NURS 240 ULTIMATE EXAM |
QUESTIONS AND ANSWERS |
VERIFIED SOLUTIONS WITH
RATIONALES | 2026 EDITION |
PASS GUARANTEED
, 1. A 23-year-old postpartum client is breas eeding. The nurse has completed teaching
about dietary changes and is evalua ng teaching effec veness. Which of the following
statements by the client indicates that addi onal teaching is needed?
A. "I need to increase my calorie intake."
B. "I need to decrease my consump on of protein-rich foods."
C. "I need to increase my awareness of poten al gas-forming foods in the diet."
D. "I should increase my fluid intake to help milk produc on and compensate for nursing." -
CORRECT ANSWER The correct answer was: B
Ra onale: The need for protein increases during lacta on. Therefore, a statement referring to a
decrease in the consump on of protein is ill advised. All of the other op ons reflect accurate
statements by the client that will support breas eeding, such as increased caloric intake and
awareness of poten al gas-forming foods in the diet.
2. A client is using a juice bo le to put her infant to bed each night. Which of the following
sugges ons would the nurse make to educate the mother about changing this nigh me
behavior?
A. Suggest that the client dip a pacifier in juice instead of providing a bo le of juice.
B. Tell the client to stop giving the infant a bo le at bed.
C. Suggest that the client use plain water in a night bo le-feeding if the infant is used to going
to sleep with a bo le.
D. Tell the client that providing a bo le at bed me is unnatural and she should simply give a
pacifier. - CORRECT ANSWER The correct answer was: C
Ra onale: It is very hard to stop a preexis ng pa ern of nigh me behavior that the infant
associates with going to sleep. However, the incidence of nursing bo le syndrome is cri cal in
that clients should be educated to adverse outcomes related to pu ng an infant to sleep with a
juice bo le. Subs tu ng a plain water bo le would be an effec ve interven on to negate the
possible effects of a juice bo le and minimize dental damage. Op on 1 is incorrect because
dipping the pacifier in the juice would merely subs tute one dental contact for another. Op on
2 is incorrect as this might result in an increased anxiety state because the infant is used to a
,ritual of nigh me behavior. Op on 4 is incorrect because giving a bo le to put an infant to bed
can be considered to be "normal" by many individuals. The important element here is to look at
the contents of the bo le and be aware of nursing bo le syndrome.
3. Which of the following factors does the nurse iden fy as providing the highest risk for
nutri onal deficiencies in the older adult client?
A. A slight decrease in caloric consump on.
B. Polypharmacy
C. Dentures
D. Being a vegetarian - CORRECT ANSWER The correct answer was: B
Ra onale: The incidence of polypharmacy provides the highest risk for nutri onal deficiencies in
the elderly client due to increased likelihood of drug-drug and drug-food interac ons. Op on 1
is incorrect because it is normal to see a decreased caloric requirement in response to
decreasing ac vity levels of the elderly client. As long as caloric intake is not dras cally
decreased, there should be no problem. Op on 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-fi ed or causing oral/mouth discomfort or lesions. Op on 4 is incorrect
because a vegetarian diet does not by itself lead to nutri onal deficiency. Many people live on
vegetarian diets with no adverse health outcomes.
4. The nurse is explaining to an adolescent client, who is compe ng in a long distance
running even, that which of the following would be an appropriate meal to have before
the compe on?
A. Bacon and eggs, white toast and 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. - CORRECT ANSWER The correct answer was: B
, Ra onale: The diet before compe on should be high in complex carbohydrates (CHOs) and low
in fat and protein. Op on 2 reflects the best selec on to meet this dietary balance. All of the
other op ons are high in fat and or protein and would not be beneficial in terms of suppor ng
athle c performance.
5. The nurse has completed a comprehensive health assessment on a Hispanic client.
Recognizing some cultural food prac ces place the client at risk for cardiovascular
disease, the nurse makes which of the following sugges ons?
A. Try to eliminate some of the complex carbohydrates.
B. Try to bake some foods instead of frying them.
C. Eliminate beans and nuts.
D. Try stewing foods in a saturated fat. - CORRECT ANSWER The correct answer was: B
Ra onale: One of the difficul es with Hispanic diets is the high-fat prepara on method used in
cooking food items. Sugges ng a new prepara on method with a familiar food item would be
an easier transi on for the client. Op on 1 is incorrect because complex carbohydrates should
not be eliminated as they are components of a healthy diet. Op on 3 is incorrect since the
Hispanic client would probably be unwilling to relinquish beans and nuts in the diet as these are
considered to be staple food products. Op on 4 is incorrect because stewing is considered a
high-fat method of cooking.
6. Which of the following behaviors would indicate to the nurse that a pregnant client is at
greatest risk for anemia?
