Question 13 of 70
RN Nutrition 2023 Exam. A nurse is conducting a pressure injury risk assessment on a client. Which of the following findings places the client at the highest risk for skin breakdown?
- Has occasional incontinence
- Eats one serving of protein per day
- Is able to walk short distances
- Responds to verbal commands
Question 14 of 70
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?
- Citrus fruits
- Eggs
- Bananas
- Milk
Question 15 of 70
A nurse is caring for a client who is receiving radiation therapy for throat cancer and reports experiencing dry mouth. Which of the following recommendations should the nurse make?
- Drink fluids between meals only.
- Increase salt when preparing foods.
- Encourage peanut butter crackers as a snack.
- Offer sugar-free hard candy between meals.
Question 16 of 70
A nurse is providing anticipatory guidance to a client who has phenylketonuria (PKU) and is planning a pregnancy. Which of the following information should the nurse include in the discussion?
- “A low-protein diet should be followed for 3 months prior to conception.”
- “Serum bilirubin should be monitored one to two times per month during pregnancy.”
- “Diet sodas should not be consumed more than two or three times per week.”
- “Breastfeeding will prevent your baby from developing PKU.”
Question 17 of 70
A nurse is providing discharge teaching about breastfeeding to a client. Which of the following instructions should the nurse include?
- Limit nursing the newborn to 5 min per session.
- Open the newborn’s mouth wide to encourage latching.
- Offer one breast per feeding session to the newborn.
- Offer a bottle of water if the newborn does not nurse well.
Question 18 of 70
A nurse is providing discharge teaching to a client who will be receiving intermittent enteral feedings at home. Which of the following instructions should the nurse include?
- Flush tubing with 30 mL of water after feeding.
- Clean the top of the canned formula with water.
- Discard intestinal residual greater than 15 mL.
- Warm the formula in a microwave before feeding.
Question 19 of 70
A nurse is planning eating strategies with a client who has nausea from equilibrium imbalance. Which of the following strategies should the nurse recommend?
- Limit fluid intake between meals.
- Serve hot foods at mealtime.
- Provide low-fat carbohydrates with meals.
- Encourage the client to eat even if nauseated.
Question 20 of 70
A nurse is planning care for a client who has hemiparesis. Which of the following interventions should the nurse include to increase independence in eating?
- Give the client a cup without handles.
- Provide the client with small-handled utensils.
- Place the client’s food on a plate with a rim.
- Provide a serving spoon for use during meals.
Question 21 of 70
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?
- “Consume ten percent of total calories from saturated fat.”
- “Increase intake of refined carbohydrates.”
- “Limit sodium intake to 3,200 milligrams per day.”
- “Consume foods that are high in calcium.”
Question 22 of 70
A nurse is teaching about dietary choices to a client who has coronary artery disease and high cholesterol. Which of the following recommendations should the nurse include in the teaching?
- 1 cup macaroni and cheese
- 4 oz swordfish
- 2 oz beef bologna
- 8 oz whole milk
Question 23 of 70
A nurse is planning a seminar about nutrition for high school students. Which of the following should the nurse include in the teaching as a function of protein?
- Metabolizing glucose
- Distributing oxygen in hemoglobin
- Building and repairing body tissue
- Providing energy to body cells
Question 24 of 70
A nurse is caring for a client who has acute kidney injury and has been prescribed total parenteral nutrition (TPN). When educating the client on the use of TPN, which of the following information should the nurse include?
- “The TPN will be higher in fats and protein, but lower in carbohydrates.”
- “The TPN is needed because you are burning excessive calories.”
- “The TPN will have higher levels of vitamins than the recommended daily intake.”
- “The TPN will be administered through a central venous catheter.” RN Nutrition 2023 Exam
Question 25 of 70
A nurse is teaching a client who is breastfeeding and has a new prescription for amoxicillin 250 mg PO every 8 hr. Which of the following information should the nurse include in the teaching?
- “You may continue to breastfeed while you are on a short-term antibiotic.”
- “You will need to decrease your medication dose while breastfeeding.”
- “You should pump your breasts 1 hour after taking the antibiotic and discard the milk.”
- “Your body will metabolize the antibiotic so that it will not be present in the breast milk.”
Question 26 of 70
A nurse is planning care for a client who has anorexia nervosa. Which of the following actions should the nurse include in the plan? RN Nutrition 2023 Exam
- 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 of 70
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 plate with a guard.
- The client uses a small-handled spoon.
- The client uses a glass for liquids.
- The client uses a plastic disposable fork.
Question 28 of 70
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
- Phosphorus
- Chloride
- Zinc
Question 29 of 70
A nurse is assessing a client who has Parkinson’s disease. Which of the following findings is a manifestation of dysphagia?
- Muscle rigidity
- Tremors
- Neck pain
- Drooling
Question 30 of 70
A nurse is caring for a client who has acute kidney injury and has been prescribed total parenteral nutrition (TPN). When educating the client on the use of TPN, which of the following information should the nurse include?
- “The TPN will have higher levels of vitamins than the recommended daily intake.”
- “The TPN is needed because you are burning excessive calories.”
- “The TPN will be higher in fats and protein, but lower in carbohydrates.”
- “The TPN is needed to bypass your gastrointestinal tract.” RN Nutrition 2023 Exam
Question 31 of 70
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?
- Decrease the client’s magnesium intake.
- Increase the client’s protein intake.
- Increase the client’s fat intake.
- Decrease the client’s calcium intake.
Question 32 of 70
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?
- Hypernatremia
- Hypoglycemia
- Hypokalemia
- Hyperglycemia
Question 53
A nurse is admitting a client who reports tightness in their chest that radiates to left arm. Complete the following sentence by using the lists of options.
