TONI P2 NUTRI LAB TERM EXAM

PART 2
Total points40/50

A nurse went to a patient’s room to do routine vital signs monitoring

and found out that the patient’s bedtime snack was not eaten. This
should alert the nurse to check and assess for: *
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Elevated serum bicarbonate and decreased blood pH
Signs of hypoglycemia earlier than expected
Symptoms of hyperglycemia during the peak time of NPH insulin
Sugar in the urine

The nurse is admitting a client with hypoglycemia. Identify the signs

and symptoms the nurse should expect. Select all that apply.
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Thirst
Palpitations
Diaphoresis
Slurred speech

What is one of the most challenging nursing interventions to promote

healing in the patient with viral hepatitis? *
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Providing adequate nutritional intake
Promoting strict bed rest during the icteric phase
Providing pain relief without using liver-metabolized drugs
Providing quiet diversional activities during periods of fatigue

A nurse is preparing a plan of care for a client with diabetes mellitus

who has hyperglycemia. The priority nursing diagnosis would be: *
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High risk for deficient fluid volume
Deficient knowledge: disease process and treatment
Imbalanced nutrition: less than body requirements
Disabled family coping: compromised
In discussing long-term management with the patient with alcoholic
cirrhosis, what should the nurse advise the patient? *
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daily exercise regimen is important to increase the blood flow through the liver.
Cirrhosis can be reversed if the patient follows a regimen of proper rest and nutrition.
Abstinence from alcohol is the most important factor in improvement of the patient's condition.
The only over-the-counter analgesic that should be used for minor aches and pains is
acetaminophen

You are caring for a patient newly diagnosed with Dumping

Syndrome, select ALL the correct statements on how to educate this
patient about decreasing their symptoms: *
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"It is best to eat 3 large meals a day rather than small frequent meals."
"After eating a meal lie down for 30 minutes."
"Eat a diet high in protein, fiber, and low in carbs."
"Be sure to drink at least 16 oz. of milk with meals."

You would expect that the meal tray of the patient with celiac
disease does not contain which of the following? *
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whole wheat bread
Ice cream
Pudding
Barley
only A & D

A patient with advanced cirrhosis has a nursing diagnosis of

imbalanced nutrition: less than body requirements related to anorexia
and inadequate food intake. What would be an appropriate midday
snack for the patient? *
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Peanut butter and salt-free crackers
A fresh tomato sandwich with salt-free butter
Popcorn with salt-free butter and herbal seasoning
canned chicken noodle soup with low protein bread

Because a client has mitral stenosis and is a prospective valve

recipient, the nurse preoperatively assesses the client’s past
compliance with medical regimens. Lack of compliance with which of
the following regimens would pose the greatest health hazard to this
client? *
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activity restriction
Diet modification
Dental care
Medication therapy

When teaching a client with a cardiac problem, who is on a high-

unsaturated fatty-acid diet, the nurse should stress the importance of
increasing the intake of: *
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Red meats, such as beef
Vegetables and whole grains
Enriched whole milk
Liver and other glandular organ meats

The client is diagnosed with an acute exacerbation of IBD. Which

priority intervention should the nurse implement first? *
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Weigh the client daily and document in the clients chart
Teach coping strategies such as dietary modifications
Record the frequency, amount, and color of stools
Monitor the clients oral fluid intake every shift

Which expected outcome should the nurse include for a client

diagnosed with peptic ulcer disease? *
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The clients pain is controlled with the use of NSAIDs
The client maintains lifestyle modifications
The client has no signs and symptoms of hemoptysis
The client take s antacids with each meal

A patient arrives to the clinic for evaluation of epigastric pain. The

patient describes the pain to be relieved by food intake. In addition,
the patient reports awaking in the middle of the night with a gnawing
pain in the stomach. Based on the patient's description this appears
to be what type of peptic ulcer? *
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Duodenal
Gastric
Esophageal
Refractory
A client with diabetes mellitus states, “I cannot eat big meals; I
prefer to snack throughout the day.” The nurse should carefully
explain that: *
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Regulated food intake is basic to control
Salt and sugar restriction is the main concern
Small, frequent meals are better for digestion
Large meals can contribute to a weight problem

The client is diagnosed with and acute exacerbation of ulcerative

colitis. Which intervention should the nurse implement? *
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Provide a low residue diet
Rest the clients bowel
Assess vital signs daily
Administer antacids orally

The nurse is developing a discharge-teaching plan for the client

diagnosed with congestive heart failure. Which interventions should
be included in the plan? SELECT ALL THAT APPLY *
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Notify health-care provider of a weight gain of more than one pound a week.
Teach client how to count the radial pulse when taking digoxin, a cardiac glycoside.
Instruct client to remove the saltshaker from the dinner table.
Encourage client to monitor urine output for change in color to become dark
Discuss the importance of taking the loop diuretic furosemide at bedtime

The client is admitted to the medical floor with acute diverticulitis.

Which collaborative intervention should the nurse anticipate the
health care provider ordering? *
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Administer total parenteral nutrition
Maintain NPO and nasogastric tube
Maintain on a high fiber diet and increase fluids
Obtain consent for abdominal surgery

The client diagnosed with congestive heart failure is complaining of

leg cramps at night. Which nursing interventions should be
implemented? *
Check the client for peripheral edema and make sure the client takes a diuretic early in the day
Monitor the client's potassium level and assess the client's intake of bananas and orange juice
Determine if the client has gained weight and instruct the client to keep the legs elevated
Instruct the client to ambulate frequently and perform calf-muscle stretching exercises daily.

A patient with a peptic ulcer is suddenly vomiting dark coffee ground

emesis. On assessment of the abdomen you find bloating and an
epigastric mass in the abdomen. Which complication may this patient
be experiencing? *
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Obstruction of pylorus
Upper gastrointestinal bleeding
Perforation
Peritonitis

STUDENT NUMBER *

02-1617-01308

Which problem is highest priority for the nurse to identify in the client
who had an open cholecystectomy surgery? *
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Alteration in nutrition
Alteration in skin integrity
Alteration in urinary pattern
Alteration in comfort

The patient refused to eat a balanced diet because of fear of vomiting

tea colored emesis. what should be your diagnosis for the client? *
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Risk for fluid volume deficit
Imbalanced nutrition less than body requirements
anxiety
acute pain

You are assigned to make a diet plan for a patient with Crohn's
disease, as a nurse nutritionist you know that all EXCEPT one will be
beneficial to the patient. *
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Live-culture yogurt
Cabbage and Corn
Yakult

Which of the following chronic complications is associated with

diabetes? *
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Dizziness, dyspnea on exertion, and coronary artery disease
Retinopathy, neuropathy, and coronary artery disease
Leg ulcers, cerebral ischemic events, and pulmonary infarcts
Fatigue, nausea, vomiting, muscle weakness, and cardiac arrhythmias

CONTACT NUMBER *

09277526380

The nurse is planning the care of a client diagnosed with lower

esophageal sphincter dysfunction. Which dietary modifications should
be included in the plan of care? *
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Allow any of the clients favorite foods as long as the amount is limited.
Have the client perform eructation exercises several times a day.
Eat four to six small meals a day and limit fluids during mealtimes.
Encourage the client to consume a glass of red wine with one meal a day.

A patient is recovering from discomfort from a peptic ulcer. The

doctor has ordered to advance the patient’s diet to solid foods. The
patient's lunch tray arrives. Which food should the patient avoid
eating? *
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Orange
Milk
White rice
Banana

Recommended calorie consumption for a diabetic client is 50-60

percent from ______________ *
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protein
cabohydrates
trans-fat
saturated fat

The nurse is teaching a class on diverticulosis. Which interventions

should the nurse discuss when teaching ways to prevent an acute
exacerbation of diverticulosis? Select all that apply. *
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. East a high fiber diet
Increase fluid intake
Elevate the HOB after eating
Walk 30 minutes a day
Take an antacid every 2 hours

Which problems should the nurse include in the plan of care for the
client diagnosed with peptic ulcer disease to observe for
physiological complications? *
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Alteration in bowel elimination patterns
.Knowledge deficit in the causes of ulcers
Inability to cope with changing family roles
Potential for alteration in gastric emptying

Malnutrition can be a big problem for patients with cirrhosis. Which

nursing intervention can help to improve nutrient intake? *
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Oral hygiene before meals and snacks
Provide all foods the patient likes to eat
Improve oral intake by feeding the patient
Limit snack offers to when the patient is hungry
Other:

A 2-gram sodium diet is prescribed for a client with severe

hypertension. The client does not like the diet, and the nurse hears
the client request that the spouse “Bring in some good home-cooked
food.” It would be most effective for the nurse to plan to: *
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Catch the family members before they go into the client’s room and tell them about the diet.
Wait for the client’s family and discuss the diet with the client and family
Call in the dietician for client teaching
Tell the client that the use of salt is forbidden, because it will raise BP

The charge nurse is monitoring client laboratory values. Which value

is expected in the client with cholecystitis who has chronic
inflammation? *
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an elevated white blood cell count
an decreased lactate dehydrogenase
an elevated alkaline phosphatase
. a decreased direct bilirubin level
The Doctor ordered a new diet plan for a patient with Hepatitis.
Which of the following should you expect not to be present in the
patient's food tray? *
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High Protien, High Sodium Diet
Low Protein, High Sodium
Low protein, low sodium diet
High Protein, Low Sodium

What laboratory test results should the nurse expect to find in a

patient with cirrhosis? *
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Serum albumin: 7.0 g/dL (70 g/L)
Total bilirubin: 3.2 mg/dL (54.7 mmol/L)
Serum cholesterol: 260 mg/dL (6.7 mmol/L)
Aspartate aminotransferase (AST): 6.0 U/L (0.1 mkat/L)

A 44-year-old woman with type 1 diabetes comes to the emergency

department due to abdominal pain accompanied by nausea and
vomiting. The patient had a history of chronic back pain due to a
motor accident 20 years ago. Her situation renders her unable to
work and pay for the increasing price of insulin, which has doubled
during the last five years. The patient doesn’t have medical coverage
or insurance; therefore, she rations her insulin intake, making her
unable to follow her prescribed therapeutic regimen for her diabetes.
Because of her situation, the client is at high risk of developing
diabetic ketoacidosis. As her nurse, which of the following symptoms
would you anticipate the client to exhibit? SELECT ALL THAT
APPLY *
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. Fruity odor breath
Deep and labored respirations
Blurred vision
Increased urination
Increased thirst
Fatigue
Blood glucose level of 60 mg/dL
Dehydration
Respiratory rate of 8 bpm
Hypernatremia
Metabolic alkalosis
The client diagnosed with ulcerative colitis is prescribed a low
residue diet. Which meal selection indicates the client understands
the diet teaching? *
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Grilled hamburger on a wheat bun and fried potatoes
A chicken salad sandwich and lettuce and tomato salad
Roast pork, white rice, and plain custard
Fried fish, whole grain pasta, and fruit salad

The physician orders a patient with a duodenal ulcer to take a UREA

breath test. Which lab value will the test measure to determine if h.
pylori is present? *
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Ammonia
Urea
Hydrochloric acid
Carbon dioxide

The nurse is working in an outpatient clinic. Which client is most

likely to have a diagnosis of diverticulosis? *
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A 60 year old male with a sedentary lifestyle
A 72 year old female with multiple childbirths
. A 63 year old female with hemorrhoids
A 40 year old male with a family history of diverticulosis

The nurse is preparing a client diagnosed with GERD for discharge

following an esophagogastroduodenoscopy. Which statement
indicates the client understands the discharge instructions? *
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I should not eat for at least one day following this procedure.
I can lie down whenever I want after a meal. It won't make a difference.
The stomach contents won't bother my esophagus but will make me nauseous.
I should avoid orange juice and eating tomatoes until my esophagus heals

When teaching a client with coronary artery disease about nutrition,

the nurse should emphasize: *
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Eating three (3) balanced meals a day
Adding complex carbohydrates
Avoiding very heavy meals
Limiting sodium to 7 gms per day
The nurse is teaching the client diagnosed with diverticulosis. Which
instruction should the nurse include in the teaching session? *
1/1
. Discuss the importance of drinking 1,000mL of water daily
Instruct the client to exercise at least three times a week
Teach the client about a eating a low-residue diet
Explain the need to have daily bowel movements

LAST NAME, FIRST NAME *

AUTENTICO, AILENE

The nurse is discussing the therapeutic diet for the client diagnosed
with diverticulosis. Which meal indicates the client understands the
discharge teaching? *
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. Fried fish, mashed potatoes, and iced tea
Ham sandwich, applesauce, and whole milk
Chicken salad on whole-wheat bread and water
Lettuce, tomato, and cucumber salad and coffee

The nutritionist ordered the client a full liquid diet 3 days post
operative, the patient disliked the food that was served. As a nurse,
what is your diagnosis for this patient? *
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Risk for Nutrition Imbalanced less than body requirement
Anxiety related to fear
Nutrition Imbalance more than body requirement
None of the above

Glycosylated hemoglobin (HbA1C) test measures the average blood

glucose control of an individual over the previous three months.
Which of the following values is considered a diagnosis of pre-
diabetes? *
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6.5-7%
5.7-6.4%
5-5.6%
>5.6%

A patient with chronic peptic ulcer disease underwent a gastric

resection 1 month ago and is reporting nausea, bloating, and diarrhea
30 minutes after eating. What condition is this patient most likely
experiencing? *
1/1
Gastroparesis
Fascia dehiscence
Dumping Syndrome
Somogyi effect

During the lecture, the clinical instructor tells the students that 50%
to 60% of daily calories should come from carbohydrates. What
should the nurse say about the types of carbohydrates that can be
eaten? *
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Try to limit simple sugars to between 10% and 20% of daily calories.
Simple carbohydrates are absorbed more rapidly than complex carbohydrates.
Simple sugars cause a rapid spike in glucose levels and should be avoided.
Simple sugars should never be consumed by someone with diabetes.

The nurse identifies a need for further teaching when the patient with
hepatitis B makes which statement? *
1/1
"I should avoid alcohol completely for as long as a year."
"I must avoid all physical contact with my family until the jaundice is gone."
"I should use a condom to prevent spread of the disease to my sexual partner."
"I will need to rest several times a day, gradually increasing my activity as I tolerate it."

The client is admitted to the medical unit with a diagnosis of acute

diverticulitis. Which health care providers order should the nurse
question? *
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Insert a nasogastric tube
Start an IV with D5W at 125 mL/hr
Put client on a clear liquid diet
Place client on bedrest with bathroom privileges

The client diagnosed with inflammatory bowel disease has a serum

potassium level of 3.4 mEq/L. Which action should the nurse
implement first? *
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Notify the health-care provider
Assess the client for muscle weakness
Request telemetry for the client
Prepare to administer potassium IV

The client diagnosed with Crohn's disease is crying and tells the
nurse, I can't take it anymore. I never know when I will get sick and
end up here in the hospital. Which nursing care plan is best for this
patient? *
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Knowledge Deficit related to disease process
Ineffective Coping Mechanism related to powerlessness
Acute Pain related to abdominal spasm
Imbalanced Nutrition, less than body requirements
Other:

A client came in for consult and complained of severe stomach pain

after eating. What is your care plan for the patient? *
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Imbalanced nutrition less than body requirements
acute pain related to abdominal muscle spasm
risk for malnutrition
all of the above

Recommended calorie consumption is 40-50 percent from

_______________ *
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carbohydrates
protein
simple carhoydrates
complex carbohydrates
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