Question 1

The nurse is providing care to a vegan patient who is hospitalized. Which is an appropriate meal for this patient?

Accepted Answer

Option A is appropriate because it consists of entirely plant-based items, suitable for a vegan diet. Tofu is a common protein substitute for vegans, and both whole wheat toast and strawberry jam are vegan-friendly.

Question 2

Which female patient requires the least amount of dietary protein?

Accepted Answer

The 40-year-old secretary likely has the least physically demanding lifestyle compared to the pregnant woman, breastfeeding woman, and weightlifter, who all have increased protein needs due to pregnancy, lactation, and muscle repair/growth, respectively.

Question 3

Which patient would benefit the most from a nutritional assessment?

Accepted Answer

C

Question 4

Which action by the nurse is appropriate when conducting a 24-hour dietary recall during the nutritional assessment process?

Accepted Answer

A 24-hour dietary recall involves asking the patient to recall and record everything they have eaten or drunk during the last day, not over an extended period like 3 to 5 days, and it is typically not recommended for patients with conditions that significantly alter their dietary intake or absorption, such as those undergoing chemotherapy or with severe burns.

Question 5

Which is a characteristic of malnutrition?

Accepted Answer

Malnutrition refers to deficiencies, excesses, or imbalances in a person's intake of energy and/or nutrients. It includes both undernutrition (nutrient deficit and low protein intake) and overnutrition (nutrient excess), making all the options correct characteristics of malnutrition.

Question 6

The nurse is instructing a patient about MyPlate. Which will the nurse include in the teaching session with the patient?

Accepted Answer

MyPlate is a visual guide that assists individuals in planning a well-balanced diet, recommends quantities of each nutritional food group for daily consumption, and evaluates each individual's nutritional status.

Question 7

Which nutritional deficit is associated with dementia?

Accepted Answer

The answer of Which nutritional deficit is associated with dementia?
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Question 8

The nurse is conducting a nutritional assessment for a patient who states, "I feel like I become blind at night. I am really scared to drive sometimes." Which nutrient will the nurse recommend to this patient based on this data?

Accepted Answer

Vitamin A deficiency can lead to night blindness, which is the difficulty to see in low light or darkness. The patient's complaint of feeling like they become blind at night suggests a deficiency in Vitamin A, making it the nutrient the nurse would recommend.

Question 9

The nurse is conducting a health history interview for a patient who requires a nutritional assessment. Which question is appropriate when doing the review of systems?

Accepted Answer

The question "Do you experience nosebleeds?" is appropriate when doing the review of systems because it is related to the patient's health history. Nosebleeds can be a sign of a number of underlying medical conditions, such as anemia, thrombocytopenia, or a bleeding disorder. By asking this question, the nurse can help to identify any potential health problems that may need to be addressed.

Question 10

The nurse is assessing a patient for dehydration. Which is the best early indicator of dehydration?

Accepted Answer

Dry mucous membranes are one of the earliest and most reliable indicators of dehydration, as they can be observed before other symptoms like confusion or thirst become apparent.

Question 11

Which nutritional deficit is associated with sudden cardiac death?

Accepted Answer

The answer of Which nutritional deficit is associated with sudden...

Question 12

The nurse is conducting a physical assessment to assess the patient's nutritional status. Which will the nurse also include in this assessment?

Accepted Answer

Hydration status is a key component of assessing a patient's nutritional status because it provides information on fluid balance, which is crucial for overall health and nutrition.

Question 13

The nurse notes that the patient's skin is scaly during a nutritional head-to-toe assessment. Which is the most likely reason for this occurrence?

Accepted Answer

Zinc deficiency can lead to skin changes, including scaly skin, because zinc plays a crucial role in maintaining healthy skin.

Question 14

Which individual is at greatest risk for dehydration?

Accepted Answer

Infants, such as a 2-month-old, are at the greatest risk for dehydration due to their higher body water content, higher metabolic rate, and their dependence on others for hydration. They also have a higher surface area to volume ratio, leading to more significant fluid loss relative to their size.

Question 15

The nurse is assessing a patient who is on a low-carbohydrate diet. Which question would be most appropriate during the health history assessment?

Accepted Answer

Low-carbohydrate diets can affect energy levels due to reduced glycogen stores, making it relevant to ask about perceived energy adequacy.

Question 16

The nurse is reviewing the medical record for a patient who will be seen for a health maintenance assessment later in the day. Which data would necessitate a nutritional assessment?

Accepted Answer

The answer of The nurse is reviewing the medical record...

Question 17

Nonprescription and prescription medications may affect nutrition in which ways?

Accepted Answer

Nonprescription and prescription medications can impact nutrition in various ways, including increasing or decreasing appetite and affecting the absorption of nutrients, thus all of the options are correct.

Question 18

Which question is appropriate for the nurse to ask the patient during a focused nutritional health history interview?

Accepted Answer

The answer of Which question is appropriate for the nurse...

Question 19

The nurse is teaching a patient ways to increase the amount of dietary carbohydrates to increase current level of energy. Which meal, highest in carbohydrates, indicates the patient understands the information presented?

Accepted Answer

The turkey sandwich, chips, side salad, and fruit cup meal is highest in carbohydrates. The sandwich (bread) and chips are high in carbs, and the fruit cup also contributes carbs. The other options have components high in proteins and fats but less in carbohydrates compared to option A.

Question 20

The nurse is conducting a health history interview during a nutritional assessment. Which question is appropriate when conducting the psychosocial profile?

Accepted Answer

The answer of The nurse is conducting a health history...

Quiz 22: Assessing Nutrition