Question 1

The nurse completes a nutritional assessment with assigned clients. For which client is an unplanned change in weight the most significant and has the highest priority for nursing interventions?

Accepted Answer

A)   The client weighed 111 and lost 5 pounds in the last month
B)   The client weighed 200 pounds and lost 9 pounds in the last month
C)   The client weighed 135 pounds and lost 14 pounds during the last 6 months
D)   The client weighed 155 pounds and lost 14 pounds during the last 6 monthsE) B) and C)
F) A) and D)

Question 2

The nurse plans to complete nutritional assessments for a group of assigned clients. For which client would it be inappropriate for the nurse to complete a dietary recall?

Accepted Answer

A)   Client with dementia
B)   Client with polycystic kidney disease
C)   Client with a history of Crohn disease
D)   Client newly diagnosed with emphysemaE) A) and B)
F) None of the above

Question 3

An older client receives Medicare and lives in a Medicare-certified long-term care facility. Which tool should the nurse used to assess this client's nutritional status?

Accepted Answer

A)   MyPyramid
B)   Minimum Data Set
C)   Nutrition Screening Initiative
D)   Malnutrition Universal Screening ToolE) A) and D)
F) A) and C)

Question 4

Parents ask for information about proper nutrition for their child. Which response should the nurse make to these parents?

Accepted Answer

A)   "The Mini Nutrition Assessment is easy to use and it is online."
B)   "The Nutrition Screening Initiative would be just right and it's easy to use."
C)   "MyPyramid would be a great way to find out if your child is getting the right amount of food and nutrients."
D)   "The Malnutrition Universal Screening Tool would be good to use with your child and it is really easy to perform."E) A) and B)
F) C) and D)

Question 5

The nurse is assessing a client using the Nutritional Screening Initiative Tool. Which information would increase the client's score on this screening tool?

Accepted Answer

A)   Takes atenolol daily
B)   Requires assistance of one person to bathe
C)   Maintained weight over last 7 years within 5 pounds
D)   Receives visits from daughter and grandchildren three times each weekE) C) and D)
F) B) and C)

Question 6

The healthcare provider prescribed several laboratory tests for a client as part of a nutritional assessment. Which laboratory test provide the most accurate information regarding current nutritional status?

Accepted Answer

A)   Albumin
B)   Transferrin
C)   Prealbumin
D)   Total lymphocyte countE) None of the above
F) All of the above C

Question 7

A young client has a smooth, bright red tongue, sores on the lips and in the corners of the mouth, and pallor. Which dietary deficiency should the nurse expect to discover during the nutritional assessment? (Select all that apply.)

Accepted Answer

A)   Iron
B)   Niacin
C)   Vitamin A
D)   Vitamin D
E)   RiboflavinF) C) and D)
G) B) and D)

Question 8

The nurse is performing a nutrition assessment on the client. Which information should the nurse document as laboratory data?

Accepted Answer

A)   "Leukocytosis."
B)   "Client using St. John's worst daily."
C)   "Dental caries and poor oral health noted."
D)   "Client lost 20 pounds during last 2 months."E) B) and C)
F) All of the above

Question 9

The nurse is performing a nutritional assessment with a client. Which question should the nurse ask during a diet recall activity?

Accepted Answer

A)   "Was the fish fried?"
B)   "What did you eat for lunch?"
C)   "What dietary supplements do you take each day?"
D)   "Compared to this container, how big was your glass of chocolate milk?"E) A) and C)
F) A) and B)

Question 10

A client has been diagnosed with anorexia nervosa and is currently receiving treatment. During a physical assessment, which finding indicates the client may be noncompliant with therapeutic interventions?

Accepted Answer

A)   Urine specific gravity of 1.002
B)   Weight gain of 1 pound since the previous week
C)   The client opts to wear only a gown when weighed
D)   The client verbalizes that treatment is making the client feel betterE) None of the above
F) B) and C)

Question 11

A client has been diagnosed with undernutrition. Which health problem should the nurse consider as most likely contributing to this nutritional issue?

Accepted Answer

A)   Problem swallowing
B)   Too much body fluid
C)   Sadness and depression
D)   Difficulty voiding urineE) A) and B)
F) All of the above

Question 12

The nurse is concerned that a client is at risk for undernutrition. Which client statement caused the nurse to have this concern? (Select all that apply.)

Accepted Answer

A)   "My dentures don't fit well anymore."
B)   "I've been taking chemotherapy for lung cancer."
C)   "I have been so sad and lonely since my wife died."
D)   "I feel like there are sometimes I cannot stop eating."
E)   "Each day, I take two doses of multivitamins instead of one."F) C) and D)
G) D) and E)

Question 13

A client who is overweight asks for assistance with weight loss approaches. Which intervention should the nurse implement for this client?

Accepted Answer

A)   Obtain daily laboratory values
B)   Assist to maintain a food and activity diary for 6 months
C)   Assist to plan for ways to reduce the amount of time that is spent sitting each day
D)   Assist in developing a dietary plan that reduces caloric intake by 750 calories per dayE) None of the above
F) A) and B) C

Question 14

A client requests information on weight loss approaches. Which goal should the nurse identify for this client?

Accepted Answer

A)   Participate in 75 minutes of aerobic activity each day
B)   Weight loss of 12% of current body weight in 6 months
C)   Weight loss of 6% of current body weight in one month
D)   Verbalize methods to reduce weight through dietary planningE) B) and D)
F) A) and B)

Question 15

A client who takes ginseng for stress and a baby aspirin each day reports increased bruising and a decreased ability to clot after injuries. Which intervention should be included in this client's nursing care plan?

