QUESTION BANK PROFESSIONAL NURSING
TRAINING WORKBOOK SOLVED ITEMS AND
RESPONSE KEY
◉ BMI (body mass index) Answer: Underweight - Less than 18.5
Normal - 18.5 - 24.9
Overweight - 25 - 29.9
Obese - 30 - 39.9
◉ Plasma proteins Answer: can be reviewed for nutritional status
◉ Albumin Answer: -shows chronic evidence of overall nutrition
status
-long half-life
◉ Pre-albumin Answer: -shows acute evidence of current nutrition
status
-short half-life
◉ Hgb Answer: -hemoglobin
,-shows iron deficiency
◉ BUN Answer: -blood urea nitrogen
-monitors 24hr urinary urea nitrogen (kidneys)
◉ Assess the patient's diet & health history by asking about Answer:
-food preferences
-how often & what time they eat
-symptoms (ex. any GI upset; x4 active quads)
-allergies (ex. peanut allergies; ask about intolerances)
-taste (meds can alter taste buds)
-physical (chewing, dentures, swallowing, jaw pain)
- appetite
-elimination
-medications
◉ What to check for during physical assessment? Answer: -poor skin
turgor
-generalized weakness
-quality of hair
-poor teeth & oral hygiene
-poor nail growth or brittle
,-confusion
-Low LOC & no gag reflex (risk of aspiration)
-Increase HR if in catabolic state
◉ Dysphagia Answer: difficulty swallowing
◉ What patients are at risk for dysphagia? Answer: -stroke patients
-elderly patients
◉ Signs and symptoms of dysphagia Answer: -long term intubation
-decrease LOC (check gas reflex)
-coughing
-drooling
-change in speech
-pocket food in cheek
◉ A patient experiencing dysphagia is at risk for? Answer: aspiration
(increase thickness of food/drink to help)
◉ What can be done to see if a patient has dysphagia? Answer: A
swallow study is done by speech therapist/speech pathologist
, ◉ Signs of malnutrition Answer: -dry lips
-dry skin
-faster HR
-hair loss
-decreased antibody production
◉ Therapeutic diets Answer: -NPO (nothing by mouth)
-low sodium
-diabetic
-renal
-clear liquids
-full liquids
-pureed
-mechanical soft
-sips/chips
-diet as tolerated
-regular
◉ For patients on NPO (nothing by mouth) diets: Answer: -after 4-7
days, patients have an increased risk for poor nutrition, so suggest
alternate nutrition to provider