NEW NURS 209 FINAL EXAM 3 WITH Q&A
TESTED AND APPROVED NEWLY MODIFIED
To assess the muscle mass and fat stores on a 40 year old woman, the nurse would use: A.
triceps skin-fold.
B. mid-thigh muscle area.
C. percent ideal body weight.
D. mid-upper arm circumference. -- ANSWER--D. mid-upper arm circumference.
A 21 year old woman has been on a low protein liquid diet for the past two months. She has
had adequate calories and appears well nourished. In further assessing her, what would the
nurse expect to find?
A. Poor skin turgor
B. Decreased serum albumin
C. Increased lymphocyte count
D. Triceps skin-fold less than standard -- ANSWER--B. Decreased serum albumin
The nurse is performing a nutritional assessment on an 80 year old patient. The nurse knows
that physiological changes that directly affect the nutritional status of the elderly include:
A. slowed gastrointestinal motility.
B. hyper-stimulation of the salivary glands.
C. an increased sensitivity to spicy and aromatic foods.
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,D. decreased gastrointestinal absorption causing esophageal reflux. -- ANSWER--A. slowed
gastrointestinal motility.
A 16 year old girl is being seen at the clinic for gastrointestinal complaints and weight loss.
The nurse determines that many of her complaints may be related to erratic eating patterns,
eating predominantly fast foods, and high caffeine intake. In this situation, which is most
appropriate when collecting current dietary intake information?
A. Schedule a time for direct observation of the adolescent during meals.
B. Ask the patient for a 24 hour diet recall and assume this is reflective of a typical day for
her.
C. Have the patient complete a food diary for 3 days, including 2 weekdays and 1 weekend
day.
D. Use the food frequency questionnaire to identify the amount of intake of specific foods --
ANSWER--C. Have the patient complete a food diary for 3 days, including 2 weekdays
and 1 weekend day.
A patient tells the nurse that his food just doesn't have any taste anymore. The nurse's best
response would be:
A. "That must be really frustrating."
B. "When did you first notice this change?"
C. "My food doesn't always have a lot of taste either."
D. "Sometimes that happens but your taste will come back." -- ANSWER--B. "When did you
first notice this change?"
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,The nurse is reviewing the nutritional assessment of an 82 year old patient. Which of these
factors is most likely to affect the nutritional status of an elderly person?
A. Increase in taste and smell
B. Living alone on a fixed income
C. Change in cardiovascular status
D. Increase in gastrointestinal motility and absorption -- ANSWER--B. Living alone on a
fixed income
The nurse is providing nutrition information to the mother of a 1 year old child. Which of
these statements represents accurate information for this age group? A. It is important to
maintain adequate fat and calorie intake.
B. The recommended dietary allowances for an infant are the same as for an adolescent.
C. At this age the baby's growth is minimal so caloric requirements are decreased.
D. The baby should be placed on skim milk to decrease the risk of coronary artery disease
when older. -- ANSWER--A. It is important to maintain adequate fat and calorie intake.
A mother and her 13 year old daughter express their concern related to the daughter's recent
weight gain and increase in appetite. Which of these statements represents information the
nurse should discuss with them?
A. It is necessary to diet and exercise at this age.
B. Snacks should be high in protein, iron, and calcium.
C. Teenagers who have a weight problem should not be allowed to snack.
D. A low-calorie diet is important to prevent the accumulation of fat. -- ANSWER--B.
Snacks should be high in protein, iron, and calcium.
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, A patient is asked to indicate on a form how many times he eats a specific food. This would
describe which of these methods for obtaining dietary information?
A. Food diary
B. Calorie count
C. 24 hour recall
D. Food frequency questionnaire -- ANSWER--D. Food frequency questionnaire
When considering a nutritional assessment, the nurse is aware that the most common
anthropometric measurements include: A. height and weight.
B. leg circumference.
C. biceps skin-fold thickness.
D. hip and waist measurement. -- ANSWER--A. height and weight.
If a 29 year old woman weighs 156 pounds and the nurse determines her ideal body weight to
be 120 pounds, how would the nurse classify the woman's weight?
