FUNDAMENTALS: EXAM 3 PRACTICE QUESTIONS AND CORRECT ANSWERS

FUNDAMENTALS: EXAM 3 PRACTICE
QUESTIONS AND CORRECT ANSWERS
AA2nurseA2isA2caringA2forA2aA2clientA2whoA2isA2atA2highA2riskA2forA2aspiration.A2WhichA2ofA2t
heA2followingA2actionsA2shouldA2theA2nurseA2take?A2
A.A2GiveA2theA2clientA2thinA2liquids
B.A2InstructA2theA2clientA2toA2tuckA2herA2chinA2whileA2swallowing
C.A2HaveA2theA2clientA2useA2aA2straw.A2
D.A2EncourageA2theA2clientA2toA2lieA2downA2andA2restA2afterA2mealsA2-A2Ans--B
exp.)A2tuckingA2theA2chinA2whenA2swallowingA2allowsA2foodA2toA2passA2downA2theA2esoph
agusA2moreA2easily

AA2nurseA2isA2preparingA2aA2presentationA2aboutA2basicA2nutrientsA2forA2aA2groupA2ofA2hig
hA2schoolA2athletes.A2SheA2shouldA2explainA2thatA2whichA2ofA2theA2followingA2nutrientsA2pr
ovideA2theA2mostA2energy?
A.A2Fat
B.A2Protein
C.A2Glycogen
D.A2CarbohydratesA2-A2Ans--D
exp.)A2carbohydratesA2areA2theA2body'sA2greatestA2energyA2source;A2providingA2energyA2f
orA2cellsA2isA2theirA2primaryA2function.A2TheyA2provideA2glucose,A2whichA2burnsA2complete
lyA2andA2efficientlyA2withoutA2endA2productsA2toA2excrete.A2TheyA2areA2alsoA2aA2readyA2so
urceA2ofA2energy,A2andA2theyA2spareA2proteinsA2forA2depletion.

AA2nurseA2isA2caringA2forA2aA2clientA2whoA2requiresA2aA2low-
residueA2diet.A2TheA2nurseA2shouldA2expectA2toA2seeA2whichA2ofA2theA2followingA2foodsA2o
nA2theA2clientsA2mealA2tray?A2
A.A2CookedA2barley
B.A2PureedA2broccoli
C.A2VanillaA2custard
D.A2LentilA2soupA2-A2Ans--C
exp.)A2AA2lowA2residueA2dietA2consistsA2ofA2foodsA2thatA2areA2lowA2inA2fiberA2andA2easyA2to
A2digest.A2DairyA2productsA2andA2eggsA2suchA2asA2custardA2andA2yogurt,A2areA2appropriat
e.

AA2nurseA2isA2caringA2forA2aA2clientA2whoA2weighsA280A2kgA2(176A2lbs)A2andA21.6A2mA2(5A2ft
,A23A2inA2tall)A2CalculateA2herA2bodyA2massA2indexA2(BMI)A2andA2determineA2whetherA2this
A2clientsA2BMIA2indicatesA2sheA2isA2ofA2aA2healthyA2weight,A2overweight,A2orA2obese.A2-
A2Ans--BMIA2=A2weightA2(kg)A2/A2heightA2(m2)
StepA21:A2ClientsA2weightA2(kg)A2andA2heightA2(m)A2=A280A2kgA2andA21.6A2m
StepA22:A21.6A2XA21.6A2=A22.56A2m2
StepA23:A280/2.56A2=A231.25

SoA2thisA2clientA2isA2consideredA2obeseA2(BMIA2overA230A2indicatesA2obesity)

