Question 26
RN Nutrition 2023. A nurse is planning care for a client who has anorexia nervosa. Which of the following actions should the nurse include in the plan?
- Offer the client a selection of beverages at each meal.
- Arrange for someone to remain with the client for 30 min after meals.
- Inform the client that a weight gain of 2.3 kg (5 lb) per week is expected.
- Encourage the client to participate in developing dietary goals.
Question 27
A nurse is caring for a client who has rheumatoid arthritis and uses adaptive meal equipment. Which of the following actions by the client indicates correct use of the equipment?
- The client uses a glass for liquids.
- The client uses a small-handled spoon.
- The client uses a plate with a guard.
- The client uses a plastic disposable fork.
Question 28
A nurse is preparing to teach a group of clients about vitamins and minerals. The nurse should include in the teaching that which of the following minerals is necessary for the transmission of nerve impulses?
- Calcium
- Chloride
- Phosphorus
- Zinc
Question 29
A nurse is assessing a client who has Parkinson’s disease. Which of the following findings is a manifestation of dysphagia?
- Neck pain
- Drooling
- Tremors
- Muscle rigidity
Question 32
A nurse is creating a plan of care for a client who is recovering from acute pancreatitis. Which of the following recommendations should the nurse include in the plan?
- Increase the client’s fat intake.
- Increase the client’s protein intake.
- Decrease the client’s calcium intake.
- Decrease the client’s magnesium intake.
Question 33
A nurse is assessing a client who reports a headache and dizziness. The nurse notes that the client is shaky and sweaty. The nurse should prepare to intervene for which of the following imbalances? RN Nutrition 2023
- Hyperglycemia
- Hypernatremia
- Hypokalemia
- Hypoglycemia
Question 34
A nurse is caring for a client who has dysphagia. Which of the following actions should the nurse plan to take when feeding the client?
- Administer liquids with a syringe.
- Place the client in semi-Fowler’s position.
- Administer 1 Tbsp of food per bite.
- Allow 30 min for the feeding.
Question 35
A nurse is performing a nutrition assessment on a 1-year-old infant during a wellness visit. Which of the following findings should the nurse report to the provider?
- The infant consumes 1 oz of whitefish per week.
- The infant’s weight has doubled since birth.
- The infant consumes 4 oz of juice per day.
- The infant eats 1/2 cup of table food per meal.
Question 36
A nurse is caring for a client who has bulimia nervosa. Which of the following findings should the nurse report to the provider immediately?
- Calluses on knuckles
- Parotid swelling
- Tooth erosion
- Hyponatremia
Question 37
A nurse is caring for a client who experienced a cerebrovascular accident. Which of the following should the nurse incorporate into the client’s plan of care to assist the client with meals?
- Provide specialized utensils for gripping.
- Offer thin liquids with a straw.
- Play loud music in the dining room.
- Discourage family involvement in meals.
Question 38
A nurse is assessing a client who is receiving continuous enteral tube feedings. Which of the following findings should the nurse identify places the client at risk for aspiration?
- Gastric residual 60 mL
- Tube placed in the jejunum
- Head of the bed at a 15° angle
- Infusion rate 125 mL/hr
Question 39
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?
- Wipe dentures before storing them in a dry container at night.
- Wrap gloved fingers with gauze to remove dentures.
- Use a washcloth to clean the denture surfaces.
- Floss dentures as part of daily cleaning.
Question 40
A nurse is teaching a client who is receiving enteral nutrition via cyclic feedings. Which of the following statements by the client indicates an understanding of the teaching?
- “I should administer the formula at a cold temperature.”
- “I do not need a pump to administer my feedings.”
- “I should administer my feedings over 10 to 20 minutes.”
- “I can administer my feedings while I sleep at night.
Question 41
A nurse is assessing a client for manifestations of hypoglycemia. Which of the following findings should the nurse expect? (Select all that apply.)
- Headache
- Weakness
- Fruity breath odor
- Sweating
- Hyperreflexia
Question 42
A nurse is preparing to provide an intermittent bolus enteral feeding for a client who has a gastrostomy tube. Which of the following actions should the nurse take first?
- Verify the presence of bowel sounds.
- Flush the tube with 30 mL of water.
- Measure the gastric residual volume.
- Administer the feeding over 30 min.
Question 43
A nurse is caring for a client who has hypercholesterolemia. Which of the following recommendations should the nurse include in the client’s plan of care?
