Final Exam: NR224/ NR 224 Fundamentals – Skills Final Exam Practice Questions and Verified Answer| | 100% Correct (2023/2024) Update
... [Show More] |Chamberlain
QUESTION
The patient is having at least 75% of nutritional needs met by enteral feeding, so the health care provider has ordered the parenteral nutrition (PN) to be discontinued. However, the nurse notices that the PN infusion has fallen behind. What should the nurse do?
a. Increase the rate to get the volume caught up before discontinuing.
b. Stop the infusion as ordered.
c. Taper infusion gradually.
d. Hang 5% dextrose.
Answer: C
QUESTION
The patient is on parenteral nutrition and is lethargic. The patient reports thirst and headache and has had increased urination. Which problem does the nurse prepare to address?
a. Hyperglycemia
b. Hypoglycemia
c. Hypercapnia
d. Hypocapnia
Answer: A
QUESTION
In providing diabetic teaching for a patient with type 1 diabetes mellitus, which instructions will the nurse provide to the patient?
a. Insulin is the only consideration that must be taken into account. b. Saturated fat should be limited to less than 7% of total calories. c. Nonnutritive sweeteners can be used without restriction.
d. Cholesterol intake should be greater than 200 mg/day.
Answer: B
QUESTION
The patient with cardiovascular disease is receiving dietary instructions from the nurse. Which information from the patient indicates teaching is successful?
a. Maintain a prescribed carbohydrate intake.
b. Eat fish at least 5 times per week.
c. Limit trans fat to less than 1%.
d. Avoid high-fiber foods.
Answer: C
QUESTION
The nurse is providing home care for a patient diagnosed with acquired immunodeficiency syndrome (AIDS). Which dietary intervention will the nurse add to the care plan?
a. Provide small, frequent nutrient-dense meals for maximizing kilocalories.
b. Prepare hot meals because they are more easily tolerated by the patient.
c. Avoid salty foods and limit liquids to preserve electrolytes.
d. Encourage intake of fatty foods to increase caloric intake.
Answer: A
QUESTION
A patient is on a full liquid diet. Which food item choice by the patient will cause the nurse to intervene?
a. Custard
b. Frozen yogurt
c. Pureed vegetables
d. Mashed potatoes and gravy
Answer: D
QUESTION
A nurse is caring for a group of patients. Which patient will the nurse see first?
a. Patient receiving total parenteral nutrition of 2-in-1 for 50 hours b. Patient receiving total parenteral nutrition infusing with same tubing for 26 hours
c. Patient receiving continuous enteral feeding with same feeding bag for 12 hours
d. Patient receiving continuous enteral feeding with same tubing for 24 hours
Answer: B
QUESTION
The nurse is preparing to check the gastric aspirate for pH. Which equipment will the nurse obtain?
a. 10-mL Luer-Lok syringe
b. Asepto syringe
c. Sterile gloves
d. Double gloves
Answer: B
QUESTION
A nurse is teaching a health class about the nutritional requirements throughout the life span. Which information should the nurse include in the teaching session? (Select all that apply.)
a. Infants triple weight at 1 year.
b. Toddlers become picky eaters.
c. School-age children need to avoid hot dogs and grapes.
d. Breastfeeding women need an additional 750 kcal/day.
e. Older adults have altered food flavor from a decrease in taste cells.
Answer: A, B, E
QUESTION
2. The patient is asking the nurse about the best way to stay healthy. The nurse explains to the patient which teaching points? (Select all that apply.)
a. Increase physical activity.
b. Keep total fat intake to 10% or less.
c. Maintain body weight in a healthy range.
d. Choose and prepare foods with little salt.
e. Increase intake of meat and other high-protein foods.
Answer: A, C, D
QUESTION
When assessing patient with nutritional needs, which patients will require follow-up from the nurse? (Select all that apply.)
a. A patient with infection taking tetracycline with milk
b. A patient with irritable bowel syndrome increasing fiber
c. A patient with diverticulitis following a high-fiber diet daily
d. A patient with an enteral feeding and 500 mL of gastric residual e. A patient with dysphagia being referred to a speech-language pathologist
Answer: A, C, D
QUESTION
To honor cultural values of patients from different ethnic/religious groups, which actions demonstrate culturally sensitive care by the nurse? (Select all that apply.)
a. Allows fasting on Yom Kippur for a Jewish patient
b. Allows caffeine drinks for a Mormon patient
c. Serves no ham products to a Muslim patient
d. Serves kosher foods to a Christian patient
e. Serves no meat or fish to a Hindu patient
Answer: A, C, E
QUESTION
The nurse is teaching a health class about the gastrointestinal tract. The nurse will explain that which portion of the digestive tract absorbs most of the nutrients?
a. Ileum
b. Cecum
c. Stomach
d. Duodenum
Answer: D [Show Less]