,AA2nurseA2inA2aA2seniorA2centerA2isA2counselingA2aA2groupA2ofA2olderA2adultsA2aboutA2their
A2nutritionalA2needsA2andA2considerations.A2WhichA2ofA2theA2followingA2informationA2shoul
dA2theA2nurseA2include?A2(SelectA2allA2thatA2apply).A2
A.A2OlderA2adultsA2areA2moreA2proneA2toA2dehydrationA2thanA2youngerA2adultsA2are
B.A2OlderA2adultsA2needA2theA2sameA2amountA2ofA2mostA2vitaminsA2andA2mineralsA2asA2yo
ungerA2adultsA2do
C.A2ManyA2olderA2menA2andA2womenA2needA2calciumA2supplementation
D.A2OlderA2adultsA2needA2moreA2caloriesA2thanA2theyA2didA2whenA2theyA2wereA2younger
E.A2OlderA2adultsA2shouldA2consumeA2aA2dietA2lowA2inA2carbohydrates.A2-A2Ans--A
exp.)A2sensationsA2ofA2thirstA2diminishA2withA2age,A2leavingA2olderA2adultsA2moreA2proneA2
toA2dehydration
B
exp.)A2requirementsA2forA2vitaminsA2andA2mineralsA2doA2notA2changeA2fromA2middleA2toA2
olderA2adulthood
CA2
exp.)A2ifA2olderA2adultsA2ingestA2insufficientA2calciumA2inA2theA2diet,A2theA2needA2suppleme
ntsA2toA2helpA2preventA2boneA2demineralizationA2(osteoporosis)

AA2nurseA2isA2calculatingA2theA2bodyA2massA2indexA2ofA2aA235A2yearA2oldA2maleA2patientA2
whoA2isA2extremelyA2obese.A2TheA2patientsA2heightA2isA25'6A2andA2hisA2currentA2weightA2is
A2325A2lbs.A2WhatA2wouldA2theA2nurseA2documentA2asA2hisA2BMI?A2
A.A250.5
B.A252.4
C.A254.5
D.A255.2`A2-A2Ans--BMIA2=A2weightA2inA2poundsA2(325)A2/
A2heightA2inA2inchesA2(66)A2XA2heightA2inA2inchesA2(66)A2XA2703A2


BMIA2=A252.4

AA2nurseA2isA2helpingA2anA2overweightA2femaleA2patientA2toA2deviseA2aA2mealA2planA2toA2l
oseA22A2poundsA2perA2week.A2HowA2manyA2caloriesA2wouldA2theA2patientA2needA2toA2depl
eteA2perA2dayA2inA2orderA2toA2accomplishA2thisA2goal?
A.A2250A2calories
B.A2500A2calories
C.A2750A2caloriesA2
D.A21000A2caloriesA2-A2Ans--DA2
exp.)A21A2lbA2(0.45A2kg)A2ofA2bodyA2fatA2equalsA2aboutA23.500A2calories.A2Therefore,A2toA2
gainA2orA2loseA21A2lbA2(0.45A2kg)A2inA2aA2week,A2dailyA2calorieA2intakeA2shouldA2beA2increa
seA2orA2decreasedA2byA2500A2calsA2aA2dayA2soA2toA2loseA2orA2gainA22A2lbsA2perA2week,A2th
eA2calorieA2intakeA2shouldA2increaseA2orA2decreaseA2byA21000A2calsA2aA2day

AA2nurseA2isA2feedingA2anA2elderlyA2patientA2whoA2hasA2dementia.A2WhichA2interventionA2
shouldA2theA2nurseA2performA2toA2facilitateA2thisA2process?A2
A.A2StrokeA2theA2undersideA2ofA2theA2patientsA2chinA2toA2promoteA2swallowing
B.A2ServeA2mealsA2inA2differentA2placesA2atA2differentA2times

, C.A2OfferA2aA2wholeA2trayA2ofA2variousA2foodsA2toA2chooseA2from
D.A2AvoidA2between-mealA2snacksA2toA2ensureA2hungerA2atA2mealtimeA2-A2Ans--AA2
exp.)A2toA2feedA2aA2patientA2withA2dementia,A2theA2nurseA2shouldA2strokeA2theA2underside
A2ofA2theA2patientsA2chinA2toA2promoteA2swallowing,A2serveA2mealsA2inA2theA2sameA2placeA
2andA2atA2theA2sameA2time,A2provideA2oneA2foodA2itemA2atA2aA2timeA2sinceA2aA2wholeA2tray
A2mayA2overwhelmingA2andA2provideA2between-
mealA2snacksA2thatA2areA2easyA2toA2consumeA2usingA2theA2hands

