NUR 304 9th Edition Questions – Exam 2 – Study Guide and Exam
Review Material
2. The nurse evaluates which laboratory values to assess a patient's potential for wound
healing?
1. Fluid status
2. Potassium
3. Lipids
4. Nitrogen balance - correct answer ✔✔Nitrogen Balance
6. The nurse is educating the patient and his family about the parenteral nutrition. Which aspect
related to this form of nutrition would be appropriate to include? (Select all that apply.)
1. The purpose of the fat emulsion in parenteral nutrition is to prevent a deficiency in essential
fatty acids.
2. We can give you parenteral nutrition through your peripheral intravenous line to prevent
further infection.
3. The fat emulsion will help control hyperglycemia during periods of stress.
4. The parenteral nutrition will help your wounds heal.
5. Since we just started the parenteral nutrition, we will only infuse it at 50% of your daily needs
for the next 6 hours. - correct answer ✔✔1,3,4
7. The nurse is inserting a small-bore nasoenteric tube before starting enteral feedings. Place
the following steps in order to perform this procedure.
1. Place patient in high-Fowler's position.2. Have patient flex head toward chest.3. Assess
patient's gag reflex.4. Determine length of the tube to be inserted.
5. Obtain radiological confirmation of tube placement.
6. Check pH of gastric aspirate for verifying placement.
7. Identify patient with two identifiers. - correct answer ✔✔7,1,3,4,2,5,6
, 8. A patient's gastric residual volume was 250 mL at 0800 and 350 mL at 0900. What is the
appropriate nursing action?
1. Assess bowel sounds
2. Raise the head of the bed to at least 45 degrees
3. Position the patient on his or her right side to promote stomach emptying
4. Do not reinstall aspirate and hold the feeding until you talk to the primary care provider -
correct answer ✔✔4. Do not reinstall aspirate and hold the feeding until you talk to the primary
care provider.
10. The patient's blood glucose level is 330 mg/dL. What is the priority nursing intervention?
1. Recheck by performing another blood glucose test.
2. Call the primary health care provider.
3. Check the medical record to see if there is a medication order for abnormal glucose levels.
4. Monitor and recheck in 2 hours. - correct answer ✔✔3. Check the medical record to see if
there is a medication order for abnormal glucose levels.
12. The nurse is teaching a program on healthy nutrition at the senior community center. Which
points should be included in the program for older adults? (Select all that apply.)
1. Avoid grapefruit and grapefruit juice, which impair drug absorption.
2. Increase the amount of carbohydrates for energy.
3. Take a multivitamin that includes vitamin D for bone health.
4. Cheese and eggs are good sources of protein.
5. Limit fluids to decrease the risk of edema. - correct answer ✔✔1, 3, 4
13. The nurse sees the nursing assistive personnel (NAP) perform the following intervention for
a patient receiving continuous enteral feedings. Which action would require immediate
attention?
Review Material
2. The nurse evaluates which laboratory values to assess a patient's potential for wound
healing?
1. Fluid status
2. Potassium
3. Lipids
4. Nitrogen balance - correct answer ✔✔Nitrogen Balance
6. The nurse is educating the patient and his family about the parenteral nutrition. Which aspect
related to this form of nutrition would be appropriate to include? (Select all that apply.)
1. The purpose of the fat emulsion in parenteral nutrition is to prevent a deficiency in essential
fatty acids.
2. We can give you parenteral nutrition through your peripheral intravenous line to prevent
further infection.
3. The fat emulsion will help control hyperglycemia during periods of stress.
4. The parenteral nutrition will help your wounds heal.
5. Since we just started the parenteral nutrition, we will only infuse it at 50% of your daily needs
for the next 6 hours. - correct answer ✔✔1,3,4
7. The nurse is inserting a small-bore nasoenteric tube before starting enteral feedings. Place
the following steps in order to perform this procedure.
1. Place patient in high-Fowler's position.2. Have patient flex head toward chest.3. Assess
patient's gag reflex.4. Determine length of the tube to be inserted.
5. Obtain radiological confirmation of tube placement.
6. Check pH of gastric aspirate for verifying placement.
7. Identify patient with two identifiers. - correct answer ✔✔7,1,3,4,2,5,6
, 8. A patient's gastric residual volume was 250 mL at 0800 and 350 mL at 0900. What is the
appropriate nursing action?
1. Assess bowel sounds
2. Raise the head of the bed to at least 45 degrees
3. Position the patient on his or her right side to promote stomach emptying
4. Do not reinstall aspirate and hold the feeding until you talk to the primary care provider -
correct answer ✔✔4. Do not reinstall aspirate and hold the feeding until you talk to the primary
care provider.
10. The patient's blood glucose level is 330 mg/dL. What is the priority nursing intervention?
1. Recheck by performing another blood glucose test.
2. Call the primary health care provider.
3. Check the medical record to see if there is a medication order for abnormal glucose levels.
4. Monitor and recheck in 2 hours. - correct answer ✔✔3. Check the medical record to see if
there is a medication order for abnormal glucose levels.
12. The nurse is teaching a program on healthy nutrition at the senior community center. Which
points should be included in the program for older adults? (Select all that apply.)
1. Avoid grapefruit and grapefruit juice, which impair drug absorption.
2. Increase the amount of carbohydrates for energy.
3. Take a multivitamin that includes vitamin D for bone health.
4. Cheese and eggs are good sources of protein.
5. Limit fluids to decrease the risk of edema. - correct answer ✔✔1, 3, 4
13. The nurse sees the nursing assistive personnel (NAP) perform the following intervention for
a patient receiving continuous enteral feedings. Which action would require immediate
attention?
