NursGuru

    Exam Review

    1. An adult female client arrives at the clinic for an annual physical exam expressing an interest in becoming pregnant and requests information about preventing neural tube defects during pregnancy. Which food should the nurse encourage the client to include in her diet?
      A)
      Asparagus
      B)
      Yogurt
      C)
      Chicken
      D)
      Cashews
    2. A client tells the home health nurse about being very health-conscious and primarily buying groceries at health food stores and farmers' markets. It is most important for the nurse to provide the client with information related to the safety of which of the foods that the client might purchase?
      A)
      Range-fed beef
      B)
      Unpasteurized milk
      C)
      Organically grown fruits
      D)
      Wheat germ
    3. A malnourished child is receiving several nutritional supplements. Which statement by the child indicates that an adequate amount of Vitamin A is being provided?
      A)
      "My tummy seems so much smaller now."
      B)
      "I can see at night when I wake up now."
      C)
      "The bruises on my arms are all gone."
      D)
      "My feet don't tingle like they used to."
    4. The nurse is helping develop a meal plan based on nutritional guidelines for an older adult client being discharged to home with the client's spouse. Which statement by the client and spouse best indicates an understanding of the nutritional guidelines when planning meals?
      A)
      Dietary needs for older adults over and under age 70 are different.
      B)
      Age is not a factor in determining dietary needs for older adults.
      C)
      Nutritional meal planning for older adults should only be planned by a dietitian.
      D)
      Socioeconomics should not be an issue in planning nutritional meals for older adults.

    Exam Review

    1. A client who is taking an antibiotic develops diarrhea. As the client resumes a regular diet, the nurse offers yogurt and buttermilk, but also observes that the client has several small bruises. Which additional dietary change should the nurse offer?
      A)
      Reduced cholesterol and fats.
      B)
      Potassium-rich fruits.
      C)
      Increased proteins rich in iron.
      D)
      Foods rich in Vitamin K.
    2. The nurse is preparing to review nutritional guidelines with older adult clients. Which action should the nurse recommend to this age group?
      A)
      Add aromatic seasonings to improve taste.
      B)
      Drink a glass of water with every meal.
      C)
      Consume primarily soft mechanical foods.
      D)
      Take rest periods in between meals.
    3. One day following the delivery of her first child, an Asian American client refuses to eat the food on her dinner tray, reporting that the foods provided are "cold foods." Which intervention should the nurse implement first?
      A)
      Ask the client about her nutritional preferences and beliefs.
      B)
      Teach the client the importance of a well-balanced diet.
      C)
      Place the client's tray in the microwave and heat it to a hotter temperature.
      D)
      Request the dietary unit bring a new tray and provide it prior to the food getting cold.
    4. A client who reports frequent indigestion asks the nurse if using an herbal preparation of peppermint might help alleviate the indigestion. Which response should the nurse do first?
      A)
      Review the client's dietary intake that may precipitate the indigestion episodes.
      B)
      Ask the client about medical problems that could possibly cause indigestion.
      C)
      Refer the client to the dietitian for information on other herbal supplements.
      D)
      Validate the client's consideration of mint products for minimizing indigestion.

    Exam Review

    1. A client wants to increase intake of Vitamin E. Which snack should the nurse encourage?
      A)
      Fresh orange slices.
      B)
      Frozen yogurt.
      C)
      Cheese and crackers.
      D)
      Sunflower seeds.
    2. The nurse is assessing the nutritional status of several clients. Which client has the greatest risk for health problems related to nutritional deficits?
      A)
      An 89-year-old stroke victim with a fractured hip and dysphagia.
      B)
      An obese 42-year-old male admitted for a hernia repair.
      C)
      A woman at 4-weeks gestation suffering from morning sickness.
      D)
      A 6-year-old who had a tonsillectomy yesterday.
    3. A 5'3" (1.6 m), 113 lb (51.3 kg) client has a lipid profile of a total cholesterol of 267 mg/dL (6.92 mmol/L), an LDL of 167 mg/dL (4.33 mmol/L), an HDL of 85 mg/dL (2.2 mmol/L), triglycerides 79 mg/dL (0.89 mmol/L), and a VLDL of 16 mg/dL (0.41 mmol/L). Based on these findings, it is most important for the nurse to teach the client to make every effort to completely avoid which foods?
      A)
      Eggs.
      B)
      Nuts.
      C)
      Cheese.
    4. The nurse is planning food selections with a client who has moderate hyponatremia. Which food choice should the nurse recommend to this client?
      A)
      Lettuce and tomato salad.
      B)
      Ham and cheese sandwich.
      C)
      Baked sweet potato.
      D)
      Fruit salad with bananas.
      E)
      Fruit salad with bananas.

