Question 1

A nurse is assessing an obese patient for possible malnutrition and the complications of malnutrition. The nurse understands that all of the following are possible complications of malnutrition EXCEPT:

Accepted Answer

A)   Poor wound healing.
B)   Shorter hospital stays.
C)   Reduced quality of life.
D)   Reduced immunity.

Question 2

A patient is having diagnostic laboratory tests drawn to assess her nutritional status. The nurse explains to the patient that there are several laboratory tests that will be used as assessment tools for nutritional status, including which of the following? Select all that apply.

Accepted Answer

A)   Triglyceride level
B)   Ferritin level
C)   Prealbumin level
D)   Calcium level
E)   Sodium level

Question 3

A nurse is discussing allergies with a patient. The nurse knows she not only has to assess for drug allergies but food allergies as well. Which of the following questions should the nurse ask to assess for possible food allergies? Select all that apply.

Accepted Answer

A)   "Are there any foods you prefer not to eat?"
B)   "Are you allergic to any specific types of food?"
C)   "Do you have any diet intolerances?"
D)   "What type of reaction do you have when you eat something you are allergic to?"
E)   "We do not have to discuss food allergies at this time."

Question 4

A nursing instructor is discussing religious considerations in regard to dietary practices with a student nurse. The nursing instructor understands the student nurse needs further education about religious considerations in dietary practices when she makes which of the following statements?

Accepted Answer

A)   "When patients are hospitalized, we are unable to recognize their religious dietary preferences."
B)   "Some religious sects abstain, or are forbidden, from consuming certain foods and drinks."
C)   "Some religions restrict foods and drinks during their holy days."
D)   "Some religious sects associate dietary and food preparation practices with rituals of their faith."

Question 5

A nutritional assessment is based on:

Accepted Answer

A)   Food intake, water intake, exercises, and caloric intake.
B)   Height, weight, and recent weight loss or gain.
C)   Physical examination, anthropometric measurements, laboratory data, and food intake.
D)   Food allergies, food availability, and height and weight.

Question 6

The waist-to-hip ratio has been identified to be a predictor of at-risk patients for coronary heart disease. Your patient has a family history of coronary artery disease and wants to know if he is within the normal limits of a waist-to-hip ratio. Put the steps of this technique in order of sequence (1-6). (Enter the number of each step in the proper sequence. Do not use punctuation or spaces. Example: 1234.)
. Place the tape measure around the widest point of the hips.
_____2. Document your findings in centimeters.
_____3. Record both measurements in centimeters.
_____4. Place the tape measure around the narrowest area of the waist between the hips and the 11th rib.
_____5. Take measurement after a normal breath at the end of expiration.
_____6. Calculate the waist-to-hip measurement by dividing the waist measurement by the hip measurement.

Accepted Answer

The answer of The waist-to-hip ratio has been identified to...

Question 7

You are caring for a patient with a very large abdomen who has liver disease. The doctor has ordered abdominal circumferences to be assessed every shift. What is the correct technique to assess an abdominal circumference?

Accepted Answer

A)   Place the tape measure around the bare abdomen at the level of the iliac crest as the patient breathes in.
B)   Place the tape measure around the bare abdomen at the level of the iliac crest as the patient breathes out.
C)   Place the tape measure around the bare abdomen several inches above the navel as the patient breathes in.
D)   Place the tape measure around the bare abdomen several inches below the navel as the patient breathes out.

Question 8

Patients who eat a well-balanced diet should receive all of the vitamins and minerals they need from their food. During the nutritional assessment it is important for the nurse to ask the patient about dietary supplements. Which of the following questions would be appropriate for the nurse to ask?

Accepted Answer

A)   "Where do you buy your supplements? Are they name brands?"
B)   "What time of day do you take your supplements?"
C)   "Are you taking any supplements? Why do you take these supplements?"
D)   "Would you consider stopping these supplements?"

Question 9

The purpose of assessing the waist-to-hip ratio (WHR)  is:

Accepted Answer

A)   To determine how many inches the patient needs to lose from his or her waist and hips.
B)   To calculate BMI.
C)   To measure abdominal fat.
D)   To assess body size and fat distribution.

