nurs 235 Exam questions and answers
A nurse is evaluating a patient following the administration of an enteral feeding. Which findings are
normal and are criteria that indicate patient tolerance to the feeding? Select all that apply.
a.Absence of nausea, vomiting
b.weight gain
c.Bowel sounds within normal range
d. Large amount of gastric residue
e.Absence of diarrhea and constipation
f.Slight abdominal pain and distention - ✅✅A,C,E
A nurse is calculating the body mass index (BMI) of a 35-year-old male patient who is extremely obese.
The patient's height is 5′6″ and his current weight is 325 lb. What would the nurse document as his BMI?
a.50.5
b. 52.4
c.54.5
d. 55.2 - ✅✅B.52.4
A nurse is feeding an older adult patient who has dementia. Which intervention should the nurse
perform to facilitate this process?
A.Stroke the underside of the patient's chin to promote swallowing. B.Serve meals in different places
and at different times.
C. Offer a whole tray of various foods to choose from.
D.Avoid between-meal snacks to ensure hunger at mealtime. - ✅✅A
A patient who has COPD is refusing to eat. Which intervention would be most helpful in stimulating
appetite in this patient?
,A.Administering pain medication after meals.
B.Encouraging food from home when possible.
C. Scheduling his respiratory therapy before each meal.
D.Reinforcing the importance of his eating exactly what is delivered to him. - ✅✅B
A nurse is feeding a patient who is experiencing dysphagia. Which nursing intervention would the nurse
initiate for this patient?
A.Feed the patient solids first and then liquids last.
B.Place the head of the bed at a 30-degree angle during feeding. C.Puree all foods to a liquid
consistency.
D.Provide a 30-minute rest period prior to mealtime. - ✅✅D
A nurse is feeding a patient who states that she is feeling nauseated and can't eat what is being offered.
What would be the most appropriate initial action of the nurse in this situation?
A.Remove the tray from the room.
B.Administer an antiemetic and encourage the patient to take small amounts.
C.Explore with the patient why she does not want to eat her food.
D.Offer high-calorie snacks such as pudding and ice cream. - ✅✅A
A nurse is evaluating patients to determine their need for parenteral nutrition (PN). Which patients
would be the best candidates for this type of nutritional support? Select all that apply.
A.A patient with irritable bowel syndrome who has intractable diarrhea
B.A patient with celiac disease not absorbing nutrients from the GI tract
C.A patient who is underweight and needs short-term nutritional support
D.A patient who is comatose and needs long-term nutritional support E.A patient who has anorexia and
refuses to take foods via the oral route
F.A patient with burns who has not been able to eat adequately for 5 days - ✅✅A,B,F
,A patient has been admitted to the alcoholic referral unit in the local hospital. Based on an
understanding of the effects of alcohol on the GI tract, which is a priority concern related to nutrition?
A. Vitamin B malnutrition
B.Obesity
C.Dehydration
D.Vitamin C deficiency - ✅✅A
A nurse is caring for a newly placed gastrostomy tube of a postoperative patient. Which nursing action is
performed correctly?
A.The patient consumed 75% of the liquids on her breakfast tray.
B.The patient tells you she is hungry.
C.The patient's abdomen is soft, nondistended, with bowel sounds.
D.The patient reports fullness and diarrhea after breakfast. - ✅✅D
A patient who is moved to a hospital bed following throat surgery is ordered to receive continuous tube
feedings through a small-bore nasogastric tube. Following placement of the tube, which nursing action
would the nurse initiate to ensure correct placement of the tube?
A.Auscultate the bowel sounds.
B.Measure the gastric aspirate pH.
C.Measure the amount of residual in the tube.
D.Obtain an order for a radiographic examination of the tube. - ✅✅D
Which nursing diagnosis would be most appropriate for a patient with a body mass index (BMI) of 18?
A.Malabsorption
, B.Anemia
C.Protein depletion
D. Reduction in total muscle mass - ✅✅D
A nurse is administering a tube feeding for a patient who is post bowel surgery. When attempting to
aspirate the contents, the nurse notes that the tube is clogged. What would be the nurse's next action
following this assessment?
A.Use warm water or air and gentle pressure to remove the clog.
B.Use a stylet to unclog the tubes.
C.Administer cola to remove the clog.
D.Replace the tube with a new one. - ✅✅A
A nurse performs presurgical assessments of patients in an ambulatory care center. Which patient
would the nurse report to the surgeon as possibly needing surgery to be postponed?
A.A 19-year-old patient who is a vegan
B.An older adult patient who takes daily nutritional drinks
C.A 43-year-old patient who takes ginkgo biloba and an aspirin daily D. An infant who is breastfeeding -
✅✅C
Nutrition - ✅✅The study of her food nourish the body
Nutrients - ✅✅Pacific bio chemical substance use by the body for growth and development activities
reproduction lactation health maintenance illness/ injury recovery
Macro nutrients - ✅✅carbohydrates, proteins, and fats ( provide energy)
Micro nutrients - ✅✅vitamins and minerals(chemical process
A nurse is evaluating a patient following the administration of an enteral feeding. Which findings are
normal and are criteria that indicate patient tolerance to the feeding? Select all that apply.
a.Absence of nausea, vomiting
b.weight gain
c.Bowel sounds within normal range
d. Large amount of gastric residue
e.Absence of diarrhea and constipation
f.Slight abdominal pain and distention - ✅✅A,C,E
A nurse is calculating the body mass index (BMI) of a 35-year-old male patient who is extremely obese.
