RNSG 1430 NUTRITION PRACTICE QUESTIONS – Weatherford College | RNSG1430 NUTRITION PRACTICE QUESTIONS

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RNSG 1430 NUTRITION PRACTICE QUESTIONS – Weatherford College RNSG 1430 NUTRITION PRACTICE QUESTIONS 1. Which client statement indicates a good understanding of the nutritional modifications nee... ded to manage hypertension? 2. Diet therapy for clients diagnosed with irritable bowel syndrome (IBS) includes: 3. Which is a correct rationale for encouraging a client with otitis externa to eat soft foods? 4. The nurse has observed that a client's food intake has diminished in recent days. What intervention should the nurse perform in order to stimulate the client's appetite? 5. At what period of life do nutrient needs stabilize? 6. A client reports she has lactose intolerance and questions the nurse about alternative sources of calcium. What options can be provided by the nurse? 7. A client has just had abdominal surgery, and the nurse is consulting with him about his diet now that he is allowed to eat. Which nutrient is most important for wound healing? 8. A 47-year-old client has been admitted to the hospital after being found unconscious in a park. Upon regaining consciousness, the client admits to heavy alcohol use over many years. Assessment reveals a low body mass index, low electrolyte levels, and impaired skin integrity. Vital signs are within normal ranges. What nursing diagnosis should be prioritized in the care of this client? 9. A mother takes her 4-month-old to the doctor for a visit. She asks the nurse what type of baby cereal she should buy now that her child is starting solid foods. How should the nurse respond? 10. Kate and her parents are being seen in the office after discharge from the hospital with a new diagnosis of type 2 diabetes. Which statement by the nurse is true? 11. The nurse is administering a gavage feeding through a nasogastric feeding tube. Which nursing intervention is the highest priority? 12. An infant is to have a scalp-vein intravenous infusion begun. What is an advantage of this insertion site? 13. The student nurse is with a client who is listening to a dietitian emphasize the need for adequate nutrition. The dietitian is reviewing the functions of enzymes. Based on the information provided, what would be the best explanation by the dietitian to the client and student nurse about the functions of enzymes? 14. A client has been recently diagnosed with type 2 diabetes, and reports continued weight loss despite increased hunger and food consumption. This condition is called: 15. What is the priority intervention for a client who has been admitted repeatedly with attacks of gout? 16. A client from a minority culture has been hospitalized for 6 days for postoperative infection. The client's weight is decreasing each day, and the nutritional intake is declining. Which nutritional assessment question is most appropriate? 17. Vitamin D, officially classified as a vitamin, functions as a hormone in the body. What other hormone is necessary in the body for vitamin D to work? 18. Review the following four examples of ideal body weight (IBW), actual weight, and body mass index (BMI). Using three criteria for each example, select the body weight that indicates morbid obesity. 19. A client comes to the emergency department reporting becoming very ill after consuming shrimp and lobster. How will the nurse document this condition? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - a- - - - - - - - - - - - - - - - - - - - - - 61. A nurse is calculating the body mass index of a 35-year-old male patient who is extremely obese. The patient’s height is 5’6” and his current weight is 325 lbs. What would the nurse document as his BMI? a. 50.5 b. 52.4 c. 54.5 d. 55.2 62. A nurse is evaluating a patient following the administration of an enteral feeding. Which findings are normal and are criteria that indicate patient tolerance to the feeding? Select all that apply. a. a. Absence of nausea, vomiting b. Weight gain c. Bowel sounds within normal range d. Large amount of gastric residue e. Absence of diarrhea and constipation f. Slight abdominal pain and distention 26. 63. A nurse is feeding an older adult patient who has dementia. Which intervention should the nurse perform to facilitate this process? a. Stroke the underside of the patient’s chin to promote swallowing. b. Serve meals in different places and at different times. c. Offer a whole tray of various foods to choose from. d. Avoid between-meal snacks to ensure hunger at mealtime. 64. A patient who has COPD is refusing to eat. Which intervention would be most helpful in stimulating appetite in this patient? a. Administering pain medication after meals. b. Encouraging food from home when possible. c. Scheduling his respiratory therapy before each meal. d. Reinforcing the importance of his eating exactly what is delivered to him. 26. 