ATI RN NUTRITION V1&V2

ATI RN NUTRITION V1&V2 PROCTORED EXAM EXAMPACK- 2023 ATI RN NUTRITION V1&V2 PROCTORED EXAM EXAMPACK2023 A nurse is reinforcing diet teaching to a client who hastype 2 DM. Which of the following should the nurse include in the teaching? Select all that apply. A. Carbs should comprise 55% of daily caloric intake B. Use hydrogenated oils for cooking C. Table sugar may be added to cereals D. Drink an alcoholic beverage w/meals E. Protein foods can be substituted for carb foods A nurse is reviewing dietary guidelines to include in the plan of care for a client who has type 2 DM. Which of the following guidelines should the nurse include? Select all that apply. A. Weight management B. Lipid profile C. Cultural needs D. Sleep patterns E. Personal preferences A nurse is teaching a client measures for healthy bones. Which of the following statements by the client requires additional teaching? A. "I will eat foods high in calcium." B. "I will increase my fluid intake." C. "Ishould participate in weight bearing exercises." D. "Ishould get my vitamin D from the sunlight." A nurse is conducting a nutritional class to a group of newly licensed nurses. Which of the following should be included in the teaching? A. Limit saturated fat to 10% of total caloric intake. B. Good bowel function requires 35 g/day of fiber for women. C. Limit cholesterol consumption to 400 mg/day D. Normal functioning cardiac systems depends on B-complex vitamins A nurse is discussing essential nutrients for normal functioning of the nervous system. Which of the following should be included in the teaching? Select all that apply. A. Calcium B. Thiamin C. Vitamin B6 D. Sodium E. Phosphorus A school nurse is teaching a group of students how to read food labels. Which of the following should be included in the teaching? Select all that apply. A. Total carbohydrates B. Total fat C. Calories D. Magnesium E. Dietary fiber A nurse is teaching a client who has cancer about appropriate food choices. The nurse determines that the client understands the information when she chooses which of the following snacks? Select all that apply. A. Peanut butter sandwich on whole wheat bread w/2% milk B. Popcorn w/soda C. Yogurt topped w/granola & a banana D. Meat lasagna w/buttered garlic bread E. Plain baked potato Which of the following food choices is appropriate for a pt. with GERD? Select all that apply. A. Baked salmon B. Skim milk C. Orange juice D. Decaffeinated tea E. Eggs and salsa For which disease/condition would the nurse teach the client about a gluten-free diet? A. A 54 year old man with pancreatitis. B. A 32 year old woman with celiac disease. C. A 22 year old man with diverticulitis. D. A 76 year old woman with breast cancer. A nurse is providing instructions to a client who has a new diagnosis of celiac disease. Which of the following food choices by the client indicates a need for further teaching? A. Potatoes B. Graham crackers C. Wild rice D. Canned pears A nurse is providing instructions to a client who reports constipation & has a prescription for a high-fiber, low-fat diet. Which of the following food choices by the client indicates understanding of the teaching? A. Peanut butter B. Peeled apples C. Hardboiled egg D. Brown rice A nurse is caring for a client post appy. The nurse verifies the postop prescription, which reads "discontinue NPO status; advance diet as tolerated." Which of the following are appropriate for the nurse to offer the client? Select all that apply. A. Applesauce B. Chicken broth C. Sherbet D. Wheat toast E. Cranberry juice A nurse is caring for a client who is on a full liquid diet due to dysphagia. Which of the following nursing actions is the highest priority? A. Add thickener to liquids. B. Educate the client about acceptable liquids. C. Perform a calorie count of consumed liquids. D. Offer high-protein liquid supplements. A nurse is performing dietary needs assessments for a group of clients. A blenderized liquid diet is appropriate for which of the following clients? Select all that apply. A. A client who has a wired jaw due to an MVA B. A client who is 24 hr postop following temporomandibular joint repair C. A client who has difficulty chewing due to a traumatic brain injury D. A client who has hypercholesterolemia due to CAD E. A client who is scheduled for a colonoscopy the next morning A nurse is assessing a client who is postop following a colon resection. Which of the following