Question 1

The nurse who is preparing to give a feeding per a nasogastric (NG) tube tests the placement of the tube most safely by:

Accepted Answer

A)   checking the lungs for rhonchi.
B)   instilling 10 mL of normal saline and checking for cough.
C)   aspirating stomach contents.
D)   injecting 20 mL of air and listen at the tip of the xiphoid. C

Question 2

A patient is scheduled to receive an intermittent tube feeding. This feeding should be allowed to flow in over how many minutes?

Accepted Answer

A)   1
B)   2
C)   5
D)   10 D

Question 3

A patient has a new order to have an NG tube removed. The nurse should initially:

Accepted Answer

A)   wash her hands and apply clean gloves.
B)   encourage mouth care as needed.
C)   explain the procedure to the patient.
D)   pinch the tube while removing it. C

Question 4

A nurse caring for a patient diagnosed with AIDS would include in the nutritional plan of care: (Select all that apply.)

Accepted Answer

A)   asking the patient about sexual history.
B)   encouraging the patient to eat solid foods high in protein.
C)   offering the patient supplements such as Ensure.
D)   obtaining an order for a dietitian consult.
E)   urging patient to eat three well-balanced meals per day.F)  offer pureed foods when the patient's mouth is painful.

Question 5

The nurse explains that adequate vitamin D can be acquired by:

Accepted Answer

A)   eating 2 oranges a day every week.
B)   eating fish 3 times a week.
C)   having 10 minutes of sunshine on the limbs.
D)   eating green leafy vegetables.

Question 6

The nutritional documentation that is most informative is:

Accepted Answer

A)   ate all of lunch.
B)   ate 50% of lunch without difficulty. Refused all solid food.
C)   drank most of liquids without difficulty.
D)   assisted feeding liquid diet, choked frequently.

Question 7

When assisting a patient with a severe visual impairment who wishes to feed himself, the nurse could best facilitate the patient's eating by:

Accepted Answer

A)   placing the plate on his lap.
B)   seating the patient in a chair and placing the over-the-bed table appropriately.
C)   orienting the patient to the position of foods on the plate using a clock-face description.
D)   placing each food in a separate container or bowl.

Question 8

When the patient complains about the insertion of the total parenteral nutrition (TPN) tube interfering with his movement, the nurse explains that the insertion in the subclavian vein allows: (Select all that apply.)

Accepted Answer

A)   adequate dilution of TPN solution.
B)   closer proximity to the heart.
C)   more effective monitoring from the IV pump.
D)   for adequate blood flow.
E)   for more ease in dressing insertion site.

Question 9

The nurse is caring for a patient who has total parenteral nutrition (TPN) running finds that the infusion is behind by 200 mL. The nurse should:

Accepted Answer

A)   increase the flow rate 5% until the infusion has caught up.
B)   check the patient's stomach residual.
C)   elevate the head of the bed 30 degrees.
D)   document the discrepancy and report to the charge nurse.

Question 10

A nurse instructs a patient who is to receive a soft diet that the diet will include: (Select all that apply.)

Accepted Answer

A)   eggs.
B)   multigrain bread.
C)   baked potato.
D)   soups.
E)   fruit juices.F)  milk products.

Question 11

The nurse suggests to a diabetic patient to eat complex carbohydrates, which include: (Select all that apply.)

Accepted Answer

A)   whole grain foods.
B)   brown rice.
C)   lima beans.
D)   legumes.
E)   sweet potatoes.

Question 12

An older male patient is concerned about his cholesterol lab report that shows an elevated high-density lipoprotein (HDL) level. The nurse explains that such a report indicates that:

Accepted Answer

A)   he should go on a strenuous low-cholesterol diet.
B)   he is at risk for hypertension.
C)   is developing atherosclerosis.
D)   his vessels are being cleansed of fatty deposits.

Question 13

A patient recently started on enteral tube feedings starts complaining of nausea and having diarrhea. The best nursing action is to:

Accepted Answer

A)   check the enteral tube for placement.
B)   slow down the feedings and monitor.
C)   perform a fingerstick blood glucose test.
D)   stop the feedings and inform the physician.

Question 14

The nurse counsels the bulimic patient that her eating disorder can lead to serious conditions such as: (Select all that apply.)

Accepted Answer

A)   esophageal ulcers.
B)   diverticulitis.
C)   ulcerative colitis.
D)   peptic ulcers.
E)   congestive heart failure.

Question 15

An obese clinic patient who is in the latter part of the first trimester of a pregnancy asks how much weight she should gain. The nurse's best response is to say that the total weight gain should be no more than _____ pounds.

Accepted Answer

A)   35
B)   30
C)   20
D)   10

Question 16

While the nurse is explaining the procedure for inserting a tube for enteral feedings, the patient interrupts and asks why there is a need for this tube. The nurse's best response is:

Accepted Answer

A)   "Your physician has ordered this to help your condition."
B)   "Tell me what your doctor told you about this procedure."
C)   "Are you telling me you don't want this tube inserted?"
D)   "This tube placement will only be temporary."

Question 17

When caring for a patient receiving total parenteral nutrition, the nurse knows that it is essential to:

Accepted Answer

A)   check for flow rate every shift.
B)   order electrolytes daily.
C)   monitor IV site every shift.
D)   monitor for blood glucose.

Question 18

Before any diet tray is delivered to a patient, the nurse has the responsibility of:

Accepted Answer

A)   determining if the patient needs assistance to eat.
B)   confirming the diet on the tray with the diet sheet.
C)   assessing if the food is of the appropriate temperature.
D)   adding extra salt and sugar packets.

Question 19

The nurse takes into consideration that excessive intake of saturated and trans-fat leads to the development of fatty deposits being laid down in the walls of the blood vessels and causing ____________.

Accepted Answer

The answer of The nurse takes into consideration that excessive...

Question 20

The nurse takes into consideration that a patient who abuses alcohol is at risk for a vitamin deficiency in:

Accepted Answer

A)   thiamine.
B)   cyanocobalamin.
C)   ascorbic acid.
D)   iron.

Exam 27: Diet Therapy and Assisted Feeding