A nurse is providing dietary teaching to a client who has a new diagnosis of
gastroesophageal reflux disease. Which of the following foods or beverages
... [Show More] should
the nurse recommended to minimize heartburn?
• Orange juice
• Decaffeinated coffee
• Peppermint
• Potatoes
2. A nurse is preparing g 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?
• Phosphorus
• Calcium
• Chloride
• Zinc
3. A nurse is caring for a client who has a body mass index (BMI) of 30. Four weeks
after nutritional counseling, which of the following evaluation findings indicates the
plan of care was followed?
• BMI of 25
• Weight gain of 1.8kg
• BMI of 33
• Weight loss of 2.7kg
4. A nurse is caring for a client who follows the dietary laws of Orthodox Judaism.
Which of the following meal choices should the nurse request for the client?
• Turkey and cheese sandwich
• Spaghetti with tomato sauce
• Pork chop and applesauce
• Scrambled eggs and bacon
5. A nurse is a long-term care facility is developing strategies to promote increased
food intake for an older adult client. Which of the following interventions should the
nurse implement?
• Offer sugar substitutes to increase the client’s appetite.
• Provide opportunities to eat three large meals per day.
• Provide entertainment while the client is eating.
• Offer finger foods at mealtime.
6. A nurse is caring for four clients. The nurse should plan to administer total
parenteral nutrition for which of the following clients?
• A client who is postoperative following a laminectomy and is receiving IV PCA
• A client who has dysphagia and does not recognize his family
• A client who has COPD and is going home with oxygen
• A client who has colon cancer and will undergo a hemicolectomy
7. A nurse is performing a nutritional evaluation for a client who reports paresthesia
of the hands and feet. The nurse should identify this manifestation as an indication of
which of the following dietary deficiencies?
• Iron
• Riboflavin
• Vitamin C
• Vitamin B128. 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?
• Eat small portions of the high-calorie foods first.
• Set a goal and you will be able to attain it.
• It is helpful to self-monitor your eating.
• Taste food while cooking to help curb your appetite.
9. A nurse is providing discharge teaching about food choices to a client who has
hypokalemia. Which of the following foods should the nurse identify as the best
source of potassium?
• 1 cup grapes
• 1 cup shredded lettuce
• 1 cup cooked tomatoes
• 1 cup apple slices
10. A nurse is providing teaching to an obese client who has gestational diabetes and
is at 25 weeks of gestation. Which of the following statements made by the client
indicates a need for further teaching?
• This does not mean that my baby will have this disease.
• This means that I will have diabetes for the rest of my life.
• If I feel dizzy, I should drink six ounces of a non-diet soda.
• Being obese might be one reason why I developed diabetes.
11. A nurse is planning care for a client who has ascites secondary to liver disease.
Which of the following interventions should the nurse include in the plan of care?
• Reduce complex carbohydrates to 30% of total calories.
• Restrict protein intake to less than 0.8 g/kg/day.
• Decrease daily caloric intake by 20%.
• Limit sodium to 2000 mg or less per day.
12. A nurse is planning eating strategies with a client who has nausea from
equilibrium imbalance. Which of the following strategies should the nurse
recommend?
• Encourage the client to eat even if nauseated.
• Provide low-fat carbohydrates with meals.
• Limit fluid intake between meals.
• Serve hot foods at mealtime.
13. A nurse is discussing denture care with the partner of a client who is unable to
perform oral hygiene. Which of the following should be included in the discussion?
• Floss dentures as part of daily cleaning.
• 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.
14. A nurse is caring for a 30-month-old toddler and is preparing a nutritional snack.
Which of the following foods is appropriate for the nurse to offer the toddler?
• Plain popcorn
• Grapes
• Raw carrots
• Cheese
15. A nurse is assessing the nutritional status of an infant who is 6 months old. The
infant weighed 2.7 kg at birth. Which of the following indicate to the nurse that the
infant is within expected range?• 5.5 kg
• 6.4 kg
• 4.5 kg
• 3.6 kg
16. A nurse is reinforcing dietary teaching with a client who has vitamin A deficiency.
Which of the following food choices should the nurse recommend the best source of
vitamin A?
• 1 small baked sweet potato
• 1 cup avocado
• 1 cup green beans
• 1 large apple
17. A nurse is teaching a client who has chronic kidney disease about dietary needs.
Which of the following foods should the nurse identify as being the lowest in
phosphorus?
• Medium apple
• Bran cereal
• Scrambled eggs
• Ground turkey
18. A nurse is caring for a client who is receiving chemotherapy treatments. The
client states, “I feel so nauseated after my treatments.” Which of the following
instructions should the nurse provide the client? (Select all that apply.)
• Common foods that are served cold.
• Limit use of antiemetics until after first emesis.
• Sit up for 1 hr after eating meals.
• Eat foods low in carbohydrates.
• Sip fluids slowly throughout the day.
19. A nurse is providing nutritional education to a client who is obese. The nurse
should include in the information that which of the following gastrointestinal
disorders is commonly associated with obesity?
• Peptic ulcer disease
• Gastroesophageal reflux disease
• Celiac disease
• Crohn’s disease
20. A nurse is completing a nutritional assessment of an adult female client. Which of
the following findings should indicate to the nurse that the client is at an increased
risk of developing cancer?
• Eats at least 5 servings of fruits and vegetables daily.
• Eats 6 servings of whole grains daily.
• Limits alcohol consumption to 2 drinks per day.
• Limits red meat intake to 3oz per day.
21. 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?
• Encourage the client to continue current daily caloric intake.
• Recommend a total fiber intake of 12g each day.
• Advise the client to add 500 calories per day to the diet.
• Refer the client to a weight-loss support group.
22. A nurse is teaching a client about complete and incomplete proteins. Which of the
following foods should the nurse include in the teaching as an incomplete protein?• 4oz chickpeas
• 2 poached eggs
• 2oz cheddar cheese
• 4oz salmon fillet
23. A nurse is teaching a client about strategies to prevent constipation. Which of the
following statements by the client indicates an understanding of the teaching?
• Drinking four to five glasses of water per day will prevent constipation.
• I should consume mineral oil once per day.
• Eating foods high in fiber will make elimination easier.
• I can skip a meal if I feel bloated.
24. A nurse has just inserted an NG tube for a client who is to start enteral tube
feedings. Which of the following actions should the nurse take to verify tube
placement?
• Measure the tube length.
• Obtain an abdominal x-ray.
• Flush the tube with 20 mL of water.
• Auscultate the client’s lungs.
25. A nurse is admitting a client who practices Hinduism. The nurse should identify
that which of the following foods is prohibited according to Hindu dietary practices?
• Pork
• Chicken
• Beef
• Seafood
26. A nurse is developing a plan of care for a client who has anorexia nervosa. Which
of the following actions should the nurse include in the plan?
• Encourage the client to participate in developing a system of
rewards.
• Arrange for someone to remain with the client for 30 min after meals
• Offer the client a selection of beverages at each meal.
• Inform the client that a weight gain of 2.3 kg per week is expected.
27. A client is prescribed a 1500 calorie diet. Thirty percent of the calories are to be
derived from fat. How many grams of fat should the nurse tell the client to consume
per day? (Round the answer to the nearest whole number. Use a leading zero if it
applies. Do not use a trailing zero.)
50
28. A home health nurse is conducting an initial visit with an older adult client. The
client lives alone and has difficulty preparing his own meals. Which of the following
actions should the nurse take first?
• Discuss nutritional requirements with the client.
• Refer the client to a senior citizen center.
• Arrange for a home-delivered meal program.
• Perform a nutrition screening.
29. A nurse is providing teaching about formula feeding to the parents of an infant.
Which of the following instructions should the nurse include?
• Formula that remains in the bottle should be used for one more feeding.
• Formula should be changed to whole milk when the infant is 9 months old.
• If the infant is gaining weight too rapidly, dilute the formula.
• If the infant turns away after taking most of the feeding, stop the
feeding.30. A nurse is teaching about implementing a heart-healthy diet to a client who has
coronary artery disease. Which of the following foods should the nurse recommend to
the client?
• Baked ham
• Processed cheese
• Broiled salmon
• Canned potato soup
31. A nurse is teaching a client about adding more fiber to his diet. The nurse should
teach the client that which of the following foods has the highest fiber content?
• 1 cup cooked sweet potato
• 1 slice rye toast
• 1 cup raw watermelon
• 1 oz cashews
32. A nurse is evaluating the meal choices of a client who has major depressive
disorder and a prescription of Phenelzine. Which of the following selections should
the nurse identify as appropriate?
• Cheddar cheese
• Smoked salmon
• Strawberry yogurt
• Pepperoni pizza
33. A nurse is providing teaching about food allergies to the parents of a toddler.
Which of the following foods should the nurse identify as highest risk for allergies in
toddlers?
• Eggs
• Milk
• Bananas
• Citrus fruits
34. A nurse is preparing to administer a gavage feeding via nasogastric tube to a
preterm newborn who is receiving supplemental oxygen. Which of the following
actions should the nurse take?