AA256A2yearA2oldA2maleA2patientA2whoA2hasA2COPDA2isA2refusingA2toA2eat.A2WhichA2interv
entionA2wouldA2beA2mostA2helpfulA2inA2simulatingA2hisA2appetite?A2
A.A2AdministeringA2painA2medsA2afterA2meals
B.A2EncouragingA2foodA2fromA2homeA2whenA2possible
C.A2SchedulingA2hisA2respiratoryA2therapyA2beforeA2eachA2meal
D.A2ReinforcingA2theA2importanceA2ofA2hisA2eatingA2exactlyA2whatA2isA2deliveredA2toA2himA2
-A2Ans--B.A2
exp.)A2FoodA2fromA2homeA2thatA2theA2patientA2enjoysA2mayA2stimulateA2himA2toA2eat.A2Pai
nA2medicationA2shouldA2beA2givenA2beforeA2meals,A2respiratoryA2therapyA2shouldA2beA2sc
heduledA2afterA2meals,A2andA2tellsA2theA2patientA2whatA2heA2mustA2eatA2isA2noA2guarantee
A2thatA2heA2willA2comply


AA2nurseA2isA2feedingA2aA2patientA2whoA2isA2experiencingA2dysphagia.A2WhichA2nursingA2i
nterventionA2wouldA2theA2nurseA2initiateA2forA2thisA2patient?A2
A.A2FeedA2theA2patientA2solidsA2firstA2thenA2liquidsA2last
B.A2PlaceA2theA2headA2ofA2theA2bedA2atA2aA230A2degreeA2angleA2duringA2feedingA2
C.A2PureeA2allA2foodsA2toA2aA2liquidA2consistency
D.A2ProvideA2aA230A2minuteA2restA2periodA2priorA2toA2mealtimeA2-A2Ans--D.A2
exp.)A2whenA2feedingA2aA2patientA2whoA2hasA2dysphagia,A2theA2nurseA2shouldA2provideA2a
A230A2minuteA2restA2periodA2priorA2toA2mealtimeA2toA2promoteA2swallowing;A2alternateA2sol
idsA2andA2liquidsA2whenA2feedingA2theA2patient;A2sitA2theA2patientA2uprightA2or,A2ifA2onA2be
drest,A2elevateA2theA2headA2ofA2theA2bedA2atA2aA290A2degreeA2angle;A2andA2initiateA2aA2nut
ritionA2consultantA2forA2dietA2modificationA2andA2foodA2sizeA2and/orA2consistency

AA2nurseA2isA2evaluatingA2patientsA2toA2determineA2theirA2needA2forA2totalA2parenteralA2nut
rition.A2(TPN)A2WhichA2patientsA2wouldA2beA2theA2bestA2candidatesA2forA2thisA2typeA2ofA2n
utritionalA2support?A2SelectA2allA2thatA2applyA2
A.A2AA2patientA2withA2irritableA2bowelA2syndromeA2whoA2hasA2intractableA2diarrhea.A2
B.A2AA2patientA2withA2celiacA2diseaseA2notA2absorbingA2nutrientsA2fromA2theA2GIA2tract.A2
C.A2AA2patientA2whoA2isA2underweightA2andA2needsA2shortA2termA2nutritionalA2support
D.A2AA2patientA2whoA2isA2comatoseA2andA2needsA2longA2termA2nutritionalA2support
E.A2AA2patientA2whoA2hasA2anorexiaA2andA2refusesA2toA2takeA2foodsA2viaA2theA2oralA2route
F.A2AA2patientA2withA2burnsA2whoA2hasA2notA2beenA2ableA2toA2eatA2adequatelyA2forA25A2day
sA2-A2Ans--A,A2B,A2F

AA2nurseA2isA2feedingA2aA2patientA2whoA2statesA2thatA2sheA2isA2feelingA2isA2nauseatedA2an
dA2can'tA2eatA2whatA2isA2beingA2offered.A2WhatA2wouldA2beA2theA2mostA2appropriateA2initial
A2actionA2ofA2theA2nurseA2inA2thisA2situation?A2