findings indicates that the client is ready to transition from NPO to oral intake? A. Client report of hunger B. Urinary output exceeding 30 mL/hr C. Decrease in incisional pain D. Passage of flatus A nurse is assisting a client who has a prescription for a mechanical soft diet w/food selections. Which of the following are appropriate selections by the client? Select all that apply. A. Dried prunes B. Ground turkey C. Mashed carrots D. Fresh strawberries E. Cottage cheese A nurse is teaching a client who is undergoing cancer treatment about interventions to manage stomatitis. Which of the following statements by the client indicates an understanding of the teaching? A. "I will try chewing larger pieces of food." B. "I will avoid toasting my bread." C. "I will consume more food in the morning." D. "I will add more citrus foods to my diet.” Which of the following food choices by a client undergoing chemotherapy with presence of stomatitis indicates a need for further teaching? A. Small pieces of bananas B. Cut up fresh orange & pineapple slices C. Yogurt with granola D. Meat lasagna A nurse is caring for a client who has hypoglycemia. Which of the following is an appropriate action by the nurse? A. Offer crackers & cheese B. Encourage sucking on 8 hard candies C. Provide 8 oz of regular soda D. Give juice w/table sugar Which of the following are appropriate dietary choices for a client with cholecystitis? Select all that apply. A. Baked lightly-seasoned tilapia B. Buttered steamed broccoli C. Skim or 1% low fat milk D. Whole wheat toast E. Pasta with cream sauce and onions A nurse is planning care for an older adult client who is receiving treatment for malnutrition. The client is scheduled for discharge to his home where he lives alone. Which of the following actions are appropriate to include in the plan of care? (Select all that apply.) A. Consult social services to arrange home meal delivery B. Encourage the client to purchase nonperishable boxed meals C. Advise the client to purchase frozen fruits/veggies D. Recommend drinking a supplement between meals E. Educate the client on how to read nutrition labels A nurse is providing follow-up dietary teaching for a client who recently was prescribed phenelzine (Nardil). When reviewing the client's dietary log, which of the following foods requires a need for further teaching? A. Cottage cheese B. Banana bread C. Apple pie D. Grilled steak A nurse is preparing to administer intermittent enteral feeding to a client who has neuromuscular disorder. Which of the following are appropriate nursing interventions? Select all that apply. A. Fill the feeding bag w/24 hr worth of formula B. Discard irrigation equipment after 24 hr C. Leave unused portions of formula at the bedside D. Label the unused portion of the formula E. Replace administration tubing & feeding bag every 48 hr A nurse is teaching a client who has pre-stage chronic kidney disease about dietary management. Which of the following information should the nurse include in the instructions? A. Restrict protein intake B. Maintain a high-phosphorus diet C. Increase intake of foods high in potassium D. Limit dairy products to 1 cup per day A nurse is assessing a client who has hypoglycemia. Which of the following findings should the nurse expect? A. Fruity breath odor B. Diaphoresis C. Vomiting D. Polyuria A nurse is caring for a client who is receiving TPN. The current bag of TPN is empty & a new bag is not available on the unit. Which of the following solutions should the nurse infuse until a new bag of TPN is available? A. Dextrose in 10% water B. 0.45% sodium chloride C. Dextrose 5% in LR D. 0.9% sodium chloride A nurse is teaching about nutritional requirements for a client who is starting a vegetarian diet. Which of the following information should the nurse include in the teaching? A. Consume high-fat cheese to replace meats when on a vegetarian diet B. A vegetarian diet is high in vitamin B12 C. Fewer calories are required when on a vegetarian diet D. Include 2 servings per day of nuts when on a vegetarian diet A nurse is providing teaching about lowering solid fat intake to an adolescent who is overweight. Which of the following instructions should the nurse include? A. "Limit egg yolks to a total of 5 per week." B. "Restrict your daily meat intake to 5 oz." C. "Select cheeses that contain no more than 6 g of fat per serving." D. "Choose margarine that contains no more than 4 g of saturated fat