ATI Nutrition Proctored Exam

12 September 2022
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question
Foods high in potassium:
Foods high in potassium:
answer
apricots bananas potatoes tomatoes avocado fish spinach beans
question
A nurse is reinforcing diet teaching to a client who has type 2 DM. Which of the following should the nurse include in the teaching? Select all that apply. A. Carbs should comprise 55% of daily caloric intake B. Use hydrogenated oils for cooking C. Table sugar may be added to cereals D. Drink an alcoholic beverage w/meals E. Protein foods can be substituted for carb foods
answer
A, C, D Not B-hydrogenated oils contain trans fatty acids & cause hyperlipidemia Not E-carbs can be exchanged but not w/proteins
question
A nurse is reviewing dietary guidelines to include in the plan of care for a client who has type 2 DM. Which of the following guidelines should the nurse include? Select all that apply. A. Weight management B. Lipid profile C. Cultural needs D. Sleep patterns E. Personal preferences
answer
A, B, C, E
question
To avoid hypoglycemia, the client should consume alcohol...
answer
with a meal or immediately after a meal
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_______________can be included in a diabetic diet as long as adequate insulin or other agents are provided to cover the sugar intake.
answer
Sucrose (table sugar)
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The nurse should instruct the diabetic client that their intake of carbohydrates should be ___to___% of total daily caloric intake.
answer
45-60%
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The lacto-ovo vegetarian diet includes:
answer
dairy products and eggs
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A nurse is teaching a client measures for healthy bones. Which of the following statements by the client requires additional teaching? A. "I will eat foods high in calcium." B. "I will increase my fluid intake." C. "I should participate in weight bearing exercises." D. "I should get my vitamin D from the sunlight."
answer
B. increasing fluid does not promote healthy bones
question
A nurse is conducting a nutritional class to a group of newly licensed nurses. Which of the following should be included in the teaching? A. Limit saturated fat to 10% of total caloric intake. B. Good bowel function requires 35 g/day of fiber for women. C. Limit cholesterol consumption to 400 mg/day D. Normal functioning cardiac systems depends on B-complex vitamins
answer
A
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A nurse is discussing essential nutrients for normal functioning of the nervous system. Which of the following should be included in the teaching? Select all that apply. A. Calcium B. Thiamin C. Vitamin B6 D. Sodium E. Phosphorus
answer
A, B, C, D
question
A school nurse is teaching a group of students how to read food labels. Which of the following should be included in the teaching? Select all that apply. A. Total carbohydrates B. Total fat C. Calories D. Magnesium E. Dietary fiber
answer
A, B, C, E
question
Normal functioning of the nervous system depends on adequate levels of the B-complex vitamins, especially: and also adequate levels of ____and _____for regulators of nerve responses.
answer
thiamin, niacin, vitamin B6 and B12 calcium and sodium
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normal BMI:
answer
18.5-24.9
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obesity BMI is classified as:
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BMI greater than or equal to 30
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Basic food choices for kosher, orthodox Judaism diets:
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-meat -no mixing meat and diary (cheeseburger) -no pork or shellfish -fish must have scales & fins to be kosher
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A client who follows seventh-day Adventist dietary laws will eat a strict: 
They also avoid:
A client who follows seventh-day Adventist dietary laws will eat a strict: They also avoid:
answer
vegetarian diet, some are lacto-ovo, some are vegan. they avoid alcohol, coffee, tea and caffeinated beverages.
question
A nurse is teaching a client who has cancer about appropriate food choices. The nurse determines that the client understands the information when she chooses which of the following snacks? Select all that apply. A. Peanut butter sandwich on whole wheat bread w/2% milk B. Popcorn w/soda C. Yogurt topped w/granola & a banana D. Meat lasagna w/buttered garlic bread E. Plain baked potato
answer
A, C, D
question
Three complications of TPN:
answer
Diarrhea Polyuria Hypocalciumia
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What has more calcium yogurt or cheese?
answer
yogurt
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Niacin is found in sources such as:
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Beef liver nuts legumes whole-grain enriched breads and cereals
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Two medications may be added to PN solutions however administering any IV medication through a PN IV line or port is contraindicated. What are the two medications?
answer
Heparin and insulin
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Expected reference range for pre-albumin:
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23-43
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Which of the following food choices is appropriate for a pt. with GERD? Select all that apply. A. Baked salmon B. Skim milk C. Orange juice D. Decaffeinated tea E. Eggs and salsa
answer
A, B, D
question
For which disease/condition would the nurse teach the client about a gluten-free diet? A. A 54 year old man with pancreatitis. B. A 32 year old woman with celiac disease. C. A 22 year old man with diverticulitis. D. A 76 year old woman with breast cancer.
answer
B. Celiac disease is also known as gluten-sensitive enteropathy (GSE), celiac sprue, and gluten intolerance. It is chronic & hereditary and the client should be instructed to avoid gluten.
question
Foods/beverages that are gluten-free include: (select all that apply)

A. Milk, cheese, dairy products
B. Beer
C. Fried Eggs
D. Baked potatoes 
E. Fruits and vegetables
F. Whole wheat bread
Foods/beverages that are gluten-free include: (select all that apply) A. Milk, cheese, dairy products B. Beer C. Fried Eggs D. Baked potatoes E. Fruits and vegetables F. Whole wheat bread
answer
A, C, D, E
question
A patient who has celiac disease should increase intake of what?
answer
simple carbohydrates (fruits, veggies, milk, etc.)
