Exam 6 (Ch 26 Test Questions) Flashcards Preview

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Flashcards in Exam 6 (Ch 26 Test Questions) Deck (30):
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1. Which food provides the body with no usable glucose?
1) Wheat germ
2) Apple
3) White bread
4) White rice

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2. Which organ relies almost exclusively on glucose for energy?
1) Liver
2) Heart
3) Pancreas
4) Brain

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3. A patient with type 1 diabetes is admitted with hyperglycemia and associated acidosis. The presence of which alternative fuel in the body is responsible for the acidosis?
1) Glycogen
2) Insulin
3) Ketones
4) Proteins

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4. Which patient is most likely experiencing positive nitrogen balance? A patient admitted:
1) With third-degree burns of his legs.
2) In the sixth month of a healthy pregnancy.
3) From a nursing home who has been refusing to eat.
4) With acute pancreatitis.

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5. Which polysaccharide is stored in the liver?
1) Insulin
2) Ketones
3) Glycogen
4) Glucose

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6. While addressing a community group, the nurse explains the importance of replacing saturated fats in the diet with mono- and polyunsaturated fats. She emphasizes that doing so greatly reduces the risk of which complication?
1) Kidney failure
2) Liver failure
3) Stroke
4) Lung cancer

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7. Patients may be deficient in which vitamin during the winter months?
1) A
2) D
3) E
4) K

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8. Which nutrient deficiency increases the risk for pressure ulcers?
1) Carbohydrate
2) Protein
3) Fat
4) Vitamin K

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9. A patient has anemia. An appropriate goal for that the patient would be for him to increase his intake of which nutrient?
1) Calcium
2) Magnesium
3) Potassium
4) Iron

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10. A patient is brought to the emergency department experiencing leg cramps. He is irritable, his temperature is elevated, and his mucous membranes are dry. Based on these findings, the patient most likely has excess levels of which mineral?
1) Sodium
2) Potassium
3) Phosphorus
4) Magnesium

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11. A patient who was prescribed furosemide (Lasix) is deficient in potassium. Which of the following is an appropriate goal for this patient? The patient will increase his consumption of:
1) Bananas, peaches, molasses, and potatoes.
2) Eggs, baking soda, and baking powder.
3) Wheat bran, chocolate, eggs, and sardines.
4) Egg yolks, nuts, and sardines.

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12. During the day shift, a patient’s temperature measures 97F (36.1C) orally. At 2000, the patient’s temperature measures 102F (38.9C). What effect does this rise in temperature have on the patient’s basal metabolic rate?
1) Increases the rate by 7%
2) Decreases the rate by 14%
3) Increases the rate by 35%
4) Decreases the rate by 28%

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13. A mother brings her 4-month-old infant for a well-baby checkup. The mother tells the nurse that she would like to start bottle feeding her baby because she cannot keep up with the demands of breastfeeding since returning to work. Which response by the nurse is appropriate?
1) “Make sure you give your baby an iron-fortified formula to supplement any stored breast milk you have.”
2) “You really need to continue breastfeeding your baby.”
3) “Give your baby formula until he is 6 months old; then you can introduce whole milk.”
4) “Your baby weighs 14 pounds, so he will require about 36 ounces of formula a day.”

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14. After instructing a mother about nutrition for a preschool-age child, which statement by the mother would indicate correct understanding of the topic?
1) “I usually use dessert only as a reward for eating other foods.”
2) “I will hide vegetables in casseroles and stews to get my child to eat them.”
3) “I do not give my child snacks; they simply spoil his appetite for meals.”
4) “I know that lifelong food habits are developed during this stage of life.”