per tablespoon.” A nurse is providing dietary teaching to a client who has celiac disease. Which of the following statements by the client indicates an understanding of the teaching? A. "I can return to my normal diet after I follow this diet for 1 month." B. "I can have tapioca pudding for dessert." C. "I will choose canned soups that don't contain meat products." D. "I will eat my sandwiches on whole wheat bread.” A nurse is performing a comprehensive nutritional assessment for a client. After reviewing the client's lab results, which of the following findings should the nurse report to the provider? A. WBC count of 6000/mm3 B. Sodium 139 mEq/L C. Prealbumin 8 mg/dL D. Thyroxine (t4) 9.2 mcg/dL A nurse is providing discharge teaching to a client who has Parkinson's disease & a prescription for levodopa-carbidopa. Which of the following foods should the nurse instruct the client to consume w/the med? A. 6 oz greek yogurt B. 1 oz cheddar cheese C. 6 peanut butter crackers D. 1 slice wheat toast A nurse is assessing a client's risk for pressure ulcers using the Braden scale. The client eats more than half of most meals but occasionally refuses a meal. Which of the following information should the nurse document on the nutrition category of the Braden scale? A. 1 (very poor) B. 2 (Probably Inadequate) C. 3 (Adequate) D. 4 (Excellent) A nurse is providing teaching about cancer prevention to a group of clients. Which of the following client statements indicates an understanding of the teaching? A. "I will eat 5 servings of fruits & veggies each day." B. "Ishould limit my alcohol intake to a max of 3 drinks daily." C. "Ishould eat more refined wheat & oat products." D. "I will eat processed meats to achieve my required protein intake.” A nurse is caring for a client who has cirrhosis and ascites. Which of the following dietary instructions should the nurse provide for this client? A. "Decrease your sodium intake to 1-2 grams/day" B. "Increase your daily fluid intake to 3 L/day" C. "Consume 0.5 gram per kg of protein/day" D. "Eliminate foodsthat contain vitamin K.” A nurse is assessing a client who has type 2 DM. The nurse should recognize which of the following as a manifestation of hypoglycemia? A. Confusion B. Polydipsia C. Vomiting D. Ketonuria A nurse is an ED is reviewing the lab report for an older adult client who is confused & reports nausea & abd. cramping. The nurse should suspect the client's lab results to indicate a dietary deficiency of which of the following minerals? A. Sodium B. Phosphorus C. Potassium D. Chloride A nurse is teaching about dietary intake of micronutrients to a client who has difficulty seeing at night. Which of the following micronutrients should the nurse include in the teaching? A. Vitamin A B. Calcium C. Vitamin B6 D. Phosphorus A nurse is providing nutritional teaching to the parents of a 2-year-old toddler. Which of the following snack foods should the nurse recommend? A. 1 cup fruit gel bites B. 1 cup yogurt C. 1/2 of a hot dog D. 1/2 of a peanut butter sandwich A nurse is caring for a client who is prescribed captopril. The nurse is aware that which of the following foods could cause a potential medication interaction? A. Watermelon B. Cantaloupe C. Lettuce D. Carrots A nurse is teaching an adolescent who has a new diagnosis of celiac disease. Which of the following statements by the client indicates understanding of the teaching? A. "I need to decrease the amount of oil I use in cooking." B. "I need to eat fewer acidic foods, such as tomatoes & oranges." C. "I need to eliminate rye from my diet." D. "I need to eliminate milk products from my diet.” A nurse is providing dietary instructions for a client who has a prescription for warfarin. Which of the following foods should the nurse recommend the client eat in moderation while taking this med? A. Green leafy vegetables B. Whole grains C. Fruits with skin D. Nuts and seeds A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan? A. Weight the client once weekly at the same time of the day. B. Stay with the client for 30 min after meals C. Allow the client to schedule mealtimes D. Assign privileges based on direct weight gain A nurse is creating a plan of care for a client who has mucositis following head & neck radiation therapy for cancer. Which of the following interventions should the nurse include in the plan? A. Encourage 3 servings of citrus foods daily B. Provide lemon-glycerin swabs for oral hygiene after