likely reason for this occurrence?

Accepted Answer

A)   Vitamin C deficiency
B)   Protein deficiency
C)   Zinc deficiency
D)   Thiamin deficiency

Question 11

During a 24-hour recall, which will the nurse instruct the patient to do?

Accepted Answer

A)   "Record anything you eat or drink, including water, over the next day."
B)   "Condiments and food preparation items should not be recorded."
C)   "Bring the labels for the food you eat and we will look at them together."
D)   "Weigh yourself three times in the next day."

Question 12

The nurse is conducting a nutritional assessment for a patient who states, "I feel like I become blind at night. I am really scared to drive sometimes." Which nutrient will the nurse recommend to this patient based on this data?

Accepted Answer

A)   Vitamin A
B)   Vitamin C
C)   Riboflavin
D)   Niacin

Question 13

The nurse is conducting a physical assessment to assess the patient's nutritional status. Which will the nurse also include in this assessment?

Accepted Answer

A)   Mental health examination
B)   Genitourinary examination
C)   Hydration status
D)   Neurologic status

Question 14

When screening for nutritional problems, which would be most likely to result in secondary malnutrition?

Accepted Answer

A)   Poor economic status
B)   Refusal to eat meat
C)   The Scarsdale diet
D)   Chronic diarrhea

Question 15

The nurse notes purpura during a physical examination. Which nutritional deficit could be the cause for this assessment finding?

Accepted Answer

A)   Vitamin K
B)   Vitamin B12
C)   Protein
D)   Thiamin

Question 16

The nurse is assessing a patient who is on a low-carbohydrate diet. Which question would be most appropriate during the health history assessment?

Accepted Answer

A)   "Have you noticed any changes to the texture of your skin?"
B)   "Do you bruise easily?"
C)   "When your skin is injured does it take a long time for it to heal?"
D)   "Do you feel you have adequate energy?'

Question 17

Which is achieved by assessing each patient's nutritional status? Select all that apply.

Accepted Answer

A)   Identifying deficiencies
B)   Illuminating dietary patterns that could contribute to health problems
C)   Providing a basis to plan for optimal nutrition
D)   Establishing a baseline for evaluation
E)   Monitoring snack intake

Question 18

The nurse is instructing a patient about MyPlate. Which will the nurse include in the teaching session with the patient?

Accepted Answer

A)   It assists individuals in planning a well-balanced diet.
B)   It recommends quantities of each nutritional food group for daily consumption.
C)   It evaluates each individual's nutritional status.
D)   All of the above.

Question 19

The nurse is conducting a health history interview during a nutritional assessment. Which question is appropriate when conducting a review of systems?

Accepted Answer

A)   "How often do you eat out?"
B)   "How often do you exercise?"
C)   "How much water do you drink each day?"
D)   "Have you had irregular menses?"

Question 20

The nurse is conducting a focused nutritional assessment for an adult patient. Which question is most appropriate for the nurse to ask?

Accepted Answer

A)   "Have you gained weight intentionally over the last year?"
B)   "How much did you weigh 1 year ago?"
C)   "How do you cope with stress in your life?"
D)   "Do you have nausea that lasts more than 2 weeks?"

Exam 22: Assessing Nutrition