Deck 22: Assessing Nutrition

Question 1

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

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

Answer 1

Whole wheat toast, strawberry jam, and tofu

Question 2

Which female patient requires the least amount of dietary protein?

A) 23-year-old pregnant woman
B) 40-year-old secretary
C) 19-year-old breastfeeding woman
D) 35-year-old weightlifter

Answer 2

40-year-old secretary

Question 3

Which patient would benefit the most from a nutritional assessment?

A) Weight less than 85% of ideal body weight
B) Intentional weight loss greater than 10 pounds
C) Weight more than 120% of the ideal body weight
D) Serum albumin concentration greater than 3.5 g/dL

Answer 3

Weight more than 120% of the ideal body weight

Question 4

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

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

Which is a characteristic of malnutrition?

A) Nutrient deficit
B) Nutrient excess
C) Low protein intake
D) All of the above

Question 6

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

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 7

Which nutritional deficit is associated with dementia?

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

Question 8

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?

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

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?

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

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

Question 11

Which nutritional deficit is associated with sudden cardiac death?

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

Question 12

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

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

Question 13

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?

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

Question 14

Which individual is at greatest risk for dehydration?

A) 2-month-old
B) 5-year-old
C) 15-year-old
D) 25-year-old

Question 15

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

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 16

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?

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 17

Nonprescription and prescription medications may affect nutrition in which ways?

A) Increase appetite
B) Decrease appetite
C) Affect absorption
D) All of the above

Question 18

Which question is appropriate for the nurse to ask the patient during a focused nutritional health history interview?

A) "Do you have regular social interaction?"
B) "What is the most that you have ever weighed?"
C) "Do you have any cultural influences that may affect your dietary practices?"
D) "Are your social relationships satisfying or stressful?"

Question 19

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?

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 20

The nurse is conducting a health history interview during a nutritional assessment. Which question is appropriate when conducting the psychosocial profile?

A) "What is your typical daily diet?"
B) "Are you constipated?"
C) "Do you have diarrhea?"
D) "How much caffeine do you consume each day?"

Question 21

The nurse is conducting a nutritional assessment for an adult patient. Which finding places the patient at risk for malnutrition?

A) Stress
B) Exercise
C) Employment status
D) Marital status

Question 22

The nurse is assessing the patient's psychosocial profile during the health history portion of the nutritional assessment. Which questions are appropriate for the nurse to ask this patient? Select all that apply.

A) "How many hours of sleep do you get each night?"
B) "Do you smoke?"
C) "Do you drink alcohol?"
D) "Are you constipated?"
E) "Do you have frequent allergies?"

Question 23

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

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

Question 24

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

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

Question 25

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

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 26

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

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

Question 27

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

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?"

Question 28

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

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 29

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

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 30

During a physical assessment the nurse notes that the patient has low blood pressure. Which is a possible cause for this clinical manifestation?

A) Fluid overload
B) High sodium intake
C) Dehydration
D) Obesity