LUTZ'S NUTRITION AND DIET THERAPY 7TH
EDITION BY MAZUR AND LITCH
COMPREHENSIVE EXAM 2026 COMPLETE
Q&A GRADED A+
◉ A nurse is caring for a client receiving tube feedings and
medication. Which action should the nurse take to appropriately
administer the medication?
-Add the medication directly to the feeding formula.
-Give medication in capsule form.
-Crush tablets and mix with sterile water.
-Give all medications at once.. Answer: -Crush tablets and mix with
sterile water.
◉ A nurse is educating parents of a pediatric client who will need to
receive bolus feedings at home. The client will be fed through an
open system. Which will the nurse share with the parents?
-The feeding formula will be prepackaged, so all you will need to do
is hang the bag.
-You will fill a bag with liquid formula for each feeding.
-You will not be able to add additional fiber to your child's feedings.
-You will not be able to use commercially prepared products..
Answer: -You will fill a bag with liquid formula for each feeding.
,◉ A client has been hospitalized for several weeks. During this time,
the client's nurses are careful to record the client's weight, monitor
the client's stool frequency, and document the client's food intake.
The nurses are likely trying to combat which of the following?
-Hyperglycemia
-Hypernatremia
-Overfeeding
-Iatrogenic malnutrition. Answer: -Iatrogenic malnutrition
◉ Which of the following strategies can a nurse take to help prevent
hyperglycemia in a client receiving tube feedings?
-Select a low-carbohydrate formula.
-Provide adequate fluids.
-Monitor serum levels.
-Reduce potassium intake.. Answer: -Select a low-carbohydrate
formula.
◉ Which of the following refers to feeding a client via a vein away
from the center of the body?
-Enteral nutrition (EN)
-Peripheral parenteral nutrition (PPN)
-Central parenteral nutrition (CPN)
,-Peripherally inserted central catheter (PICC line). Answer: -
Peripheral parenteral nutrition (PPN)
◉ A nurse is educating a client on parenteral nutrition. The nurse
notes that parenteral nutrition is maintained at a constant rate in an
adult client to avoid:
-Metabolic disturbances.
-Hypoglycemia rebound.
-Hypolipidemia.
-Rapid increase of nutrient concentrations in the serum.. Answer: -
Metabolic disturbances.
◉ A client is receiving nutrition through a feeding tube. Which type
of enteral feeding formula would likely be used if the client needs to
receive all essential nutrients in a specific volume?
-Modular formula
-Polymeric formula
-Elemental formula
-Disease-specific formula. Answer: -Polymeric formula
◉ A client presents to the emergency department with throat
inflammation, nausea, and mouth sores. A nurse expects that the
health-care provider will order which of the following?
-Peripheral parenteral nutrition
, -Central parenteral nutrition
-Feeding tube
-PICC line. Answer: -Feeding tube
◉ Which of the following strategies can a nurse take to help prevent
hypernatremia in a client receiving bolus feedings?
-Monitor serum levels.
-Provide adequate fluids.
-Reduce potassium intake.
-Select a low-carbohydrate, high-fat formula.. Answer: Provide
adequate fluids.
◉ Which should occur weekly in a client who receives parenteral
nutrition?
-Liver function test
-Serum electrolytes
-Complete blood count
-Fluid intake and output measurement. Answer: -Complete blood
count
◉ A nurse is caring for a client receiving bolus feedings. During
feeding, the client complains of cramping and bloating. Which
actions should the nurse take? Select all that apply.
EDITION BY MAZUR AND LITCH
COMPREHENSIVE EXAM 2026 COMPLETE
Q&A GRADED A+
◉ A nurse is caring for a client receiving tube feedings and
medication. Which action should the nurse take to appropriately
administer the medication?
-Add the medication directly to the feeding formula.
-Give medication in capsule form.
-Crush tablets and mix with sterile water.
-Give all medications at once.. Answer: -Crush tablets and mix with
sterile water.
◉ A nurse is educating parents of a pediatric client who will need to
receive bolus feedings at home. The client will be fed through an
open system. Which will the nurse share with the parents?
-The feeding formula will be prepackaged, so all you will need to do
is hang the bag.
-You will fill a bag with liquid formula for each feeding.
-You will not be able to add additional fiber to your child's feedings.
-You will not be able to use commercially prepared products..
Answer: -You will fill a bag with liquid formula for each feeding.
,◉ A client has been hospitalized for several weeks. During this time,
the client's nurses are careful to record the client's weight, monitor
the client's stool frequency, and document the client's food intake.
The nurses are likely trying to combat which of the following?
-Hyperglycemia
-Hypernatremia
-Overfeeding
-Iatrogenic malnutrition. Answer: -Iatrogenic malnutrition
◉ Which of the following strategies can a nurse take to help prevent
hyperglycemia in a client receiving tube feedings?
-Select a low-carbohydrate formula.
-Provide adequate fluids.
-Monitor serum levels.
-Reduce potassium intake.. Answer: -Select a low-carbohydrate
formula.
◉ Which of the following refers to feeding a client via a vein away
from the center of the body?
-Enteral nutrition (EN)
-Peripheral parenteral nutrition (PPN)
-Central parenteral nutrition (CPN)
,-Peripherally inserted central catheter (PICC line). Answer: -
Peripheral parenteral nutrition (PPN)
◉ A nurse is educating a client on parenteral nutrition. The nurse
notes that parenteral nutrition is maintained at a constant rate in an
adult client to avoid:
-Metabolic disturbances.
-Hypoglycemia rebound.
-Hypolipidemia.
-Rapid increase of nutrient concentrations in the serum.. Answer: -
Metabolic disturbances.
◉ A client is receiving nutrition through a feeding tube. Which type
of enteral feeding formula would likely be used if the client needs to
receive all essential nutrients in a specific volume?
-Modular formula
-Polymeric formula
-Elemental formula
-Disease-specific formula. Answer: -Polymeric formula
◉ A client presents to the emergency department with throat
inflammation, nausea, and mouth sores. A nurse expects that the
health-care provider will order which of the following?
-Peripheral parenteral nutrition
, -Central parenteral nutrition
-Feeding tube
-PICC line. Answer: -Feeding tube
◉ Which of the following strategies can a nurse take to help prevent
hypernatremia in a client receiving bolus feedings?
-Monitor serum levels.
-Provide adequate fluids.
-Reduce potassium intake.
-Select a low-carbohydrate, high-fat formula.. Answer: Provide
adequate fluids.
◉ Which should occur weekly in a client who receives parenteral
nutrition?
-Liver function test
-Serum electrolytes
-Complete blood count
-Fluid intake and output measurement. Answer: -Complete blood
count
◉ A nurse is caring for a client receiving bolus feedings. During
feeding, the client complains of cramping and bloating. Which
actions should the nurse take? Select all that apply.