question
A nurse is providing instructions to a client who has a new diagnosis of celiac disease. Which of the following food choices by the client indicates a need for further teaching? A. Potatoes B. Graham crackers C. Wild rice D. Canned pears
answer
B. Graham crackers are made from wheat flour All others are gluten-free
question
A client with what disease will be instructed to avoid foods with seeds or husks (corn, popcorn, berries, tomatoes)?
answer
diverticular
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A nurse is providing instructions to a client who reports constipation & has a prescription for a high-fiber, low-fat diet. Which of the following food choices by the client indicates understanding of the teaching? A. Peanut butter B. Peeled apples C. Hardboiled egg D. Brown rice
answer
D
question
A nurse is caring for a client post appy. The nurse verifies the postop prescription, which reads "discontinue NPO status; advance diet as tolerated." Which of the following are appropriate for the nurse to offer the client? Select all that apply. A. Applesauce B. Chicken broth C. Sherbet D. Wheat toast E. Cranberry juice
answer
B, E A client postop will be on a clear liquid diet following surgery to transition as tolerated back to normal diet. Cranberry juice and chicken broth are clear liquid selections.
question
A nurse is caring for a client who is on a full liquid diet due to dysphagia. Which of the following nursing actions is the highest priority? A. Add thickener to liquids. B. Educate the client about acceptable liquids. C. Perform a calorie count of consumed liquids. D. Offer high-protein liquid supplements.
answer
A this is highest priority to reduce the risk of aspiration
question
A nurse is performing dietary needs assessments for a group of clients. A blenderized liquid diet is appropriate for which of the following clients? Select all that apply. A. A client who has a wired jaw due to an MVA B. A client who is 24 hr postop following temporomandibular joint repair C. A client who has difficulty chewing due to a traumatic brain injury D. A client who has hypercholesterolemia due to CAD E. A client who is scheduled for a colonoscopy the next morning
answer
A, B, C
question
A nurse is assessing a client who is postop following a colon resection. Which of the following findings indicates that the client is ready to transition from NPO to oral intake? A. Client report of hunger B. Urinary output exceeding 30 mL/hr C. Decrease in incisional pain D. Passage of flatus
answer
D
question
A nurse is assisting a client who has a prescription for a mechanical soft diet w/food selections. Which of the following are appropriate selections by the client? Select all that apply. A. Dried prunes B. Ground turkey C. Mashed carrots D. Fresh strawberries E. Cottage cheese
answer
B, C, E
question
A nurse is teaching a client who is undergoing cancer treatment about interventions to manage stomatitis. Which of the following statements by the client indicates an understanding of the teaching? A. "I will try chewing larger pieces of food." B. "I will avoid toasting my bread." C. "I will consume more food in the morning." D. "I will add more citrus foods to my diet."
answer
B. Dry, coarse foods can increase the incidence/risk of stomatitis
question
Which of the following food choices by a client undergoing chemotherapy with presence of stomatitis indicates a need for further teaching? A. Small pieces of bananas B. Cut up fresh orange & pineapple slices C. Yogurt with granola D. Meat lasagna
answer
B
question
A nurse is caring for a client who has hypoglycemia. Which of the following is an appropriate action by the nurse? A. Offer crackers & cheese B. Encourage sucking on 8 hard candies C. Provide 8 oz of regular soda D. Give juice w/table sugar
answer
B
question
Which of the following are appropriate dietary choices for a client with cholecystitis? Select all that apply. A. Baked lightly-seasoned tilapia B. Buttered steamed broccoli C. Skim or 1% low fat milk D. Whole wheat toast E. Pasta with cream sauce and onions
answer
A, C
question
Patients with gallstones, also known as cholecystitis, should avoid what in their diet?
Patients with gallstones, also known as cholecystitis, should avoid what in their diet?
answer
FAT
question
A nurse is planning for an older adult client who is receiving treatment for malnutrition. The client is scheduled for discharge to his home where he lives alone. Which of the following actions are appropriate to include in the plan of care? (Select all that apply.) A. Consult social services to arrange home meal delivery B. Encourage the client to purchase nonperishable boxed meals C. Advise the client to purchase frozen fruits/veggies D. Recommend drinking a supplement between meals E. Educate the client on how to read nutrition labels
answer
A, C, D, E
question
Older adult clients will need more _____and vitamin ___to help maintain bone health. The may also be instructed to increase ____in their diet.
Older adult clients will need more _____and vitamin ___to help maintain bone health. The may also be instructed to increase ____in their diet.
answer
calcium and vitamin D increase fiber
question
Older adults have decreased absorption of what three nutrients?
answer
1. Vitamin B12 2. Folic acid 3. Calcium
question
The soft diet is also known as the bland, low fiber diet and contains foods such as:
answer
Whole foods that are low in fiber, lightly seasoned and easily digested.
question
Is it safe to take antibiotics while breastfeeding?
answer
Yes, PO antibiotics are safe. Notify provider and finish entire course to reduce risk of reoccurence. There is a slight transfer between breast milk though.
question
Food interactions with MAOIs include:
answer
tyramine-rich foods caffiene foods/beverages
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A nurse is providing follow-up dietary teaching for a client who recently was prescribed phenelzine (Nardil). When reviewing the client's dietary log, which of the following foods requires a need for further teaching? A. Cottage cheese B. Banana bread C. Apple pie D. Grilled steak
answer
B
question
Intermittent tube feeding formula set rate:
Intermittent tube feeding formula set rate:
answer
administered every 4-6 hr in equal portions of 200-300 mL over a 30-60 min time frame, usually by gravity drip
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Which type of tube feeding is often used in noncritical clients, home tube feedings, and clients in rehabilitation?
