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    Exam Review

    1. A nurse is teaching about denture care to the partner of a client who is unable to perform oral hygiene. Which of the following should the nurse include in the teaching?
      A)
      Wipe dentures before storing them in a dry container at night.
      B)
      Wrap gloved fingers with gauze to remove dentures.
      C)
      Floss dentures as part of daily cleaning.
      D)
      Use a washcloth to clean the denture surfaces.
      E)
      None
      F)
      None
    2. A nurse is teaching a parent about recommended protein intake for a toddler. The nurse should identify that which of the following food selections is equivalent to 1 oz of protein?
      A)
      1 slice of bread
      B)
      2 tbsp peanut butter
      C)
      1 scrambled egg
      D)
      1/2 cup peas
    3. A nurse is caring for a client who is receiving a continuous NG tube feeding and is experiencing frequent diarrhea. Which of the following actions should the nurse take?
      A)
      Recommend a low-calorie formula.
      B)
      Chill formula before administration.
      C)
      Slow the rate of the feeding.
      D)
      Change the infusion tubing every 48 hr.
    4. A nurse is planning care for a client who is at risk for aspiration due to a stroke. When assisting the client during mealtime, which of the following actions should the nurse plan to take?
      A)
      Use a syringe to give the client fluids.
      B)
      Tilt the client's head forward when swallowing.
      C)
      Schedule physical therapy directly before mealtime.
      D)
      Encourage the client to complete the meal within 15 min.
    Page 1 of 17

    Exam Review

    1. A nurse is preparing to infuse 1,000 ml of a total parenteral nutrition solution IV over 24 hr. The nurse should set the IV pump to deliver how many ml/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:42 ml/hr
    2. A nurse is teaching a client who has diarrhea about replacement of fluid and electrolytes. Which of the following statements should the nurse include in the teaching?
      A)
      "Suck on sugar-free candy until you are able to eat."
      B)
      "Eat bananas when you are ready to add food to your diet."
      C)
      "Drink a cup of hot tea in the morning."
      D)
      "Sip on carbonated beverages."
    3. A nurse is teaching an in-service about manifestations of hypoglycemia to a group of newly licensed nurses. Which of the following should the nurse include in the teaching?
      A)
      Vomiting
      B)
      Blurred vision
      C)
      Kussmaul respirations
      D)
      Bradycardia
    4. A nurse is providing education to the partner of a client who has hepatic encephalopathy about a prescription for lactulose. Which of the following statements should the nurse make to the client's partner?
      A)
      "There should be a decrease in the number of bowel movements with this medication."
      B)
      "IV administration is the preferred route to give this medication."
      C)
      "This medication will treat the infection that is causing the confusion."
      D)
      "We will monitor the serum ammonia level to help determine if the medication is effective."
    Page 2 of 17

    Exam Review

    1. A nurse is teaching a group of clients about decreasing the use of saturated fats in cooking. The nurse should recommend which of the following dietary fats as having the lowest amount of saturated fat?
      A)
      Butter
      B)
      Palm oil
      C)
      Coconut oil
      D)
      Canola oil
    2. A nurse is providing dietary teaching about prevention of neural tube defects in the fetus to a client who is pregnant. Which of the following nutrients should the nurse recommend?
      A)
      Vitamin B12
      B)
      Calcium
      C)
      Magnesium
      D)
      Folate
    3. A nurse is caring for a client who reports she is having difficulty losing weight. Which of the following responses by the nurse is appropriate?
      A)
      "Set a goal and you will be able to attain it."
      B)
      "Eat small portions of the high-calorie foods first."
      C)
      "It is helpful to self-monitor your eating."
      D)
      "Taste food while cooking to help curb your appetite."
    4. A nurse is providing nutritional teaching to a client who has AIDS-related wasting syndrome. Which of the following instructions should the nurse include in the teaching?
      A)
      "Add butter to vegetables."
      B)
      "Avoid desserts made with eggs."
      C)
      Increase fluid intake with meals."
      D)
      "Prepare hot chocolate with water instead of milk."
    Page 3 of 17

    Exam Review

    1. A nurse is providing dietary teaching to a client who has diverticular disease. Which of the following food choices should the nurse recommend as having the highest fiber content?
      A)
      3 oz turkey
      B)
      1/2 cup cooked peas
      C)
      1 cup low-fat plain yogurt
      D)
      1/2 cup cooked white rice
    2. A nurse in a critical care unit is assessing an adult client. Which of the following findings by the nurse indicates a fluid volume deficit?
      A)
      Heart rate 118/min
      B)
      Central venous pressure 25 mm Hg
      C)
      Blood pressure 152/90 mm Hg
      D)
      Temperature 37.2° C (99° F)
    3. A nurse is caring for a client who reports she is having difficulty losing weight. Which of the following responses by the nurse is appropriate?
      A)
      "Set a goal and you will be able to attain it."
      B)
      "Eat small portions of the high-calorie foods first."
      C)
      "It is helpful to self-monitor your eating."
      D)
      "Taste food while cooking to help curb your appetite."
    4. A nurse is providing dietary teaching to a client who has a body mass index of 28. Which of the following actions should the nurse take?
      A)
      Recommend a total fiber intake of 12 g each day.
      B)
      Advise the client to add 500 calories per day to the diet.
      C)
      Encourage the client to continue current daily caloric intake.
      D)
      Refer the client to a weight-loss support group.
    Page 4 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)
      "Set your weight loss goal to 2.5 pounds per week."
      B)
      "Make sure to drink water with our meals."
      C)
      "Meal replacement shakes can cause weight gain."
      D)
      "Your biggest meal of the day should be breakfast."
    2. A nurse is teaching a client about protein. Which of the following foods should the nurse include in the teaching as a complete protein? (Select all that apply)
      A)
      Poultry Eggs
      B)
      Legumes
      C)
      Grains
      D)
      Nuts
    3. A nurse is teaching a client about a vitamin that reduces the anticoagulant effect of warfarin. Which of the following vitamins should the nurse include in the teaching?
      A)
      Thiamin
      B)
      Vitamin K
      C)
      Folate
      D)
      Vitamin A
    4. A nurse is providing teaching about the Dietary Approaches to Stop Hypertension (DASH) diet to a client who has hypertension. Which of the following instructions should the nurse include?
      A)
      Consume ten percent of total calories from saturated fat.
      B)
      Consume foods that are high in calcium.
      C)
      Increase intake of refined carbohydrates.
      D)
      Limit sodium intake to 3,200 milligrams per day.
    Page 5 of 17

    Exam Review

    1. 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.
    2. A nurse is teaching a client who has Parkinson's disease and is prescribed a monoamine oxidase inhibitor. Which of the following instructions should the nurse include?
      A)
      "Reduce intake of high-calorie foods."
      B)
      "Do not eat grapefruit while taking this medication."
      C)
      "Avoid aged cheeses while taking this medication."
      D)
      "Maintain a low-protein diet."
    3. 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
    4. A nurse is caring for a client who follows a vegan diet. The nurse should identify that the client is at risk for which of the following deficiencies?
      A)
      Magnesium
      B)
      Vitamin C
      C)
      Vitamin D
      D)
      Folic acid
    Page 6 of 17