meals C. Increase fluid intake to 2 L/day D. Heat oral hygiene mouth rinses before use A nurse is discussing dietary factors to assist in BP management for a client who has HTN. Which of the following client statements indicates an understanding of the teaching? A. "I can drink up to 3 glasses of wine/day." B. "Ishould choose whole grain pastas when selecting my foods." C. "Ishould decrease my consumption of foods high in potassium." D. "I can eat dairy products because they do not have much sodium." A nurse is developing a teaching plan for a client who has dysphagia & is being discharged home w/a prescription for a mechanical soft diet. Which of the following foods should the nurse include in the plan? A. Raisins B. Skim milk C. Apple slices D. Mashed potatoes A nurse is teaching an older adult client about measures to reduce the risk of osteomalacia. Which of the following instructions should the nurse include in the teaching? A. Consume 20 mcg of vitamin D daily. B. Avoid foods rich in antioxidants. C. Increase intake of foods high in purine. D. Take 150 mg of vitamin E daily. A nurse is caring for a client who as a new prescription for PN containing a mixture of dextrose, amino acids, & lipids. Prior to administration of the PN, the nurse should report which of the following food allergies to the provider? A. Gelatin B. Peanuts C. Shellfish D. Eggs A nurse is caring for a client who develops diarrhea while receiving a continuous enteral tube feeding. Which of the following actions should the nurse take? A. Provide a low-protein formula B. Elevate the HOB to 30 deg. C. Switch to intermittent feedings D. Warm the formula to room temp A nurse in a clinic is reviewing the lab findings of a client who began a DASH diet following a recent dx of HTN. Which of the following lab findings indicates the client has reached 1 of the goals of the DASH diet? A. Sodium 150 mEq/L B. Chloride 106 mEq/L C. Fasting glucose 130 mg/dL D. Total cholesterol 190 mg/dL A nurse is teaching a client who has chronic kidney disease about limiting her calcium intake. Which of the following food choices should the nurse inform the client contains the highest amount of Ca & should be limited in her diet? A. 1 cup low-fat yogurt B. 1 oz cheddar cheese C. 1 egg D. 1/2 cup spinach A nurse is teaching a client about maximizing absorption when taking calcium supplements. Which of the following instructions should the nurse include in the teaching? A. "Take a supplement that contains vitamin D." B. "Take the supplement w/a full glass of water." C. "Take a 1000 mg supplement in the morning w/food." D. "Take the supplement w/a sublingual vitamin B12 tablet." A nurse is providing teaching to a client who is at 24 weeks of gestation & reports constipation. Which of the following instructions should the nurse include in the teaching? Select all that apply. A. Drink eight 240 mL (8 oz) glasses of water daily B. Eat small amounts of food frequently C. Increase daily fiber intake D. Use a glycerin suppository every other day E. Perform exercises regularly using large muscle groups A nurse is providing teaching to a client who has DM & an HbA1c of 8.7%. Which of the following statements by the client indicates understanding of this lab value? A. "Ishould have gone to my exercise class yesterday." B. "This shows that my result is finally within normal range." C. "This shows that I have not been following my diet." D. "Ishould have my blood work done 1st thing in the morning." A nurse is providing info to a client who has a new prescription for atorvastatin. Which of the following beverages should the nurse include in the info as a contraindication for taking this med? A. Orange juice B. Coffee C. Grapefruit juice D. Milk A nurse is caring for a client who is receiving continuous enteral tube feedings. Which of the following actions should the nurse take to prevent aspiration? A. Monitor gastric residuals every 4 hr B. Maintain elevation of the head of the bed at 15 deg. C. Confirm proper tube placement by radiograph every 24 hr D. Flush tubing w/30 mL water before and after meds A nurse is providing teaching to a client who is a vegetarian & requires an increase in zinc intake. Which of the following foods is the best source of zinc? A. Pineapple B. Green grapes C. Cauliflower D. Pinto beans A nurse is assessing the meal pattern of a client who has diverticular disease & a prescription for a highfiber diet. Which of the following food choices by the client contains the most fiber? A. 1 medium banana B. 1/2 cup cooked oatmeal C. 1 medium apple w/skin D. 1/2 cup bran cereal A nurse is providing teaching to a client who is lactating about increasing her protein intake. Which of the following foods should the nurse recommend as the best source of protein? A. Legumes B. Cottage cheese C. Peanut butter D. Whole grain cereal A nurse is teaching an older adult client about nutritional recommendations. Which of the following statements should the nurse make? A. "You should increase your daily calorie intake." B. "You should increase your daily protein intake." C. "You receive an adequate amount of calcium from your diet, so a supplement is not recommended." D. "You receive an adequate amount of vitamin D from sun exposure, so it is not necessary to take a supplement." A nurse is evaluating a client who is receiving continuous enteral feeding & has diarrhea. Which of the following actions should the nurse take to reduct the client's diarrhea? A. Flush the client's feeding tube B. Administer promethazine to the client C. Decrease the rate of the feeding D. Check the client's gastric residual A nurse is providing dietary teaching for a client who is postop following gastric bypass. Which of the following instructions should the nurse include? A. Eat 6 small meals per day B. Start each meal w/a protein C. Complete each meal even if feeling full D. Plan to eat each meal over 15 min A nurse is caring for a client who has DM and reports feeling dizzy, weak, and shaky. Which of the following is the priority action by the nurse? A. Offer the client 180 mL (6 oz) of orange juice B. Document the client's intake from the most recent meal C. Teach the client about manifestations of hypoglycemia D. Check the client's blood glucose level A nurse is caring for a client who is receiving radiation therapy. The client reports a metallic taste in his mouth while eating. Which of the following actions should the nurse take? Select all that apply. A. Provide 3 large meals/day B. Offer citrus fruits C. Suggest pickles as a snack D. Rinse silverware prior to eating E. Gargle w/mouthwash A nurse is reviewing lab results of a client who is receiving continuous total parenteral nutrition. Which of the following results should the nurse report to the provider? A. Glucose 238 mg/dL B. Potassium 4.7 mEq/L C. Calcium 9.8 mg/dL D. Sodium 140 mEq/L A nurse is conducting dietary teaching for a group of women who are of childbearing age. Which of the following food items should the nurse include as containing the highest amount of folate? A. 1/2 cup chickpeas B. 3.5 oz chicken liver C. 1 medium orange D. 1 slice white bread A nurse is caring for a client who has anemia & a new prescription for an iron supplement. The nurse should recommend the client consume the supplement w/which of the following beverages to increase absorption? A. Protein shake B. Skim milk C. Tomato juice D. Green tea A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. Which of the following info should the nurse include? A. Replace legumes w/broiled meats B. Consume 1/2 cup bran/daily C. Leave the skin on when eating fruit D. Decrease fluid intake while increasing fiber A nurse is caring for an older adult client who has a pressure ulcer. The client practices Orthodox Judaism & strictly follows kosher dietary laws. Which of the following foods should the nurse provide for this client? A. Pork tenderloin B. Cheeseburger C. Clam chowder D. Macaroni & cheese A nurse is planning dietary interventions for a client who is prescribed external radiation for laryngeal cancer. The client reports manifestations of stomatitis. Which of the following interventions should the nurse include? A. Provide meals at room temp B. Offer the client additional seasonings for food C. Instruct the client to eat citrus fruits at the beginning of the meal D. Encourage the client to drink warm tomato juice in place of high-protein supplements A nurse is performing a cultural assessment for a client whose religious practices include fasting 1 day each week. Which of the following questions should the nurse ask the client? Select all that apply. A. "Are you exempt from fasting during illness?" B. "Doesfasting mean refraining from drinking liquids?" C. "Does fasting occur during certain hours of the day?" D. "Is vegetarianism a form of fasting?" E. "Does fasting mean eating only a certain type of food?" A community health nurse is planning