The patient's height is 5′6″ and his current weight is 325 lb. What would the nurse document as his BMI?
a.50.5
b. 52.4
c.54.5
d. 55.2 - ✅✅B.52.4
A nurse is feeding an older adult patient who has dementia. Which intervention should the nurse
perform to facilitate this process?
A.Stroke the underside of the patient's chin to promote swallowing. B.Serve meals in different places
and at different times.
C. Offer a whole tray of various foods to choose from.
D.Avoid between-meal snacks to ensure hunger at mealtime. - ✅✅A
A patient who has COPD is refusing to eat. Which intervention would be most helpful in stimulating
appetite in this patient?
,A.Administering pain medication after meals.
B.Encouraging food from home when possible.
C. Scheduling his respiratory therapy before each meal.
D.Reinforcing the importance of his eating exactly what is delivered to him. - ✅✅B
A nurse is feeding a patient who is experiencing dysphagia. Which nursing intervention would the nurse
initiate for this patient?
A.Feed the patient solids first and then liquids last.
B.Place the head of the bed at a 30-degree angle during feeding. C.Puree all foods to a liquid
consistency.
D.Provide a 30-minute rest period prior to mealtime. - ✅✅D
A nurse is feeding a patient who states that she is feeling nauseated and can't eat what is being offered.
What would be the most appropriate initial action of the nurse in this situation?
A.Remove the tray from the room.
B.Administer an antiemetic and encourage the patient to take small amounts.
C.Explore with the patient why she does not want to eat her food.
D.Offer high-calorie snacks such as pudding and ice cream. - ✅✅A
A nurse is evaluating patients to determine their need for parenteral nutrition (PN). Which patients
would be the best candidates for this type of nutritional support? Select all that apply.
A.A patient with irritable bowel syndrome who has intractable diarrhea
B.A patient with celiac disease not absorbing nutrients from the GI tract
C.A patient who is underweight and needs short-term nutritional support
D.A patient who is comatose and needs long-term nutritional support E.A patient who has anorexia and
refuses to take foods via the oral route
F.A patient with burns who has not been able to eat adequately for 5 days - ✅✅A,B,F
,A patient has been admitted to the alcoholic referral unit in the local hospital. Based on an
understanding of the effects of alcohol on the GI tract, which is a priority concern related to nutrition?
A. Vitamin B malnutrition
B.Obesity
C.Dehydration
D.Vitamin C deficiency - ✅✅A
A nurse is caring for a newly placed gastrostomy tube of a postoperative patient. Which nursing action is
performed correctly?
A.The patient consumed 75% of the liquids on her breakfast tray.
B.The patient tells you she is hungry.
C.The patient's abdomen is soft, nondistended, with bowel sounds.
D.The patient reports fullness and diarrhea after breakfast. - ✅✅D
A patient who is moved to a hospital bed following throat surgery is ordered to receive continuous tube
feedings through a small-bore nasogastric tube. Following placement of the tube, which nursing action
would the nurse initiate to ensure correct placement of the tube?
A.Auscultate the bowel sounds.
B.Measure the gastric aspirate pH.
C.Measure the amount of residual in the tube.
D.Obtain an order for a radiographic examination of the tube. - ✅✅D
Which nursing diagnosis would be most appropriate for a patient with a body mass index (BMI) of 18?
A.Malabsorption
, B.Anemia
C.Protein depletion
D. Reduction in total muscle mass - ✅✅D
A nurse is administering a tube feeding for a patient who is post bowel surgery. When attempting to
aspirate the contents, the nurse notes that the tube is clogged. What would be the nurse's next action
following this assessment?
A.Use warm water or air and gentle pressure to remove the clog.
B.Use a stylet to unclog the tubes.
C.Administer cola to remove the clog.
D.Replace the tube with a new one. - ✅✅A
A nurse performs presurgical assessments of patients in an ambulatory care center. Which patient
would the nurse report to the surgeon as possibly needing surgery to be postponed?
A.A 19-year-old patient who is a vegan
B.An older adult patient who takes daily nutritional drinks
C.A 43-year-old patient who takes ginkgo biloba and an aspirin daily D. An infant who is breastfeeding -
✅✅C
Nutrition - ✅✅The study of her food nourish the body
Nutrients - ✅✅Pacific bio chemical substance use by the body for growth and development activities
reproduction lactation health maintenance illness/ injury recovery
Macro nutrients - ✅✅carbohydrates, proteins, and fats ( provide energy)
Micro nutrients - ✅✅vitamins and minerals(chemical process
