Question 1

The nurse is preparing to infuse intravenous lipids on a client and should utilize which safety considerations when completing this action?Select all that apply.

Accepted Answer

A,D

Question 2

The nurse is feeding a client with dementia and should assist swallowing with which nursing action?

Accepted Answer

Stroking the client in a downward motion under the chin can help stimulate the swallowing reflex, which is beneficial for clients with swallowing difficulties.

Question 3

The nurse is assisting a client with swallowing difficulties to eat and should encourage the client to put how much food on the spoon at one time?

Accepted Answer

For clients with swallowing difficulties, it's recommended to use smaller amounts of food to prevent choking and ensure easier swallowing. 1 teaspoon (tsp) is an appropriate amount that balances between too little and too much, making it easier for the client to manage.

Question 4

The nurse is preparing to insert a nasogastric tube into a newborn and plans to use which landmark to ensure that the tube reaches into the infant's stomach?

Accepted Answer

The correct landmark for ensuring a nasogastric tube reaches into an infant's stomach is midway between the xiphoid process and the umbilicus. This method helps estimate the length of the tube needed to reach the stomach safely.

Question 5

The nurse observes a client with dysphagia who is eating and should discourage which activity?

Accepted Answer

Using a straw can increase the risk of aspiration in clients with dysphagia by making it more difficult to control the flow of liquids.

Question 6

The nurse is working with a group of parents who have children that are extremely picky eaters and tells them that which makes the biggest impact on a child's lifetime eating habits?

Accepted Answer

Habits learned as a young child have the most significant impact on a child's lifetime eating habits. Early childhood is a critical period for the development of dietary preferences and eating patterns, which can persist into adulthood.

Question 7

The nurse is caring for a client who is in the midst of a 24-hour urine collection for urinary nitrogen and would know which test will help determine if the client has an adequate intake of what nutrient?

Accepted Answer

A 24-hour urine collection for urinary nitrogen is used to assess protein metabolism and, therefore, helps determine if the client has an adequate intake of proteins. Nitrogen balance studies, including urinary nitrogen measurements, are a way to evaluate protein utilization in the body.

Question 8

The nurse is completing an anthropometric measurement of an individual and should use which instruments to complete this assessment?

Accepted Answer

Tape measure and skinfold caliper are used in anthropometric measurements to assess body dimensions such as circumferences and skinfold thicknesses, which help in evaluating body composition and nutritional status.

Question 9

The nurse is caring for a client receiving total parenteral nutrition and will instruct the unlicensed assistive person (UAP)to complete which assessment every 4 hours?

Accepted Answer

Monitoring temperature every 4 hours is crucial for a patient on total parenteral nutrition (TPN) because it helps in early detection of infection, a common complication associated with TPN due to its invasive nature and the risk of contamination.

Question 10

The nurse is caring for a client receiving enteral nutrition through a syringe.Midway through the feeding,the client complains of gas pains.Which is the nurse's best action at this time?

Accepted Answer

Clamping the tubing temporarily allows the client's gastrointestinal system to adjust and potentially relieve the gas pains without discontinuing the nutrition the client is receiving. It's a non-invasive, first-line approach to address the discomfort.

Question 11

The nurse knows that which setting would be most effective in assisting teenagers to eat a more nutritious diet?

Accepted Answer

Teenagers are highly influenced by their peers, making a small group setting with peers an effective environment for promoting and encouraging the adoption of healthier eating habits. This peer influence can lead to positive changes in dietary choices among teenagers.

Question 12

The nurse has just finished inserting a nasogastric tube into a client that will be used for enteral feeding and knows that prior to starting the feeding,tube placement will best be confirmed using which method?

Accepted Answer

Obtaining an x-ray to confirm the placement of a nasogastric tube is the most reliable method to ensure that the tube is correctly positioned in the stomach or small intestine before starting enteral feeding. This helps prevent complications such as aspiration.

Question 13

The nurse is teaching about nutritional requirements of the newborn to his new parents.The nurse should recognize that the parents need further instruction when which statement is made?

Accepted Answer

Adding rice cereal to a baby's bottle is not recommended for newborns. It can pose a risk of choking and does not necessarily improve sleep. It's also important to wait until a baby is around 4 to 6 months old before introducing solid foods, according to pediatric guidelines.

Question 14

The nurse is caring for a client who will be receiving continuous enteral feeding through a nasogastric feeding tube.The nurse is aware that which is the most dangerous complication associated with improper nasogastric tube placement?

Accepted Answer

Pneumonia is the most dangerous complication associated with improper nasogastric tube placement because if the tube is misplaced into the lungs instead of the stomach, it can lead to aspiration pneumonia.

Question 15

The nurse is performing a nutritional assessment of an older adult client who has reported a 10-pound weight loss in the last 6 weeks with no history of dieting.If no disease process is found,the nurse is aware that weight loss can result from what issue for this age group?

Accepted Answer

Loose, ill-fitting dentures can make eating difficult and uncomfortable, leading to inadequate food intake and subsequent weight loss, especially in older adults who may rely on dentures for eating.

Question 16

The nurse has just begun a new enteral feeding on a client using a closed system of formula.The nurse labels the bag with the time and date it was begun (1300 hours on 12/6)knowing that this will mean the feeding tubing set will need to be changed at which time and date?

Accepted Answer

Closed system enteral feeding sets should be changed every 24 hours to prevent bacterial contamination.

Question 17

The nurse is working with a group of parents of toddlers and should know that further instruction is needed when which statement is heard?

Accepted Answer

Using food as a reward can establish unhealthy eating habits and emotional eating patterns in children, which is why the statement indicates a need for further instruction.

Question 18

The nurse is completing an admission assessment of a bedridden client and will use which technique to measure the height of this client?

Accepted Answer

Measuring the arm span is a practical method to estimate height for patients who cannot stand, as it is generally proportional to the person's height.

Question 19

The nurse has just completed insertion of a nasogastric tube that is needed for gastric lavage of a client.Radiographic confirmation of placement is not possible at this time,so the nurse should use which method to best determine tube placement?

Accepted Answer

The presence of carbon dioxide in the aspirate indicates that the tube is in the stomach.

Question 20

The nurse is teaching a group of toddler parents about snack foods that are safe for this age group and should include which food in this teaching?

Accepted Answer

Applesauce is a safe snack option for toddlers because it is soft and does not pose a choking hazard, unlike grapes, popcorn, and corn chips, which are considered high-risk foods for choking in young children.

Quiz 10: Nutrition