NUR 382 EXAM 2 QUESTIONS WITH VERIFIED
ANSWERS
The nurse recognizes which of these persons is at greatest risk for undernutrition?
5-month-old infant
50-year-old woman
20-year-old college student
30-year-old hospital administrator - Answers - 5-month-old infant
Vulnerable groups for undernutrition are infants, children, pregnant women, recent
immigrants, persons with low incomes, hospitalized people, and aging adults.
When assessing a patients nutritional status, the nurse recalls that the best definition of
optimal nutritional status is sufficient nutrients that:
Are in excess of daily body requirements.
Provide for the minimum body needs.
Provide for daily body requirements but do not support increased metabolic demands.
Provide for daily body requirements and support increased metabolic demands. -
Answers - Provide for daily body requirements and support increased metabolic
demands.
Optimal nutritional status is achieved when sufficient nutrients are consumed to support
day-to-day body needs and any increased metabolic demands resulting from growth,
pregnancy, or illness.
The nurse is providing nutrition information to the mother of a 1-year-old child. Which of
these statements represents accurate information for this age group?
Maintaining adequate fat and caloric intake is important for a child in this age group.
The recommended dietary allowances for an infant are the same as for an adolescent.
The babys growth is minimal at this age; therefore, caloric requirements are decreased.
The baby should be placed on skim milk to decrease the risk of coronary artery disease
when he or she grows older. - Answers - Maintaining adequate fat and caloric intake is
important for a child in this age group.
,Because of rapid growth, especially of the brain, both infants and children younger than
2 years of age should not drink skim or low-fat milk or be placed on low-fat diets. Fats
(calories and essential fatty acids) are required for proper growth and central nervous
system development.
A pregnant woman is interested in breastfeeding her baby and asks several questions
about the topic. Which information is appropriate for the nurse to share with her?
Breastfeeding is best when also supplemented with bottle feedings.
Babies who are breastfed often require supplemental vitamins.
Breastfeeding is recommended for infants for the first 2 years of life.
Breast milk provides the nutrients necessary for growth, as well as natural immunity. -
Answers - Breast milk provides the nutrients necessary for growth, as well as natural
immunity.
Breastfeeding is recommended for full-term infants for the first year of life because
breast milk is ideally formulated to promote normal infant growth and development, as
well as natural immunity. The other statements are not correct.
A mother and her 13-year-old daughter express their concern related to the daughters
recent weight gain and her increase in appetite. Which of these statements represents
information the nurse should discuss with them?
Dieting and exercising are necessary at this age.
Snacks should be high in protein, iron, and calcium.
Teenagers who have a weight problem should not be allowed to snack.
A low-calorie diet is important to prevent the accumulation of fat. - Answers - Snacks
should be high in protein, iron, and calcium.
After a period of slow growth in late childhood, adolescence is characterized by rapid
physical growth and endocrine and hormonal changes. Caloric and protein
requirements increase to meet this demand. Because of bone growth and increasing
muscle mass (and, in girls, the onset of menarche), calcium and iron requirements also
increase.
The nurse is assessing a 30-year-old unemployed immigrant from an underdeveloped
country who has been in the United States for 1 month. Which of these problems
related to his nutritional status might the nurse expect to find?
Obesity
,Hypotension
Osteomalacia (softening of the bones)
Coronary artery disease - Answers - Osteomalacia (softening of the bones)
General undernutrition, hypertension, diarrhea, lactose intolerance, osteomalacia,
scurvy, and dental caries are among the more common nutrition-related problems of
new immigrants from developing countries.
For the first time, the nurse is seeing a patient who has no history of nutrition-related
problems. The initial nutritional screening should include which activity?
Calorie count of nutrients
Anthropometric measures
Complete physical examination
Measurement of weight and weight history - Answers - Measurement of weight and
weight history
Parameters used for nutrition screening typically include weight and weight history,
conditions associated with increased nutritional risk, diet information, and routine
laboratory data. The other responses reflect a more in- depth assessment rather than a
screening.
A patient is asked to indicate on a form how many times he eats a specific food. This
method describes which of these tools for obtaining dietary information?
Food diary
Calorie count
24-hour recall
Food-frequency questionnaire - Answers - Food-frequency questionnaire
With this tool, information is collected on how many times per day, week, or month the
individual eats particular foods, which provides an estimate of usual intake.
The nurse is providing care for a 68-year-old woman who is complaining of constipation.
What concern exists regarding her nutritional status?
Absorption of nutrients may be impaired.
Constipation may represent a food allergy.
The patient may need emergency surgery to correct the problem.
Gastrointestinal problems will increase her caloric demand.
, Gastrointestinal symptoms such as vomiting, diarrhea, or constipation may interfere with
nutrient intake or absorption. The other responses are not correct. - Answers -
Absorption of nutrients may be impaired.
Gastrointestinal symptoms such as vomiting, diarrhea, or constipation may interfere with
nutrient intake or absorption. The other responses are not correct.
During a nutritional assessment, why is it important for the nurse to ask a patient what
medications he or she is taking?
Certain drugs can affect the metabolism of nutrients.
The nurse needs to assess the patient for allergic reactions.
Medications need to be documented in the record for the physicians review.
Medications can affect ones memory and ability to identify food eaten in the last 24
hours. - Answers - Certain drugs can affect the metabolism of nutrients.
Analgesics, antacids, anticonvulsants, antibiotics, diuretics, laxatives, antineoplastic
drugs, steroids, and oral contraceptives are drugs that can interact with nutrients,
impairing their digestion, absorption, metabolism, or use. The other responses are not
correct.
A patient tells the nurse that his food simply does not have any taste anymore. The
nurses best response would be:
That must be really frustrating.
When did you first notice this change?
My food doesnt always have a lot of taste either.
Sometimes that happens, but your taste will come back. - Answers - When did you first
notice this change?
With changes in appetite, taste, smell, or chewing or swallowing, the examiner should
ask about the type of change and when the change occurred. These problems interfere
with adequate nutrient intake. The other responses are not correct.
The nurse is performing a nutritional assessment on a 15-year-old girl who tells the
nurse that she is so fat. Assessment reveals that she is 5 feet 4 inches and weighs 110
pounds. The nurses appropriate response would be:
How much do you think you should weigh?
ANSWERS
The nurse recognizes which of these persons is at greatest risk for undernutrition?
5-month-old infant
50-year-old woman
20-year-old college student
30-year-old hospital administrator - Answers - 5-month-old infant
Vulnerable groups for undernutrition are infants, children, pregnant women, recent
immigrants, persons with low incomes, hospitalized people, and aging adults.
When assessing a patients nutritional status, the nurse recalls that the best definition of
optimal nutritional status is sufficient nutrients that:
Are in excess of daily body requirements.
Provide for the minimum body needs.
Provide for daily body requirements but do not support increased metabolic demands.
Provide for daily body requirements and support increased metabolic demands. -
Answers - Provide for daily body requirements and support increased metabolic
demands.
Optimal nutritional status is achieved when sufficient nutrients are consumed to support
day-to-day body needs and any increased metabolic demands resulting from growth,
pregnancy, or illness.
The nurse is providing nutrition information to the mother of a 1-year-old child. Which of
these statements represents accurate information for this age group?
Maintaining adequate fat and caloric intake is important for a child in this age group.
The recommended dietary allowances for an infant are the same as for an adolescent.
The babys growth is minimal at this age; therefore, caloric requirements are decreased.
The baby should be placed on skim milk to decrease the risk of coronary artery disease
when he or she grows older. - Answers - Maintaining adequate fat and caloric intake is
important for a child in this age group.
,Because of rapid growth, especially of the brain, both infants and children younger than
2 years of age should not drink skim or low-fat milk or be placed on low-fat diets. Fats
(calories and essential fatty acids) are required for proper growth and central nervous
system development.
A pregnant woman is interested in breastfeeding her baby and asks several questions
about the topic. Which information is appropriate for the nurse to share with her?
Breastfeeding is best when also supplemented with bottle feedings.
Babies who are breastfed often require supplemental vitamins.
Breastfeeding is recommended for infants for the first 2 years of life.
Breast milk provides the nutrients necessary for growth, as well as natural immunity. -
Answers - Breast milk provides the nutrients necessary for growth, as well as natural
immunity.