answer
intermittent tube feeding
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What should the head of the bed be elevated at for tube feedings and for how long?
answer
HOB at least 30 degrees and for during and after for 30-60 min to prevent aspiration risk
question
How often should you obtain gastric residuals for a client receiving tube feedings?
answer
every 4-6 hrs
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When beginning a new prescription for enteral nutrition by intermittent tube feeding how should you first initiate this feeding?
answer
Increase the formula over the first 4 to 6 feedings until the prescribed volume is achieved
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A nurse is preparing to administer intermittent enteral feeding to a client who has neuromuscular disorder. Which of the following are appropriate nursing interventions? Select all that apply. A. Fill the feeding bag w/24 hr worth of formula B. Discard irrigation equipment after 24 hr C. Leave unused portions of formula at the bedside D. Label the unused portion of the formula E. Replace administration tubing & feeding bag every 48 hr
answer
B, D, E
question
Teach parents that they may switch their child to skim or 1% low fat milk after...
answer
2 years of age
question
A nurse is teaching a client who has pre-stage chronic kidney disease about dietary management. Which of the following information should the nurse include in the instructions? A. Restrict protein intake B. Maintain a high-phosphorus diet C. Increase intake of foods high in potassium D. Limit dairy products to 1 cup per day
answer
A
question
Major sources of dietary potassium (K):
Major sources of dietary potassium (K):
answer
oranges dried fruits tomatoes avocados dried peas meats broccoli bananas
question
Major sources of dietary chloride (Cl):
Major sources of dietary chloride (Cl):
answer
table salt
question
Major sources of dietary calcium (Ca):
Major sources of dietary calcium (Ca):
answer
dairy broccoli kale grains egg yolks
question
Major sources of dietary magnesium (Mg):
Major sources of dietary magnesium (Mg):
answer
green leafy vegetables nuts grains meat milk
question
Major sources of dietary phosphorus (P):
Major sources of dietary phosphorus (P):
answer
dairy peas soft drinks meat eggs some grains
question
Major sources of dietary sulfur (S):
Major sources of dietary sulfur (S):
answer
dried fruits meats red and white wines
question
Major diet sources of vitamin A:
Major diet sources of vitamin A:
answer
orange/yellow colored foods liver dairy
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Major diet sources of vitamin D
Major diet sources of vitamin D
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fish fortified dairy products sunlight
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Major diet sources of vitamin E
Major diet sources of vitamin E
answer
vegetable oils grains nuts dark green vegetables
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Major diet sources of vitamin K
Major diet sources of vitamin K
answer
green leafy vegetables eggs liver
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Major sources of vitamin C
Major sources of vitamin C
answer
citrus fruits and juices vegetables
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Major sources of Thiamin (B1)
Major sources of Thiamin (B1)
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meats grains legumes
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Major sources of riboflavin (B2)
Major sources of riboflavin (B2)
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milk meats green leafy vegetables
question
Major sources of niacin (B3)
Major sources of niacin (B3)
answer
liver nuts legumes
question
Major sources of pantothenic acid (B5)
Major sources of pantothenic acid (B5)
answer
organ meats egg yolk avocados broccoli
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Major sources of pyridoxine (B6)
Major sources of pyridoxine (B6)
answer
organ meats grains
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Major sources of folate
Major sources of folate
answer
liver green leafy vegetables grains legumes
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Major sources of cobalamin (B12)
Major sources of cobalamin (B12)
answer
organ meats clams oysters grains
question
Examples of high fiber foods:
Examples of high fiber foods:
answer
lentils lima beans black beans artichokes brussel sprouts broccoli raspberries & blackberries avocados pears bran whole wheat pasta oatmeal split peas
question
LDL expected range:
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less than 130
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HDL expected range
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35-80 females 35-65 males
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A client with fluid volume excess will have what expected lab values?
A client with fluid volume excess will have what expected lab values?
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increased Hct increased or decreased serum electrolytes increased protein decreased aldosterone increased excretion of sodium increased natriuretic peptides decreased BUN & creatinine decreased PaCO2 increased pH
question
Manifestations of hypoglycemia:
Manifestations of hypoglycemia:
answer
mild shakiness mental confusion sweating palpitations headache lack of coordination blurred vision seizures coma
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A nurse is assessing a client who has hypoglycemia. Which of the following findings should the nurse expect? A. Fruity breath odor B. Diaphoresis C. Vomiting D. Polyuria
answer
B
question
Decreased sodium s/s:
Decreased sodium s/s:
answer
confusion headache nausea dizzy abdominal cramping
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Increased sodium s/s:
Increased sodium s/s:
answer
confusion thirst weakness
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Increased phosphorus s/s:
answer
numbness/tingling tetany decreased calcium
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Decreased potassium s/s:
Decreased potassium s/s:
answer
irregular HR muscle weakness leg cramping anorexia
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Increased potassium s/s:
Increased potassium s/s:
answer
dysryhthmias muscle weakness
question
Decreased chloride s/s:
Decreased chloride s/s:
answer
lack of emotion anorexia muscle cramping
question
A nurse is caring for a client who is receiving TPN. The current bag of TPN is empty & a new bag is not available on the unit. Which of the following solutions should the nurse infuse until a new bag of TPN is available? A. Dextrose in 10% water B. 0.45% sodium chloride C. Dextrose 5% in LR D. 0.9% sodium chloride
answer
A To prevent hypoglycemia
question
A nurse is teaching about nutritional requirements for a client who is starting a vegetarian diet. Which of the following information should the nurse include in the teaching? A. Consume high-fat cheese to replace meats when on a vegetarian diet B. A vegetarian diet is high in vitamin B12 C. Fewer calories are required when on a vegetarian diet D. Include 2 servings per day of nuts when on a vegetarian diet
answer
D. to receive daily recommended intake of omega 3 fatty acids
question
A nurse is providing teaching about lowering solid fat intake to an adolescent who is overweight. Which of the following instructions should the nurse include? A. "Limit egg yolks to a total of 5 per week." B. "Restrict your daily meat intake to 5 oz." C. "Select cheeses that contain no more than 6 g of fat per serving." D. "Choose margarine that contains no more than 4 g of saturated fat per tablespoon."
