ELITE COMPREHENSIVE
VARCAROLIS -EATING DISORDERS — ADVANCED
COMPREHENSIVE REVIEW
Anorexia Nervosa • Bulimia Nervosa • Binge-eating
disorder
NCLEX-RN • ATI • HESI • Psychiatric–Mental Health
Nursing Final Exam Review
SPRING SEMESTER EXAMINATION MAY 2026
Over the past year, a woman has cooked gourmet meals for her family but eats only tiny
servings. She wears layered, loose clothing and now has amenorrhea. Her current
weight is 95 pounds, a loss of 35 pounds. Which medical diagnosis is most likely?
a. Binge eating disorder
b. Anorexia nervosa
c. Bulimia nervosa
d. Pica
• ANS: B
• Overly controlled eating behaviors, extreme weight loss, amenorrhea,
preoccupation with food, and wearing several layers of loose clothing
to appear larger are part of the clinical picture of an individual with
anorexia nervosa. The individual with bulimia usually is near normal
weight. The binge eater is often overweight. Pica refers to eating
nonfood items.
1|Page
, Disturbed body image is the nursing diagnosis for a patient diagnosed with an eating
disorder. Which outcome indicator is most appropriate to monitor?
a. Weight, muscle, and fat are congruent with height, frame, age, and sex.
b. Calorie intake is within the required parameters of the treatment plan.
c. Weight reaches the established normal range for the patient.
d. Patient expresses satisfaction with body appearance.
• ANS: D
• Body image disturbances are considered improved or resolved when the patient
is consistently satisfied with his or her own appearance and body function. This
consideration is subjective. The other indicators are more objective but less
related to the nursing diagnosis.
A patient who is referred to the eating disorders clinic has lost 35 pounds in the past 3
months. To assess the patient's oral intake, the nurse should ask:
a. "Do you often feel fat?"
b. "Who plans the family meals?"
c. "What do you eat in a typical day?"
d. "What do you think about your present weight?"
• ANS: C
• Although all the questions might be appropriate to ask, only "What do
you eat in a typical day?" focuses on the eating patterns. Asking if the
patient often feels fat focuses on distortions in body image. Questions
about family meal planning are unrelated to eating patterns. Asking
for the patient's thoughts on present weight explores the patient's
feelings about weight.
2|Page
VARCAROLIS -EATING DISORDERS — ADVANCED
COMPREHENSIVE REVIEW
Anorexia Nervosa • Bulimia Nervosa • Binge-eating
disorder
NCLEX-RN • ATI • HESI • Psychiatric–Mental Health
Nursing Final Exam Review
SPRING SEMESTER EXAMINATION MAY 2026
Over the past year, a woman has cooked gourmet meals for her family but eats only tiny
servings. She wears layered, loose clothing and now has amenorrhea. Her current
weight is 95 pounds, a loss of 35 pounds. Which medical diagnosis is most likely?
a. Binge eating disorder
b. Anorexia nervosa
c. Bulimia nervosa
d. Pica
• ANS: B
• Overly controlled eating behaviors, extreme weight loss, amenorrhea,
preoccupation with food, and wearing several layers of loose clothing
to appear larger are part of the clinical picture of an individual with
anorexia nervosa. The individual with bulimia usually is near normal
weight. The binge eater is often overweight. Pica refers to eating
nonfood items.
1|Page
, Disturbed body image is the nursing diagnosis for a patient diagnosed with an eating
disorder. Which outcome indicator is most appropriate to monitor?
a. Weight, muscle, and fat are congruent with height, frame, age, and sex.
b. Calorie intake is within the required parameters of the treatment plan.
c. Weight reaches the established normal range for the patient.
d. Patient expresses satisfaction with body appearance.
• ANS: D
• Body image disturbances are considered improved or resolved when the patient
is consistently satisfied with his or her own appearance and body function. This
consideration is subjective. The other indicators are more objective but less
related to the nursing diagnosis.
A patient who is referred to the eating disorders clinic has lost 35 pounds in the past 3
months. To assess the patient's oral intake, the nurse should ask:
a. "Do you often feel fat?"
b. "Who plans the family meals?"
c. "What do you eat in a typical day?"
d. "What do you think about your present weight?"
• ANS: C
• Although all the questions might be appropriate to ask, only "What do
you eat in a typical day?" focuses on the eating patterns. Asking if the
patient often feels fat focuses on distortions in body image. Questions
about family meal planning are unrelated to eating patterns. Asking
for the patient's thoughts on present weight explores the patient's
feelings about weight.
2|Page