Question 10

A nursing instructor is discussing individuals who are at risk for malnutrition with a nursing student. The instructor recognizes that the student needs further education if he indicates which of the following groups of individuals as being at risk for malnutrition?

Accepted Answer

A)   Alcoholics
B)   College students
C)   Elderly
D)   Individuals with chronic pain

Question 11

A nurse is educating a patient about the importance of good nutrition. The nurse knows the patient understands the teaching when he recognizes that the benefits of healthy eating include which of the following? Select all that apply.

Accepted Answer

A)   Decreased risk of obesity
B)   Decreased risk of chronic diseases
C)   Increased risk for longer hospital stays
D)   Decreased risk of micronutrient deficiencies
E)   Increased risk for weight gain

Question 12

You are performing a nutritional assessment through direct observation. The patient was given a half cup of mashed potatoes, a hamburger on a bun, and a half cup of string beans. He eats a quarter cup of the mashed potatoes, all of the hamburger, and all of the string beans. What would you document?

Accepted Answer

A)   Patient ate 90% of his meal.
B)   Patient ate greater than 80% of his meal.
C)   Patient ate less than 75% of his meal.
D)   Patient ate 50% of his meal.

Question 13

Your patient is on hospice care and you need to determine if she is losing weight. She is unable to stand on a scale, so you decide to take a mid-upper arm circumference (MUAC). Place the steps of this technique in order of sequence (1-8). (Enter the number of each step in the proper sequence. Do not use punctuation or spaces. Example: 1234.)
. Ask the patient to allow her arm to hang by her side.
_____2. Remove clothing from the nondominant arm.
_____3. Ask the patient to bend the nondominant arm.
_____4. Place the patient in an upright sitting position.
_____5. Measure the arm at the mid-point mark.
_____6. Identify the mid-point of measurement and mark the arm at this point.
_____7. Document the measurement in centimeters.
_____8. Using the measuring tape, measure from the top of the shoulder to the tip of the elbow.

Accepted Answer

The answer of Your patient is on hospice care and...

Question 14

You are assessing an 89-year-old patient in a long-term care facility. The nursing aide reports to you that the patient states that he has no appetite and is only eating 50% of his meals. What will you document in the nursing note?

Accepted Answer

A)   Patient has anorexia and is eating less than 50% of his meals.
B)   Patient has anorexia and is eating only 50% of his meals.
C)   Patient has ageusia and is eating only 50% of his meals.
D)   Patient has dysgeusia and is eating less than 50% of his meals.

Question 15

Mr. Mason, age 86, lives with his daughter. He has mild dementia. Mr. Mason's daughter brings her father to the outpatient clinic because she feels that her dad is not eating well. The nurse questions Mr. Mason about his appetite and he states, "I eat when I am hungry." Identify nutritional assessments that may be the best options to evaluate Mr. Mason's diet and appetite. Select all that apply.

Accepted Answer

A)   Indirect observation
B)   Direct observation
C)   A 24-hour diet recall
D)   A 3-day food diary
E)   A photo log of meals eaten

Question 16

Vitamin D is needed for healthy bone growth. Vitamin D can be found in which of the following? Select all that apply.

Accepted Answer

A)   Vitamin D fortified foods
B)   Dairy products only
C)   Naturally in most foods
D)   Sunlight only
E)   Sunlight

Exam 4: Assessing Nutrition and Anthropometric Measurements

Correct Answer
verified

A nurse is assessing an obese patient for possible malnutrition and the complications of malnutrition. The nurse understands that all of the following are possible complications of malnutrition EXCEPT:

Correct Answer
verified

A nurse is discussing allergies with a patient. The nurse knows she not only has to assess for drug allergies but food allergies as well. Which of the following questions should the nurse ask to assess for possible food allergies? Select all that apply.

Correct Answer
verified

Correct Answer
verified

A nurse is educating a patient about the importance of good nutrition. The nurse knows the patient understands the teaching when he recognizes that the benefits of healthy eating include which of the following? Select all that apply.

Correct Answer
verified

A nursing instructor is discussing religious considerations in regard to dietary practices with a student nurse. The nursing instructor understands the student nurse needs further education about religious considerations in dietary practices when she makes which of the following statements?