- Use butter for cooking.
- Increase intake of full-fat dairy products.
- Increase consumption of fiber-rich foods.
- Avoid legumes in the diet.
Question 44
A nurse is teaching a client who has constipation about increasing dietary fiber. Which of the following food choices should the nurse recommend?
- White rice
- Black beans
- Canned peaches
- Skinless chicken breast
Question 45
A nurse is caring for a client who is being treated for heart failure and has a prescription for a 2-gram sodium diet. Which of the following foods should the nurse tell the client to avoid?
- Fresh apples
- Canned soup
- Brown rice
- Steamed vegetables
Question 46
A nurse is teaching a client about high-fiber foods that can assist in lowering LDL cholesterol. Which of the following foods should the nurse include?
- Whole-grain oats
- Refined white bread
- Full-fat yogurt
- Processed deli meats
Question 47
A nurse is assessing a client who has a deficiency in vitamin C. Which of the following findings should the nurse expect?
- Night blindness
- Scurvy
- Osteomalacia
- Beriberi
Question 48
A nurse is reviewing the laboratory results of a client who has protein-calorie malnutrition. Which of the following findings should the nurse expect?
- Increased hemoglobin
- Decreased albumin level
- Elevated blood urea nitrogen
- Increased prealbumin level
Question 49
A nurse is providing teaching for a client who is on a clear liquid diet. Which of the following statements by the client indicates an understanding of the teaching?
- “I can have low-fat yogurt.”
- “I can have a frozen juice bar for dessert.”
- “I can have orange juice with pulp.”
- “I can have cream of mushroom soup.”
Question 50
A nurse is caring for a client who has chronic kidney disease and is on a low-potassium diet. Which of the following foods should the nurse recommend?
- Bananas
- Spinach
- Apples
- Baked potatoes
Question 52
A nurse is reviewing the laboratory report of a client who has a suspected fluid volume deficit. Which of the following laboratory results should the nurse expect?
- Decreased serum sodium
- Increased hematocrit
- Decreased urine specific gravity
- Decreased blood urea nitrogen
Question 53
A nurse is preparing to administer a tube feeding to a client who has a continuous enteral feeding prescription. Which of the following actions should the nurse take to prevent contamination?
- Fill the feeding bag with enough formula for 24 hr.
- Replace the feeding bag and tubing every 24 hr.
- Refrigerate the formula until just before administration.
- Clean the top of the formula can with a dry cloth.
Question 54
A nurse is caring for a client who is post-operative following a gastric bypass. Which of the following diet modifications should the nurse expect?
- High-fiber diet
- Three large meals per day
- Begin with clear liquids.
- Consume liquids with meals.
Question 55
A nurse is evaluating a client’s understanding of a DASH diet for hypertension. Which of the following statements by the client indicates an understanding?
- “I will eat no more than 1 gram of sodium daily.”
- “I should limit my intake of fruits to twice a week.”
- “I will include low-fat dairy products in my diet.”
- “I should use coconut oil for cooking.”
Question 56
A nurse is teaching a client about high-calcium food sources. Which of the following foods should the nurse recommend?
- 1 cup of yogurt
- 1 medium banana
- 1/2 cup of raw broccoli
- 1 slice of whole-wheat bread
Question 57
A nurse is providing teaching to a client who has a new prescription for phenelzine. Which of the following foods should the nurse instruct the client to avoid?
- Aged cheddar cheese
- Fresh strawberries
- Roasted chicken breast
- Boiled white rice
Question 58
A nurse is assessing a client who has iron-deficiency anemia. Which of the following findings should the nurse expect?
- Fatigue
- Hypertension
- Increased appetite
- Bradycardia
Question 59
A nurse is teaching a client who has a new diagnosis of type 1 diabetes mellitus about foot care. Which of the following instructions should the nurse include?
- “Apply lotion between your toes after bathing.”
- “Soak your feet in warm water for 20 minutes daily.”
- “Inspect your feet daily for any redness or cuts.”
- “Wear open-toed sandals to allow your feet to breathe.”
Question 60
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take to monitor for a common complication of TPN?
- Check the client’s blood pressure every 2 hr.
- Perform fingerstick glucose monitoring every 6 hr.
- Monitor the client’s intake and output weekly.
- Measure the client’s abdominal girth once per shift. RN Nutrition 2023
