NURS 1130 EXAM 3 PRACTICE QUESTIONS AND ANSWERS

NURS 1130 EXAM 3 PRACTICE QUESTIONS AND ANSWERS A nurse is teaching about the energy needed at rest to maintain life-sustaining activities for a specific period of time. What is the nurse discussing? - Ans:-basal metabolic rate (BMR) In general, when a patient's energy requirements are completely met by kilocalorie (kcal) intake in food, which assessment finding will the nurse observe? a. Weight increases. b. Weight decreases. c. Weight does not change. d. Weight fluctuates daily. - Ans:-c. weight does not change A nurse is asked how many kcal per grams fats provide. How should the nurse answer? - Ans:-9 A nurse is teaching a patient about proteins that must be obtained through the diet and cannot be synthesized by the body. Which term used by the patient indicates teaching is successful? - Ans:- Indispensable amino acids ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/59 A nurse is caring for a patient with a post-surgical wound. When planning care, which goal will be the priority? - Ans:-Promote positive nitrogen balance In providing diet education for a patient on a low-fat diet, which information is important for the nurse to share? - Ans:-Saturated fats are found mostly in animal sources A patient has a decreased gag reflex, left-sided weakness, and drooling. Which action will the nurse take when feeding this patient? - Ans:-Flex head with chin tuck The patient has been diagnosed with cardiovascular disease and placed on a low-fat diet. The patient asks the nurse, "How much fat should I have? I guess the less fat, the better." Which information will the nurse include in the teaching session? - Ans:-Deficiencies occur when fat intake falls below 10% of daily nutrition The nurse is describing the ChooseMyPlate program to a patient. Which statement from the patient indicates successful learning? - Ans:-"I can use this to make healthy lifestyle food choices." The nurse is teaching a health class about the ChooseMyPlate program. Which guidelines will the nurse include in the teaching session? - Ans:-Balancing calories The nurse is providing nutrition education to a Korean patient using the five food groups. In doing so, what should be the focus of the teaching? - Ans:-Including racial and ethnic practices with food preferences of the patient ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/59 A nurse is teaching a nutrition class about the different daily values. When teaching about the reference daily intakes (RDIs), which information will the nurse include? - Ans:-Have values for proteins, vitamins, and minerals The nurse is planning care for a group of patients. Which task will the nurse assign to the nursing assistive personnel? - Ans:-Measuring capillary blood glucose level In teaching mothers-to-be about infant nutrition, which instruction would the nurse provide? - Ans:- Provide breast milk or formula for the first 4 to 6 months When planning care for an adolescent who plays sports, which modification should the nurse include in the care plan? - Ans:-Increasing carbohydrates to 55% to 60% of total intake In providing prenatal care to a pregnant patient, what does the nurse teach the expectant mother? - Ans:-Folic acid is needed to help prevent birth defects and anemia. The patient is an 80-year-old male who is visiting the clinic today for a routing physical examination. The patients skin turgor is fair, but the patient reports fatigue and weakness. The skin is warm and dry, pulse rate is 116 beats/min, and urinary sodium level is slightly elevated. Which instruction should the nurse provide? - Ans:-Drink more water to prevent further dehydration The nurse is assessing a patient for nutritional status. Which action will the nurse take? - Ans:- Combine multiple objective measures with subjective measures ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/59 The patient has a calculated body mass index (BMI) of 34. How will the nurse clarify this finding? - Ans:-Obese A nurse is caring for patients with dysphasia. Which patient has neurogenic dysphasia? - Ans:-A patient with stroke The patient has H. Pylori. Which action should the nurse take? - Ans:-Encourage completion of antibiotic therapy In determining malnourishment in a patient, which assessment finding is consistent with this disorder? - Ans:-spoon shaped nails A nurse is preparing to administer an enteral feeding. In which order will the nurse implement the steps, starting with the first one? - Ans:-1. Elevate head of bed to at least 30 degrees 2. Verify tube placement 3. Check for gastric residual volume 4. Flush tubing with 30 mL of water 5. Initiate feeding The patient is admitted with facial trauma, including a broken nose, and has a history of esophageal reflux and of aspiration pneumonia. With which tube will the nurse most likely administer the feeding? - Ans:-jejunostomy tube ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 5/59 The nurse is preparing to insert a nasogastric tube in a patient who is semiconscious. To determine the length of the tube needing to be inserted, how should the nurse measure the tube? - Ans:-From the tip of the nose to the earlobe to the xiphoid process Before giving the patient an intermittent gastric tube feeding what should the nurse do? - Ans:-Have the tube feeding at room temperature A small-bore feeding tube is placed. Which technique will the nurse use to best verify tube placement? - Ans:-X-ray The nurse is concerned about pulmonary aspiration when providing the patient with an intermittent tube feeding. Which action is the priority? - Ans:-Verify tube placement before feeding The patient is to receive multiple medications via the nasogastric tube. The nurse is concerned that the tube may become clogged. Which action is best for the nurse to take? - Ans:-Check with the pharmacy for availability of the liquid forms of medications The patient has just started on enteral feedings, and the patient is reporting ab