RN Nutrition 2023

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.

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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.

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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

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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.

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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

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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.

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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.

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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

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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.

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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

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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.

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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

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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.

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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.

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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

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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

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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

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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

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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.”

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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

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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.

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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.

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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

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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

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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

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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.”

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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