NSG 301 QUIZ 4 & 5 QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026
What snack choice would be the best suggestion by the nurse for a patient on a renal diet?
A) Peanut butter
B) Bananas
C) Diet cola
D) Carrot sticks - Answers D
A patient recovering from major abdominal surgery is to be progressed from a clear liquid diet to the
next diet level. Which statement by the nurse would be most appropriate for this circumstance?
A) "You will progress from a clear liquid diet to a mechanical soft diet"
B) "If you can tolerate the clear liquid diet, your next meal will be a full liquid"
C) "You will receive a regular diet tray with anything you want at the next meal"
D) "It is important that you eat a pureed diet after you are able to tolerate the clear liquids" - Answers
B
What nursing intervention would be most beneficial to implement in an effort to prevent aspiration
by a patient receiving tube feedings?
A) Check the pH of stomach contents before starting each feeding
B) Hold prescribed medications until after each feeding
C) Elevate the head of the patient's bed at least 45 degrees
D) Slow the delivery of the tube feeding to 15 mL/hour - Answers C
Which action should the nurse take when caring for a patient receiving a continuous enteral feeding
through a percutaneous endoscopic gastrostomy (PEG) tube if the feeding tube becomes occluded?
A) Use 15mL of cranberry juice in a 30mL syringe to clear the tubing
B) Ask to have the PEG tube replaced to prevent rupture of the gastrostomy
C) Flush the PEG tube with 60mL of cold tap water, using gravity
D) Try coca cola if a 20 to 30mL warm water flush is ineffective - Answers D
The nurse is caring for an elderly patient who has residual weakness on the right side as the result of a
cerebrovascular accident (stroke). The nurse is correct in reporting dysphagia when the patient
exhibits which symptoms? Select all that apply
A) Incomplete lip closure
B) Presence of a normal gag reflex
C) A change in voice quality after eating
D) Difficulty speaking, with a slow, weak voice
E) Abnormal movements of the mouth, tongue, and lips - Answers ACE
A young adult female is considering becoming pregnant and is not taking any multivitamins. Which
instruction would best help reduce the potential for development of neural tube defects in the fetus?
A) Discuss taking selenium supplements with meals
B) Stress the importance of prenatal exercise
C) Recommend folic acid dietary supplements
D) Inquire about the patient's diet and birth control method - Answers C
A patient tells the nurse that he needs to increase his intake of potassium because he has been taking
large doses of diuretics. To minimize complications from hypokalemia, the nurse should instruct the
patient to include which of the following foods as part of his diet?
A) Cheese and crackers
B) Peanut butter and jelly sandwich
C) Tomatoes and spinach
D) Apples and grapes - Answers C
A Jewish patient who adheres to a kosher diet is diagnosed with type 1 diabetes. What would be the
best response of the nurse when the patient refuses to take insulin, stating, "insulin contains pork and
I do not eat pork"?
A) "There is only a tiny amount of pork by-product in insulin"
B) "All of the insulin used today is made synthetically"
C) "I will notify your physician to change the insulin order"
D) "You really do not have the option of not taking insulin" - Answers B
A female Muslim patient is admitted to the hospital and informs the nurse that it is the month of
Ramadan. Which action by the nurse is most appropriate in caring for this patient?
A) Provide a vegetarian diet for the patient on Friday throughout her hospitalization
, B) Ask the dietitian to visit the patient to ensure that fruit and cheese are not combined
C) Check on the potential effect fasting until sundown will have on the patient's condition
D) Document that milk and milk products cannot be prepared with meat or meat products - Answers
C
A 15 year old female gymnast is hospitalized with the diagnosis of bulimia nervosa. Which data would
the nurse anticipate finding in the patient's admission history and physical assessment?
A) Excessive intake of food, self-induced vomiting, and use of laxatives
B) Refusal to eat, body image disturbance, constipation, and amenorrhea
C) Excessive exercise, refusal to eat, poor muscle tone, and social isolation
D) Hair loss, BMI of 27, occasional use of diuretics, calorie intake 2200/day - Answers A
The nurse instructs a patient with a vitamin A deficiency on food sources that could prevent
symptoms. Which of the following food combinations would be appropriate?
