NURS 240 Ultimate Exam | Questions and
Answers | Verified Solutions with rationales | 2026
Edition | Pass Guaranteed
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Terms in this set (117)
A 23-year-old postpartum client is The correct answer was: B
breastfeeding. The nurse has Rationale: The need for protein increases during
completed teaching about dietary lactation. Therefore, a statement referring to a
changes and is evaluating teaching decrease in the consumption of protein is ill
effectiveness. Which of the following advised. All of the other options reflect accurate
statements by the client indicates statements by the client that will support
that additional teaching is needed? breastfeeding, such as increased caloric intake and
awareness of potential gas-forming foods in the
A. "I need to increase my calorie diet.
intake."
B. "I need to decrease my
consumption of protein-rich foods."
C. "I need to increase my awareness
of potential gas-forming foods in the
diet."
D. "I should increase my fluid intake
to help milk production and
compensate for nursing."
,A client is using a juice bottle to put The correct answer was: C
her infant to bed each night. Which Rationale: It is very hard to stop a preexisting
of the following suggestions would pattern of nighttime behavior that the infant
the nurse make to educate the associates with going to sleep. However, the
mother about changing this incidence of nursing bottle syndrome is critical in
nighttime behavior? that clients should be educated to adverse
outcomes related to putting an infant to sleep with
A. Suggest that the client dip a a juice bottle. Substituting a plain water bottle
pacifier in juice instead of providing would be an effective intervention to negate the
a bottle of juice. possible effects of a juice bottle and minimize
B. Tell the client to stop giving the dental damage. Option 1 is incorrect because
infant a bottle at bed. dipping the pacifier in the juice would merely
C. Suggest that the client use plain substitute one dental contact for another. Option 2
water in a night bottle-feeding if the is incorrect as this might result in an increased
infant is used to going to sleep with a anxiety state because the infant is used to a ritual
bottle. of nighttime behavior. Option 4 is incorrect
D. Tell the client that providing a because giving a bottle to put an infant to bed can
bottle at bedtime is unnatural and be considered to be "normal" by many individuals.
she should simply give a pacifier. The important element here is to look at the
contents of the bottle and be aware of nursing
bottle syndrome.
,Which of the following factors does The correct answer was: B
the nurse identify as providing the Rationale: The incidence of polypharmacy provides
highest risk for nutritional the highest risk for nutritional deficiencies in the
deficiencies in the older adult client? elderly client due to increased likelihood of drug-
drug and drug-food interactions. Option 1 is
A. A slight decrease in caloric incorrect because it is normal to see a decreased
consumption. caloric requirement in response to decreasing
B. Polypharmacy activity levels of the elderly client. As long as
C. Dentures caloric intake is not drastically decreased, there
D. Being a vegetarian should be no problem. Option 3 is incorrect as
merely having dentures does not preclude that a
nutrient deficiency would be likely. Concern would
be warranted if the dentures were ill-fitted or
causing oral/mouth discomfort or lesions. Option 4
is incorrect because a vegetarian diet does not by
itself lead to nutritional deficiency. Many people
live on vegetarian diets with no adverse health
outcomes.
The nurse is explaining to an The correct answer was: B
adolescent client, who is competing Rationale: The diet before competition should be
in a long distance running even, that high in complex carbohydrates (CHOs) and low in
which of the following would be an fat and protein. Option 2 reflects the best selection
appropriate meal to have before the to meet this dietary balance. All of the other
competition? options are high in fat and or protein and would
not be beneficial in terms of supporting athletic
A. Bacon and eggs, white toast and performance.
coffee.
B. Pancakes with fresh strawberries,
orange juice, wheat toast, fresh
melon slices.
C. Sausage links with cheese on a
plain bagel.
D. Steak, eggs, and fried potatoes.
, The nurse has completed a The correct answer was: B
comprehensive health assessment on Rationale: One of the difficulties with Hispanic diets
a Hispanic client. Recognizing some is the high-fat preparation method used in cooking
cultural food practices place the food items. Suggesting a new preparation method
client at risk for cardiovascular with a familiar food item would be an easier
disease, the nurse makes which of transition for the client. Option 1 is incorrect
the following suggestions? because complex carbohydrates should not be
eliminated as they are components of a healthy
A. Try to eliminate some of the diet. Option 3 is incorrect since the Hispanic client
complex carbohydrates. would probably be unwilling to relinquish beans
B. Try to bake some foods instead of and nuts in the diet as these are considered to be
frying them. staple food products. Option 4 is incorrect
C. Eliminate beans and nuts. because stewing is considered a high-fat method
D. Try stewing foods in a saturated of cooking.
fat.
Which of the following behaviors The correct answer was: C
would indicate to the nurse that a Rationale: Eating several glasses of ice chips
pregnant client is at greatest risk for throughout the day represents pagophagia, which
anemia? is an example of pica (eating of nonnutritive
substances) and can lead to detection of anemia.
A. The client takes her prenatal Pregnant women are likely to develop
vitamins every other day. physiological anemia of pregnancy due to
B. The client has increased her increased blood volume, causing hemodilution.
fluid/water intake . Research is now examining whether the behavior
C. The client eats several glasses of signifies anemia or the behavior contributes to the
ice chips throughout the day. development of anemia. Option 1 is incorrect
D. The client eats a large bowl of because merely taking prenatal vitamins every
cereal each morning. other day should not place the client at a
significant risk for anemia. Option 2 is incorrect
since increasing the amount of fluid in the diet will
not directly affect the development of anemia.
Option 4 is incorrect because most cereals are
fortified with iron and as such should increase the
absorption of iron in the diet and prevent anemia.