answer
B. A meat portion should be restricted to no more than the size of a deck of cards.
question
A nurse is providing dietary teaching to a client who has celiac disease. Which of the following statements by the client indicates an understanding of the teaching? A. "I can return to my normal diet after I follow this diet for 1 month." B. "I can have tapioca pudding for dessert." C. "I will choose canned soups that don't contain meat products." D. "I will eat my sandwiches on whole wheat bread."
answer
B tapioca doesn't contain gluten, all other choices do, diet is lifelong
question
A nurse is performing a comprehensive nutritional assessment for a client. After reviewing the client's lab results, which of the following findings should the nurse report to the provider? A. WBC count of 6000/mm3 B. Sodium 139 mEq/L C. Prealbumin 8 mg/dL D. Thyroxine (t4) 9.2 mcg/dL
answer
C This indicates a critical level that indicates severe malnutrition
question
A nurse is providing discharge teaching to a client who has Parkinson's disease & a prescription for levodopa-carbidopa. Which of the following foods should the nurse instruct the client to consume w/the med? A. 6 oz greek yogurt B. 1 oz cheddar cheese C. 6 peanut butter crackers D. 1 slice wheat toast
answer
D this is the lowest protein option since the med effectiveness decreases w/protein absorption
question
A nurse is assessing a client's risk for pressure ulcers using the Braden scale. The client eats more than half of most meals but occasionally refuses a meal. Which of the following information should the nurse document on the nutrition category of the Braden scale? A. 1 (very poor) B. 2 (Probably Inadequate) C. 3 (Adequate) D. 4 (Excellent)
answer
C.
question
A nurse is providing teaching about cancer prevention to a group of clients. Which of the following client statements indicates an understanding of the teaching? A. "I will eat 5 servings of fruits & veggies each day." B. "I should limit my alcohol intake to a max of 3 drinks daily." C. "I should eat more refined wheat & oat products." D. "I will eat processed meats to achieve my required protein intake."
answer
A
question
A nurse is caring for a client who has cirrhosis and ascites. Which of the following dietary instructions should the nurse provide for this client? A. "Decrease your sodium intake to 1-2 grams/day" B. "Increase your daily fluid intake to 3 L/day" C. "Consume 0.5 gram per kg of protein/day" D. "Eliminate foods that contain vitamin K."
answer
A A client with cirrhosis should limit sodium intake to 2000 mg
question
A nurse is assessing a client who has type 2 DM. The nurse should recognize which of the following as a manifestation of hypoglycemia? A. Confusion B. Polydipsia C. Vomiting D. Ketonuria
answer
A
question
A nurse is an ED is reviewing the lab report for an older adult client who is confused & reports nausea & abd. cramping. The nurse should suspect the client's lab results to indicate a dietary deficiency of which of the following minerals? A. Sodium B. Phosphorus C. Potassium D. Chloride
answer
A Sodium deficit manifestations include: confusion, headache, adb cramping, and dizziness.
question
A nurse is teaching about dietary intake of micronutrients to a client who has difficulty seeing at night. Which of the following micronutrients should the nurse include in the teaching? A. Vitamin A B. Calcium C. Vitamin B6 D. Phosphorus
answer
A. Vitamin A enables the eyes to adapt to dim lighting more rapidly at night, which improves night vision.
question
A nurse is providing nutritional teaching to the parents of a 2-year-old toddler. Which of the following snack foods should the nurse recommend? A. 1 cup fruit gel bites B. 1 cup yogurt C. 1/2 of a hot dog D. 1/2 of a peanut butter sandwich
answer
B. good source of protein, little risk of choking
question
A nurse is caring for a client who is prescribed captopril. The nurse is aware that which of the following foods could cause a potential medication interaction? A. Watermelon B. Cantaloupe C. Lettuce D. Carrots
answer
B. Cantaloupe is high in potassium, the client on captopril should avoid foods high in potassium
question
A nurse is teaching an adolescent who has a new diagnosis of celiac disease. Which of the following statements by the client indicates understanding of the teaching? A. "I need to decrease the amount of oil I use in cooking." B. "I need to eat fewer acidic foods, such as tomatoes & oranges." C. "I need to eliminate rye from my diet." D. "I need to eliminate milk products from my diet."
answer
C. eating sources of gluten, such as rye or barley, increases manifestations of celiac disease
question
A nurse is providing dietary instructions for a client who has a prescription for warfarin. Which of the following foods should the nurse recommend the client eat in moderation while taking this med? A. Green leafy vegetables B. Whole grains C. Fruits with skin D. Nuts and seeds
answer
A. these have high vitamin K which can deplete the effects of warfarin, an anticoagulant
question
A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan? A. Weight the client once weekly at the same time of the day. B. Stay with the client for 30 min after meals C. Allow the client to schedule mealtimes D. Assign privileges based on direct weight gain
answer
D
question
A nurse is creating a plan of care for a client who has mucositis following head & neck radiation therapy for cancer. Which of the following interventions should the nurse include in the plan? A. Encourage 3 servings of citrus foods daily B. Provide lemon-glycerin swabs for oral hygiene after meals C. Increase fluid intake to 2 L/day D. Heat oral hygiene mouth rinses before use
answer
C.
question
A nurse is discussing dietary factors to assist in BP management for a client who has HTN. Which of the following client statements indicates an understanding of the teaching? A. "I can drink up to 3 glasses of wine/day." B. "I should choose whole grain pastas when selecting my foods." C. "I should decrease my consumption of foods high in potassium." D. "I can eat dairy products because they do not have much sodium."
answer
B
question
A nurse is developing a teaching plan for a client who has dysphagia & is being discharged home w/a prescription for a mechanical soft diet. Which of the following foods should the nurse include in the plan? A. Raisins B. Skim milk C. Apple slices D. Mashed potatoes
answer
D
question
A nurse is teaching an older adult client about measures to reduce the risk of osteomalacia. Which of the following instructions should the nurse include in the teaching? A. Consume 20 mcg of vitamin D daily. B. Avoid foods rich in antioxidants. C. Increase intake of foods high in purine. D. Take 150 mg of vitamin E daily.
answer
A
question
A nurse is caring for a client who as a new prescription for PN containing a mixture of dextrose, amino acids, & lipids. Prior to administration of the PN, the nurse should report which of the following food allergies to the provider? A. Gelatin B. Peanuts C. Shellfish D. Eggs
answer
D
question
A nurse is caring for a client who develops diarrhea while receiving a continuous enteral tube feeding. Which of the following actions should the nurse take? A. Provide a low-protein formula B. Elevate the HOB to 30 deg. C. Switch to intermittent feedings D. Warm the formula to room temp
answer
D. A client can develop diarrhea if the formula is too cold.
question
A nurse in a clinic is reviewing the lab findings of a client who began a DASH diet following a recent dx of HTN. Which of the following lab findings indicates the client has reached 1 of the goals of the DASH diet? A. Sodium 150 mEq/L B. Chloride 106 mEq/L C. Fasting glucose 130 mg/dL D. Total cholesterol 190 mg/dL
answer
D
question
A nurse is teaching a client who has chronic kidney disease about limiting her calcium intake. Which of the following food choices should the nurse inform the client contains the highest amount of Ca & should be limited in her diet? A. 1 cup low-fat yogurt B. 1 oz cheddar cheese C. 1 egg D. 1/2 cup spinach
answer
A This contains about 314 mg per cup, spinach contains about 122 mg per cup, egg contains 25 mg, cheddar cheese contains 214 mg per oz
question
A nurse is teaching a client about maximizing absorption when taking calcium supplements. Which of the following instructions should the nurse include in the teaching? A. "Take a supplement that contains vitamin D." B. "Take the supplement w/a full glass of water." C. "Take a 1000 mg supplement in the morning w/food." D. "Take the supplement w/a sublingual vitamin B12 tablet."
answer
A
question
A nurse is providing teaching to a client who is at 24 weeks of gestation & reports constipation. Which of the following instructions should the nurse include in the teaching? Select all that apply. A. Drink eight 240 mL (8 oz) glasses of water daily B. Eat small amounts of food frequently C. Increase daily fiber intake D. Use a glycerin suppository every other day E. Perform exercises regularly using large muscle groups
answer
A, C, E
question
A nurse is providing teaching to a client who has DM & an HbA1c of 8.7%. Which of the following statements by the client indicates understanding of this lab value? A. "I should have gone to my exercise class yesterday." B. "This shows that my result is finally within normal range." C. "This shows that I have not been following my diet." D. "I should have my blood work done 1st thing in the morning."
answer
C
question
A nurse is providing info to a client who has a new prescription for atorvastatin. Which of the following beverages should the nurse include in the info as a contraindication for taking this med? A. Orange juice B. Coffee C. Grapefruit juice D. Milk
answer
C.
question
A nurse is caring for a client who is receiving continuous enteral tube feedings. Which of the following actions should the nurse take to prevent aspiration? A. Monitor gastric residuals every 4 hr B. Maintain elevation of the head of the bed at 15 deg. C. Confirm proper tube placement by radiograph every 24 hr D. Flush tubing w/30 mL water before and after meds
answer
A
question
A nurse is providing teaching to a client who is a vegetarian & requires an increase in zinc intake. Which of the following foods is the best source of zinc? A. Pineapple B. Green grapes C. Cauliflower D. Pinto beans
answer
D
question
A nurse is assessing the meal pattern of a client who has diverticular disease & a prescription for a high-fiber diet. Which of the following food choices by the client contains the most fiber? A. 1 medium banana B. 1/2 cup cooked oatmeal C. 1 medium apple w/skin D. 1/2 cup bran cereal
answer
D
question
A nurse is providing teaching to a client who is lactating about increasing her protein intake. Which of the following foods should the nurse recommend as the best source of protein? A. Legumes B. Cottage cheese C. Peanut butter D. Whole grain cereal
answer
B
question
A nurse is teaching an older adult client about nutritional recommendations. Which of the following statements should the nurse make? A. "You should increase your daily calorie intake." B. "You should increase your daily protein intake." C. "You receive an adequate amount of calcium from your diet, so a supplement is not recommended." D. "You receive an adequate amount of vitamin D from sun exposure, so it is not necessary to take a supplement."
