NUR 612: EXAM 3 QUESTIONS WITH 100% ACCURATE
SOLUTIONS
1) The nurse caring for older adult patients best minimizes the patient's risk of
developing dehydration by
A) identifying the patient's oral fluid preferences and offering them
regularly.
B) carefully monitoring the effects of daily diuretics via blood sodium
levels.
C) minimizing the patient's reliance on laxatives by increasing dietary
fiber intake.
D) carefully monitoring of the rate of infusion of all intravenous fluids
pre-scribed. -- Correct Answer ✔✔ a. identifying the patient's
oral fluid preferences and offering them regularly.
2) A patient is newly widowed and lives alone. Which suggestion by the nurse will
help the adult children maximize the patient's nutritional status?
A) Help identify possible barriers to their mother achieving good
nutritional health.
, B) Ensure that the patient has an adequate supply of healthy, easily
prepared foods.
C) Contact a food delivery service to provide one nutritiously sound
meal a day.
D) Arrange a schedule that allows someone to have dinner with her
each evening -- Correct Answer ✔✔ d. Arrange a schedule that
allows someone to have dinner with her each evening
3) The nurse conducting a food recall assessment on an older adult patient shows an
understanding of the requirements of the process when doing which of the
following?
A) Having the patient identify any existing food allergies
B) Asking the family to verify the patient's statements
C) Asking how the food being discussed was prepared
D) Correlating diet information with signs of malnutrition -- Correct
Answer ✔✔ c. Asking how the food being discussed was
prepared
4) During a nutritional assessment, a 79-year-old patient responds, "My weight is
fine. I weigh the same as I did 15 years ago." The nurse responds based on the
understanding that older patients
A) generally guess their weight rather than weigh themselves.
B) often rely on how their clothes fit to determine whether their
weight has changed.
C) sometimes experience altered metabolic problems that hide
weight change.
D) often exchange lean muscle mass for body fat so weight stays the
same -- Correct Answer ✔✔ d. often exchange lean muscle mass
for body fat so weight stays the same
5) An older adult patient has experienced severe nausea and vomiting for 2 days
since undergoing abdominal surgery. What explanation to the family best explains
this test?
, A) "The provider is interested in whether there is enough available
protein in the blood."
B) "This test is designed to determine how the body is meeting
current demands for protein."
C) "The test will tell us if the vomiting has created a problem with
protein metabolism."
D) "Healing from such a surgery requires protein, and this test
measures protein. -- Correct Answer ✔✔ b. "This test is
designed to determine how the body is meeting current demands
for protein."
6) The nurse notes a patient's prealbumin is 2 mg/dL. What action by the nurse is
best?
A) Tell the patient to add more protein to the diet.
B) Conduct a nutritional screening with a standard tool.
C) Refer the patient to a registered dietician.
D) Instruct the patient to maintain good nutritional habits -- Correct
Answer ✔✔ c. Refer the patient to a registered dietician.
7) A nurse works with a patient who is malnourished. What lab value does the
nurse assess for the most up-to-date information on the patient's status?
A) Albumin
B) Prealbumin
C) Transferrin
D) Total iron -- Correct Answer ✔✔ b. Prealbumin
8) The nurse has conducted a nutrition screen on a patient using the Nutrition
Screening Initiative tool. The patient scored a 4. What action by the nurse is most
appropriate?
SOLUTIONS
1) The nurse caring for older adult patients best minimizes the patient's risk of
developing dehydration by
A) identifying the patient's oral fluid preferences and offering them
regularly.
B) carefully monitoring the effects of daily diuretics via blood sodium
levels.
C) minimizing the patient's reliance on laxatives by increasing dietary
fiber intake.
D) carefully monitoring of the rate of infusion of all intravenous fluids
pre-scribed. -- Correct Answer ✔✔ a. identifying the patient's
oral fluid preferences and offering them regularly.
2) A patient is newly widowed and lives alone. Which suggestion by the nurse will
help the adult children maximize the patient's nutritional status?
A) Help identify possible barriers to their mother achieving good
nutritional health.
, B) Ensure that the patient has an adequate supply of healthy, easily
prepared foods.
C) Contact a food delivery service to provide one nutritiously sound
meal a day.
D) Arrange a schedule that allows someone to have dinner with her
each evening -- Correct Answer ✔✔ d. Arrange a schedule that
allows someone to have dinner with her each evening
3) The nurse conducting a food recall assessment on an older adult patient shows an
understanding of the requirements of the process when doing which of the
following?
A) Having the patient identify any existing food allergies
B) Asking the family to verify the patient's statements
C) Asking how the food being discussed was prepared
D) Correlating diet information with signs of malnutrition -- Correct
Answer ✔✔ c. Asking how the food being discussed was
prepared
4) During a nutritional assessment, a 79-year-old patient responds, "My weight is
fine. I weigh the same as I did 15 years ago." The nurse responds based on the
understanding that older patients
A) generally guess their weight rather than weigh themselves.
B) often rely on how their clothes fit to determine whether their
weight has changed.
C) sometimes experience altered metabolic problems that hide
weight change.
D) often exchange lean muscle mass for body fat so weight stays the
same -- Correct Answer ✔✔ d. often exchange lean muscle mass
for body fat so weight stays the same
5) An older adult patient has experienced severe nausea and vomiting for 2 days
since undergoing abdominal surgery. What explanation to the family best explains
this test?
, A) "The provider is interested in whether there is enough available
protein in the blood."
B) "This test is designed to determine how the body is meeting
current demands for protein."
C) "The test will tell us if the vomiting has created a problem with
protein metabolism."
D) "Healing from such a surgery requires protein, and this test
measures protein. -- Correct Answer ✔✔ b. "This test is
designed to determine how the body is meeting current demands
for protein."
6) The nurse notes a patient's prealbumin is 2 mg/dL. What action by the nurse is
best?
A) Tell the patient to add more protein to the diet.
B) Conduct a nutritional screening with a standard tool.
C) Refer the patient to a registered dietician.
D) Instruct the patient to maintain good nutritional habits -- Correct
Answer ✔✔ c. Refer the patient to a registered dietician.
7) A nurse works with a patient who is malnourished. What lab value does the
nurse assess for the most up-to-date information on the patient's status?
A) Albumin
B) Prealbumin
C) Transferrin
D) Total iron -- Correct Answer ✔✔ b. Prealbumin
8) The nurse has conducted a nutrition screen on a patient using the Nutrition
Screening Initiative tool. The patient scored a 4. What action by the nurse is most
appropriate?