Answers | Verified Solutions with rationales | 2026
Edition | Pass Guaranteed
Save
Terms in this set (117)
A 23-year-old postpartum client is The correct answer was: B
breastfeeding. The nurse has Rationale: The need for protein increases during
completed teaching about dietary lactation. Therefore, a statement referring to a
changes and is evaluating teaching decrease in the consumption of protein is ill
effectiveness. Which of the following advised. All of the other options reflect accurate
statements by the client indicates statements by the client that will support
that additional teaching is needed? breastfeeding, such as increased caloric intake and
awareness of potential gas-forming foods in the
A. "I need to increase my calorie diet.
intake."
B. "I need to decrease my
consumption of protein-rich foods."
C. "I need to increase my awareness
of potential gas-forming foods in the
diet."
D. "I should increase my fluid intake
to help milk production and
compensate for nursing."
,A client is using a juice bottle to put The correct answer was: C
her infant to bed each night. Which Rationale: It is very hard to stop a preexisting
of the following suggestions would pattern of nighttime behavior that the infant
the nurse make to educate the associates with going to sleep. However, the
mother about changing this incidence of nursing bottle syndrome is critical in
nighttime behavior? that clients should be educated to adverse
outcomes related to putting an infant to sleep with
A. Suggest that the client dip a a juice bottle. Substituting a plain water bottle
pacifier in juice instead of providing would be an effective intervention to negate the
a bottle of juice. possible effects of a juice bottle and minimize
B. Tell the client to stop giving the dental damage. Option 1 is incorrect because
infant a bottle at bed. dipping the pacifier in the juice would merely
C. Suggest that the client use plain substitute one dental contact for another. Option 2
water in a night bottle-feeding if the is incorrect as this might result in an increased
infant is used to going to sleep with a anxiety state because the infant is used to a ritual
bottle. of nighttime behavior. Option 4 is incorrect
D. Tell the client that providing a because giving a bottle to put an infant to bed can
bottle at bedtime is unnatural and be considered to be "normal" by many individuals.
she should simply give a pacifier. The important element here is to look at the
contents of the bottle and be aware of nursing
bottle syndrome.
,Which of the following factors does The correct answer was: B
the nurse identify as providing the Rationale: The incidence of polypharmacy provides
highest risk for nutritional the highest risk for nutritional deficiencies in the
deficiencies in the older adult client? elderly client due to increased likelihood of drug-
drug and drug-food interactions. Option 1 is
A. A slight decrease in caloric incorrect because it is normal to see a decreased
consumption. caloric requirement in response to decreasing
B. Polypharmacy activity levels of the elderly client. As long as
C. Dentures caloric intake is not drastically decreased, there
D. Being a vegetarian should be no problem. Option 3 is incorrect as
merely having dentures does not preclude that a
nutrient deficiency would be likely. Concern would
be warranted if the dentures were ill-fitted or
causing oral/mouth discomfort or lesions. Option 4
is incorrect because a vegetarian diet does not by
itself lead to nutritional deficiency. Many people
live on vegetarian diets with no adverse health
outcomes.
The nurse is explaining to an The correct answer was: B
adolescent client, who is competing Rationale: The diet before competition should be
in a long distance running even, that high in complex carbohydrates (CHOs) and low in
which of the following would be an fat and protein. Option 2 reflects the best selection
appropriate meal to have before the to meet this dietary balance. All of the other
competition? options are high in fat and or protein and would
not be beneficial in terms of supporting athletic
A. Bacon and eggs, white toast and performance.
coffee.
B. Pancakes with fresh strawberries,
orange juice, wheat toast, fresh
melon slices.
C. Sausage links with cheese on a
plain bagel.
D. Steak, eggs, and fried potatoes.
, The nurse has completed a The correct answer was: B
comprehensive health assessment on Rationale: One of the difficulties with Hispanic diets
a Hispanic client. Recognizing some is the high-fat preparation method used in cooking
cultural food practices place the food items. Suggesting a new preparation method
client at risk for cardiovascular with a familiar food item would be an easier
disease, the nurse makes which of transition for the client. Option 1 is incorrect
the following suggestions? because complex carbohydrates should not be
eliminated as they are components of a healthy
A. Try to eliminate some of the diet. Option 3 is incorrect since the Hispanic client
complex carbohydrates. would probably be unwilling to relinquish beans
B. Try to bake some foods instead of and nuts in the diet as these are considered to be
frying them. staple food products. Option 4 is incorrect
C. Eliminate beans and nuts. because stewing is considered a high-fat method
D. Try stewing foods in a saturated of cooking.
fat.
Which of the following behaviors The correct answer was: C
would indicate to the nurse that a Rationale: Eating several glasses of ice chips
pregnant client is at greatest risk for throughout the day represents pagophagia, which
anemia? is an example of pica (eating of nonnutritive
substances) and can lead to detection of anemia.
A. The client takes her prenatal Pregnant women are likely to develop
vitamins every other day. physiological anemia of pregnancy due to
B. The client has increased her increased blood volume, causing hemodilution.
fluid/water intake . Research is now examining whether the behavior
C. The client eats several glasses of signifies anemia or the behavior contributes to the
ice chips throughout the day. development of anemia. Option 1 is incorrect
D. The client eats a large bowl of because merely taking prenatal vitamins every
cereal each morning. other day should not place the client at a
significant risk for anemia. Option 2 is incorrect
since increasing the amount of fluid in the diet will
not directly affect the development of anemia.
Option 4 is incorrect because most cereals are
fortified with iron and as such should increase the
absorption of iron in the diet and prevent anemia.
