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    Exam Review

    1. A nurse in a provider's office is caring for a client. Exhibits The client is at greatest risk for developing ▾ anemiaand▾ hypertension
      Dropdown 1:
      Option 1: hyperthyroidism
      Option 2: malnutrition
      Option 3: anemia
      Option 4: leukemia
      Option 5: hypertension
      Dropdown 2:
      Option 1: hyperthyroidism
      Option 2: malnutrition
      Option 3: anemia
      Option 4: leukemia
      Option 5: hypertension
    2. A nurse on an oncology unit is caring for a client. Exhibits Complete the following sentence by using the lists of options. The nurse should recognize the client is most likely experiencing ▾ radiation gastroenteritisas evidenced by▾ Steatorrhea
      Dropdown 1:
      Option 1: Malabsorption syndrome
      Option 2: Tumor lysis syndrome
      Option 3: radiation gastroenteritis
      Dropdown 2:
      Option 1: Steatorrhea
      Option 2: Metallic taste
      Option 3: Constipation
    3. A nurse in a clinic is caring for a client. Exhibits
      (Highlight — findings requiring follow-up are marked)

      A nurse in a clinic is caring for a client.

      Exhibits

      Click to highlight the findings that require follow-up by the nurse. To deselect a finding, click on the finding again.

      <div id="highlights">

      Nurses' Notes

      5 years old:

      Preschooler unable to bear weight on legs when walking. Preschooler in office for physical examination. Family recently returned to the area after living in a rural area for the past 5 years. The parent states the preschooler is a very picky eater. The preschooler refuses all dairy products and only agrees to eat chicken nuggets. The preschooler is alert and active. Respirations clear bilaterally. Heart rate and rhythm regular. Abdomen soft, nontender. Legs are bowed bilaterally.

      Laboratory Results

      5 years old:

      Vitamin D 5 ng/mL (25 to 80 ng/mL)

      </div>

    4. A nurse on a medical-surgical unit is caring for a client. Exhibits Select the 5 client statements that indicate an understanding of the discharge teaching on nutrition.
      (SATA)
      A)
      "I should drink about 80 ounces of fluid per day."
      B)
      "I should eat a source of protein at each meal and snack."
      C)
      "I should chew my food thoroughly."
      D)
      “I should take an over-the-counter antidiarrheal medication if my stools are semiliquid."
      E)
      "I will have trouble digesting food due to the colostomy."
      F)
      “I should eat 4 to 6 small meals per day."
      G)
      "I should eat high-fiber foods."
      H)
      “I should eat nuts for the first 2 weeks following surgery as a source of fiber."
    Page 1 of 17

    Exam Review

    1. A nurse is caring for a client at a provider's office. Exhibits Select 4 statements the nurse should plan to include when providing teaching to the client.
      (SATA)
      A)
      "Small frequent snacks can help prevent a drop in glucose."
      B)
      "Make sure to hydrate with your meals."
      C)
      "It is okay if you need to skip some meals."
      D)
      "Hard candy is an appropriate snack."
      E)
      "Consume large meals to provide adequate calories."
      F)
      "Ginger tea may help settle your stomach."
      G)
      "Eat crackers before getting out of bed in the morning."
    2. A nurse is planning care for a client who had a stroke and is having difficulty eating. Which of the following interventions should the nurse include in the plan?
      A)
      Place the head of the client's bed to 30° for meals.
      B)
      Encourage the client to chew on both sides of their mouth.
      C)
      Describe food locations as if the client's plate were a clock.
      D)
      Provide the client with wide-grip adaptive utensils.
    3. A nurse is caring for a client who is receiving chemotherapy treatments. The client states, "I feel so nauseated after my treatments." Which of the following instructions should the nurse provide the client? (Select all that apply.)
      (SATA)
      A)
      Limit use of antiemetics until after first emesis.
      B)
      Sit up for 1 hr after eating meals.
      C)
      Eat foods low in carbohydrates.
      D)
      Sip fluids shyly throughout the day.
      E)
      Consume foods that are served cold.
    4. A nurse is teaching a client who has dysphagia. Which of the following instructions should the nurse include
      A)
      "Tilt your chin up when swallowing."
      B)
      "Clear your mouth with fluids after swallowing."
      C)
      "Rest for 30 minutes before eating."
      D)
      "Plan to eat three large meals a day."
    Page 2 of 17