to teach a class about weight management for cardiovascular health. Which of the following statements should the nurse plan to make to the participants? A. "Limit your sodium intake to 1800 mg/day." B. "Reduce your daily intake of foods that contain protein." C. "Taking a daily multivitamin will prevent cardiovascular disease." D. "Plan to lose weight gradually at 1/2 to 1 pound per week." A nurse is providing teaching about proper eating techniques to a client who is experiencing dysphagia following a stroke. Which of the following instructions should the nurse include in the teaching? Select all that apply. A. Tilt the head forward when swallowing. B. Drink thin liquids through a straw. C. Place food on the unaffected side of the mouth. D. Take moderate bites when eating. E. Limit disruptions during mealtime. A nurse is reviewing the lab data of 4 clients. The nurse should identify that which of the following clients is experiencing fluid overload? A. A client who has an albumin level of 5.5 g/dL. B. A client who has a urine specific gravity of 1.035. C. A client who has a Hct of 55%. D. A client who has a sodium level of 130 mEq/L. A nurse is initiating an enteral feeding for a client who has chronic bronchitis. Which of the following types of formula should the nurse anticipate administering to the client? A. Low protein B. High carb C. High calorie D. Low fat A home health nurse is reviewing the medical record of a client who had an open reduction internal fixation of the tibia. Which of the following findings should the nurse identify as a risk factor for impaired wound healing? A. The client's Hgb is 15 g/dL. B. The client's peripheral pulses are +3 distal to the affected extremity. C. The client consumes 1000 k/cal daily. D. The client takes zinc supplements. A nurse is teaching a client who is preparing for bowel surgery about a low-residue diet. Which of the following food choices by the client indicates an understanding of the teaching? A. 3 slices of bacon & oatmeal toast B. Granola w/raisins & strawberries C. Whole wheat french toast w/blueberries & maple syrup D. 2 poached eggs & a banana A nurse is caring for a client who is dehydrated & is receiving intermittent enteral feeding. Which of the following actions should the nurse plan to take? A. Use a low-fat formula for admin B. Chill the formula prior to admin C. Provide the formula as a continuous infusion D. Dilute the formula before admin A nurse is assessing a client who experienced a 5% weight loss in the past 30 days. Which of the following clinical manifestations should the nurse identify as an indication of malnutrition? A. Moist skin B. Ankle edema C. Hyperreflexia D. Dilated pupils A nurse is caring for an infant who has a cleft lip & palate. In which of the following positions should the nurse place the infant for bottle feeding? A. Lateral B. Football hold C. Supine in the crib D. Upright A nurse is caring for a client who has acute IBD. Which of the following nutritional supplements should the nurse anticipate providing to this client? A. Hydrolyzed formula B. Polymeric formula C. Milk-based supplement formula D. Modular product supplement formula A nurse is caring for a client who has age-related macular degeneration (AMD) & asks the nurse if there are any nutritional changes to consider. Which of the following responses should the nurse make? A. Use soy products as much as possible B. Add niacin-rich foods to the diet C. Increase dietary intake of lutein D. Consume foods w/a high glycemic index A nurse is caring for a client who is receiving continuous enteral feedings via NG tube. The nurse notices that the tube feeding has stopped infusing. Which of the following actions is the nurse's priority? A. Change the formula B. Change the tube C. Notify the provider D. Flush the tube w/warm water A nurse is providing discharge teaching about breast milk use & storage to a client who is postpoartum. Which of the following statements should the nurse make? A. Refrigerate unused breast milk immediately after bottle feeding B. You cannot place thawed breast milk back in the freezer C. You can store expressed breast milk in the freezer up to 18 months D. Defrost frozen breast milk on the lowest defrost setting in the microwave A nurse is assessing a client who has end-stage kidney disease (ESKD). Which of the following dietary habits increases the client's risk for dysrhythmias? A. Consuming a low-fat diet B. Eating a diet rich