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NR 222 Funds Exam FUNDS 45 NUTRITION, Chamberlain College

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NR 222 Funds Exam FUNDS 45 NUTRITION, Chamberlain College

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NR 222 FUNDS EXAM
NR222 FUNDS EXAM (LATEST): Health and
Wellness: Chamberlain University FUNDS 45 NUTRITION

, FUNDS 45 NUTRITION
1. The nurse evaluates which laboratory values to assess a patient’s
potential for wound healing?
A. Fluid status
B. Potassium
C. Lipids
D. Nitrogen balance


2. The nurse is caring for a patient with dysphagia and is feeding her a
pureed chicken diet when she begins to choke. What is the priority nursing
intervention?
A. Suction her mouth and throat
B. Turn her on their side
C. Put on oxygen at 2-L nasal cannula
D. Stop feeding her and place on NPO
A. patient who is receiving parenteral nutrition (PN) through a central
venous catheter (CVC) has an air embolus. What would the nurse do first?
A. Have the patient perform a Valsalva procedure
B. Clamp the intravenous (IV) tubing to prevent more air from
entering the line
C. Have the patient take a deep breath and hold it
D. Notify the health care provider immediately


4.A patient is receiving both parenteral (PN) and enteral nutrition (EN).
When would the nurse collaborate with the health care provider and request
discontinuing parenteral nutrition?
A. When 25% of the patient’s nutritional needs are met by the tube
feedings
B. When bowel sounds return
C. When central line has been in for 10 days
D. When 75% of the patient’s nutritional needs are met by the tube
feedings


5. The nurse is inserting a small-bore nasoenteric tube before starting enteral
feedings. What is the correct order of steps to perform this procedure?
1. Place patient in high-Fowler’s position.
2. Have patient flex head toward chest.

, 3. Assess patient’s gag reflex.
4. Determine length of the tube to be inserted.
5. Obtain radiological confirmation of tube placement.
6. Check pH of gastric aspirate for verifying placement.
7. Identify patient with two identifiers.
A. 7, 1, 3, 4, 2, 5, 6
B. 1, 3, 4, 7, 2, 6, 5
C. 7, 1, 3, 2, 4, 6, 5
D. 1, 7, 3, 2, 4, 5, 6


6.A patient’s gastric residual volume was 250 mL at 0800 and 350 mL at 1200.
What is the appropriate nursing action?
A. Assess bowel sounds
B. Raise the head of the bed to at least 45 degrees
C. Position the patient on his or her right side to promote stomach
emptying
D. Do not reinstall aspirate and hold the feeding until you talk to the
primary care provider


7. The patient’s blood glucose level is 330 mg/dL. What is the priority nursing
intervention?
A. Recheck by performing another blood glucose test.
B. Call the primary health care provider.
C. Check the medical record to see if there is a medication order for
abnormal glucose levels.
D. Monitor and recheck in 2 hours.


8. Which statement made by a patient of a 2-month-old infant requires further
education?
A. I’ll continue to use formula for the baby until he is a least a year
old.
B. I’ll make sure that I purchase iron-fortified formula.
C. I’ll start feeding the baby cereal at 4 months.
D. I’m going to alternate formula with whole milk starting next month.


9. The nurse sees the nursing assistive personnel (NAP) perform the
following intervention for a patient receiving continuous enteral feedings.
Which action would require immediate attention?
A. Fastening tube to the gown with new tape
B. Placing patient supine while giving a bath

, C. Hanging a new container of enteral feeding
D. Ambulating patient with enteral feedings still infusing


10.Apatient is receiving total parenteral nutrition (TPN). What is the primary
intervention the nurse should follow to prevent a central line infection?
A. Institute isolation precautions
B. Clean the central line port through which the TPN is infusing with
alcohol
C. Change the TPN tubing every 24 hours
D. Monitor glucose levels to watch and assess for glucose
intolerance 11.The nurse is caring for a patient with pneumonia who has severe
malnutrition. The nurse recognizes that, because of the nutritional status, the
patient is at increased risk for: (Select all that apply.)
A. Heart disease.
B. Sepsis.
C. Pleural effusion.
D. Cardiac arrhythmias.
E. Diarrhea.


12. The nurse is educating the patient and his family about the parenteral
nutrition. Which aspect related to this form of nutrition would be appropriate to
include? (Select all that apply.)
A. The purpose of the fat emulsion in parenteral nutrition is to prevent a
deficiency in essential fatty acids.
B. We can give you parenteral nutrition through your peripheral
intravenous line to prevent further infection.
C. The fat emulsion will help control hyperglycemia during periods of
stress.
D. The parenteral nutrition will help your wounds heal.
E. Since we just started the parenteral nutrition, we will only infuse
it at 50% of your daily needs for the next 6 hours.


13. The nurse would delegate which of the following to nursing assistive
personnel (NAP)? (Select all that apply.)
A. Repositioning and re taping a patient’s nasogastric tube
B. Performing glucose monitoring every 6 hours on a patient

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