NURS 225 Exam 4 V2 | NURS 225 Nutrition
Proctored Exam | Actual Q&A with
Rationale (NURS225 Exam 4) | West Coast
University
1. A nurse is preparing to administer an intermittent enteral feeding to a client. Which of the
following actions should the nurse take first?
A. Verify the placement of the feeding tube.
B. Flush the tube with 30 mL of water.
C. Check the gastric residual volume.
D. Warm the formula to room temperature.
Answer: A
Rationale: Safety is the priority when initiating enteral feedings to prevent aspiration. The
nurse must confirm the tube is in the stomach or small intestine before any fluid is
introduced. This is typically done through pH testing or X-ray verification depending on
facility policy.
2. A client is receiving Total Parenteral Nutrition (TPN) and the bag is nearly empty, but the
next bag has not arrived from the pharmacy. Which solution should the nurse hang?
A. 0.9% Sodium Chloride
B. Lactated Ringer’s
,C. 10% Dextrose in water (D10W)
D. 5% Dextrose in 0.45% Sodium Chloride
Answer: C
Rationale: Sudden discontinuation of TPN can cause a rapid drop in blood glucose levels
leading to hypoglycemia. D10W provides a sufficient concentration of glucose to maintain
levels until the TPN is available. The nurse should monitor the client’s blood glucose levels
frequently during this transition.
3. Which of the following food choices should a nurse recommend for a client who is
following a low-fiber diet?
A. Canned fruit without skin
B. Whole grain bread
C. Dried beans
D. Raw broccoli
Answer: A
Rationale: Low-fiber diets are designed to reduce the volume and frequency of stools,
which is beneficial for conditions like inflammatory bowel disease. Canned fruits without
skins or seeds are easier to digest than raw options. Processed grains and cooked
vegetables without skins are also standard components of this dietary plan.
, 4. A nurse is teaching a client with Celiac disease about dietary management. Which of the
following grains is safe for the client to consume?
A. Tapioca
B. Rye
C. Wheat
D. Barley
Answer: A
Rationale: Celiac disease requires a lifetime adherence to a gluten-free diet to prevent
intestinal damage. Tapioca, corn, and rice do not contain the gluten protein found in wheat,
barley, and rye. Educating the client on hidden sources of gluten in processed foods is vital
for long-term health.
5. A client has been diagnosed with dumping syndrome following a gastrectomy. Which of
the following instructions should the nurse provide?
A. Drink liquids with meals.
B. Consume high-carbohydrate snacks.
C. Eat small, frequent meals throughout the day.
D. Remain upright for 1 hour after eating.
Answer: C
Proctored Exam | Actual Q&A with
Rationale (NURS225 Exam 4) | West Coast
University
1. A nurse is preparing to administer an intermittent enteral feeding to a client. Which of the
following actions should the nurse take first?
A. Verify the placement of the feeding tube.
B. Flush the tube with 30 mL of water.
C. Check the gastric residual volume.
D. Warm the formula to room temperature.
Answer: A
Rationale: Safety is the priority when initiating enteral feedings to prevent aspiration. The
nurse must confirm the tube is in the stomach or small intestine before any fluid is
introduced. This is typically done through pH testing or X-ray verification depending on
facility policy.
2. A client is receiving Total Parenteral Nutrition (TPN) and the bag is nearly empty, but the
next bag has not arrived from the pharmacy. Which solution should the nurse hang?
A. 0.9% Sodium Chloride
B. Lactated Ringer’s
,C. 10% Dextrose in water (D10W)
D. 5% Dextrose in 0.45% Sodium Chloride
Answer: C
Rationale: Sudden discontinuation of TPN can cause a rapid drop in blood glucose levels
leading to hypoglycemia. D10W provides a sufficient concentration of glucose to maintain
levels until the TPN is available. The nurse should monitor the client’s blood glucose levels
frequently during this transition.
3. Which of the following food choices should a nurse recommend for a client who is
following a low-fiber diet?
A. Canned fruit without skin
B. Whole grain bread
C. Dried beans
D. Raw broccoli
Answer: A
Rationale: Low-fiber diets are designed to reduce the volume and frequency of stools,
which is beneficial for conditions like inflammatory bowel disease. Canned fruits without
skins or seeds are easier to digest than raw options. Processed grains and cooked
vegetables without skins are also standard components of this dietary plan.
, 4. A nurse is teaching a client with Celiac disease about dietary management. Which of the
following grains is safe for the client to consume?
A. Tapioca
B. Rye
C. Wheat
D. Barley
Answer: A
Rationale: Celiac disease requires a lifetime adherence to a gluten-free diet to prevent
intestinal damage. Tapioca, corn, and rice do not contain the gluten protein found in wheat,
barley, and rye. Educating the client on hidden sources of gluten in processed foods is vital
for long-term health.
5. A client has been diagnosed with dumping syndrome following a gastrectomy. Which of
the following instructions should the nurse provide?
A. Drink liquids with meals.
B. Consume high-carbohydrate snacks.
C. Eat small, frequent meals throughout the day.
D. Remain upright for 1 hour after eating.
Answer: C