in potassium C. Consuming a diet rich in protein D. Eating a diet deficient in iron A nurse is caring for a client who is at 8 weeks of gestation & has a BMI of 34. The client asks about weight goals during her pregnancy. The nurse should advise the client to do which of the following? A. Maintain her current BMI. B. Gain approximately 6.8 kg (15 lb). C. Lower her BMI to 30. D. Gain 12.7 to 15.8 kg (28-35 lb). A client is experiencing anorexia r/t cancer tx. Which of the following interventions should the nurse implement to increase the client's nutritional intake? A. Recommend cooking aromatic foods to stimulate appetite. B. Serve hot foods rather than cold foods. C. Instruct the client to eat 3 meals per day D. Add extra calories & protein to every meal. A nurse is caring for a client who is receiving TPN. Which of the following lab findings indicates that the TPN therapy is effective? A. Calcium 8 mg/mL B. Hemoglobin 9 g/dL C. Prealbumin 30 mg/dL D. Cholesterol 140 mg/dL A nurse is teaching a female client about a healthy diet to control HTN. Which of the following client statements indicates an understanding of the teaching? A. "I will drink 2 glasses of whole milk daily." B. "I will decrease the potassium in my diet." C. "I will eat 4 servings of unsalted nuts per week." D. "I will limit alcohol consumption to 2 drinks/day." A nurse is updating a plan of care for a client who is receiving intermittent enteral feedings & is experiencing diarrhea. Which of the following interventions should the nurse include in the plan? A. Discard the client's opened cans of formula within 48 hr. B. Administer the client's formula cold. C. Feed the client in small, frequent volumes D. Consider a low-calorie formula for the client A nurse is planning nutritional teaching for the parents of a toddler who has failure to thrive. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) A. Eliminate environmental disruptions during meals. B. Stop the meal when the toddler exhibits negative behavior. C. Provide 240 mL (8 oz) fruit juice in between meals. D. Schedule meal times at the same time each day. E. Allow the toddler to determine the length of the meal. A nurse is providing diet teaching for a client who has osteoporosis. The nurse should instruct the client that which of the following foods has the highest amount of calcium? A. 1 cup avocado B. 2 tablespoons peanut butter C. 1/2 cup roasted sunflower seeds D. 1/2 cup roasted almonds A nurse is providing diet teaching for a client who has chronic skin ulcers of the lower extremities. Which of the following foods should the nurse recommend as containing the highest amount of zinc? A. 1 cup apple slices B. 4 oz low-fat cottage cheese C. 4 oz ground beef patty D. 1 cup raw spinach A client reports constipation during a routine checkup. The client was previously encouraged to increase his intake of mineral supplements. Which of the following minerals should the nurse identify as the cause of the constipation? A. Phosphorus B. Potassium C. Magnesium D. Calcium A nurse is preparing to administer intermittent enteral tube feedings to a client. In what order should the nurse perform the following actions before beginning the feeding? -Flush tubing w/30 mL water -Place the client in Fowler's position -Check the residual -Verify tube placement 1. Place the client in Fowler's position 2. Verify tube placement 3. Check the residual 4. Flush tubing w/ 30 mL water A nurse is planning care for a client who is obese & wants to lose weight. Which of the following actions should the nurse take 1st? A. Recommend checking weight once weekly. B. Obtain a 24-hr dietary recall. C. Assist w/creating an exercise plan. D. Initiate a diet modification plan. A nurse in an acute care facility is planning care for a client who has chosen to follow Islamic dietary laws during Ramadan. Which of the following actions should the nurse plan to take? A. Place the client on NPO status during nighttime hours B. Provide a snack for the client after sunset C. Offer the client hot tea w/daytime meals D. Allow the client to eat privately w/his family each day at 1300 A nurse in a provider's office is assessing a client who has HIV. The nurse should identify which of the following findings as an indication to increase the client's nutritional intake? A. T-helper (CD4+) cells 700/mm3 B. Presence of herpes simplex virus infection C. HIV viral load below detectable levels D. Increased lean body mass A nurse