answer
B
question
A nurse is evaluating a client who is receiving continuous enteral feeding & has diarrhea. Which of the following actions should the nurse take to reduct the client's diarrhea? A. Flush the client's feeding tube B. Administer promethazine to the client C. Decrease the rate of the feeding D. Check the client's gastric residual
answer
C
question
A nurse is providing dietary teaching for a client who is postop following gastric bypass. Which of the following instructions should the nurse include? A. Eat 6 small meals per day B. Start each meal w/a protein C. Complete each meal even if feeling full D. Plan to eat each meal over 15 min
answer
B
question
A nurse is caring for a client who has DM and reports feeling dizzy, weak, and shaky. Which of the following is the priority action by the nurse? A. Offer the client 180 mL (6 oz) of orange juice B. Document the client's intake from the most recent meal C. Teach the client about manifestations of hypoglycemia D. Check the client's blood glucose level
answer
D
question
A nurse is caring for a client who is receiving radiation therapy. The client reports a metallic taste in his mouth while eating. Which of the following actions should the nurse take? Select all that apply. A. Provide 3 large meals/day B. Offer citrus fruits C. Suggest pickles as a snack D. Rinse silverware prior to eating E. Gargle w/mouthwash
answer
B, C, E
question
A nurse is reviewing lab results of a client who is receiving continuous total parenteral nutrition. Which of the following results should the nurse report to the provider? A. Glucose 238 mg/dL B. Potassium 4.7 mEq/L C. Calcium 9.8 mg/dL D. Sodium 140 mEq/L
answer
A
question
A nurse is conducting dietary teaching for a group of women who are of childbearing age. Which of the following food items should the nurse include as containing the highest amount of folate? A. 1/2 cup chickpeas B. 3.5 oz chicken liver C. 1 medium orange D. 1 slice white bread
answer
B
question
A nurse is caring for a client who has anemia & a new prescription for an iron supplement. The nurse should recommend the client consume the supplement w/which of the following beverages to increase absorption? A. Protein shake B. Skim milk C. Tomato juice D. Green tea
answer
C
question
A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. Which of the following info should the nurse include? A. Replace legumes w/broiled meats B. Consume 1/2 cup bran/daily C. Leave the skin on when eating fruit D. Decrease fluid intake while increasing fiber
answer
C
question
A nurse is caring for an older adult client who has a pressure ulcer. The client practices Orthodox Judaism & strictly follows kosher dietary laws. Which of the following foods should the nurse provide for this client? A. Pork tenderloin B. Cheeseburger C. Clam chowder D. Macaroni & cheese
answer
D
question
A nurse is planning dietary interventions for a client who is prescribed external radiation for laryngeal cancer. The client reports manifestations of stomatitis. Which of the following interventions should the nurse include? A. Provide meals at room temp B. Offer the client additional seasonings for food C. Instruct the client to eat citrus fruits at the beginning of the meal D. Encourage the client to drink warm tomato juice in place of high-protein supplements
answer
A
question
A nurse is performing a cultural assessment for a client whose religious practices include fasting 1 day each week. Which of the following questions should the nurse ask the client? Select all that apply. A. "Are you exempt from fasting during illness?" B. "Does fasting mean refraining from drinking liquids?" C. "Does fasting occur during certain hours of the day?" D. "Is vegetarianism a form of fasting?" E. "Does fasting mean eating only a certain type of food?"
answer
A, B, C, E
question
A community health nurse is planning to teach a class about weight management for cardiovascular health. Which of the following statements should the nurse plan to make to the participants? A. "Limit your sodium intake to 1800 mg/day." B. "Reduce your daily intake of foods that contain protein." C. "Taking a daily multivitamin will prevent cardiovascular disease." D. "Plan to lose weight gradually at 1/2 to 1 pound per week."
answer
D
question
A nurse is providing teaching about proper eating techniques to a client who is experiencing dysphagia following a stroke. Which of the following instructions should the nurse include in the teaching? Select all that apply. A. Tilt the head forward when swallowing. B. Drink thin liquids through a straw. C. Place food on the unaffected side of the mouth. D. Take moderate bites when eating. E. Limit disruptions during mealtime.
answer
A, C, E
question
A nurse is reviewing the lab data of 4 clients. The nurse should identify that which of the following clients is experiencing fluid overload? A. A client who has an albumin level of 5.5 g/dL. B. A client who has a urine specific gravity of 1.035. C. A client who has a Hct of 55%. D. A client who has a sodium level of 130 mEq/L.
answer
D
question
A nurse is initiating an enteral feeding for a client who has chronic bronchitis. Which of the following types of formula should the nurse anticipate administering to the client? A. Low protein B. High carb C. High calorie D. Low fat
answer
C
question
A home health nurse is reviewing the medical record of a client who had an open reduction internal fixation of the tibia. Which of the following findings should the nurse identify as a risk factor for impaired wound healing? A. The client's Hgb is 15 g/dL. B. The client's peripheral pulses are +3 distal to the affected extremity. C. The client consumes 1000 k/cal daily. D. The client takes zinc supplements.