A. Obese
B. Mildly overweight
C. Suffering from malnutrition
D. Within appropriate range of ideal weight -- ANSWER--A. Obese
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TESTED AND APPROVED NEWLY MODIFIED
To assess the muscle mass and fat stores on a 40 year old woman, the nurse would use: A.
triceps skin-fold.
B. mid-thigh muscle area.
C. percent ideal body weight.
D. mid-upper arm circumference. -- ANSWER--D. mid-upper arm circumference.
A 21 year old woman has been on a low protein liquid diet for the past two months. She has
had adequate calories and appears well nourished. In further assessing her, what would the
nurse expect to find?
A. Poor skin turgor
B. Decreased serum albumin
C. Increased lymphocyte count
D. Triceps skin-fold less than standard -- ANSWER--B. Decreased serum albumin
The nurse is performing a nutritional assessment on an 80 year old patient. The nurse knows
that physiological changes that directly affect the nutritional status of the elderly include:
A. slowed gastrointestinal motility.
B. hyper-stimulation of the salivary glands.
C. an increased sensitivity to spicy and aromatic foods.
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,D. decreased gastrointestinal absorption causing esophageal reflux. -- ANSWER--A. slowed
gastrointestinal motility.
A 16 year old girl is being seen at the clinic for gastrointestinal complaints and weight loss.
The nurse determines that many of her complaints may be related to erratic eating patterns,
eating predominantly fast foods, and high caffeine intake. In this situation, which is most
appropriate when collecting current dietary intake information?
A. Schedule a time for direct observation of the adolescent during meals.
B. Ask the patient for a 24 hour diet recall and assume this is reflective of a typical day for
her.
C. Have the patient complete a food diary for 3 days, including 2 weekdays and 1 weekend
day.
D. Use the food frequency questionnaire to identify the amount of intake of specific foods --
ANSWER--C. Have the patient complete a food diary for 3 days, including 2 weekdays
and 1 weekend day.
A patient tells the nurse that his food just doesn't have any taste anymore. The nurse's best
response would be:
A. "That must be really frustrating."
B. "When did you first notice this change?"
C. "My food doesn't always have a lot of taste either."
D. "Sometimes that happens but your taste will come back." -- ANSWER--B. "When did you
first notice this change?"
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,The nurse is reviewing the nutritional assessment of an 82 year old patient. Which of these
factors is most likely to affect the nutritional status of an elderly person?
A. Increase in taste and smell
B. Living alone on a fixed income
C. Change in cardiovascular status
D. Increase in gastrointestinal motility and absorption -- ANSWER--B. Living alone on a
fixed income
The nurse is providing nutrition information to the mother of a 1 year old child. Which of
these statements represents accurate information for this age group? A. It is important to
maintain adequate fat and calorie intake.
B. The recommended dietary allowances for an infant are the same as for an adolescent.
C. At this age the baby's growth is minimal so caloric requirements are decreased.
D. The baby should be placed on skim milk to decrease the risk of coronary artery disease
when older. -- ANSWER--A. It is important to maintain adequate fat and calorie intake.
A mother and her 13 year old daughter express their concern related to the daughter's recent
weight gain and increase in appetite. Which of these statements represents information the
nurse should discuss with them?
A. It is necessary to diet and exercise at this age.
B. Snacks should be high in protein, iron, and calcium.
C. Teenagers who have a weight problem should not be allowed to snack.
D. A low-calorie diet is important to prevent the accumulation of fat. -- ANSWER--B.
Snacks should be high in protein, iron, and calcium.
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, A patient is asked to indicate on a form how many times he eats a specific food. This would
describe which of these methods for obtaining dietary information?
A. Food diary
B. Calorie count
C. 24 hour recall
D. Food frequency questionnaire -- ANSWER--D. Food frequency questionnaire
When considering a nutritional assessment, the nurse is aware that the most common
anthropometric measurements include: A. height and weight.
B. leg circumference.
C. biceps skin-fold thickness.
D. hip and waist measurement. -- ANSWER--A. height and weight.
If a 29 year old woman weighs 156 pounds and the nurse determines her ideal body weight to
be 120 pounds, how would the nurse classify the woman's weight?
A. Obese
B. Mildly overweight
C. Suffering from malnutrition
D. Within appropriate range of ideal weight -- ANSWER--A. Obese
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