A. The client takes her prenatal vitamins every other day.
B. The client has increased her fluid/water intake .
C. The client eats several glasses of ice chips throughout the day.
D. The client eats a large bowl of cereal each morning. - CORRECT ANSWER The correct
answer was: C
QUESTIONS AND ANSWERS |
VERIFIED SOLUTIONS WITH
RATIONALES | 2026 EDITION |
PASS GUARANTEED
, 1. A 23-year-old postpartum client is breas eeding. The nurse has completed teaching
about dietary changes and is evalua ng teaching effec veness. Which of the following
statements by the client indicates that addi onal teaching is needed?
A. "I need to increase my calorie intake."
B. "I need to decrease my consump on of protein-rich foods."
C. "I need to increase my awareness of poten al gas-forming foods in the diet."
D. "I should increase my fluid intake to help milk produc on and compensate for nursing." -
CORRECT ANSWER The correct answer was: B
Ra onale: The need for protein increases during lacta on. Therefore, a statement referring to a
decrease in the consump on of protein is ill advised. All of the other op ons reflect accurate
statements by the client that will support breas eeding, such as increased caloric intake and
awareness of poten al gas-forming foods in the diet.
2. A client is using a juice bo le to put her infant to bed each night. Which of the following
sugges ons would the nurse make to educate the mother about changing this nigh me
behavior?
A. Suggest that the client dip a pacifier in juice instead of providing a bo le of juice.
B. Tell the client to stop giving the infant a bo le at bed.
C. Suggest that the client use plain water in a night bo le-feeding if the infant is used to going
to sleep with a bo le.
D. Tell the client that providing a bo le at bed me is unnatural and she should simply give a
pacifier. - CORRECT ANSWER The correct answer was: C
Ra onale: It is very hard to stop a preexis ng pa ern of nigh me behavior that the infant
associates with going to sleep. However, the incidence of nursing bo le syndrome is cri cal in
that clients should be educated to adverse outcomes related to pu ng an infant to sleep with a
juice bo le. Subs tu ng a plain water bo le would be an effec ve interven on to negate the
possible effects of a juice bo le and minimize dental damage. Op on 1 is incorrect because
dipping the pacifier in the juice would merely subs tute one dental contact for another. Op on
2 is incorrect as this might result in an increased anxiety state because the infant is used to a
,ritual of nigh me behavior. Op on 4 is incorrect because giving a bo le to put an infant to bed
can be considered to be "normal" by many individuals. The important element here is to look at
the contents of the bo le and be aware of nursing bo le syndrome.
3. Which of the following factors does the nurse iden fy as providing the highest risk for
nutri onal deficiencies in the older adult client?
A. A slight decrease in caloric consump on.
B. Polypharmacy
C. Dentures
D. Being a vegetarian - CORRECT ANSWER The correct answer was: B
Ra onale: The incidence of polypharmacy provides the highest risk for nutri onal deficiencies in
the elderly client due to increased likelihood of drug-drug and drug-food interac ons. Op on 1
is incorrect because it is normal to see a decreased caloric requirement in response to
decreasing ac vity levels of the elderly client. As long as caloric intake is not dras cally
decreased, there should be no problem. Op on 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-fi ed or causing oral/mouth discomfort or lesions. Op on 4 is incorrect
because a vegetarian diet does not by itself lead to nutri onal deficiency. Many people live on
vegetarian diets with no adverse health outcomes.
4. The nurse is explaining to an adolescent client, who is compe ng in a long distance
running even, that which of the following would be an appropriate meal to have before
the compe on?
A. Bacon and eggs, white toast and 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. - CORRECT ANSWER The correct answer was: B
, Ra onale: The diet before compe on should be high in complex carbohydrates (CHOs) and low
in fat and protein. Op on 2 reflects the best selec on to meet this dietary balance. All of the
other op ons are high in fat and or protein and would not be beneficial in terms of suppor ng
athle c performance.
5. The nurse has completed a comprehensive health assessment on a Hispanic client.
Recognizing some cultural food prac ces place the client at risk for cardiovascular
disease, the nurse makes which of the following sugges ons?
A. Try to eliminate some of the complex carbohydrates.
B. Try to bake some foods instead of frying them.
C. Eliminate beans and nuts.
D. Try stewing foods in a saturated fat. - CORRECT ANSWER The correct answer was: B
Ra onale: One of the difficul es with Hispanic diets is the high-fat prepara on method used in
cooking food items. Sugges ng a new prepara on method with a familiar food item would be
an easier transi on for the client. Op on 1 is incorrect because complex carbohydrates should
not be eliminated as they are components of a healthy diet. Op on 3 is incorrect since the
Hispanic client would probably be unwilling to relinquish beans and nuts in the diet as these are
considered to be staple food products. Op on 4 is incorrect because stewing is considered a
high-fat method of cooking.
6. Which of the following behaviors would indicate to the nurse that a pregnant client is at
greatest risk for anemia?
A. The client takes her prenatal vitamins every other day.
B. The client has increased her fluid/water intake .
C. The client eats several glasses of ice chips throughout the day.
D. The client eats a large bowl of cereal each morning. - CORRECT ANSWER The correct
answer was: C