answer
C
question
A nurse is teaching a client who is preparing for bowel surgery about a low-residue diet. Which of the following food choices by the client indicates an understanding of the teaching? A. 3 slices of bacon & oatmeal toast B. Granola w/raisins & strawberries C. Whole wheat french toast w/blueberries & maple syrup D. 2 poached eggs & a banana
answer
D
question
A nurse is caring for a client who is dehydrated & is receiving intermittent enteral feeding. Which of the following actions should the nurse plan to take? A. Use a low-fat formula for admin B. Chill the formula prior to admin C. Provide the formula as a continuous infusion D. Dilute the formula before admin
answer
C
question
A nurse is calculating the daily protein allowance of a client who weighs 176 lb. The client's daily protein allowance is 0.8 g/kg. How many grams of protein should the client consume per day?
answer
64 g
question
A nurse is assessing a client who experienced a 5% weight loss in the past 30 days. Which of the following clinical manifestations should the nurse identify as an indication of malnutrition? A. Moist skin B. Ankle edema C. Hyperreflexia D. Dilated pupils
answer
B
question
A nurse is caring for an infant who has a cleft lip & palate. In which of the following positions should the nurse place the infant for bottle feeding? A. Lateral B. Football hold C. Supine in the crib D. Upright
answer
D
question
A nurse is caring for a client who has acute IBD. Which of the following nutritional supplements should the nurse anticipate providing to this client? A. Hydrolyzed formula B. Polymeric formula C. Milk-based supplement formula D. Modular product supplement formula
answer
A
question
A nurse is caring for a client who has age-related macular degeneration (AMD) & asks the nurse if there are any nutritional changes to consider. Which of the following responses should the nurse make? A. Use soy products as much as possible B. Add niacin-rich foods to the diet C. Increase dietary intake of lutein D. Consume foods w/a high glycemic index
answer
C (found in vitamin A)
question
A nurse is caring for a client who is receiving continuous enteral feedings via NG tube. The nurse notices that the tube feeding has stopped infusing. Which of the following actions is the nurse's priority? A. Change the formula B. Change the tube C. Notify the provider D. Flush the tube w/warm water
answer
D
question
normal BUN & creatinine
answer
BUN=7-20 mg/dL higher in men than women Creat=0.6-1.2
question
A nurse is assessing a client who has end-stage kidney disease (ESKD). Which of the following dietary habits increases the client's risk for dysrhythmias? A. Consuming a low-fat diet B. Eating a diet rich in potassium C. Consuming a diet rich in protein D. Eating a diet deficient in iron
answer
B
question
A nurse is caring for a client who is at 8 weeks of gestation & has a BMI of 34. The client asks about weight goals during her pregnancy. The nurse should advise the client to do which of the following? A. Maintain her current BMI. B. Gain approximately 6.8 kg (15 lb). C. Lower her BMI to 30. D. Gain 12.7 to 15.8 kg (28-35 lb).
answer
B
question
A client is experiencing anorexia r/t cancer tx. Which of the following interventions should the nurse implement to increase the client's nutritional intake? A. Recommend cooking aromatic foods to stimulate appetite. B. Serve hot foods rather than cold foods. C. Instruct the client to eat 3 meals per day D. Add extra calories & protein to every meal.
answer
D
question
A nurse is caring for a client who is receiving TPN. Which of the following lab findings indicates that the TPN therapy is effective? A. Calcium 8 mg/mL B. Hemoglobin 9 g/dL C. Prealbumin 30 mg/dL D. Cholesterol 140 mg/dL
answer
C Prealbumin is indicative to nutritional status
question
A nurse is teaching a female client about a healthy diet to control HTN. Which of the following client statements indicates an understanding of the teaching? A. "I will drink 2 glasses of whole milk daily." B. "I will decrease the potassium in my diet." C. "I will eat 4 servings of unsalted nuts per week." D. "I will limit alcohol consumption to 2 drinks/day."
answer
C
question
A nurse is updating a plan of care for a client who is receiving intermittent enteral feedings & is experiencing diarrhea. Which of the following interventions should the nurse include in the plan? A. Discard the client's opened cans of formula within 48 hr. B. Administer the client's formula cold. C. Feed the client in small, frequent volumes D. Consider a low-calorie formula for the client
answer
C
question
A nurse is planning nutritional teaching for the parents of a toddler who has failure to thrive. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) A. Eliminate environmental disruptions during meals. B. Stop the meal when the toddler exhibits negative behavior. C. Provide 240 mL (8 oz) fruit juice in between meals. D. Schedule meal times at the same time each day. E. Allow the toddler to determine the length of the meal.
answer
A, D
question
A nurse is providing diet teaching for a client who has osteoporosis. The nurse should instruct the client that which of the following foods has the highest amount of calcium? A. 1 cup avocado B. 2 tablespoons peanut butter C. 1/2 cup roasted sunflower seeds D. 1/2 cup roasted almonds
answer
D
question
A nurse is providing diet teaching for a client who has chronic skin ulcers of the lower extremities. Which of the following foods should the nurse recommend as containing the highest amount of zinc? A. 1 cup apple slices B. 4 oz low-fat cottage cheese C. 4 oz ground beef patty D. 1 cup raw spinach
answer
C
question
A client reports constipation during a routine checkup. The client was previously encouraged to increase his intake of mineral supplements. Which of the following minerals should the nurse identify as the cause of the constipation? A. Phosphorus B. Potassium C. Magnesium D. Calcium
answer
D
question
A nurse is preparing to administer intermittent enteral tube feedings to a client. In what order should the nurse perform the following actions before beginning the feeding? -Flush tubing w/30 mL water -Place the client in Fowler's position -Check the residual -Verify tube placement
answer
1. Place the client in Fowler's position 2. Verify tube placement 3. Check the residual 4. Flush tubing w/30 mL water
question
A nurse is planning care for a client who is obese & wants to lose weight. Which of the following actions should the nurse take 1st? A. Recommend checking weight once weekly. B. Obtain a 24-hr dietary recall. C. Assist w/creating an exercise plan. D. Initiate a diet modification plan.