    Exam Review

    1. A client who has a body mass index (BMI) of 30 kg/m² (normal 18.0 to 24.9 kg/m²) is requesting information on the initial approach to a weight loss plan. Which action should the nurse recommend?
      A)
      Keep a record of food and drinks consumed daily.
      B)
      Participate in a group exercise class 3 times a week.
      C)
      Engage in strenuous activity for an hour daily.
      D)
      Plan low carbohydrate and high protein meals.
    2. The nurse is planning a nutritional class for adequate daily intake of water. Which population of clients should drink the most amount of water to remain adequately hydrated?
      A)
      Adolescent females who are menstruating.
      B)
      Clients who are between the ages of 19 and 64 years old.
      C)
      Older adult clients who are receiving dialysis twice a week.
      D)
      Lactating mothers who are breastfeeding.
    3. A client is discharged from the intensive care unit following a myocardial infarction, and the healthcare provider prescribes a low-sodium diet. Which lunch selection indicates to the nurse that this client understands the dietary restrictions?
      A)
      Macaroni and cheese.
      B)
      Bacon, lettuce, and tomato sandwich.
      C)
      Turkey salad sandwich.
      D)
      Clam chowder.
    4. A client with glomerulonephritis is preparing for discharge and asks the nurse which kind of diet to follow upon returning home. Which dietary teaching should the nurse include in the discharge instructions?
      A)
      Eat a high-protein diet three times a day.
      B)
      Restrict sodium-rich foods and excessive oral fluids.
      C)
      Avoid foods high in potassium.
      D)
      Follow a low-carbohydrate diet with low glycemic index foods.

    Exam Review

    1. A client who is overweight tells the nurse of plans to monitor the glycemic index of foods the client eats to ensure an adequate intake of vitamins and nutrients while trying to lose weight. Which action should the nurse implement?
      A)
      Encourage the client to talk about reasons for desiring to lose weight.
      B)
      Ask if using the glycemic index has helped the client stay on track with weight loss goals.
      C)
      Advise the client to seek medical supervision before using the glycemic index.
      D)
      Discuss the benefits and limitations of using the glycemic index.
    2. The nurse is caring for an older adult client who needs to limit sodium intake. Which food should the nurse encourage the client to avoid?
      A)
      Bananas.
      B)
      Broccoli.
      C)
      Ground sirloin.
      D)
      Cottage cheese.
    3. A client has a serum sodium level of 155 mEq/L (155 mmol/L). The nurse should encourage the client to make which selection from the lunch menu?
      A)
      Bacon, lettuce, and tomato sandwich, grapes, and skim milk.
      B)
      Chicken salad on toast, fruit-flavored yogurt, and iced tea.
      C)
      Taco salad, refried beans, low-fat ice cream, and coffee.
      D)
      Canned cream of mushroom soup, tuna salad, and water.
    4. The nurse is caring for a client admitted with chronic kidney disease advancing to stage 4. The nurse should instruct the client to limit the ingestion of which type of foods?
      A)
      Apples and blueberries.
      B)
      Cherries and cranberries.
      C)
      Avocados and bananas.
      D)
      Carrots and green beans.

    Exam Review

    1. Which breakfast selection should the nurse encourage a client to eat who is hospitalized with partial-thickness and full-thickness burns to both legs?
      A)
      Whole wheat cereal with milk, bacon, and coffee.
      B)
      Bowl of hot oatmeal with milk, fruit, and lemon tea.
      C)
      Pancakes, bacon, fruit, and milk.
      D)
      Scrambled eggs, sausage, toast, and orange juice.
    2. A client expresses an interest in reducing intake of saturated fats and plans to stop eating hamburgers at lunch. Which menu item should the nurse suggest as an alternative source of protein?
      A)
      Salad greens with tomatoes.
      B)
      Roasted turkey sandwich.
      C)
      Baked potato with low-fat butter.
      D)
      One slice of cheese pizza.
    3. When conducting diet teaching for a client who has iron-deficiency anemia, which foods should the nurse encourage the client to eat? (Select all that apply.)
      A)
      Beans
      B)
      Cucumber
      C)
      Oranges
      D)
      Raisins
      E)
      Spinach
    4. The nurse is assessing an older female adult's client's nutritional status. Which finding indicates that the client has a nutritional deficiency? Reference Ranges: Hemoglobin [12 to 16 g/dl (120 to 160 g/L) Hematocrit 37% to 47% (0.37 to 0.47 volume fraction)] Albumin [3.5 to 5.0 g/dl (35 to 50 g/L)] Serum transferrin [250 to 380 mg/dl (2.5 to 3.80 g/L)
      A)
      Serum albumin of 3 g/dL (30 g/L) and serum transferrin of 180 mg/dL (18 g/L).
      B)
      Low weight as determined from a height/weight comparison chart.
      C)
      A hemoglobin (Hgb) of 11.8 g/dL (118 g/L) and hematocrit (Hct) of 34% (0.34).
      D)
      Decreased lean body mass compared to results of 10 years ago.