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
3.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.A patient 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
, C. Documenting PO intake on a patient who is on a calorie count for 72
hours
D. Administering enteral feeding bolus after tube placement has been verified
E. Hanging a new bag of enteral feeding
14.The nurse is teaching a program on healthy nutrition at the senior community center.
Which points should be included in the program for older adults? (Select all that apply.)
A. Avoid grapefruit and grapefruit juice, which impair drug absorption.
B. Increase the amount of carbohydrates for energy.
C. Take a multivitamin that includes vitamin D for bone health.
D. Cheese and eggs are good sources of protein.
E. Limit fluids to decrease the risk of edema.
15.Which patients are at high risk for nutritional deficits? (Select all that apply.)
A. The divorced computer programmer who eats precooked food from the
local restaurant
B. The middle-age female with celiac disease who does not follow her
gluten-free diet
C. The 45-year-old patient with type II diabetes who monitors her
carbohydrate intake and exercises regularly
D. The 25-year-old patient with Crohn’s disease who follows a strict diet
but does not take vitamins or iron supplements
E. The 65-year-old patient with gallbladder disease whose electrolyte,
albumin, and protein levels are normal
FUNDS 33
1.When planning patient education, it is important to remember that patients with which of
the following illnesses often find relief in complementary therapies?
A. Lupus and diabetes
B. Ulcers and hepatitis
C. Heart disease and pancreatitis
D. Chronic back pain and arthritis