• Stabilize the tube with tape to the newborn’s forehead.
• Remove supplemental oxygen during the feeding.
• Measure the stomach aspirate prior to the feeding.
• Place the newborn on her left side for 30 min after the feeding.
35. A nurse is providing education to a client who is experiencing dumping syndrome
following gastric surgery. Which of the following statements by the client indicates an
understanding of the teaching?
• I should drink additional fluids with my meals.
• I should eat high-fiber snacks between meals.
• I should eat a protein source with each meal.
• I can have caffeinated beverages in small amounts.
36. A nurse is initiating continuous enteral feedings for a client who has a new
gastrostomy tube. Which of the following actions should the nurse take?
• Measure the client’s gastric residual every 12 hr.
• Obtain the client’s electrolyte levels every 4 hr.
• Keep the client’s head elevated at 15* during feedings.
• Flush the client’s tube with 30 mL of water every 4 hr.37. 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?
• Blurred vision
• Vomiting
• Kussmaul respirations
• Bradycardia
38. A nurse is assessing a client who has a stage III pressure ulcer that is healing
poorly. The nurse should identify that which of the following vitamin deficiencies
increases the client’s risk for delayed wound healing?
• Vitamin C
• Vitamin D
• Vitamin E
• Vitamin B6
39. A nurse is providing teaching to a client who has type 1 diabetes mellitus. Which
of the following statements by the client indicates an understanding of the teaching?
• Albumin in my urine is an indication of normal kidney function.
• I will keep my HbA1c at five percent.
• I will have ketones in my urine if my blood glucose is maintained at 190
milligrams per deciliter.
• I will keep my blood glucose levels between 200 and 212 milligrams per
deciliter.
40. A nurse is caring for a client who is receiving parenteral nutrition. Which of the
following findings indicates the therapy is effective?
• Client has soft, formed bowel movements.
• Client’s mucous membranes are pink.
• Client reports ability to complete ADLs.
• Client’s blood glucose level is within the expected reference range.
41. A nurse is teaching a client about dietary changes needed for weight loss. Which
of the following actions should the nurse perform first?
• Educate the client about daily caloric requirements.
• Determine the client’s daily caloric intake.
• Provide the client with meal planning information.
• Show the client how to identify the fat content of packaged foods.
42. A nurse is teaching a group of clients about stress. Which of the following should
the nurse include in the teaching?
• Protein requirements decrease in times of stress.
• Acute stress causes an increase in metabolism.
• Stress causes a positive nitrogen balance in the body.
• Glucose is broken down more slowly during times of stress.
43. A nurse is reviewing the medication administration record for a client who is 2
days postoperative following abdominal surgery. They nurse should recognize that
which of the following medications places the client at risk for wound dehiscence?
• Omeprazole
• Zolmitriptan
• Prednisone
• Verapamil44. A nurse is caring for an older adult client who reports difficulty chewing due to illfitting dentures. Which of the following foods should the nurse recommend for the
client?
• Dried fruit
• Roast beef
• Tuna fish
• Apple slices
45. A nurse is planning care for a client who reports increasing difficulty swallowing
food. Which of the following interventions should the nurse plan to take?
• Turn on the client’s television during meals.
• Place the client into a semi-reclining position for meals.
• Encourage the client to rest prior to mealtimes.
• Encourage the client to use a straw when drinking liquids.
46. A nurse is caring for a client who is receiving a continuous enteral tube feeding
and reports cramping and abdominal distention. Which of the following actions
should the nurse take?
• Check for gastric residual.
• Apply low intermittent suction.
• Increase the rate of the feeding.
• Request of higher-fat formula.
47. A nurse is reviewing the laboratory findings of a client who has heart failure.
Which of the following findings indicates that the client is experiencing fluid volume
excess?
• BUN 8 mg/dL
• Hgb 15 g/dL
• Creatinine 0.8 mg/dL
• Sodium 140 mEq/L
48. A nurse is preparing to remove a client’s clogged NG tube prior to re-inserting a
new tube. Which of the following actions should the nurse take first?
• Assist the client to blow her nose.
• Ask the client to take a deep breath and hold it.
• Pinch the proximal end of the tube.
• Disconnect the tube from suction source.
49. A nurse is teaching a parent about appropriate snack choices for her 9-month-old
infant. Which of the following food choices should the nurse recommend?
• Skim milk
• Unsalted popcorn
• Graham crackers
• Raw carrots [Show Less]