Question 1

Nursing Exam Review The nurse is reinforcing the dietitian's instructions for a post-gastrectomy diet. The nurse realizes the client understands his diet when he states that he should:

Accepted Answer

A)  emphasize grains, fruits, and vegetables in his diet. 
B)  avoid sweets, such as colas, honey, and jam. 
C)  eliminate meat and eggs. 
D)  exclude decaffeinated coffee, tea, and artificially sweetened drinks. 
E)  eliminate all dairy products.

Question 2

Nursing Exam Review The nurse is reviewing a patient's chart and notices that the patient has a history of Sjögren's syndrome. The nurse recognizes that the patient may have nutritional problems due to:

Accepted Answer

A)  anemia. 
B)  uncontrolled blood sugar . 
C)  impaired digestion. 
D)  malabsorption. 
E)  acid reflux.

Question 3

General discomfort in the upper abdominal area with complaints of stomach pain, gnawing sensations, fullness, nausea, and bloating is descriptive of:

Accepted Answer

A)  peptic ulcer disease. 
B)  dyspepsia. 
C)  hiatal hernia. 
D)  Sjögren's syndrome. 
E)  H. pylori infection.

Question 4

Nursing Exam Review A patient experiences nausea, vomiting, abdominal cramping, diarrhea, and lightheadedness after meals following gastric bypass surgery. The nurse recognizes these as symptoms of:

Accepted Answer

A)  malabsorption. 
B)  high blood sugar. 
C)  gastroesophageal reflux. 
D)  Sjögren's syndrome. 
E)  dumping syndrome.

Question 5

Nursing Exam Review The nurse recognizes that a patient with peptic ulcer disease should avoid foods that may irritate the gastrointestinal lining, such as:

Accepted Answer

A)  alcohol, coffee, and pepper. 
B)  eggs, spareribs, and cheese. 
C)  tea, orange juice, and potato chips. 
D)  apples, broccoli, and sweet potatoes. 
E)  yogurt, ice cream, and margarine.

Question 6

Define dysphagia and explain the dietary treatment for this disorder.

Accepted Answer

The answer of Define dysphagia and explain the dietary treatment...

Question 7

A condition in which a portion of the stomach protrudes above the diaphragm is known as:

Accepted Answer

A)  hiatal hernia. 
B)  Barrett's esophagus. 
C)  gastritis. 
D)  gastric ulcer. 
E)  gastroesophageal reflux.

Question 8

Nursing Exam Review A nurse is working with a patient who is suffering from dysphagia. The most appropriate foods the nurse can suggest might be:

Accepted Answer

A)  dry foods, such as crackers. 
B)  sticky foods, such as peanut butter. 
C)  foods with mixed textures, such as casseroles. 
D)  soft foods, such as mashed potatoes. 
E)  thin liquids, such as fruit juice.

Question 9

Nursing Exam Review The nurse understands that a patient with GERD will benefit from education on managing the disease. What suggestion should be included in the nurse's teaching?

Accepted Answer

A)  Avoid eating at bedtime. 
B)  Limit carbohydrate intake. 
C)  Consume liquids with meals. 
D)  Avoid high-impact exercise. 
E)  Keep a glass of water next to the bed at night.

Question 10

What condition would most likely contribute to development of GERD?

Accepted Answer

A)  advancing age 
B)  u nderweight 
C)  H. pylori infection 
D)  p regnancy 
E)  head and neck cancer

Question 11

Clinical studies indicate that the gastric banding procedure is more effective and has fewer long-term complications than gastric bypass surgery.

Accepted Answer

A) True 
 B)False

Question 12

Even occasional vomiting can cause esophagitis and fluid and electrolyte imbalances and may require medical care.

Accepted Answer

A) True 
 B)False

Question 13

Jennie Wilson is a 42-year-old administrative assistant who recently underwent sleeve gastrectomy surgery to treat her obesity and weight-related problems: diabetes and hypertension. Ms. Wilson will need nutrition education before being discharged from the hospital.
Due to reduced food intake and nutrient malabsorption, Ms. Wilson will likely require supplements of:

Accepted Answer

A)  vitamin B12, iron, and calcium. 
B)  zinc, magnesium, and iron. 
C)  vitamin B6, folate, and niacin. 
D)  calcium, iron, and vitamin C. 
E)  vitamin E, vitamin A, and magnesium.