A) corn and potatoes
B) carrots and spinach
C) iron-fortified bread or cereals
D) raisins and papaya - Answers B
A nurse is caring for a patient with a diagnosis of pellagra resulting from a niacin deficiency who
complains of fatigue, loss of appetite, headache, weight loss, scaly sores, and neurological
deterioration. The nurse performs a dietary assessment for which of the following vitamins?
A) Vitamin B3
B) Vitamin B2
C) Vitamin C
D) Vitamin B12 - Answers A
A patient is admitted to the hospital with pernicious anemia and a surgical history of having had a
gastrectomy six months ago. On assessment, the nurse questions the patient about compliance with
taking which of the following medications that supports the development of red blood cells?
A) Vitamin K
B) Vitamin B12
C) Calcium supplement
D) Magnesium supplement - Answers B
An elderly patient is admitted with a diagnosis of osteoporosis and bone scan results that reveal a
reduction in bone mass. The nurse encourages the patient to eat foods that are
A) high in iron
B) low in vitamin E
C) low in sodium
D) high in calcium - Answers D
A patient has suspected iron-deficiency anemia. The nurse monitors the patient and reports which of
the following findings supporting this diagnosis?
A) Elevated transferrin level
B) Elevated oxygenation saturation
C) Urine tests positive for protein
D) Increased hemoglobin level - Answers A
The nurse has inserted a nasogastric tube into a patient. However, when the first feeding is
administered, the patient has pulmonary aspiration. Which action would have prevented this
complication?
A) Starting the enteral feeding at a slow rate
B) Administering a milk-based formula
C) Verifying the placement of tube through x-ray
D) Auscultating the bowel sounds before feeding - Answers C
A patient with anemia has a sore, beefy-red tongue. Which type of anemia does this assessment
finding support?
A) Sickle cell anemia
B) Pernicious anemia
C) Iron deficiency anemia
D) Folic acid deficiency anemia - Answers B
What snack choice would be the best suggestion by the nurse for a patient on a renal diet?
A) Peanut butter
B) Bananas
C) Diet cola
D) Carrot sticks - Answers D
A patient recovering from major abdominal surgery is to be progressed from a clear liquid diet to the
next diet level. Which statement by the nurse would be most appropriate for this circumstance?
A) "You will progress from a clear liquid diet to a mechanical soft diet"
B) "If you can tolerate the clear liquid diet, your next meal will be a full liquid"
C) "You will receive a regular diet tray with anything you want at the next meal"
D) "It is important that you eat a pureed diet after you are able to tolerate the clear liquids" - Answers
B
What nursing intervention would be most beneficial to implement in an effort to prevent aspiration
by a patient receiving tube feedings?
A) Check the pH of stomach contents before starting each feeding
B) Hold prescribed medications until after each feeding
C) Elevate the head of the patient's bed at least 45 degrees
D) Slow the delivery of the tube feeding to 15 mL/hour - Answers C
Which action should the nurse take when caring for a patient receiving a continuous enteral feeding
through a percutaneous endoscopic gastrostomy (PEG) tube if the feeding tube becomes occluded?
A) Use 15mL of cranberry juice in a 30mL syringe to clear the tubing
B) Ask to have the PEG tube replaced to prevent rupture of the gastrostomy
C) Flush the PEG tube with 60mL of cold tap water, using gravity
D) Try coca cola if a 20 to 30mL warm water flush is ineffective - Answers D
The nurse is caring for an elderly patient who has residual weakness on the right side as the result of a
cerebrovascular accident (stroke). The nurse is correct in reporting dysphagia when the patient
exhibits which symptoms? Select all that apply
A) Incomplete lip closure
B) Presence of a normal gag reflex
C) A change in voice quality after eating
D) Difficulty speaking, with a slow, weak voice
E) Abnormal movements of the mouth, tongue, and lips - Answers ACE
A young adult female is considering becoming pregnant and is not taking any multivitamins. Which
instruction would best help reduce the potential for development of neural tube defects in the fetus?