    Exam Review

    1. A nurse is teaching a client who reports wanting to lose weight about behavioral modifications. Which of the following statements should the nurse include in the teaching?
      A)
      "Make sure to drink water with your meals."
      B)
      "Meal replacement shakes can cause weight gain."
      C)
      “Your biggest meal of the day should be breakfast."
      D)
      "Set your weight loss goal to 2.5 pounds per week."
    2. A nurse is providing teaching to a client who recently had a hemoglobin A1c level obtained. Which of the following statements should the nurse include in the teaching?
      A)
      "This lab measures your average blood glucose over a 3-month period."
      B)
      "An increase in your hemoglobin A1c level indicates glycemic control."
      C)
      "This lab value is a good indicator of short-term nutritional status."
      D)
      "You will need to fast before getting this test."
    3. A nurse in a long-term care facility is implementing a nutrition plan for a client who is at risk for malnutrition. Which of the following actions should the nurse include in the plan? (Select all that apply.)
      A)
      Administer antiemetics following the meal.
      B)
      Provide mouth care before feeding.
      C)
      Assess for pain prior to mealtime.
      D)
      Remove the bedpan from the client's sight.
      E)
      Discourage snacks between meals.
    4. A nurse is caring for a client who had a stroke and is drooling. Which of the following actions should the nurse take first?
      A)
      Offer the client thickened liquids to drink.
      B)
      Monitor the client for indications of fatigue during meals.
      C)
      Check the client's gag reflex.
      D)
      Monitor the client's ability to speak consistently.
    Page 3 of 17

    Exam Review

    1. A nurse is teaching a client who has hyperlipidemia and a new prescription for atorvastatin. The nurse should instruct the client to avoid which of the following foods?
      A)
      Grapefruit
      B)
      Coffee
      C)
      Milk
      D)
      Oatmeal
    2. A nurse is updating a plan of care for a client who has a new prescription for a calorie count. Which of the following interventions should the nurse Include?
      A)
      Record between-meal snacks on the calorie count form.
      B)
      Begin the calorie count with the client's next evening meal.
      C)
      Exclude liquids in the total calorie count.
      D)
      Complete the calorie count for a 5-day period.
    3. A nurse is planning care for a client who is to have a mechanically altered diet following a stroke. Which of the following foods should the nurse recommend to include in the client's diet? (Select all that apply.)
      A)
      Ground meat
      B)
      Raw broccoli
      C)
      Strawberries
      D)
      Mashed potatoes
      E)
      Ice cream
    4. A nurse is planning care for a client who has anorexia nervosa. Which of the following actions should the nurse include in the plan?
      A)
      Offer the client a selection of beverages at each meal.
      B)
      Inform the client that a weight gain of 2.3 kg (5 lb) per week is expected.
      C)
      Arrange for someone to remain with the client for 30 min after meals.
      D)
      Encourage the client to participate in developing dietary goals.
    Page 4 of 17

    Exam Review

    1. A nurse is caring for a client who has diabetes mellitus and is experiencing a mild hypoglycemic reaction. Which of the following snacks should the nurse offer the client that contains 15 g of carbohydrates?
      A)
      120 mL (4 oz) sugar-free soda
      B)
      Three saltine crackers
      C)
      120 mL (4 oz) fruit juice
      D)
      Three pieces of hard candy
    2. A nurse is providing teaching about food allergies to the parents of a toddler. Which of the following foods should the nurse identify as the highest risk for allergies in toddlers?
      A)
      Eggs
      B)
      Milk
      C)
      Citrus fruits
      D)
      Bananas
    3. A nurse is providing education to adolescents about healthy food choices. A cookie has 2 g of protein, 12 g of fat, and 30 g of carbohydrates. How many calories does the cookie contain? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    4. A nurse is caring for a client who has dysphagia. Which of the following actions should the nurse take to reduce the risk for aspiration?
      A)
      Place the client in semi-Fowler's position.
      B)
      Encourage the client to drink a small amount of water after each bite.
      C)
      Offer the client liquids with a syringe during meals.
      D)
      Instruct the client to tuck their chin to their chest before swallowing.
    Page 5 of 17

    Exam Review

    1. A nurse is teaching a client who is receiving enteral nutrition via bolus feedings. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      "I do not need a pump to administer my feedings."
      B)
      "I should administer the formula at a cold temperature."
      C)
      "I should advance the rate of my feedings slowly."
      D)
      will administer my feedings at a constant rate over 24 hours."
    2. A nurse is providing teaching to an adolescent client who has cystic fibrosis and reports increased fatigue and weight loss. Which of the following Instructions should the nurse include in the teaching?
      A)
      “Include supplemental pancreatic enzymes with snacks."
      B)
      “Avoid taking water-soluble vitamins with pancreatic enzymes."
      C)
      "Adjust pancreatic enzymes to achieve three to four stools per day."
      D)
      "Decrease pancreatic enzymes when eating high-fat meals."
    3. A nurse is assessing a male client who began receiving total parenteral nutrition 24 hr ago. Which of the following findings should indicate to the nurse the client is experiencing a complication?
      A)
      Elevated erythrocyte sedimentation rate (ESR)
      B)
      Increased bilirubin levels
      C)
      Guaiac fecal occult blood test positive
      D)
      Weight gain 1.6 kg (3.5 lb)
    4. A nurse is planning eating strategies with a client who has nausea from equilibrium imbalance. Which of the following strategies should the nurse recommend?
      A)
      Encourage the client to eat even if nauseated.
      B)
      Provide low-fat carbohydrates with meals.
      C)
      Limit fluid intake between meals.
      D)
      Serve hot foods at mealtime.
    Page 6 of 17