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NSG 100 Exam #4 Review Questions with Correct Answers
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NSG 100 Exam #4 Review Questions with Correct Answers
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NSG 100 Exam #4 Review Questionswith Correct Answers
Which of the following is a necessary component of a nutritional assessment? (Select
all that apply)
A. Anthropometrics
B.A nutritional screen
C. Medication history
D. Recent BUN lab value - Answer-ANS: All are correct
Data that should be included in a patient's nutritional assessment:
Dietary
Medical
Socioeconomic
Anthropometric
Clinical
Laboratory
Which of the following laboratory values if decreased is indicative of protein
malnutrition?
A. Blood glucose
B. Creatinine
C. Albumin
D. Hemoglobin levels - Answer-ANS: C
The nurse is assessing an undernourished client. Which manifestation of the
integumentary system should the nurse consider an expected finding? (Select all that
apply.)
A. Muscle wasting
B. Petechiae
C. Dry brittle hair
D. Poor wound healing
E. Constipation - Answer-ANS: B,C,D
Effects of undernutrition of the integumentary system include petechiae, dry brittle hair
and nails, poor wound healing, and spoon-shaped nails. Constipation is an effect on the
gastrointestinal system. Muscle wasting is an effect of undernutrition on the
musculoskeletal system.
The nurse is assessing a client for physical problems that affect food intake. Which
factor should the nurse consider? (Select all that apply.)
A. Lactose intolerance
B. Financial resources
C. Trouble swallowing
,D. Use of supplements
E. Problems with dentition - Answer-ANS: C,E
Physical problems that limit or affect food intake include dentition problems and trouble
swallowing. Lactose intolerance is an absorption problem that may affect food intake.
Financial resources help determine food security. Use of supplements assists in
determining the current nutritional status.
The nurse is planning to teach a class regarding factors that influence food choices.
Which factor should the nurse include? (Select all that apply.)
A. Emotion
B. Availability
C. Level of hunger
D. Convenience
E. Cost - Answer-ANS: A,B,D,E
Factors that affect food choices include cost, emotion, availability, and convenience.
Additional factors include taste, smell, habits, packaging, body image, health, and
cultural influences. Level of hunger is not identified as a factor that influences food
choices
A nursing assessment of a 14-year-old client reveals a BMI in the 90th percentile and a
lifestyle that includes spending 4 hours a day playing video games and eating supper
while watching television. What is the priority nursing diagnosis?
A. Disturbed Body Image related to distorted perception of body size and shape
B. Delayed Growth and Development related to inappropriate intake
C. Imbalanced Nutrition: More Than Body Requirements related to sedentary lifestyle
D. Fatigue related to malnutrition - Answer-ANS: C
The most appropriate nursing diagnosis is the one that focuses on the core of the
problem. The child is overweight because of poor eating habits and a sedentary
lifestyle. Fatigue and altered development would be more appropriate with a child who
is not receiving enough calories. While the teen might have altered body image, there
are no data given that support that. This nursing diagnosis would be more appropriate
with the diagnosis of anorexia nervosa.
The nurse is preparing a teaching session about nutrition for a community health fair.
Which information should the nurse include about obesity? (Select all that apply.)
A. Portion sizes help control body weight.
B. Food choices contribute to the development of obesity.
C. Refined foods, animal proteins, and fats contribute to obesity.
D. The prevalence of obesity has declined over recent years.
E. Preventing obesity lowers the risk of developing hypertension - Answer-ANS:
A,B,C,E
Portion sizes and food choices both help control body weight and may help reduce the
incidence of obesity. Refined foods, animal proteins, and fat intake contribute to obesity.
Obesity is linked to the development of hypertension. The prevalence of obesity has
increased 25% in adults and doubled in children and adolescents.
, The nurse is speaking at a school to pre-teens on the topic of healthy lifestyles. What
information would the nurse include in her presentation? (Select all that apply)
A. Limit television, computer, and video game time.
B. Limit sugar-sweetened beverages to three per day.
C .Include 30 minutes of aerobic activity in the day.
D. Eat a healthy diet with whole grains, lean meat, vegetables, and fruits. - Answer-
ANS: A,C,D
Sugar-sweetened beverages are empty calories and can easily add up throughout the
day, providing no nutritional benefit. These drinks should be limited to special occasions
only and not for everyday use. Water consumption should be encouraged. Limiting time
on devices when the student is inactive is important. The student should attempt to
include 30 minutes of daily aerobic activity. A healthy diet is the cornerstone of a healthy
lifestyle.
The nurse is planning to collect anthropometric data from a client who is being
evaluated for undernutrition. Which information should the nurse include? (Select all
that apply.)
A. Weight
B. Food allergies
C. Skinfold thickness
D. Height
E. Capillary blood glucose level - Answer-ANS: A,C,D
Anthropometric data include the client's height, weight, and skinfold thickness. Food
allergies are a part of the physical history of digestive problems. Capillary blood glucose
level is a laboratory test used to measure the amount of glucose in the client's blood.
Which tool is available to the nurse to assess a client's eating habits? (Select all that
apply.)
A. Mini-Nutritional Assessment
B. Body mass index
C. Waist-to-height ratio
D. Food dairy
E. Food frequency questionnaire - Answer-ANS: A,D,E
Requesting the client keep a food diary for 3 days or more, conducting a food frequency
questionnaire including a 24-hour recall of food intake, or performing the six-item Mini-
Nutritional Assessment all provide important insight to what and when the client is
eating. The nurse can then teach about replacements or changes in food choice, as well
as timing of meals. Body mass index and waist-to-height ratio are methods of evaluating
under- or over-nutrition but do not provide information about what and when the client is
eating.
Review: Terminology
1.Defecation
2.Micturition
3.Continence
4.Incontinence
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