The nurse should first address the client’s pain level followed by the client’s ECG results.
Question 54
The nurse is reviewing the client’s medical record. For each potential provider’s prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.
- Metoprolol 15 mg IV bolus: Contraindicated
- Oxygen at 2 L/min via nasal cannula: Anticipated
- Draw electrolytes along with Hgb and Hct: Anticipated
- Morphine 6 mg IV bolus every 3 hr as needed for pain: Anticipated
- Nitroglycerin 0.5 mg SL now may repeat every 5 min up to 3 doses: Anticipated
- Obtain daily weight: Nonessential
- Atropine 0.5 mg IV bolus every 5 min up to 2 mg if heart rate drops below 60: Anticipated
Question 55
A nurse is reviewing the client’s diagnostic results and vital signs. Which of the following actions should the nurse take? Select all that apply.
- Anticipate client to be prepped for cardiac catheterization
- Assist with a continuous heparin infusion
- Encourage the client to ambulate
- Anticipate an increased dosage of metoprolol
- Obtain a prescription for client to be NPO
- Request a prescription for an antibiotic
Question 56
The nurse is reviewing the client’s medical record. Which of the following findings indicates the client’s condition has improved? Select all that apply.
- Heart rate
- Pain level
- Respiratory rate
- Oxygenation saturation
- Urinary output
- Echocardiogram results
- Blood pressure
Question 57
A nurse is providing teaching to a client who has diabetes mellitus. Which of the following instructions should the nurse provide to the client to help prevent the development of nephropathy?
- Limiting protein intake
- Decreasing potassium intake
- Controlling hypertension
- Voiding every 2 hr
Question 58
A nurse is caring for a client who is postoperative and develops respiratory depression after receiving morphine for pain control. Which of the following medications should the nurse expect the provider to prescribe?
- Flumazenil
- Diphenhydramine
- Calcium gluconate
- Naloxone
Question 59
A nurse is providing teaching for a client who has age-related macular degeneration. Which of the following information should the nurse include in the teaching?
- “The doctor can perform surgery to correct this by repairing the folds in your retina.”
- “A possible cause of this problem is a long-term lack of dietary protein.”
- “You probably have noticed a decline in your central vision.”
- “You probably have a detachment of your retina.”
Question 60
A nurse is teaching a client who has a new prescription for montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching?
- “Once I take this for a while, I won’t need my inhaler anymore.”
- “I’ll make sure I take these tablets on an empty stomach.”
- “I’ll take this medication to stop wheezing when I have an attack.”
- “I’ll take this medication every day, even when I don’t have symptoms.”
Question 61
A nurse is preparing to administer bumetanide to a client who has heart failure. Which of the following findings indicates effectiveness of the medication?
- Bounding radial pulse
- Alert and oriented to time, place, and person
- Bowel sounds present in four quadrants on auscultation
- Lung sounds clear on auscultation
Question 62
A home health nurse is reviewing safety for a client who uses home oxygen therapy. Which of the following information should the nurse include in the teaching?
- Store oxygen tanks on their side.
- Notify the fire department that oxygen is in use in the home.
- Change the oxygen flow rate if the client feels short of breath.
- Use wool blankets for the client.
Question 63
A nurse is caring for a client who has active tuberculosis. Which of the following interventions should the nurse include in the plan of care?
- Assign the client to a room with droplet precautions.
- Wear a high-efficiency particulate air (HEPA) mask.
- Obtain sputum specimens for culture every day.
- Perform chest percussion and vibration every 4 hr.
Question 64
A home health nurse is teaching a client who has a new diagnosis of diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?
- “I will take my insulin immediately before I exercise.”
- “I will follow a low-residue diet.”
- “I will limit my fluid intake to 1 liter per day.”
- “I will use a mirror to inspect my feet daily.”
Question 65
A nurse is caring for a client who is 4 hr postoperative following a total hip arthroplasty. Which of the following actions should the nurse take?
- Instruct the client to use the incentive spirometer every 4 hr.
- Maintain the client on bed rest for the first 12 hr.
- Administer a topical antibiotic to the surgical incision.
- Place a pillow between the client’s legs.
Question 66
A nurse is planning to administer propranolol to a client. Which of the following conditions should the nurse consider a contraindication to this medication?
- Asthma
- Glaucoma
- Hypertension
- Tachycardia
Question 67
A nurse is caring for a client who is postoperative following a total laryngectomy. Which of the following is the priority assessment for this client?
- Airway patency
- Wound drainage
- Ability to swallow
- Pain level
Question 68
A nurse is caring for a client who is experiencing diabetic ketoacidosis. Which of the following is the priority intervention?
- Administer a rapid-acting insulin bolus.
- Initiate 0.9% sodium chloride IV infusion.
- Check the client’s blood glucose level every hour.
- Obtain a specimen for arterial blood gases.
Question 69
A nurse is assessing a client who has peripheral arterial disease. Which of the following findings should the nurse expect? RN Nutrition 2023 Exam
- Painless ulcerations on the medial malleolus.
- Redness and warmth in the lower extremities.
- Cool, pale skin of the lower extremities.
- Pitting edema of the ankles.
Question 70
A nurse is caring for a client who has a chest tube connected to a water-seal drainage system. Which of the following actions should the nurse take?
- Strip the chest tube every 4 hr to maintain patency.
- Clamp the chest tube when the client is ambulating.
- Maintain the drainage system below the level of the client’s chest.
- Empty the drainage chamber at the end of each shift.
Question 71
A nurse is assessing a client who is in the early stages of hypovolemic shock. Which of the following findings should the nurse expect?
- Increased heart rate
- Decreased respiratory rate
- Increased urinary output
- Decreased blood pressure
