Question 1

The nurse recommends to a patient who desires weight reduction to engage in a minimum of ______ minutes of exercise most days of the week.

Accepted Answer

30
Physical exercise of moderate intensity for 30 to 60 minutes most days of the week is an effective support to weight reduction.

Question 2

A patient who underwent surgery has an order to begin a clear liquid diet and can be offered:

Accepted Answer

A)  tea with milk. 
B)  Jell O. 
C)  cream soup. 
D)  fruit sherbet. 
A)  tea with milk. 
B)  Jell O. 
C)  cream soup. 
D)  fruit sherbet. B

Question 3

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

atherosclerosis
Excessive intake of saturated and trans fat leads to the development of fatty deposits being laid down in the walls of the blood vessels called atherosclerosis.

Question 4

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:

Accepted Answer

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

Question 5

A nurse giving a bolus feeding through a nasogastric tube with a syringe would: (Select all that apply.)

Accepted Answer

A)  pull up 50 mL of formula in the syringe. 
B)  lower the head of the bed to flat position. 
C)  allow feeding to flow in by gravity. 
D)  flush the tube with 50 mL of water. 
E)  check the position of the tube. 
A)  pull up 50 mL of formula in the syringe. 
B)  lower the head of the bed to flat position. 
C)  allow feeding to flow in by gravity. 
D)  flush the tube with 50 mL of water. 
E)  check the position of the tube.

Question 6

A nurse caring for a patient with bulimia nervosa should add to the care plan to assess for:

Accepted Answer

A)  hiding food in napkins or under plate. 
B)  inducing self to vomit. 
C)  refusing to eat. 
D)  flushing food down commode. 
A)  hiding food in napkins or under plate. 
B)  inducing self to vomit. 
C)  refusing to eat. 
D)  flushing food down commode.

Question 7

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

Question 8

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

Question 9

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

Question 10

Fluid overload is suspected in an 82-year-old patient who is receiving total parenteral nutritional (TPN) therapy when the nurse assesses: (Select all that apply.)

Accepted Answer

A)  excessive urine output. 
B)  increased pulse rate. 
C)  dyspnea. 
D)  hyperactive bowel sounds. 
E)  complaint of headache. 
A)  excessive urine output. 
B)  increased pulse rate. 
C)  dyspnea. 
D)  hyperactive bowel sounds. 
E)  complaint of headache.

Question 11

A patient who is on a low cholesterol diet verbalizes that he enjoys eating meats and does not intend to stop. The nurse's most helpful response would be, "You can enjoy your meat if you will concentrate on such meats as:

Accepted Answer

A)  broiled sirloin steak." 
B)  fried catfish." 
C)  baked turkey breast." 
D)  sausage patties." 
A)  broiled sirloin steak." 
B)  fried catfish." 
C)  baked turkey breast." 
D)  sausage patties."

Question 12

The correct anatomic landmarks to follow when inserting a nasogastric tube is to measure from the _______________ to the ________________ and then to the ________________.

Accepted Answer

tip of the nose; tip

Question 13

An outpatient clinic nurse assesses a blood glucose level of 75 mg/dL in a patient who has been on a low carbohydrate diet for the last 10 days. The nurse should:

Accepted Answer

A)  notify the physician about the ineffectiveness of the diet. 
B)  document the finding. 
C)  suggest a moderate increase carbohydrate intake. 
D)  arrange a dietician consultation to discuss a more effective diet. 
A)  notify the physician about the ineffectiveness of the diet. 
B)  document the finding. 
C)  suggest a moderate increase carbohydrate intake. 
D)  arrange a dietician consultation to discuss a more effective diet.

Question 14

A nurse is instructing a family member who will be caring for a patient receiving enteral feedings after discharge to home. The nurse would emphasize:

Accepted Answer

A)  taping the gastrostomy tube so that it does not hang lower than the stomach. 
B)  discarding unused opened refrigerated formula after 3 to 4 days. 
C)  administering tube feedings while they are still cold from the refrigerator. 
D)  mixing all medications together for administration at the same time. 
A)  taping the gastrostomy tube so that it does not hang lower than the stomach. 
B)  discarding unused opened refrigerated formula after 3 to 4 days. 
C)  administering tube feedings while they are still cold from the refrigerator. 
D)  mixing all medications together for administration at the same time.