Question 14

A major factor associated in the development of both gastritis and peptic ulcer disease is:

Accepted Answer

A)  infection with H. pylori. 
B)  stress. 
C)  overeating. 
D)  cigarette smoking . 
E)  decreased physical activity.

Question 15

Xerostomia is a side effect of many medications and can make speaking and swallowing more difficult.

Accepted Answer

A) True 
 B)False

Question 16

M.L. is a 34-year-old male computer programmer with a BMI of 26 who is seeking dietary counseling. His dose of Prilosec was recently increased, and although he now suffers less often from heartburn symptoms, he is also leery of medical side effects and would like any and all suggestions to manage his GERD "naturally." Having had GERD for the past eight years and been on some form of antacid or antisecretory medication continuously during that time, M.L. knows what foods or factors cause symptoms, and is able to generally avoid them; hence, he has not had reflux esophagitis in over a year. A 24-hour diet history reveals M.L. ate these foods yesterday: Breakfast: Skipped
Snack: Fresh pear; instant oatmeal made with water, eaten with brown sugar and two non-dairy creamers; skim milk
Lunch: Lean turkey lunch meat on whole-grain bread with lettuce, tomato, and mustard; 100% grape juice diluted with water; snack pack of carrots, no dressing
Snack: Sugar cookies; skim milk
Dinner: Tempura (deep-fried, breaded) salmon; buttered rice; salad with lettuce and tomato; vinegar and oil dressing; water
Snack, at bedtime: Ginger ale and ginger snap cookies
What outcome is M.L. at highest risk for because of his GERD?

Accepted Answer

A)  p ernicious anemia 
B)  a trophic gastritis 
C)  b leeding in the small intestine 
D)  B arrett's esophagus 
E)  o steomalacia

Question 17

Antimicrobial mouth rinses are the primary form of treatment for dental caries.

Accepted Answer

A) True 
 B)False

Question 18

What strategy would be most effective to suggest for management of GERD?

Accepted Answer

A)  Only drink liquids with meals. 
B)  Avoid gas-forming foods. 
C)  Eat large food portions. 
D)  Eat a peppermint candy after a meal. 
E)  Avoid alcohol.

Question 19

To prevent dumping syndrome, a patient should be advised to:

Accepted Answer

A)  limit the amount of fluid consumed with a meal . 
B)  avoid fiber-rich foods. 
C)  drink a cold beverage with each meal. 
D)  avoid lying down after eating. 
E)  avoid tight-fitting clothing.

Question 20

What food would be most likely to contribute to dental caries?

Accepted Answer

A)  raw carrots 
B)  milk 
C)  dried fruit 
D)  cheese 
E)  tuna

Exam 17: Nutrition and Upper Gastrointestinal Disorders

Nursing Exam Review The nurse is reinforcing the dietitian's instructions for a post-gastrectomy diet. The nurse realizes the client understands his diet when he states that he should:

Nursing Exam Review The nurse is reviewing a patient's chart and notices that the patient has a history of Sjögren's syndrome. The nurse recognizes that the patient may have nutritional problems due to:

General discomfort in the upper abdominal area with complaints of stomach pain, gnawing sensations, fullness, nausea, and bloating is descriptive of:

Nursing Exam Review A patient experiences nausea, vomiting, abdominal cramping, diarrhea, and lightheadedness after meals following gastric bypass surgery. The nurse recognizes these as symptoms of:

Nursing Exam Review The nurse recognizes that a patient with peptic ulcer disease should avoid foods that may irritate the gastrointestinal lining, such as:

Define dysphagia and explain the dietary treatment for this disorder.

A condition in which a portion of the stomach protrudes above the diaphragm is known as:

Nursing Exam Review A nurse is working with a patient who is suffering from dysphagia. The most appropriate foods the nurse can suggest might be:

Nursing Exam Review The nurse understands that a patient with GERD will benefit from education on managing the disease. What suggestion should be included in the nurse's teaching?

What condition would most likely contribute to development of GERD?

Clinical studies indicate that the gastric banding procedure is more effective and has fewer long-term complications than gastric bypass surgery.

Even occasional vomiting can cause esophagitis and fluid and electrolyte imbalances and may require medical care.

A major factor associated in the development of both gastritis and peptic ulcer disease is:

Xerostomia is a side effect of many medications and can make speaking and swallowing more difficult.

Antimicrobial mouth rinses are the primary form of treatment for dental caries.

What strategy would be most effective to suggest for management of GERD?

To prevent dumping syndrome, a patient should be advised to:

What food would be most likely to contribute to dental caries?