PRACTICE LATEST 2024 ALL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
What type of food allergy reactions would the nurse assess prior to administering epi? -
Answer - -nausea
-vomiting
-dyspnea
-itching
-dizziness
-headache
also: gasping for air, clenching throat, severe swelling on the face, etc. -these all
indicate severe anaphylaxis
Diet Management for an older adult with heart failure will include teaching to: - Answer -
-limit sodium (Na) to 2000 mg/day or less
-monitor (possibly restrict to 1.5 L/day) fluid intake
-small meals to decrease effort of eating
-electrolytes may be messed up due to diuretics: potassium, sodium, zinc (except
spinrolactone=K sparing)
A person with heart failure should have a daily sodium intake of: - Answer - 2000 mg or
less
Foods high in potassium: - Answer - apricots
bananas
potatoes
tomatoes
avocado
fish
spinach
beans
Daily cholesterol intake should be less than: - Answer - 200 mg
,DASH diet for HTN: - Answer - -low sodium
-high potassium
-high calcium
A client with diabetes that may be experiencing hypoglycemia should be instructed to: -
Answer - eat 15-20 g of carbs such as juice, soda, candies, honey, glucose tablets, etc.
General nutritional guidelines for a client with diabetes: - Answer - Carbs: 130 g/day
from grains, fruits, legumes, milk. No simple carbs.
Fats: sat fat less than 7% of total calories, trans fatty acid less than 1% of total daily
caloric intake, limit fried foods.
Cholesterol: 200-300 mg/day
Fiber: 14 g per 1000 calories from beans, oats, veggies, whole grains
Protein: 15-20% total caloric intake from meats, eggs, fish, nuts, beans, & soy products
NO TOBACCO, LIMIT ALCOHOL
Hyperlipidemia? NO ALCOHOL
Artificial sweeteners okay, except preggo! sucrose (table sugar) can be included in
diabetic diet as long as adequate insulin is available
A nurse is reinforcing diet teaching to a client who has type 2 DM. Which of the
following should the nurse include in the teaching? Select all that apply.
A. Carbs should comprise 55% of daily caloric intake
B. Use hydrogenated oils for cooking
C. Table sugar may be added to cereals
D. Drink an alcoholic beverage w/meals
E. Protein foods can be substituted for carb foods - Answer - A, C, D
Not B-hydrogenated oils contain trans fatty acids & cause hyperlipidemia
Not E-carbs can be exchanged but not w/proteins
,A nurse is reviewing dietary guidelines to include in the plan of care for a client who has
type 2 DM. Which of the following guidelines should the nurse include? Select all that
apply.
A. Weight management
B. Lipid profile
C. Cultural needs
D. Sleep patterns
E. Personal preferences - Answer - A, B, C, E
To avoid hypoglycemia, the client should consume alcohol... - Answer - with a meal or
immediately after a meal
_______________can be included in a diabetic diet as long as adequate insulin or other
agents are provided to cover the sugar intake. - Answer - Sucrose (table sugar)
What food sources are high in protein? - Answer - meats
eggs
fish
nuts
beans
soy products
The nurse should instruct the diabetic client that their intake of carbohydrates should be
___to___% of total daily caloric intake. - Answer - 45-60%
The nurse should instruct the diabetic client that they should limit their total daily
cholesterol intake to: - Answer - 200-300 mg/day
A diabetic client should be instructed that sat fats should account for less than __% of
total calories. - Answer - 7%
The USDA and HSS diet guidelines for fats: - Answer - -fats may average 30% of total
caloric intake
-less than 10% from sat fats
The USDA and HHS recommend to limit _______and _______foods to prevent
occurrence of dental caries. - Answer - sugar and starchy foods
, The USDA & HHS recommends less than ________mg (about 1 tsp) of salt per day. -
Answer - 2300
USDA myplate recommended servings based on a 2000 calorie diet:
Grains=___oz
Veggies=______cups
Fruits=_______cups
Milk=____cups
Protein foods=_____oz
Oils=____tsp - Answer - grains=6 oz
veggies= 2 1/2 cups
fruits= 2 cups
milk= 3 cups
protein foods= 5 1/2 oz
oils= 6 tsp
The lacto-ovo vegetarian diet includes: - Answer - dairy products and eggs
Healthy heart diet:
Limit saturated fat to __% of calories & cholesterol to ___mg/day
For elevated LDL, increase what?
What type of diet for HTN? - Answer - limit sat fat to 10% of calories & cholesterol to
300 mg/day
For elevated LDL, increase monosaturated fats & soluble fiber.
HTN diet=DASH
Normal bowel functioning depends on adequate fluid intake and ____g/day fiber for
women and ___g/day fiber for men. - Answer - women=25 g/day
men=38 g/day
Diet teaching to prevent cancer:
Increase: