GROUP 1 a.

Regulated food intake is basic to control

1. Type II Diabetes is characterized by all of the following b. Salt and sugar restriction is the main concern
except: c. Small and frequent meals are better for digestion
a. Obesity d. Large meals can contribute to a weight problem
b. Slow progression of the disease process
c. A problem with insulin excretion 9. A client with DM has an above-knee amputation
d. Cells that become insensitive to insulin because of severe peripheral vascular disease 2 days
following surgery. When preparing the client for dinner, it
2. All of the following are symptoms of diabetes is the nurse’s primary responsibility to:
EXCEPT: a. Assist the client out of bed to the chair
a. Glucosuria b. Place the client in a high-Fowlers position
b. Hyperthyroidism c. Ensure that the client’s residual limb is elevated
c. Hyperglycemia d. Check the client’s serum glucose level
d. Dehydration
10. Which of the following nursing interventions should
3. An example of a short acting insulin or the type used be taken for a client who complains of nausea and
in a sliding scale is: vomits one hour after taking his glyburide (DiaBeta)?
a. Regular a. Give glyburide again
b. Ultralente b. Give subcutaneous insulin and monitor blood glucose
c. Lantus level
d. NPH c. Monitor blood glucose closely and look for signs of
hypoglycemia
4. The onset of Type 1 is characterized by all of d. Monitor blood glucose and assess for signs of
the following except: hyperglycemia
a. Weight loss
b. Ketosis 11. Which of the following methods of insulin
c. Insensitivity to insulin administration would be used in the initial treatment of
d. Rapid onset hyperglycemia in a client with diabetic ketoacidosis?
a. Subcutaneous
5. All of the following are complications of b. Intramuscular
diabetes except: c. IV bolus only
a. Nephropathy d. IV bolus, followed by continuous infusion
b. Atherosclerosis
c. Neuropathy 12. All of the following are true regarding total
d. Gastric ulcers carbohydrate intake EXCEPT:
e. Retinopathy a. Carbohydrates affects blood glucose levels after
meals
6. The appropriate diabetic diet for an individual b. Whole grain carbohydrates are digested faster than
with Type 1 includes all except: starchy carbohydrates, thus preventing your body from
a. Low glycemic index food producing excessive insulin.
b. Emphasis on complex carbohydrates c. Whole grain carbohydrates are digested slower that
c. Low carbohydrate diet starchy carbohydrates, thus preventing your body from
d. Limited sugar producing excessive insulin.
d. The more grams of carbohydrates ingested, the
7. Carbohydrates in a diabetic diet for a Type 1 client greater the glycemic response.
are:
a. Divided fairly evenly into meals and snacks 13. Which of the following is not true regarding
b. Provided in only 3 meals per day management of diabetes during pregnancy:
c. Coordinated with the insulin schedule a. A pregnant woman is advised to have evening snack.
d. A and C b. Women with gestational diabetes should lose weight
to avoid insulin resistance.
c. Women who have gestational diabetes and
8. A client with DM states, “I cannot eat big meals; I
obese/overweight during pregnancy is advised to reduce
prefer to snack throughout the day.” The nurse should
carefully explain the:
caloric intake for about 30% less than the Total Energy about her risk due to her identical twin's recent breast
Requirement. cancer diagnosis. The patient, with a BMI of 29, is highly
d. About 30 grams of carbohydrate intake can be motivated to reduce her cancer risk. According to the
restricted in the morning. American Cancer Society, which diet and lifestyle factors
are recommended for reducing cancer risk?
14. A patient who has diabetes is on NPO as prep for A.) Avoid grains, cereals, pasta, and beans.
surgery. The patient states that they feel like their blood B.) Engage in physical activity once a week.
sugar is low. Upon checking the glucose level, you found C.) Attain and maintain a healthy body weight.
out that it is at 52. What should be the nursing D.) Consume a diet rich in preserved and cured foods.
intervention here:
a. Administer dextrose 50% IV per protocol Question: A client is undergoing chemotherapy and
b. Continue to monitor glucose experiencing cellular aberrations due to decreased
c. Give the patient 4 oz of fruit juice immune function. Which dietary recommendation should
d. None. This is a normal blood glucose reading. the nurse provide?
A.) High-sugar diet
15. Which of the following is not included in the choices B.) Low-protein diet
of a DM patient for foods with healthy fat? C.) High-fiber diet
a. Avocados D.) Protein-rich diet
b. Olive oil
c. Flax seeds Question: A client undergoing radiation therapy for
d. Fat-free yogurt prostate cancer experiences diarrhea as a side effect.
Which dietary modification should the nurse
recommend?
GROUP 2
A.) Increase fiber intake.
Question: A client is diagnosed with cellular aberration
B.) Limit fluid intake.
related to inadequate intake of antioxidants. Which food
C.) Avoid dairy products.
should the nurse recommend to increase antioxidant
D.) Consume bland, low-fiber foods.
levels?
A.) White bread
Question: A client with oral cancer is experiencing
B.) Fresh fruits and vegetables
dysphagia and difficulty swallowing. Which dietary
C.) Sugary snacks
modification should the nurse recommend?
D.) Fried foods
A. Consume thickened liquids.
B. Avoid pureed foods.
Question: Student Nurse Deo is gathering a health
C. Increase intake of dry, crunchy foods. D. Limit fluid
history from a patient admitted with lung cancer. Which
intake during meals.
inquiry should Student Nurse Deo prioritize to gather
comprehensive data about the patient's chief complaint?
Question: The patient asks the nurse about the
A) "How often, if ever, do you drink alcohol?"
difference between benign and malignant tumors before
B) "Do you regularly visit a primary care health
a biopsy. Which information should the nurse provide?
provider?" C.) "Is there a history of serious diseases or
A.) A. Benign tumors are usually composed of more
cancer in your immediate family?"
rapidly growing cells
D.) "Could you provide more details about the problem
B.)Benign tumors are incapable of causing damage to
that led you to seek hospital care?"
surrounding tissues or organs
C. Whereas malignant tumors are usually encapsulated,
Question: A client with cellular aberrations due to
benign tumors lack specific form
inadequate fiber intake asks the nurse for dietary
D. Malignant tumors are composed of disorganized,
recommendations. Which food should the nurse
abnormal cells that may spread to other parts of the
encourage to increase fiber intake?
body
A.) White rice
B.) Apples
Question: After undergoing surgery to remove a sizable
C.) Candy bars
melanoma from his back, a patient is facing intense pain
D.) Soda
related to the incision. The healthcare provider has
prescribed an opioid analgesic medication. Which of the
Question: Student Nurse JM is discussing cancer risk
reduction strategies with a 55-year-old patient concerned
following symptoms is the patient most likely to 5.) A student nurse is reviewing on cardio drugs for his
encounter? upcoming exam. For a well-prepared student, he should
A.) Diarrhea know that vasodilators are agents that:
B.) Constipation relax smooth muscle
C.) Peripheral neuropathy are used to treat hypotension
D.) Extrapyramidal symptoms stimulate the adrenergic receptors
Question: Jhoanna, diagnosed with advanced breast cause respiratory depression
cancer, is prescribed tamoxifen (Nolvadex). During client
education about this medication, the nurse should stress 6.) The nurse is caring for a client with a diagnosis of
the significance of promptly reporting which potential myocardial infarction (MI) and is assisting the client in
adverse effect? completing the diet menu. Which beverage should the
A.) Changes in vision nurse instruct the client to select from the menu?
B.) Loss of hearing Tea
C.) Headaches Cola
D. Decreased appetite Raspberry juice
Coffee
GROUP 3
1.) Dyspnea, cough, expectoration, weakness, & edema 7.) The nurse is performing a health screening on a
are classic signs & symptoms of which of the following 54-year-old client. The client has a blood pressure of
conditions? 118/78 mm Hg, total cholesterol level of 190 mg/dL, and
Pericarditis fasting blood glucose level of 184 mg/dL. The nurse
Hypertension interprets this to mean that the client has which
MI modifiable risk factor for coronary artery disease (CAD)?
Heart failure Age
Hypertension
2.) Mr. and Mrs. Baker’s only daughter is diagnosed with Hyperlipidemia
heart failure. Which of the following interventions would Glucose intolerance
be appropriate to promote optimal nutrition for the
infant? 8.) Which of the following symptoms is most commonly
Replacing regular nipples with easy-to-suck ones associated with left-sided heart failure?
Allowing the infant to feed for at least 1 hour Crackles
Providing large feedings evenly spaced every 4 hours Arrhythmias
Offering formula that is high in sodium and calories Hepatic engorgement
Hypotension
3.) You're providing diet discharge teaching to a patient
with a history of heart failure. Which of the following 9.) Which of the following conditions is most closely
statements made by the patient represents they associated with weight gain, nausea, & a decrease in
understood the diet teaching? urine output?
"I will limit my sodium intake to 5-6 grams a day." Angina pectoris
"I will be sure to incorporate canned vegetables and fish Cardiomyopathy
into my diet." Left-sided heart failure
"I'm glad I can still eat sandwiches because I love Right-sided heart failure
bologna and cheese sandwiches."
"I will limit my consumption of frozen meals." GROUP 4
1.nurse sarah is caring for a patient with chronic kidney
4.) A patient is diagnosed with Congestive Heart Failure disease
and must follow a specific diet. Which spices are okay who is experiencing fluid overload. which intervention
for the patient to use daily? should
Onion Salt & Garlic Powder nurse sarah include in the patient's plan of care?
Ginger & Bay Leaves a) administer a loop diuretic to increase urine output.
Sea Salt & Pepper b)restrict fluid intake to decrease fluid volume.
Garlic Sodium & Nutmeg c) encourage the patient to consume a high-sodium diet.
d) monitor the patient's blood pressure every 4 hours.
2. nurse david is caring for a patient with acute kidney blood-tinged. the client has a permanent peritoneal
injury who is catheter in place. which interpretation of this observation
at risk for electrolyte imbalances. which laboratory value would be correct?
should a) bleeding is expected with a permanent peritoneal
nurse david monitor closely to assess the patient's catheter.
potassium levels? b) bleeding indicates abdominal blood vessel damage.
a) sodium c) bleeding can indicate kidney damage.
b) calcium d) bleeding is caused by too-rapid infusion of the
c) phosphorus dialysate.
d) potassium
8. which of the following nursing interventions should be
3. nurse lauren is caring for a patient with end-stage included in the client’s care plan during dialysis therapy?
renal disease who is receiving hemodialysis. which a) limit the client’s visitors.
intervention should nurse b) monitor the client’s blood pressure.
lauren implement during the hemodialysis procedure? c) pad the side rails of the bed.
a) administering intravenous antibiotics. d) keep the client npo.
b) monitoring the patient's blood pressure every 15
minutes. 9. in planning teaching strategies for the client with
c) providing pain medication for the patient's discomfort. chronic renal failure, the nurse must keep in mind the
d) assisting the patient with deep breathing exercises. neurologic impact of uremia. which teaching strategy
would be most appropriate?
4. nurse megan is caring for a patient with a urinary tract a) providing all needed teaching in one extended
infection session.
(uti). which intervention should nurse megan include in b) validating frequently the client’s understanding of the
the patient's plan of care to prevent the spread of material.
infection? c) conducting a one-on-one session with the client.
a) encouraging the patient to drink cranberry juice. d) using videotapes to reinforce the material as needed.
b) administering prophylactic antibiotics.
c) instructing the patient to wipe from back to front after 10. the nurse helps the client with chronic renal failure
using the develop a home diet plan with the goal of helping the
toilet. client maintain adequate nutritional intake. which of the
d) educating the patient on proper hand hygiene. following diets would be most appropriate for a client
with chronic renal failure?
5. nurse james is caring for a patient with polycystic a) high carbohydrate, high protein
kidney disease. which intervention should nurse james b) high calcium, high potassium, high protein
include in the patient's plan of care to manage pain c) low protein, low sodium, low potassium
associated with the condition? d) low protein, high potassium
a) administering nonsteroidal anti-inflammatory drugs
(nsaids).
b) encouraging the patient to engage in regular physical
exercise.
c) applying heat packs to the affected areas.
d) providing emotional support and counseling.

6. what is the primary disadvantage of using peritoneal

dialysis for
long-term management of chronic renal failure?
a) the danger of hemorrhage is high.
b)it cannot correct severe imbalances.
c) it is a time-consuming method of treatment.
d) the risk of contracting hepatitis is high.

7. during the client’s dialysis, the nurse observes that the

solution draining from the abdomen is consistently