65. A nurse is feeding a patient who is experiencing dysphagia. Which nursing intervention would the nurse initiate for this patient? a. a. Feed the patient solids first and then liquids last. b. Place the head of the bed at a 30-degree angle during feeding. c. Puree all foods to a liquid consistency. d. Provide a 30-minute rest period prior to mealtime. 26. 66. A nurse is evaluating patients to determine their need for parenteral nutrition (PN). Which patients would be the best candidates for this type of nutritional support? Select all that apply. a. A patient with irritable bowel syndrome who has intractable diarrhea b. A patient with celiac disease not absorbing nutrients from the GI tract c. A patient who is underweight and needs short-term nutritional support d. A patient who is comatose and needs long-term nutritional support e. A patient who has anorexia and refuses to take foods via the oral route f. A patient with burns who has not been able to eat adequately for 5 days 26. 67. A nurse is feeding a patient who states that she is feeling nauseated and can’t eat what is being offered. What would be the most appropriate initial action of the nurse in this situation? a. a. Remove the tray from the room. b. Administer an antiemetic and encourage the patient to take small amounts. c. Explore with the patient why she does not want to eat her food. d. Offer high-calorie snacks such as pudding and ice cream. 26. 68. A patient has been admitted to the alcoholic referral unit in the local hospital. Based on an understanding of the effects of alcohol on the GI tract, which is a priority concern related to nutrition? a. Vitamin B malnutrition b. Obesity c. Dehydration d. Vitamin C deficiency 26. 69. A nurse is caring for a newly placed gastrostomy tube of a postoperative patient. Which nursing action is performed correctly? a. The nurse dips a cotton-tipped applicator into sterile saline solution and gently cleans around the insertion site. b. The nurse wets a washcloth and washes the area around the tube with soap and water. c. The nurse adjusts the external disk every 3 hours to avoid crusting around the tube. d. The nurse tapes a gauze dressing over the site after cleansing it. 26. 70. A nurse is assessing a patient who has been NPO (nothing by mouth) prior to abdominal surgery. The patient is ordered a clear liquid diet for breakfast, to advance to a house diet as tolerated. Which assessments would indicate to the nurse that the patient’s diet should not be advanced? a. a. The patient consumed 75% of the liquids on her breakfast tray. b. The patient tells you she is hungry. c. The patient’s abdomen is soft, nondistended, with bowel sounds. d. The patient reports fullness and diarrhea after breakfast. 26. 71. A patient who is moved to a hospital bed following throat surgery is ordered to receive continuous tube feedings through a small-bore nasogastric tube. Following placement of the tube, which nursing action would the nurse initiate to ensure correct placement of the tube? a. a. Auscultate the bowel sounds. b. Measure the gastric aspirate pH. c. Measure the amount of residual in the tube. d. Obtain an order for a radiographic examination of the tube. 26. 72. Which nursing diagnosis would be most appropriate for a patient with a body mass index (BMI) of 18? a. Risk for Imbalanced Nutrition: More Than Body Requirements b. Imbalanced Nutrition: More Than Body Requirements c. Readiness for Enhanced Nutrition d. Imbalanced Nutrition: Less Than Body Requirements 26. 73. A nurse nutritionist is collecting assessment data for a patient who complains of “tiredness” and appears malnourished. The nurse orders tests for hemoglobin and hematocrit. What condition might these tests confirm? a. Malabsorption b. Anemia c. Protein depletion d. Reduction in total muscle mass 26. 74. A nurse is administering a tube feeding for a patient who is post bowel surgery. When attempting to aspirate the contents, the nurse notes that the tube is clogged. What would be the nurse’s next action following this assessment? a. Use warm water or air and gentle pressure to remove the clog. b. Use a stylet to unclog the tubes. c. Administer cola to remove the clog. d. Replace the tube with a new one. 26. 75. A nurse performs presurgical assessments of patients in an ambulatory care center. Which patient would the nurse report to the surgeon as possibly needing surgery to be postponed? a. A 19-year-old patient who is a vegan b. An older adult patient who takes daily nutritional drinks c. A 43-year-old patient who takes ginkgo biloba and an aspirin daily d. An infant who is breastfeeding [Show More]

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