answer
B
question
A nurse in an acute care facility is planning care for a client who has chosen to follow Islamic dietary laws during Ramadan. Which of the following actions should the nurse plan to take? A. Place the client on NPO status during nighttime hours B. Provide a snack for the client after sunset C. Offer the client hot tea w/daytime meals D. Allow the client to eat privately w/his family each day at 1300
answer
B
question
A nurse in a provider's office is assessing a client who has HIV. The nurse should identify which of the following findings as an indication to increase the client's nutritional intake? A. T-helper (CD4+) cells 700/mm3 B. Presence of herpes simplex virus infection C. HIV viral load below detectable levels D. Increased lean body mass
answer
B
question
A nurse is providing teaching for a client who has a new prescription for nifedipine. Which of the following foods should the nurse instruct the client to avoid? A. Milk B. Aged cheese C. Grapefruit juice D. Bananas
answer
C
question
A nurse is providing nutritional counseling to a client who wants to lose weight. The nurse should identify that which of the following statements indicates that the client understands the counseling? A. "I will taste my foods while I am cooking." B. "I will exclude breads & pastries from my diet." C. "I will make a list before I go grocery shopping." D. "I will skip lunch if I am too busy to have something healthy."
answer
C
question
A nurse is planning to provide dietary teaching to a client who has chronic kidney disease & is prescribed hemodialysis. Which of the following actions should the nurse plan to take 1st? A. Create a schedule for the client fluid intake. B. Provide the client w/a list of foods that are high in sodium. C. Determine whether the client has culture-related food preferences. D. Explain the purpose of protein restriction in the diet.
answer
C
question
A nurse is planning strategies to reduce the intake of solid fats for a client who has hyperlipidemia. Which of the following strategies should the nurse include in the plan? A. Choose cheese w/4 g of fat per serving. B. Limit eating 4 eggs w/yolks per week. C. Choose ground meat that is 75% lean. D. Limit meat to 5 oz per day.
answer
D
question
A nurse is developing an educational program about the glycemic index of foods for clients who have DM. Which of the following foods should the nurse identify as having the highest glycemic index? A. Sweet corn B. Macaroni C. Baked potato D. Peanuts
answer
C
question
A nurse is providing discharge teaching to a client who has a new ileostomy. Which of the following dietary guidelines should the nurse include in the teaching? A. Plan to reduce dietary salt intake. B. Cook foods w/limited amounts of pasta products. C. Prepare meals on a schedule. D. Reduce dietary B12.
answer
C.
question
A nurse is providing to a client who has dumping syndrome & is experiencing weight loss. Which of the following instructions should the nurse include in the teaching? A. Consume liquids between meals B. Increase intake of simple carbohydrates C. Decrease foods high in fat content D. Eat meals low in protein
answer
A
question
A nurse is planning discharge teaching for a client who is postoperative following placement of a colostomy. Which of the following info should the nurse include? A. "Resume a regular diet by 4 weeks after surgery." B. "Add high-fiber foods to your diet." C. "Increase your intake of foods containing pectin." D. "Drink 4-6 cups of water per day."
answer
C
question
A nurse is teaching a client about managing IBS. Which of the following info should the nurse include in the teaching? A. Increase intake of fresh fruit high in fructose B. Limit foods that contain probiotics C. Take peppermint oil during exacerbation of manifestations D. Substitute white sugar w/honey
answer
C
question
A nurse is reviewing the lab results of a client who has a pressure ulcer. Which of the following findings should indicate to the nurse that the client is at risk for impaired wound healing? A. Hgb 15 g/dL B. Serum albumin 3.0 g/dL C. Prothrombin time 11.5 sec D. WBC 6000/mm3
answer
B
question
Chronic kidney disease question:
answer
creatinine (3.5 might be the level, norm is 0.6-1.2ish)
question
Antidote for Warfarin=
answer
Vitamin K
question
Diet for disequilibrium syndrome/nausea (vertigo) question:
answer
low fat, low carb
question
Best source of protein food:
answer
cheese
question
Good iron sources for vegetarians:
answer
dried beans
question
HDL levels
answer
normal is 40-59 (higher for men)
question
LDL levels
answer
less than 100 is best
question
Total cholesterol levels
answer
normal is less than 200
question
normal Hct
answer
34-50% higher in men than women
question
normal BUN & creatinine
answer
BUN=80-140 higher in men than women Creat=0.6-1.2
question
normal prealbumin and albumin
answer
prealbumin= 23-43 albumin= 3.5-5.0
question
Pt is obese & wants to lose weight, what is the 1st thing a nurse should do?
answer
identify client's motivation
question
Cheese is a ____protein.
answer
complete
question
Gelatin is a ______protein.
answer
incomplete
question
Salmon is a ______protein.
answer
complete
question
% of total daily protein should be:
answer
12-20%
question
% of total fat in diet should be, sat fats?:
answer
30%, sat fats less than 10%