Breastfeeding is recommended for full-term infants for the first year of life because
breast milk is ideally formulated to promote normal infant growth and development, as
well as natural immunity. The other statements are not correct.
A mother and her 13-year-old daughter express their concern related to the daughters
recent weight gain and her increase in appetite. Which of these statements represents
information the nurse should discuss with them?
Dieting and exercising are necessary at this age.
Snacks should be high in protein, iron, and calcium.
Teenagers who have a weight problem should not be allowed to snack.
A low-calorie diet is important to prevent the accumulation of fat. - Answers - Snacks
should be high in protein, iron, and calcium.
After a period of slow growth in late childhood, adolescence is characterized by rapid
physical growth and endocrine and hormonal changes. Caloric and protein
requirements increase to meet this demand. Because of bone growth and increasing
muscle mass (and, in girls, the onset of menarche), calcium and iron requirements also
increase.
The nurse is assessing a 30-year-old unemployed immigrant from an underdeveloped
country who has been in the United States for 1 month. Which of these problems
related to his nutritional status might the nurse expect to find?
Obesity
,Hypotension
Osteomalacia (softening of the bones)
Coronary artery disease - Answers - Osteomalacia (softening of the bones)
General undernutrition, hypertension, diarrhea, lactose intolerance, osteomalacia,
scurvy, and dental caries are among the more common nutrition-related problems of
new immigrants from developing countries.
For the first time, the nurse is seeing a patient who has no history of nutrition-related
problems. The initial nutritional screening should include which activity?
Calorie count of nutrients
Anthropometric measures
Complete physical examination
Measurement of weight and weight history - Answers - Measurement of weight and
weight history
Parameters used for nutrition screening typically include weight and weight history,
conditions associated with increased nutritional risk, diet information, and routine
laboratory data. The other responses reflect a more in- depth assessment rather than a
screening.
A patient is asked to indicate on a form how many times he eats a specific food. This
method describes which of these tools for obtaining dietary information?
Food diary
Calorie count
24-hour recall
Food-frequency questionnaire - Answers - Food-frequency questionnaire
With this tool, information is collected on how many times per day, week, or month the
individual eats particular foods, which provides an estimate of usual intake.
The nurse is providing care for a 68-year-old woman who is complaining of constipation.
What concern exists regarding her nutritional status?
Absorption of nutrients may be impaired.
Constipation may represent a food allergy.
The patient may need emergency surgery to correct the problem.
Gastrointestinal problems will increase her caloric demand.
, Gastrointestinal symptoms such as vomiting, diarrhea, or constipation may interfere with
nutrient intake or absorption. The other responses are not correct. - Answers -
Absorption of nutrients may be impaired.
Gastrointestinal symptoms such as vomiting, diarrhea, or constipation may interfere with
nutrient intake or absorption. The other responses are not correct.
During a nutritional assessment, why is it important for the nurse to ask a patient what
medications he or she is taking?
Certain drugs can affect the metabolism of nutrients.
The nurse needs to assess the patient for allergic reactions.
Medications need to be documented in the record for the physicians review.
Medications can affect ones memory and ability to identify food eaten in the last 24
hours. - Answers - Certain drugs can affect the metabolism of nutrients.
Analgesics, antacids, anticonvulsants, antibiotics, diuretics, laxatives, antineoplastic
drugs, steroids, and oral contraceptives are drugs that can interact with nutrients,
impairing their digestion, absorption, metabolism, or use. The other responses are not
correct.
A patient tells the nurse that his food simply does not have any taste anymore. The
nurses best response would be:
That must be really frustrating.
When did you first notice this change?
My food doesnt always have a lot of taste either.
Sometimes that happens, but your taste will come back. - Answers - When did you first
notice this change?
With changes in appetite, taste, smell, or chewing or swallowing, the examiner should
ask about the type of change and when the change occurred. These problems interfere
with adequate nutrient intake. The other responses are not correct.
The nurse is performing a nutritional assessment on a 15-year-old girl who tells the
nurse that she is so fat. Assessment reveals that she is 5 feet 4 inches and weighs 110
pounds. The nurses appropriate response would be:
How much do you think you should weigh?
