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📋 DOCUMENT OVERVIEW 70 Qs
This document covers nutrition, specifically topics such as dietary management of gastroesophageal
reflux disease, vitamins and minerals, body mass index, and nutritional support for clients with cancer,
gastrointestinal disorders, and other conditions. The document provides a comprehensive review of
nutrition concepts, including 70 questions with correct answers and detailed explanations to facilitate
understanding of complex nursing topics. It enables students to study, review, and understand key
concepts, making it a valuable resource for exam preparation and nursing practice.
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EXAM QUESTIONS
QUESTION 1
A nurse is providing dietary teaching to a client who has a new diagnosis of
gastroesophageal reflux disease. Which of the following foods or beverages should
the nurse recommended to minimize heartburn?
Orange juice
Decaffeinated coffee
Peppermint
Potatoes
CORRECT ANSWER
Potatoes
RATIONALE: The nurse should recommend potatoes because they are low in fat and do not trigger the release of
stomach acid, making them a gentle and easily digested food option for individuals with gastroesophageal reflux disease.
In contrast, other options like orange juice, decaffeinated coffee, and peppermint may irritate the esophagus or trigger
heartburn by relaxing the lower esophageal sphincter.
QUESTION 2
A nurse is preparing g to teach a group of clients about vitamins and minerals. The
nurse should include in the teaching that which of the following minerals is necessary
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, for the transmission of nerve impulses?
Phosphorus
Calcium
Chloride
Zinc
CORRECT ANSWER
Calcium
RATIONALE: Calcium plays a crucial role in the transmission of nerve impulses as it helps stabilize the resting membrane
potential and participates in the release of neurotransmitters, which are essential for nerve conduction. This is a critical
function of calcium, as it enables nerve cells to transmit signals efficiently, supporting various bodily functions, including
muscle contraction and nerve signaling.
QUESTION 3
A nurse is caring for a client who has a body mass index (BMI) of 30. Four weeks
after nutritional counseling, which of the following evaluation findings indicates the
plan of care was followed?
BMI of 25
Weight gain of 1.8kg
BMI of 33
Weight loss of 2.7kg
CORRECT ANSWER
Weight loss of 2.7kg
RATIONALE: A weight loss of 2.7kg is the correct answer because it indicates a decrease in body mass, which directly
correlates with the desired outcome of the nutritional counseling plan for an individual with a BMI of 30, a classification
of obesity. This weight loss is significant enough to potentially lead to a BMI reduction towards the normal weight range
after adjusting for the corresponding height, which would mean the plan of care was followed.
QUESTION 4
A nurse is caring for a client who follows the dietary laws of Orthodox Judaism.
Which of the following meal choices should the nurse request for the client?
Turkey and cheese sandwich
Spaghetti with tomato sauce
Pork chop and applesauce
Scrambled eggs and bacon
CORRECT ANSWER
Spaghetti with tomato sauce
RATIONALE: The correct answer is "Spaghetti with tomato sauce" because Orthodox Judaism prohibits the consumption
of meat and dairy products together, as well as the consumption of pork. Spaghetti with tomato sauce does not contain
any forbidden foods, making it a suitable option for a client following these dietary laws.
QUESTION 5
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, A nurse is a long-term care facility is developing strategies to promote increased
food intake for an older adult client. Which of the following interventions should the
nurse implement?
Offer sugar substitutes to increase the client's appetite.
Provide opportunities to eat three large meals per day.
Provide entertainment while the client is eating.
Offer finger foods at mealtime
CORRECT ANSWER
Offer finger foods at mealtime.
RATIONALE: Offering finger foods at mealtime is an effective strategy because it allows older adults to eat in a more
comfortable and manageable way, reducing frustration and anxiety associated with eating large meals. This approach
also enables clients to maintain a sense of control and independence, as they can easily pick up and eat small, bite-sized
foods.
QUESTION 6
A nurse is caring for four clients. The nurse should plan to administer total
parenteral nutrition for which of the following clients?
A client who is postoperative following a laminectomy and is receiving IV PCA
A client who has dysphagia and does not recognize his family
A client who has COPD and is going home with oxygen
A client who has colon cancer and will undergo a hemicolectomy
CORRECT ANSWER
A client who has colon cancer and will undergo a hemicolectomy
RATIONALE: A client who has colon cancer and will undergo a hemicolectomy requires total parenteral nutrition because
they will have a significant portion of their intestinal tract removed, rendering them unable to eat or digest food normally
for an extended period. This surgical procedure results in a high risk of malnutrition, necessitating the administration of
total parenteral nutrition to meet the client's nutritional needs.
QUESTION 7
A nurse is performing a nutritional evaluation for a client who reports paresthesia
of the hands and feet. The nurse should identify this manifestation as an indication of
which of the following dietary deficiencies?
Iron
Riboflavin
Vitamin C
Vitamin B12
CORRECT ANSWER
Vitamin B12
RATIONALE: Paresthesia, or numbness or tingling sensations in the hands and feet, is often associated with a deficiency
in a specific vitamin that plays a crucial role in the maintenance of the nervous system's health. Vitamin B12 is essential
for the production of myelin, the fatty substance that surrounds and protects nerve fibers, and its deficiency can lead to
nerve damage and paresthesia.
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