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15. The nurse is providing nutrition counseling for a patient planning pregnancy. The nurse should emphasize the importance of consuming which nutrient to prevent neural tube defects?
1) Folic acid
2) Calcium
3) Protein
4) Vitamin D

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16. A middle-aged patient with a history of alcohol abuse is admitted with acute pancreatitis. This patient will most likely be deficient in which nutrients?
1) Iron
2) B vitamins
3) Calcium
4) Phosphorus

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17. A patient who underwent surgery 24 hours ago is prescribed a clear liquid diet. The patient asks for something to drink. Which item may the nurse provide for the patient?
1) Tea with cream
2) Orange juice
3) Gelatin
4) Skim milk

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18. A patient with trigeminal neuralgia is prescribed a mechanical soft diet. This diet places the patient at risk for which complication?
1) Dehydration
2) Constipation
3) Hyperglycemia
4) Diarrhea

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19. Which nutritional goal is appropriate for a patient newly diagnosed with hypertension? The patient will:
1) Limit his intake of protein.
2) Avoid foods containing gluten.
3) Restrict his use of sodium.
4) Limit his intake of potassium-rich foods.

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20. The nurse notices that a patient has spoon-shaped, brittle nails. This suggests that the patient is experiencing Imbalanced Nutrition: Less Than Body Requirements related to deficiency of which of the following nutrients?
1) Iron
2) Vitamin A
3) Protein
4) Vitamin C

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21. Which portion of a nutritional assessment must the registered nurse complete?
1) Analyzing the data
2) Obtaining intake and output
3) Weighing the patient
4) Obtaining the history


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22. Which laboratory test result most accurately reflects a patient’s nutritional status?
1) Albumin
2) Prealbumin
3) Transferrin
4) Hemoglobin


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23. A 52-year-old man has a triceps skinfold thickness of 18 mm, and his weight exceeds the ideal body weight for his height by 23%. Which nursing diagnosis should the nurse identify for this patient?
1) Imbalanced Nutrition: More Than Body Requirements
2) Risk for Imbalanced Nutrition: More Than Body Requirements
3) Imbalanced Nutrition: Less Than Body Requirements
4) Readiness for Enhanced Nutrition

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24. A patient’s 2:1 parenteral nutrition container infuses before the pharmacy prepares the next container. This places the patient at risk for which complication?
1) Sepsis
2) Pneumothorax
3) Hypoglycemia
4) Thrombophlebitis

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25. Which of the following interventions would help to prevent or relieve persistent nausea?
1) Assess for signs of dehydration.
2) Provide dietary supplements.
3) Have the patient sit in an upright position for 30 minutes after eating.
4) Immediately remove any food that the patient cannot eat.

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1. To promote wound healing, the nurse is teaching a patient about choosing foods containing protein. The nurse will evaluate that learning has occurred if the patient recognizes which food(s) as an incomplete protein that should be consumed with a complementary protein? Choose all that apply.
1) Whole grain bread
2) Peanut butter
3) Chicken
4) Eggs

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2. The nurse is teaching a patient about the importance of reducing saturated fats in his diet. The nurse will recognize that learning has occurred if, upon questioning, the patient replies that he should read product labels to eliminate the intake of which saturated fat(s)? Choose all that apply.
1) Palm oil
2) Coconut oil
3) Canola oil
4) Peanut oil

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3. Which instruction(s) should the nurse give to the patient complaining of constipation? Choose all that apply.
1) Drink at least 8 glasses of water or fluid per day.
2) Include a minimum of 4 servings of meat per day.
3) Consume a high-fiber diet.
4) Exercise as you feel necessary.

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4. Where in the body is glucose stored? Choose all that apply.
1) Brain
2) Liver
3) Skeletal muscles
4) Smooth muscles

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5. For a patient with Risk for Imbalanced Nutrition: Less Than Body Requirements related to Impaired Swallowing, which nursing interventions are appropriate? Choose all that apply.
1) Check inside the mouth for pocketing of food after eating.
2) Provide a full liquid diet that is easy to swallow.
3) Remind the patient to raise the chin slightly to prepare for swallowing.
4) Keep the head of the bed elevated for 30 to 45 minutes after feeding.

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