Question 15

The nurse caring for a patient receiving enteral feedings would assess for tolerance of the feeding by monitoring:

Accepted Answer

A)  for gastric tube patency. 
B)  for duodenal tube patency. 
C)  for abdominal distention. 
D)  the rate of the feeding. 
A)  for gastric tube patency. 
B)  for duodenal tube patency. 
C)  for abdominal distention. 
D)  the rate of the feeding.

Question 16

A nurse positions a patient for the insertion of a nasogastric (NG) tube by:

Accepted Answer

A)  turning the patient to a right side lying position. 
B)  sitting the patient upright and hyperextending the patient's head. 
C)  lowering the head of the bed to a flat position. 
D)  raising the head of the bed to 30 degrees. 
A)  turning the patient to a right side lying position. 
B)  sitting the patient upright and hyperextending the patient's head. 
C)  lowering the head of the bed to a flat position. 
D)  raising the head of the bed to 30 degrees.

Question 17

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

Accepted Answer

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

Question 18

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. 
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 19

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

Question 20

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. 
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.

Exam 27: Nutritional Therapy and Assisted Feeding

The nurse recommends to a patient who desires weight reduction to engage in a minimum of ______ minutes of exercise most days of the week.

A patient who underwent surgery has an order to begin a clear liquid diet and can be offered:

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 ____________.

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:

A nurse giving a bolus feeding through a nasogastric tube with a syringe would: (Select all that apply.)

A nurse caring for a patient with bulimia nervosa should add to the care plan to assess for:

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

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

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

Fluid overload is suspected in an 82-year-old patient who is receiving total parenteral nutritional (TPN) therapy when the nurse assesses: (Select all that apply.)

A patient who is on a low cholesterol diet verbalizes that he enjoys eating meats and does not intend to stop. The nurse's most helpful response would be, "You can enjoy your meat if you will concentrate on such meats as:

The correct anatomic landmarks to follow when inserting a nasogastric tube is to measure from the _______________ to the ________________ and then to the ________________.

An outpatient clinic nurse assesses a blood glucose level of 75 mg/dL in a patient who has been on a low carbohydrate diet for the last 10 days. The nurse should:

A nurse is instructing a family member who will be caring for a patient receiving enteral feedings after discharge to home. The nurse would emphasize:

The nurse caring for a patient receiving enteral feedings would assess for tolerance of the feeding by monitoring:

A nurse positions a patient for the insertion of a nasogastric (NG) tube by:

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

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

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

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.)

Nursing and the Health Care System

Concepts of Health, Illness, Stress, and Health Promotion

Legal and Ethical Aspects of Nursing

The Nursing Process and Critical Thinking

Assessment, Nursing Diagnosis, and Planning

Implementation and Evaluation

Documentation of Nursing Care

Communication and the Nurse Patient Relationship

Patient Education and Health Promotion

Delegation, Leadership, and Management

Growth and Development: Infancy Through Adolescence

Adulthood and the Family

Promoting Healthy Adaptation to Aging

Cultural and Spiritual Aspects of Patient Care

Loss, Grief, and End-of-Life Care

Infection Prevention and Control: Protective Mechanisms and Asepsis

Infection Prevention and Control in the Hospital and Home

Safe Lifting, Moving, and Positioning of Patients

Assisting with Hygiene Personal Care Skin Care and the Prevention of Pressure Ulcers

Patient Environment and Safety

Measuring Vital Signs

Assessing Health Status

Admitting Transferring and Discharging Patients

Diagnostic Tests and Specimen Collection

Fluid, Electrolyte, and Acid-Base Balance

Concepts of Basic Nutrition and Cultural Considerations

Assisting with Respiration and Oxygen Delivery

Promoting Urinary Elimination

Promoting Bowel Elimination

Pain Comfort and Sleep

Complementary and Alternative Therapies

Pharmacology and Preparation for Drug Administration

Administering Oral, Topical, and Inhalant Medications

Administering Intradermal, Subcutaneous, and Intramuscular Injections

Administering Intravenous Solutions and Medications

Care of the Surgical Patient

Providing Wound Care and Treating Pressure Ulcers

Promoting Musculoskeletal Function

Common Physical Care Problems of the Older Adult

Common Psychosocial Care Problems of Older Adults

Filters

The correct anatomic landmarks to follow when inserting a nasogastric tube is to measure from the _ to the and then to the __.