A) Discuss taking selenium supplements with meals
B) Stress the importance of prenatal exercise
C) Recommend folic acid dietary supplements
D) Inquire about the patient's diet and birth control method - Answers C
A patient tells the nurse that he needs to increase his intake of potassium because he has been taking
large doses of diuretics. To minimize complications from hypokalemia, the nurse should instruct the
patient to include which of the following foods as part of his diet?
A) Cheese and crackers
B) Peanut butter and jelly sandwich
C) Tomatoes and spinach
D) Apples and grapes - Answers C
A Jewish patient who adheres to a kosher diet is diagnosed with type 1 diabetes. What would be the
best response of the nurse when the patient refuses to take insulin, stating, "insulin contains pork and
I do not eat pork"?
A) "There is only a tiny amount of pork by-product in insulin"
B) "All of the insulin used today is made synthetically"
C) "I will notify your physician to change the insulin order"
D) "You really do not have the option of not taking insulin" - Answers B
A female Muslim patient is admitted to the hospital and informs the nurse that it is the month of
Ramadan. Which action by the nurse is most appropriate in caring for this patient?
A) Provide a vegetarian diet for the patient on Friday throughout her hospitalization
, B) Ask the dietitian to visit the patient to ensure that fruit and cheese are not combined
C) Check on the potential effect fasting until sundown will have on the patient's condition
D) Document that milk and milk products cannot be prepared with meat or meat products - Answers
C
A 15 year old female gymnast is hospitalized with the diagnosis of bulimia nervosa. Which data would
the nurse anticipate finding in the patient's admission history and physical assessment?
A) Excessive intake of food, self-induced vomiting, and use of laxatives
B) Refusal to eat, body image disturbance, constipation, and amenorrhea
C) Excessive exercise, refusal to eat, poor muscle tone, and social isolation
D) Hair loss, BMI of 27, occasional use of diuretics, calorie intake 2200/day - Answers A
The nurse instructs a patient with a vitamin A deficiency on food sources that could prevent
symptoms. Which of the following food combinations would be appropriate?
A) corn and potatoes
B) carrots and spinach
C) iron-fortified bread or cereals
D) raisins and papaya - Answers B
A nurse is caring for a patient with a diagnosis of pellagra resulting from a niacin deficiency who
complains of fatigue, loss of appetite, headache, weight loss, scaly sores, and neurological
deterioration. The nurse performs a dietary assessment for which of the following vitamins?
A) Vitamin B3
B) Vitamin B2
C) Vitamin C
D) Vitamin B12 - Answers A
A patient is admitted to the hospital with pernicious anemia and a surgical history of having had a
gastrectomy six months ago. On assessment, the nurse questions the patient about compliance with
taking which of the following medications that supports the development of red blood cells?
A) Vitamin K
B) Vitamin B12
C) Calcium supplement
D) Magnesium supplement - Answers B
An elderly patient is admitted with a diagnosis of osteoporosis and bone scan results that reveal a
reduction in bone mass. The nurse encourages the patient to eat foods that are
A) high in iron
B) low in vitamin E
C) low in sodium
D) high in calcium - Answers D
A patient has suspected iron-deficiency anemia. The nurse monitors the patient and reports which of
the following findings supporting this diagnosis?
A) Elevated transferrin level
B) Elevated oxygenation saturation
C) Urine tests positive for protein
D) Increased hemoglobin level - Answers A
The nurse has inserted a nasogastric tube into a patient. However, when the first feeding is
administered, the patient has pulmonary aspiration. Which action would have prevented this
complication?
A) Starting the enteral feeding at a slow rate
B) Administering a milk-based formula
C) Verifying the placement of tube through x-ray
D) Auscultating the bowel sounds before feeding - Answers C
A patient with anemia has a sore, beefy-red tongue. Which type of anemia does this assessment
finding support?
A) Sickle cell anemia
B) Pernicious anemia
C) Iron deficiency anemia
D) Folic acid deficiency anemia - Answers B
