Exam 2 RNSG 1533 Questions With Correct
Answers
The home care nurse is assessing an older patient diagnosed with mild
| | | | | | | | | | | |
cognitive impairment (MCI) in the home setting. Which information is of
| | | | | | | | | |
concern?
| |
a. The patient's son uses a marked pillbox to set up the patient's
| | | | | | | | | | | | |
medications weekly. | |
b. The patient has lost 10 pounds (4.5 kg) during the last month.
| | | | | | | | | | | | |
c. The patient is cared for by a daughter during the day and stays with a
| | | | | | | | | | | | | | | |
son at night.
| | |
d. The patient tells the nurse that a close friend recently died. -
| | | | | | | | | | | | |
ANSWER✔✔✔-ANS: B | |
A 10-pound weight loss in 1 month could indicate cancer or may be an
| | | | | | | | | | | | | |
indication of further progression of memory loss. Depression is also
| | | | | | | | | |
another common cause of weight loss. The use of a marked pillbox and
| | | | | | | | | | | | |
planning by the family for 24-hour care are appropriate for this patient.
| | | | | | | | | | | |
It is not unusual that an older patient would have friends who have
| | | | | | | | | | | | |
died.
The nurse is assisting a 79-year-old patient with information about diet
| | | | | | | | | | |
and weight loss. The patient has a body mass index (BMI) of 31. How
| | | | | | | | | | | | | |
should the nurse instruct this patient?
| | | | | |
,a. "Your weight is within normal limits. Continue maintaining with
| | | | | | | | | |
current lifestyle choices."
| | |
b. "You are a little overweight. Cut down on calories and increase your
| | | | | | | | | | | | |
activity, and you should be fine."
| | | | | |
c. "You are morbidly obese, and we would like to schedule you an
| | | | | | | | | | | | |
appointment to speak with a bariatric specialist about surgery."
| | | | | | | | |
d. "You are considered obese and will need to consult with your doctor
| | | | | | | | | | | | |
about a plan that includes exercises, not diet, to decrease weight." -
| | | | | | | | | | | |
ANSWER✔✔✔-ANS: D | |
This patient is at an increased risk for sarcopenia and should be
| | | | | | | | | | | |
instructed to increase activity that includes strength training to prevent
| | | | | | | | | |
muscle loss. Diet is not indicated. A BMI of 31 is considered obese;
| | | | | | | | | | | | |
however, this patient does not qualify for surgical intervention until BMI
| | | | | | | | | | |
reaches over 35 | |
The nurse is completing a nutritional assessment on a patient with
| | | | | | | | | | |
hypertension. What foods would be recommended for this patient?
| | | | | | | | |
a. Regular diet
| | |
b. Low sodium diet
| | | |
c. Pureed diet
| | |
d. Low sugar diet - ANSWER✔✔✔-ANS: B
| | | | | |
A low sodium diet will prevent water retention which could increase
| | | | | | | | | | |
blood pressure. Patients with hypertension would not be on a regular
| | | | | | | | | | |
diet due to sodium content. A pureed diet is indicated for stroke
| | | | | | | | | | | |
,patients who may have impaired swallowing. A low sugar diet is
| | | | | | | | | | |
indicated for patients with diabetes. | | | |
During a nutritional assessment, the nurse calculates that a female
| | | | | | | | | |
patient's BMI is 27. The nurse would advise the patient to follow which
| | | | | | | | | | | | |
of these recommendations?
| | |
a. This measurement indicates that the patient is overweight and should
| | | | | | | | | |
follow a plan of diet and exercise to lose weight.
| | | | | | | | | | |
b. This measurement indicates that the patient is underweight and will
| | | | | | | | | | |
need to take measures to gain weight.
| | | | | | |
c. This measurement indicates that the patient is morbidly obese and
| | | | | | | | | | |
may be a candidate for bariatric surgery.
| | | | | | |
d. This measurement indicates that the patient is of normal weight and
| | | | | | | | | | | |
should continue with current lifestyle - ANSWER✔✔✔-ANS: A
| | | | | | | |
A BMI of 25-29.9 is in the overweight range. A BMI of <18.5 is in the
| | | | | | | | | | | | | | | |
underweight range. A BMI of 30-34.9 is obesity class I, a BMI of 35-39.9
| | | | | | | | | | | | | |
is obesity class II, and a BMI of >40 is obesity class III (morbid obesity). A
| | | | | | | | | | | | | | |
|BMI of 19-24 is in the normal range.
