Exam (elaborations)
Nutrition NCLEX Questions With Solutions
- Course
- NCLEX NUTRITION
- Institution
- NCLEX NUTRITION
Nutrition NCLEX Questions With Solutions
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Nutrition NCLEX Questions With SolutionsWhile reviewing the medical history, the nurse determines a patient is at
risk for obesity. Which is the greatest risk factor for the development of
obesity?
A. Was adopted at two months of age.
B. Does not engage in regular activity.
C. Is allergic to chocolate and strawberries.
D. Usual diet includes fat-food lunches twice a week. Correct Ans -
B.
Environmental influences and heredity contribute to the development of
obesity. However, physical inactivity is the most important factor
contributing to obesity.
A patient on a reduced-calorie diet asks the nurse what she can do to lose
weight faster, because most weeks she loses no more than 0.5lb. "At this
rate, it will take me years to get to my goal!" What should the nurse
respond to this patient?
A. "Let's reevaluate your long-term goal. Perhaps it was set too low for
you."
B. "You sound frustrated. Would you like to take some time off from your
diet and exercise plan?"
C. "Perhaps we should look into a diet supplement since you are unable to
stick with your prescribed diet plan"
D. "A pound of body fat equals 3500 calories. Let's reevaluate your diet and
exercise plan for calorie intake and expenditure." Correct Ans - D.
The nurse should assist the patient to create attainable goals that
incorporate achievement of improved health outcomes.
The nurse suspects a patient is experiencing protein-calorie malnutrition.
What did the nurse assess to come to this conclusion? (Select All that
Apply)
A. Thin Hair
B. Dry flaking skin
C. anxiety and agitation
D. Recent 5lb weight loss
E. Hyperactive bowel sounds Correct Ans - A,B,D
Manifestations of protein-calorie malnutrition include thin hair, dry flaking
skin, and a recent weight loss.
, The nurse is planning care for a patient scheduled for bariatric surgery.
Which interventions should the nurse include that support the diagnosis
Imbalance Nutrition: More than body requirements? (Select all that apply)
A. Establish realistic weight loss goals.
B. Determine realistic activity objectives.
C. Review behavior modification strategies.
D. Determine strategies to prevent stress eating.
E. Set small goals and offer positive encouragement. Correct Ans -
A,B,C
The intervention appropriate for the diagnosis of Imbalanced Nutrition:
More than body requirements include establish realistic weight loss goals.
determine realistic activity objectives, and review behavior modification
strategies.
The nurse is identifying a diagnosis appropriate for a patient with obesity.
Which diagnosis is the priority for a patient with a BMI of 30.4kg/m2 and a
waist-to-hip ratio of 1.1?
A. Ineffective Coping
B. Deficient Knowledge: Diet
C. Health-Seeking Behaviors: Weight Loss
D. Risk for impaired Tissue perfusion: Cardiac Correct Ans - D.
A BMI greater than 25 and central obesity as indicated by a waist-hip ratio
of 1 or greater tend to have more intraabdominal fat and higher levels of
circulating free fatty acids.
The nurse is providing discharge instructions to a patient recovering from
bariatric surgery. Which patient statement indicates diet teaching has been
effective?
A. "I should drink fluids with meal to aid with digestion."
B. "I should drink caffeinated carbonated liquids to aid with weight loss."
C. "I can eat anything that I want because weight loss will occur regardless
of food intake."
D. "I should eat four to six small meals each day that are low fat, high in
complex carbohydrates, and high in proteins." Correct Ans - D.
Patients recovering from bariatric surgery should be instructed to avoid
foods high in simple carbohydrates since this could precipitate dumping
syndrome. Meals should by small and liquids and solids should not be
taken together.
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