sherpath obesity Exam Questions and
Answers
Using body mass index (BMI) classification, which patient's height and weight would be considered
obese?
5 ft 5 in, 186 lb
The patient's BMI is 31. Patients with a BMI in the range of 30-39 are considered obese
The nurse notes that a patient's waist measurement is 100 cm and hip measurement is 80 cm.
Calculate the patient's waist-to-hip ratio (WHR) and determine the relevant risk for health
complications.
1.25, with an increased risk of developing health complications
A waist-to-hip ratio of 1.25 indicates truncal fat, which puts a patient at a greater risk for health
complications.
Which patient is at the highest risk for developing obesity?
The patient with a recent knee injury that limits activity
Primary obesity is the result of calorie intake in excess of the body's metabolic demands. If an injury
or illness causes a patient to decrease normal activity level and food intake is not adjusted, obesity
can occur.
A patient who is obese verbalizes feelings of frustration after having no weight loss in one week.
Which is the nurse's best response?
It is normal to have a plateau period for a few weeks, and if you continue your weight loss plan,
weight will be lost."
During normal plateau periods, when no weight is lost for several days to several weeks, patients
need encouragement and support to prevent giving up on the weight loss plan.
A patient is prescribed bupropion to assist with a weight-loss program. Which patient statement
should indicate a contraindication to the nurse?
"I've been having frequent thoughts about hurting myself."
Bupropion can cause suicidal ideation. Patients who are having thoughts about hurting themselves
should be evaluated by the provider immediately.
A patient who has had a bariatric weight-loss procedure reports diarrhea, nausea, and faintness after
meals. Which is the appropriate action taken by the nurse to address these symptoms?
Ask the patient about meal habits
Based on the patient's history and symptoms, it is likely he is experiencing dumping syndrome.
Dumping syndrome occurs when gastric contents empty too rapidly into the small intestine. Eating
too fast or eating certain foods can trigger dumping syndrome.
The nurse is teaching a patient who is having gastric bypass surgery tomorrow. Which information
should the nurse address first?
Instruct the patient how to use an incentive spirometer
Proper coughing technique, deep breathing, and use of an incentive spirometer will help prevent
pulmonary complications after surgery.
The patient is receiving postoperative care for a bariatric weight-loss procedure the day before.
Which patient symptom should cause the nurse to contact the health care provider?
Chest pressure
Answers
Using body mass index (BMI) classification, which patient's height and weight would be considered
obese?
5 ft 5 in, 186 lb
The patient's BMI is 31. Patients with a BMI in the range of 30-39 are considered obese
The nurse notes that a patient's waist measurement is 100 cm and hip measurement is 80 cm.
Calculate the patient's waist-to-hip ratio (WHR) and determine the relevant risk for health
complications.
1.25, with an increased risk of developing health complications
A waist-to-hip ratio of 1.25 indicates truncal fat, which puts a patient at a greater risk for health
complications.
Which patient is at the highest risk for developing obesity?
The patient with a recent knee injury that limits activity
Primary obesity is the result of calorie intake in excess of the body's metabolic demands. If an injury
or illness causes a patient to decrease normal activity level and food intake is not adjusted, obesity
can occur.
A patient who is obese verbalizes feelings of frustration after having no weight loss in one week.
Which is the nurse's best response?
It is normal to have a plateau period for a few weeks, and if you continue your weight loss plan,
weight will be lost."
During normal plateau periods, when no weight is lost for several days to several weeks, patients
need encouragement and support to prevent giving up on the weight loss plan.
A patient is prescribed bupropion to assist with a weight-loss program. Which patient statement
should indicate a contraindication to the nurse?
"I've been having frequent thoughts about hurting myself."
Bupropion can cause suicidal ideation. Patients who are having thoughts about hurting themselves
should be evaluated by the provider immediately.
A patient who has had a bariatric weight-loss procedure reports diarrhea, nausea, and faintness after
meals. Which is the appropriate action taken by the nurse to address these symptoms?
Ask the patient about meal habits
Based on the patient's history and symptoms, it is likely he is experiencing dumping syndrome.
Dumping syndrome occurs when gastric contents empty too rapidly into the small intestine. Eating
too fast or eating certain foods can trigger dumping syndrome.
The nurse is teaching a patient who is having gastric bypass surgery tomorrow. Which information
should the nurse address first?
Instruct the patient how to use an incentive spirometer
Proper coughing technique, deep breathing, and use of an incentive spirometer will help prevent
pulmonary complications after surgery.
The patient is receiving postoperative care for a bariatric weight-loss procedure the day before.
Which patient symptom should cause the nurse to contact the health care provider?
Chest pressure