| | | | | | |
During an interview, the nurse is discussing dietary habits with a patient.
| | | | | | | | | | |
Which tool would be the best choice to use as a quick screening tool to
| | | | | | | | | | | | | | | |
assess dietary intake?
| | |
a. Food diary
| | |
b. Calorie count
| | |
, c. Comprehensive diet history
| | | |
d. 24-hour recall - ANSWER✔✔✔-ANS: D
| | | | | |
A 24-hour recall is useful as a quick screening tool to assess dietary
| | | | | | | | | | | | |
intake. A food diary provides detailed information, but it is not
| | | | | | | | | | |
convenient and requires a follow-up visit. A calorie count requires
| | | | | | | | | |
several days to collect data and requires a trained dietician to analyze
| | | | | | | | | | | |
the results. A comprehensive diet history may provide more accurate
| | | | | | | | | |
reflection of nutrient intake, but it is time-consuming to acquire and
| | | | | | | | | | |
requires a trained/skilled dietary interviewer.
| | | |
During a physical examination, the nurse notes that the patient's skin is
| | | | | | | | | | | |
dry and flaking, with patches of eczema. Which nutritional deficiency
| | | | | | | | | |
might be present?
| | |
a. Vitamin C
| | |
b. Vitamin B
| | |
c. Essential fatty acid
| | | |
d. Protein - ANSWER✔✔✔-ANS: C
| | | |
Dry and scaly skin is a manifestation of essential fatty acid deficiency.
| | | | | | | | | | | |
Vitamin C deficiency causes bleeding gums, arthralgia, and petechiae.
| | | | | | | | |
Vitamin B deficiency is too large a category to consider. Specific
| | | | | | | | | | |
categories of vitamin B deficiency have been identified, such as
| | | | | | | | | |
pyridoxine and thiamine. Protein deficiency causes decreased
| | | | | | |
pigmentation and lackluster hair. | | |
Answers
The home care nurse is assessing an older patient diagnosed with mild
| | | | | | | | | | | |
cognitive impairment (MCI) in the home setting. Which information is of
| | | | | | | | | |
concern?
| |
a. The patient's son uses a marked pillbox to set up the patient's
| | | | | | | | | | | | |
medications weekly. | |
b. The patient has lost 10 pounds (4.5 kg) during the last month.
| | | | | | | | | | | | |
c. The patient is cared for by a daughter during the day and stays with a
| | | | | | | | | | | | | | | |
son at night.
| | |
d. The patient tells the nurse that a close friend recently died. -
| | | | | | | | | | | | |
ANSWER✔✔✔-ANS: B | |
A 10-pound weight loss in 1 month could indicate cancer or may be an
| | | | | | | | | | | | | |
indication of further progression of memory loss. Depression is also
| | | | | | | | | |
another common cause of weight loss. The use of a marked pillbox and
| | | | | | | | | | | | |
planning by the family for 24-hour care are appropriate for this patient.
| | | | | | | | | | | |
It is not unusual that an older patient would have friends who have
| | | | | | | | | | | | |
died.
The nurse is assisting a 79-year-old patient with information about diet
| | | | | | | | | | |
and weight loss. The patient has a body mass index (BMI) of 31. How
| | | | | | | | | | | | | |
should the nurse instruct this patient?
| | | | | |
,a. "Your weight is within normal limits. Continue maintaining with
| | | | | | | | | |
current lifestyle choices."
| | |
b. "You are a little overweight. Cut down on calories and increase your
| | | | | | | | | | | | |
activity, and you should be fine."
| | | | | |
c. "You are morbidly obese, and we would like to schedule you an
| | | | | | | | | | | | |
appointment to speak with a bariatric specialist about surgery."
