Deck 8: Nutritional Assessment

Question 1

Which patient needs to be taught about how diet and exercise can lower lipids to reduce the risk for coronary artery disease?

A) A woman with a high-density lipoprotein (HDL) level of 53 mg/dl
B) A man with an HDL level of 43 mg/dl
C) A woman with a low-density lipoprotein (LDL) level of 125 mg/dl
D) A man with an LDL level of 200 mg/dl

Answer 1

A man with an LDL level of 200 mg/dl

Question 2

A patient who has anorexia nervosa reports a healthy diet and no protein calorie malnutrition. Which lab value best confirms this patient's report?

A) Prealbumin
B) Serum albumin
C) Blood glucose
D) Serum cholesterol

Answer 2

Prealbumin

Question 3

A male patient weighs 205 lb and his desired body weight (DBW) is 190 lb. How should the nurse counsel this patient about his weight?

A) He has mild obesity and needs to increase exercise and assess his diet for nutrients and calories.
B) He has moderate obesity and needs to consult a health care provider about weight loss therapy.
C) He is within normal limits and need not be concerned at this time.
D) Further data are needed before an interpretation can be determined.

Answer 3

He is within normal limits and need not be concerned at this time.

Question 4

A nurse calculates a patient's body mass index (BMI) as 33. This measurement indicates which class of weight?

A) Overweight
B) Obesity class I
C) Obesity class II
D) Obesity class III

Question 5

What is the desired body weight for a male who is 7 feet tall?

A) 178 lb
B) 225 lb
C) 250 lb
D) 275 lb

Question 6

During a physical examination, the nurse notes that the patient's skin is dry and flaking, with patches of eczema. Which nutritional deficiency might be present?

A) Vitamin C
B) Vitamin B
C) Essential fatty acid
D) Protein

Question 7

A patient's current body weight is 304 lb and his desirable body weight is 190 lb. How does the nurse classify this patient's weight?

A) Within expected range
B) Mildly obesity
C) Moderate obesity
D) Morbid obesity

Question 8

During a physical examination, the nurse notes that the patient's skin is dry and flaking, with patches of eczema, and suspects a nutritional deficiency. What additional data should the nurse expect to find to confirm the suspicion?

A) Hair loss and hair that is easily removed from the scalp
B) Inflammation of the tongue and fissured tongue
C) Inflammation of peripheral nerves, and numbness and tingling in extremities
D) Fissures and inflammation of the mouth

Question 9

While assessing a patient's ability to consume food, the nurse recalls which types of foods are the easiest to chew and swallow?

A) Thin liquids
B) Soft foods
C) Dry foods
D) Chewy foods

Question 10

A nurse is asking questions about the present health status of a young woman who has lost weight recently. Which question is most appropriate when inquiring about present health status?

A) "What concerns have you had in the past regarding your weight?"
B) "Do you have anorexia?"
C) "Describe the recent changes in your weight."
D) "Do you have a family history of eating disorders?"

Question 11

A nurse is assessing an 80-year-old patient who is cared for at home by his 79-year-old wife. Which data indicate this patient has malnutrition? (Select all that apply.)

A) Body mass index (BMI) of 17
B) Waist-to-hip ratio of 1.0
C) Weight loss of 6% since last month's visit
D) Prealbumin level of 16 mg/dl
E) Hematocrit level of 50%
F) Hemoglobin level of 20 g/dl

Question 12

Which patient has the least risk for unhealthy fat distribution?

A) The man whose triceps skinfold is at the 25th percentile
B) The woman whose triceps skinfold is at the 72nd percentile
C) The man whose waist circumference is 46 inches and hip circumference is 40 inches
D) The woman whose waist circumference is 30 inches and hip circumference is 38 inches

Question 13

A patient is put on an 1800-calorie a day diet plan. During discharge teaching, the nurse explains to this patient how to use nutrition labels to determine the amount of carbohydrates in the product. The nurse explains, however, that the label is based on 2000 calories. Which is the appropriate formula to teach this patient of the maximum grams of carbohydrates she can eat on her prescribed diet?

A) 1800 calories * 0.45 = 810/4 calories/gram = 202.5 g
B) 1800 calories * 0.60 = 1080/4 calories/gram = 270 g
C) 1800 calories * 0.55 = 990/9 calories/gram = 110 g
D) 1800 calories * 0.50 = 900/9 calories/gram = 100 g

Question 14

A patient tells the nurse that she tries to keep her fat intake at less than 15% of her total caloric intake per day. What is the nurse's most appropriate response to this patient's comment?

A) "That is admirable; how do you accomplish fat intake that low on a daily basis?"
B) "Eating fat is essential for good health, and you should consume about 40% of your fats as monounsaturated fat."
C) "Limiting fat prevents some diseases, but your fat intake is much lower than the 25% recommended."
D) "If you want to bring your fat intake down further, you might want to eliminate eating fast foods."

Question 15

A man who is 6 feet 9 inches tall is told by his provider to lose weight so that he is closer to his desired body weight. He asks the nurse, How can I find out what my desired body weight should be? The nurse responds, Let me show you how to calculate it. Your desired body weight (DBW) should be ______ lb.

Question 16

Which tool is the best choice for a nurse to use as a quick screening tool to assess a patient's dietary intake?

A) Food diary
B) Calorie count
C) Comprehensive diet history
D) 24-hour recall

Question 17

A patient who keeps his fat consumption at 10% of his total caloric intake is at risk for deficiency of which nutrient(s)?

A) Iron
B) Vitamins A, D, and K
C) Zinc
D) B and C vitamins

Question 18

Which patient may require additional nutritional assessment?

A) A male patient with a blood glucose level of 100 mg/dl
B) A pregnant patient with a hemoglobin level of 10.5 g/dl
C) A female patient with a prealbumin level of 25 mg/dl
D) A male patient with a serum triglyceride level of 100 mg/dl

Question 19

A patient with mild renal disease has been put on a 2200-calorie per day diet plan with the lowest recommended amount of protein. During discharge teaching, the nurse explains to this patient how to use nutrition labels to determine the amount of protein in the product. The nurse explains, however, that the label is based on 2000 calories. Which is the appropriate formula to teach this patient the least amount of protein he can eat on his prescribed diet?

A) 2200 calories * 0.15 = 330/9 calories/gram = 36.6 g
B) 2200 calories * 0.10 = 220/4 calories/gram = 55 g
C) 2200 calories * 0.20 = 440/9 calories/gram = 48.8 g
D) 2200 calories * 0.12 = 264/4 calories/gram = 66 g

Question 20

Nurses use which measurement as the most highly correlated with risk of morbidity and mortality?

A) Waist-to-hip ratio
B) Triceps skinfold measure
C) Desirable body weight
D) Body mass index (BMI)

Question 21

A woman who is 4 feet 11 inches tall is told by her provider to lose weight so that she is closer to her desired body weight. She asks the nurse, How can I find out what my desired body weight should be? The nurse responds, Let me show you how to calculate it. Your desired body weight (DBW) should be ____ lb.

Question 22

A woman's waist circumference is 32 inches and her hip circumference is 29 inches. Her waist-to-hip ratio is _____.