Accepted Answer

A)   Encourage to discuss emotional stressors
B)   Encourage to discontinue use of baby aspirin
C)   Encourage to begin consuming foods that are rich in vitamin K
D)   Encourage to discuss the use of dietary supplements with the health-care providerE) A) and B)
F) A) and C)

Question 16

The nurse is measuring and evaluating waist circumferences to screen for cardiovascular disorders and type 2 diabetes mellitus. For which client should the nurse use waist circumference for this purpose?

Accepted Answer

A)   Client with cirrhosis
B)   Pregnant female client
C)   Client with pancreatic cancer
D)   Client with peripheral arterial diseaseE) All of the above
F) B) and C)

Question 17

A client with severe weight loss is diagnosed with anorexia nervosa. Which issue should the nurse identify as the priority when planning care for this client?

Accepted Answer

A)   Altered body image
B)   Impaired swallowing
C)   Self-destructive behavior
D)   Insufficient caloric intakeE) C) and D)
F) A) and C) D

Question 18

A client develops aspiration pneumonia after a traumatic brain injury produced an impaired ability to swallow. Which activity should the nurse skip when caring for this client?

Accepted Answer

A)   Nutrition history
B)   Nutrition screening
C)   Head-to-toe physical assessment
D)   Laboratory-based diagnostic testingE) All of the above
F) C) and D)

Question 19

The nurse is performing a nutritional assessment with an older client who takes no medications. Which laboratory value should cause the nurse the most concern?

Accepted Answer

A)   Albumin 4.2 gm/L
B)   Prealbumin 322 mg/L
C)   Transferrin 175 mg/dL
D)   Cholesterol 114 mg/dLE) B) and C)
F) A) and B)

Question 20

During a nutritional assessment, the nurse learned that a client ate a slice of cake 8-10 times each week. During which component of the assessment was this specific information most likely discovered?

Accepted Answer

A)   24-hour diet recall
B)   Nutritional screening
C)   Laboratory measurements
D)   Food frequency questionnaireE) None of the above
F) A) and B)

Exam 10: Nutritional Assessment

The nurse completes a nutritional assessment with assigned clients. For which client is an unplanned change in weight the most significant and has the highest priority for nursing interventions?

Correct AnswerverifiedShow Answer

The nurse plans to complete nutritional assessments for a group of assigned clients. For which client would it be inappropriate for the nurse to complete a dietary recall?

Correct AnswerverifiedShow Answer

An older client receives Medicare and lives in a Medicare-certified long-term care facility. Which tool should the nurse used to assess this client's nutritional status?

Correct AnswerverifiedShow Answer

Parents ask for information about proper nutrition for their child. Which response should the nurse make to these parents?

Correct AnswerverifiedShow Answer

The nurse is assessing a client using the Nutritional Screening Initiative Tool. Which information would increase the client's score on this screening tool?

Correct AnswerverifiedShow Answer

The healthcare provider prescribed several laboratory tests for a client as part of a nutritional assessment. Which laboratory test provide the most accurate information regarding current nutritional status?

Correct AnswerverifiedC

A young client has a smooth, bright red tongue, sores on the lips and in the corners of the mouth, and pallor. Which dietary deficiency should the nurse expect to discover during the nutritional assessment? (Select all that apply.)

Correct AnswerverifiedShow Answer

The nurse is performing a nutrition assessment on the client. Which information should the nurse document as laboratory data?

Correct AnswerverifiedShow Answer

The nurse is performing a nutritional assessment with a client. Which question should the nurse ask during a diet recall activity?

Correct AnswerverifiedShow Answer

A client has been diagnosed with anorexia nervosa and is currently receiving treatment. During a physical assessment, which finding indicates the client may be noncompliant with therapeutic interventions?

Correct AnswerverifiedShow Answer

A client has been diagnosed with undernutrition. Which health problem should the nurse consider as most likely contributing to this nutritional issue?

Correct AnswerverifiedShow Answer

The nurse is concerned that a client is at risk for undernutrition. Which client statement caused the nurse to have this concern? (Select all that apply.)

Correct AnswerverifiedShow Answer

A client who is overweight asks for assistance with weight loss approaches. Which intervention should the nurse implement for this client?

Correct AnswerverifiedC

A client requests information on weight loss approaches. Which goal should the nurse identify for this client?

Correct AnswerverifiedShow Answer

A client who takes ginseng for stress and a baby aspirin each day reports increased bruising and a decreased ability to clot after injuries. Which intervention should be included in this client's nursing care plan?

Correct AnswerverifiedShow Answer

The nurse is measuring and evaluating waist circumferences to screen for cardiovascular disorders and type 2 diabetes mellitus. For which client should the nurse use waist circumference for this purpose?

Correct AnswerverifiedShow Answer

A client with severe weight loss is diagnosed with anorexia nervosa. Which issue should the nurse identify as the priority when planning care for this client?

Correct AnswerverifiedD

A client develops aspiration pneumonia after a traumatic brain injury produced an impaired ability to swallow. Which activity should the nurse skip when caring for this client?

Correct AnswerverifiedShow Answer

The nurse is performing a nutritional assessment with an older client who takes no medications. Which laboratory value should cause the nurse the most concern?

Correct AnswerverifiedShow Answer

During a nutritional assessment, the nurse learned that a client ate a slice of cake 8-10 times each week. During which component of the assessment was this specific information most likely discovered?

Correct AnswerverifiedShow Answer

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