Correct Answer
verified

Vitamin D is needed for healthy bone growth. Vitamin D can be found in which of the following? Select all that apply.

Correct Answer
verified

You are caring for a patient with a very large abdomen who has liver disease. The doctor has ordered abdominal circumferences to be assessed every shift. What is the correct technique to assess an abdominal circumference?

Correct Answer
verified

The purpose of assessing the waist-to-hip ratio (WHR) is:

Correct Answer
verified

Patients who eat a well-balanced diet should receive all of the vitamins and minerals they need from their food. During the nutritional assessment it is important for the nurse to ask the patient about dietary supplements. Which of the following questions would be appropriate for the nurse to ask?

Correct Answer
verified

A nursing instructor is discussing individuals who are at risk for malnutrition with a nursing student. The instructor recognizes that the student needs further education if he indicates which of the following groups of individuals as being at risk for malnutrition?

Correct Answer
verified

A nutritional assessment is based on:

Correct Answer
verified

A patient is having diagnostic laboratory tests drawn to assess her nutritional status. The nurse explains to the patient that there are several laboratory tests that will be used as assessment tools for nutritional status, including which of the following? Select all that apply.

Correct Answer
verified

Correct Answer
verified

You are assessing an 89-year-old patient in a long-term care facility. The nursing aide reports to you that the patient states that he has no appetite and is only eating 50% of his meals. What will you document in the nursing note?

Correct Answer
verified

You are performing a nutritional assessment through direct observation. The patient was given a half cup of mashed potatoes, a hamburger on a bun, and a half cup of string beans. He eats a quarter cup of the mashed potatoes, all of the hamburger, and all of the string beans. What would you document?

Correct Answer
verified

Exam 4: Assessing Nutrition and Anthropometric Measurements

Correct AnswerverifiedShow Answer

A nurse is assessing an obese patient for possible malnutrition and the complications of malnutrition. The nurse understands that all of the following are possible complications of malnutrition EXCEPT:

Correct AnswerverifiedShow Answer

A nurse is discussing allergies with a patient. The nurse knows she not only has to assess for drug allergies but food allergies as well. Which of the following questions should the nurse ask to assess for possible food allergies? Select all that apply.

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

A nurse is educating a patient about the importance of good nutrition. The nurse knows the patient understands the teaching when he recognizes that the benefits of healthy eating include which of the following? Select all that apply.

Correct AnswerverifiedShow Answer

A nursing instructor is discussing religious considerations in regard to dietary practices with a student nurse. The nursing instructor understands the student nurse needs further education about religious considerations in dietary practices when she makes which of the following statements?

Correct AnswerverifiedShow Answer

Vitamin D is needed for healthy bone growth. Vitamin D can be found in which of the following? Select all that apply.

Correct AnswerverifiedShow Answer

You are caring for a patient with a very large abdomen who has liver disease. The doctor has ordered abdominal circumferences to be assessed every shift. What is the correct technique to assess an abdominal circumference?

Correct AnswerverifiedShow Answer

The purpose of assessing the waist-to-hip ratio (WHR) is:

Correct AnswerverifiedShow Answer

Patients who eat a well-balanced diet should receive all of the vitamins and minerals they need from their food. During the nutritional assessment it is important for the nurse to ask the patient about dietary supplements. Which of the following questions would be appropriate for the nurse to ask?

Correct AnswerverifiedShow Answer

A nursing instructor is discussing individuals who are at risk for malnutrition with a nursing student. The instructor recognizes that the student needs further education if he indicates which of the following groups of individuals as being at risk for malnutrition?

Correct AnswerverifiedShow Answer

A nutritional assessment is based on:

Correct AnswerverifiedShow Answer

A patient is having diagnostic laboratory tests drawn to assess her nutritional status. The nurse explains to the patient that there are several laboratory tests that will be used as assessment tools for nutritional status, including which of the following? Select all that apply.

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

You are assessing an 89-year-old patient in a long-term care facility. The nursing aide reports to you that the patient states that he has no appetite and is only eating 50% of his meals. What will you document in the nursing note?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified