Which statement made by an adult patient demonstrates understanding of healthy nutrition teaching?
A. I need to stop eating red meat.
B. I will increase the servings of fruit juice to four a day.
C. I will make sure that I eat a balanced diet and exercise regularly.
D. I will not eat so many dark green vegetables and eat more yellow vegetables. - correct answer ✔✔C
The nurse teaches a patient who has had surgery to increase which nutrient to help with tissue repair?
A. Fat
B. Protein
C. Vitamin
D. Carbohydrate - correct answer ✔✔B
The nurse is caring for a patient experiencing dysphagia. Which interventions help decrease the risk of
aspiration during feeding? (Select all that apply.)
A. Sit the patient upright in a chair.
B. Give liquids at the end of the meal.
C. Place food in the strong side of the mouth.
D. Provide thin foods to make it easier to swallow.
E. Feed the patient slowly, allowing time to chew and swallow.
F. Encourage patient to lie down to rest for 30 minutes after eating. - correct answer ✔✔A, C, E
The nurse suspects that the patient receiving parenteral nutrition (PN) through a central venous catheter
(CVC) has an air embolus. What action does the nurse need to take first?
A. Raise head of bed to 90 degrees
B. Turn patient to left lateral decubitus position
,C. Notify health care provider immediately
D. Have patient perform the Valsalva maneuver - correct answer ✔✔B
Which action is initially taken by the nurse to verify correct position of a newly placed small-bore feeding
tube?
A. Placing an order for x-ray film examination to check position
B. Confirming the distal mark on the feeding tube after taping
C. Testing the pH of the gastric contents and observing the color
D. Auscultating over the gastric area as air is injected into the tube - correct answer ✔✔A
The catheter of the patient receiving parenteral nutrition (PN) becomes occluded. Place the steps for
caring for the occluded catheter in the order in which the nurse would perform them.
A. Attempt to aspirate a clot.
B. Temporarily stop the infusion.
C. Flush the line with saline or heparin.
D. Use a thrombolytic agent if ordered or per protocol. - correct answer ✔✔B, C, A, D
Based on knowledge of peptic ulcer disease (PUD), the nurse anticipates the presence of which bacteria
when reviewing the laboratory data for a patient suspected of having PUD?
A.Micrococcus
B.Staphylococcus
C.Corynebacterium
D.Helicobacter pylori - correct answer ✔✔D
The nurse is assessing a patient receiving enteral feedings via a small-bore nasogastric tube. Which
assessment findings need further intervention?
A. Gastric pH of 4.0 during placement check
B. Weight gain of 1 pound over the course of a week
C. Active bowel sounds in the four abdominal quadrants
D. Gastric residual aspirate of 350 mL for the second consecutive time - correct answer ✔✔D
, The home care nurse is seeing the following patients. Which patient is at greatest risk for experiencing
inadequate nutrition?
A. A 55-year-old obese man recently diagnosed with diabetes mellitus
B. A recently widowed 76-year-old woman recovering from a mild stroke
C. A 22-year-old mother with a 3-year-old toddler who had tonsillectomy surgery
D. A 46-year-old man recovering at home following coronary artery bypass surgery - correct answer
✔✔B
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. - correct answer ✔✔D
The nurse is checking feeding tube placement. Place the steps in the proper sequence.
A. Draw 5-10 mL gastric aspirate into syringe.
B. Flush tube with 30 mL air.
C. Mix aspirate in syringe and place in medicine cup.
D. Observe color of gastric aspirate.
E. Perform hand hygiene and put on clean gloves
F. Dip pH strip into gastric aspirate.
G. Compare strip with color chart from manufacturer. - correct answer ✔✔E, B, A, D, C, F, G
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.
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