| | | | | | | | |
d. "You are considered obese and will need to consult with your doctor
| | | | | | | | | | | | |
about a plan that includes exercises, not diet, to decrease weight." -
| | | | | | | | | | | |
ANSWER✔✔✔-ANS: D | |
This patient is at an increased risk for sarcopenia and should be
| | | | | | | | | | | |
instructed to increase activity that includes strength training to prevent
| | | | | | | | | |
muscle loss. Diet is not indicated. A BMI of 31 is considered obese;
| | | | | | | | | | | | |
however, this patient does not qualify for surgical intervention until BMI
| | | | | | | | | | |
reaches over 35 | |
The nurse is completing a nutritional assessment on a patient with
| | | | | | | | | | |
hypertension. What foods would be recommended for this patient?
| | | | | | | | |
a. Regular diet
| | |
b. Low sodium diet
| | | |
c. Pureed diet
| | |
d. Low sugar diet - ANSWER✔✔✔-ANS: B
| | | | | |
A low sodium diet will prevent water retention which could increase
| | | | | | | | | | |
blood pressure. Patients with hypertension would not be on a regular
| | | | | | | | | | |
diet due to sodium content. A pureed diet is indicated for stroke
| | | | | | | | | | | |
,patients who may have impaired swallowing. A low sugar diet is
| | | | | | | | | | |
indicated for patients with diabetes. | | | |
During a nutritional assessment, the nurse calculates that a female
| | | | | | | | | |
patient's BMI is 27. The nurse would advise the patient to follow which
| | | | | | | | | | | | |
of these recommendations?
| | |
a. This measurement indicates that the patient is overweight and should
| | | | | | | | | |
follow a plan of diet and exercise to lose weight.
| | | | | | | | | | |
b. This measurement indicates that the patient is underweight and will
| | | | | | | | | | |
need to take measures to gain weight.
| | | | | | |
c. This measurement indicates that the patient is morbidly obese and
| | | | | | | | | | |
may be a candidate for bariatric surgery.
| | | | | | |
d. This measurement indicates that the patient is of normal weight and
| | | | | | | | | | | |
should continue with current lifestyle - ANSWER✔✔✔-ANS: A
| | | | | | | |
A BMI of 25-29.9 is in the overweight range. A BMI of <18.5 is in the
| | | | | | | | | | | | | | | |
underweight range. A BMI of 30-34.9 is obesity class I, a BMI of 35-39.9
| | | | | | | | | | | | | |
is obesity class II, and a BMI of >40 is obesity class III (morbid obesity). A
| | | | | | | | | | | | | | |
|BMI of 19-24 is in the normal range.
| | | | | | |
During an interview, the nurse is discussing dietary habits with a patient.
| | | | | | | | | | |
Which tool would be the best choice to use as a quick screening tool to
| | | | | | | | | | | | | | | |
assess dietary intake?
| | |
a. Food diary
| | |
b. Calorie count
| | |
, c. Comprehensive diet history
| | | |
d. 24-hour recall - ANSWER✔✔✔-ANS: D
| | | | | |
A 24-hour recall is useful as a quick screening tool to assess dietary
| | | | | | | | | | | | |
intake. A food diary provides detailed information, but it is not
| | | | | | | | | | |
convenient and requires a follow-up visit. A calorie count requires
| | | | | | | | | |
several days to collect data and requires a trained dietician to analyze
| | | | | | | | | | | |
the results. A comprehensive diet history may provide more accurate
| | | | | | | | | |
reflection of nutrient intake, but it is time-consuming to acquire and
| | | | | | | | | | |
requires a trained/skilled dietary interviewer.
| | | |
During a physical examination, the nurse notes that the patient's skin is
| | | | | | | | | | | |
dry and flaking, with patches of eczema. Which nutritional deficiency
| | | | | | | | | |
might be present?
| | |
a. Vitamin C
| | |
b. Vitamin B
| | |
c. Essential fatty acid
| | | |
d. Protein - ANSWER✔✔✔-ANS: C
| | | |
Dry and scaly skin is a manifestation of essential fatty acid deficiency.
| | | | | | | | | | | |
Vitamin C deficiency causes bleeding gums, arthralgia, and petechiae.
| | | | | | | | |
Vitamin B deficiency is too large a category to consider. Specific
| | | | | | | | | | |
categories of vitamin B deficiency have been identified, such as
| | | | | | | | | |
pyridoxine and thiamine. Protein deficiency causes decreased
| | | | | | |
pigmentation and lackluster hair. | | |
