PRACTICE EXAM A
• A nurse is providing dietary teaching about reducing the risk of infection to a client who has
cancer and is receiving chemotherapy. WOTF statements made by the client indicates an
understanding of the teaching?
o “I WILL DISCARD LEFTOVERS AFTER 3 DAYS”
▪ -thaw foods in the refrigerator
-use home canned goods within a year
-keep cooked food at a temp greater than 140
• A NURSE IS CRING FOR A CLIENT WHO IS RECEIVING TOTAL PARENTERAL NUTRITION
(TPN). WOTF LABORATORY FINDINGS INDICATES THAT THE TPN THERAPY IS EFFECTIVE?
o prealbumin 30 mg/dL
▪ normal VALUES:
prealbumin 20-40 mg/dL
calcium 8.5-10.5
hemoglobin 14-18
cholesterol less than
200
o A nurse providing dietary teaching for a client who has chronic skin ulcers of the
lower extremities. WOTF foods should the nurse recommend as containing the
highest amount of ZINC?
▪ 4 oz ground beef patty
o A nurse teaching a client about stress management. WOTF statements should
indicate to the nurse that the client understands the teaching?
▪ "I will take a long walk every evening."
• WHY EXERCISE IS GOOD STRESS RELIEF
o A nurse is providing teaching for a client who has a new prescription for
NIFEDIPINE. WOTF FOODS SHOULD THE NURSE INSTRUCT THE CLIENT TO
AVOID?
▪ GRAPEFRUIT JUICE
• NIFEDIPINE = Calcium channel blocker and antihypertensive drug
o It can treat high blood pressure and chest pain (angina).
o A nurse is assessing a patient who has diabetes, WOTF findings shouls the
nurse identify as hypoglycemia?
▪ DIAPHORESIS
• DIAPHORESIS = SWEATING
• S/S = -sweating, irritability, and tremors, tachycardia and hunger
o A nurse is teaching a female client about healthy diet to control hypertension.
WOTF client statements indicates understanding of the teaching?
▪ "I will eat four servings of unsalted nuts per week."
o A nurse in a clinic is reviewing the laboratory findings of a client who has
type 2
diabetes. WOTF findings indicates the client’s plan of care Is effective?
▪ HBA1C OF 6.5%
, o A nurse is providing dietary teaching for a client who has COPD. WOTF
instructions should the nurse include in the teaching?
▪ -eat foods that are soft and easy to swallow
• -add gravy and sauces
-drink high protein
-and should eat small meals instead of large meals
o A nuse is providing info regarding breastfeeding to the parents of a newborn,
WOTF statements should the nurse make?
▪ "Breast milk is nutritionally complete for an infant up to 6 months of
age."
o A home health nurse is providing dietary teaching to the parents of a
3 year old. WOTF statements by the parents should the nurse identify
as understanding the teaching?
▪ "I will put low-fat milk in her cup for her to drink."
• -children can consume whole milk for up to their 2 years old and
when they become 3 they can consume low fat milk
• -prevent children from consuming foods that are easily to swallow
such as popcorn and pretzels until they are four because of the
choking hazard
• -cut foods that are larger than the childs trachea such as grapes
• -avoid giving children high amounts of celery and peanut butter
because of the risk for aspiration, and should spread the peanut butter
on a thin
piece
o A nurse is teaching a client about managing irritable bowel syndrome (IBS). WOTF
info should the nurse include in the teaching?
▪ -take peppermint oil during exacerbations
• -decrease fresh fruit
-increase foods that contain probiotics
-avoid sugar
o A nurse is leading a discussion at a prenatal education class with a group of
expectant mothers who plan to breatfeed. WOTF instructions should the nurse
include?
• Plan on 5 minute feedings on each breast on the first day after birth
▪ A nurse is caring for a client who is receiving continuous enteral feedings via
an NG tube. WOTF actions should the nurse take to reduce the risk for
aspiration if
the client develops abdominal distention?
• Position the client on his right side
o -position the client on their side
-assist the client to ambulate
-avoid increasing the rate
-request a change to a lower fat formula
o A nurse is providing teaching to a client who reports nausea during pregnancy.
WOTF statements by the client indicates and understanding of the teaching?
▪ I WILL EAT DRY CEREAL BEFORE I GET OUT OF BED
o A nurse teaching a client who is newly diagnosed with type 1 diabetes how to count
carbohydrates. WOTF statements made by the client indicates an understanding of the
teaching?
▪ "I know the serving size can affect the number of carbs I can eat”