Question 1

The nurse has collected data on clients who have visited a health fair in the mall.Which of the following clients is most in need of a detailed nutritional assessment?

Accepted Answer

The 50-year-old male who reported unintentional weight loss of 10 pounds in 6 weeks is most in need of a detailed nutritional assessment to rule out any underlying medical conditions causing the weight loss. Unintentional weight loss can be a sign of a serious underlying medical condition such as cancer, infection, or malabsorption syndrome. The other clients' weight changes are either normal or explained, such as the 2-year-old's growth or the 35-year-old's postpartum weight gain.

Question 2

The nurse using the body mass index (BMI)to assess weight in a client should understand which of the following limitations of this method?

Accepted Answer

The BMI assumes that all individuals have equal body composition at each given weight, which is a limitation of this method. Other limitations include not taking into consideration muscle mass or body fat distribution, and not being appropriate for certain populations, such as athletes or pregnant women.

Question 3

The nurse is teaching a newly diagnosed diabetic about appropriate serving sizes for foods.The nurse would include which of the following estimates for a single serving of meat?

Accepted Answer

A single serving of meat is typically recommended to be three ounces.

Question 4

An 80-year-old male client is brought to the emergency room by his son with a preliminary diagnosis of dehydration.The client is agitated.When the nurse asks the client to open his mouth for an oral exam,the client yells,"You don't need to look in my mouth to see what is wrong with me!" The nurse's best rationale for looking in his mouth is:

Accepted Answer

The nurse needs to assess the mucous membranes to evaluate the client's hydration status, as dry mucous membranes can indicate dehydration. This is particularly relevant given the preliminary diagnosis.

Question 5

The nurse is interviewing a 20-year-old client who is 14 weeks pregnant and seeking prenatal care.She tells the nurse that she likes to eat ice and occasionally eats dirt.The nurse should anticipate which of the following laboratory studies to be ordered?

Accepted Answer

Pica, the craving to eat nonfood items, is associated with an increased risk for lead poisoning. Therefore, a plasma lead level would be an appropriate laboratory study to order in this client. The other laboratory studies listed are not typically necessary for assessing a client with a history of pica.

Question 6

The nurse is admitting a 69-year-old client with a possible hip fracture.The client is overweight,so the nurse understands that there is an increased likelihood risk for which of the following?

Accepted Answer

The answer of The nurse is admitting a 69-year-old client...

Question 7

A 24-year-old client visits the healthcare provider office for a routine yearly gynecological exam.The nurse is providing education to the client.The client asks for an explanation of why the nurse recommended that she take a multivitamin that contains folic acid.The nurse's best response would be:

Accepted Answer

Folic acid is recommended for women of childbearing age to help prevent neural tube defects in a developing fetus if they become pregnant. Starting folic acid supplementation before pregnancy ensures adequate levels from the start of pregnancy, often before a woman knows she's pregnant.

Question 8

The nurse is obtaining tricep skinfold measurements on a client.Which of the following locations would the nurse correctly use for this assessment?

Accepted Answer

The correct location for obtaining tricep skinfold measurements is at the midpoint of the arm between the scapula and the elbow. This is because the tricep skinfold measurement aims to assess subcutaneous fat in the triceps area, which is best represented at this midpoint.

Question 9

A group of college student athletes from the volleyball team have reported concerns about the reports regarding their weight and nutritional status.The reports were based on BMI (body mass index)values.The team's healthcare provider that collected the data and sent the reports decided to change their recommendations based on which explanation?

Accepted Answer

BMI classifications do not take into account racial or physical variations.

Question 10

The nurse is assessing a 12-month-old child and needs to determine length.The nurse would correctly use which of the following procedures to obtain this information?

Accepted Answer

Placing the child in a supine position and measuring from the crown of the head to the heel while holding the legs straight is the recommended procedure for obtaining length in a 12-month-old child.

Question 11

The nurse has reviewed the assessment findings for a recently admitted client.The nurse notes the client's dietary intake of the vitamin B complex to be lacking.Which of the findings confirm this deficiency?

Accepted Answer

The answer of The nurse has reviewed the assessment findings...

Question 12

The nurse is preparing an inservice for staff on the risk factors for poor nutritional health.Which of the following would the nurse include as risk factors for overnutrition?

Accepted Answer

The answer of The nurse is preparing an inservice for...

Question 13

The nurse is performing a nutritional assessment and is concerned about undernutrition in a client.Which of the following conditions would cause the nurse to suspect this nutritional disorder?

Accepted Answer

A wound that will not heal may indicate undernutrition, as proper nutrition is essential for wound healing. Renal failure, hypertension, and delayed menopause may have various causes and are not necessarily indicators of undernutrition.

Question 14

A Bioelectrical Impedance Analysis (BIA)is being performed on a client.Which of the following is associated with this test?

Accepted Answer

The answer of A Bioelectrical Impedance Analysis (BIA)is being performed...

Question 15

The nurse is assessing a 9-month-old girl during a well-child checkup.She is quiet and does not demonstrate much social interaction.The child appears petite and unusually small for her age.The nurse plots her height and weight on a growth chart and sees that the baby was in the 50th percentile for weight at age 6 months,and the baby is in the 5th percentile at this visit.The nurse suspects which of the following conditions in this child?

Accepted Answer

The child's small size and drop in weight percentile suggest undernutrition as a possible condition. Congestive heart failure, dehydration, and hypoglycemia would not typically present with these symptoms.

Question 16

The nurse is using waist circumference to assess overnutrition in an adult female.Place a horizontal line across the figure to indicate correct placement for the measurement tape.

Accepted Answer

The answer of The nurse is using waist circumference to...

Question 17

The graduate nurse in orientation notices that a dietician evaluates each postoperative client's chart.They know that this is done primarily to:

Accepted Answer

The answer of The graduate nurse in orientation notices that...

Question 18

A nurse is preparing to review an overweight client's food recall diary for the past week.Which of the following choices would be most helpful when teaching a client about recommended portion sizes?

Accepted Answer

Using everyday items such as a deck of cards or a tennis ball can help clients visualize recommended portion sizes and make it easier for them to understand and implement portion control in their daily diet. Measuring cups and plastic containers may also be helpful in some cases, but may not be as practical or user-friendly for clients. Food cups are not a commonly used tool for portion control education.

Question 19

The nurse is using a dietary recall tool to obtain a nutritional history on a client.The nurse must recognize the greatest limitation of using this assessment tool is which of the following?

Accepted Answer

The answer of The nurse is using a dietary recall...

Question 20

An overweight female client is reluctant to get on the scales at the healthcare provider's office.She verbalizes that she does not want to know how much she actually weighs.The nurse's best response would be:

Accepted Answer

Option B acknowledges the client's feelings and offers a compromise that respects her wishes while also fulfilling the doctor's requirement for obtaining her weight. This approach helps establish trust and rapport with the client, which is essential for encouraging her to take steps towards a healthier weight in the future. Option A may come off as dismissive, Option C does not acknowledge the client's discomfort, and Option D does not provide accurate and current information.

Quiz 9: Nutritional Assessment