is providing teaching for a client who has a new prescription for nifedipine. Which of the following foods should the nurse instruct the client to avoid? A. Milk B. Aged cheese C. Grapefruit juice D. Bananas A nurse is providing nutritional counseling to a client who wants to lose weight. The nurse should identify that which of the following statements indicates that the client understands the counseling? A. "I will taste my foods while I am cooking." B. "I will exclude breads & pastries from my diet." C. "I will make a list before I go grocery shopping." D. "I will skip lunch if I am too busy to have something healthy." A nurse is planning to provide dietary teaching to a client who has chronic kidney disease & is prescribed hemodialysis. Which of the following actions should the nurse plan to take 1st? A. Create a schedule for the client fluid intake. B. Provide the client w/a list of foods that are high in sodium. C. Determine whether the client has culture-related food preferences. D. Explain the purpose of protein restriction in the diet. A nurse is planning strategies to reduce the intake of solid fats for a client who has hyperlipidemia. Which of the following strategies should the nurse include in the plan? A. Choose cheese w/4 g of fat per serving. B. Limit eating 4 eggs w/yolks per week. C. Choose ground meat that is 75% lean. D. Limit meat to 5 oz per day. A nurse is developing an educational program about the glycemic index of foods for clients who have DM. Which of the following foods should the nurse identify as having the highest glycemic index? A. Sweet corn B. Macaroni C. Baked potato D. Peanuts A nurse is providing discharge teaching to a client who has a new ileostomy. Which of the following dietary guidelines should the nurse include in the teaching? A. Plan to reduce dietary salt intake. B. Cook foods w/limited amounts of pasta products. C. Prepare meals on a schedule. D. Reduce dietary B12. A nurse is providing to a client who has dumping syndrome & is experiencing weight loss. Which of the following instructions should the nurse include in the teaching? A. Consume liquids between meals B. Increase intake of simple carbohydrates C. Decrease foods high in fat content D. Eat meals low in protein A nurse is planning discharge teaching for a client who is postoperative following placement of a colostomy. Which of the following info should the nurse include? A. "Resume a regular diet by 4 weeks after surgery." B. "Add high-fiber foods to your diet." C. "Increase your intake of foods containing pectin." D. "Drink 4-6 cups of water per day." A nurse is teaching a client about managing IBS. Which of the following info should the nurse include in the teaching? A. Increase intake of fresh fruit high in fructose B. Limit foods that contain probiotics C. Take peppermint oil during exacerbation of manifestations D. Substitute white sugar w/honey A nurse is reviewing the lab results of a client who has a pressure ulcer. Which of the following findings should indicate to the nurse that the client is at risk for impaired wound healing? A. Hgb 15 g/dL B. Serum albumin 3.0 g/dL C. Prothrombin time 11.5 sec D. WBC 6000/mm3 A nurse is providing teaching to a client who had a partial gastrectomy about measures to reduce the occurrence of dumping syndrome. Which of the following instructions should the nurse include in the teaching? A. Consume at least 4 oz of fluid w/meals B. Take a short walk after each meal C. Use honey to flavor foods such as cereal D. Eat protein w/ each meal A nurse is educating a client who is breastfeeding about her calcium intake. The nurse should state that the client's level of calcium intake should be: A. 800 mg B. 400 mg C. 1200 mg D. 2000 mg A nurse is providing teaching to a group of parents of toddlers about measures to reduce the risk of choking. The nurse should advise the parents that which of the following foods place a toddler at risk for choking? (Select all that apply). A. Hot dogs B. Grapes C. Bagels D. Marshmallows E. Graham crackers A nurse is caring for a client diagnosed w/possible scurvy. The nurse should understand that the client has a deficiency of which of the following? A. Vitamin A B. Vitamin B6 C. Vitamin C D. Vitamin D The nurse is explaining to a client the function of bile is: A. metabolize fats B. produce chyme C. stimulate gastric acid secretion D. inhibit gastric acid secretion A nurse in a provider's office is reviewing the lab findings for a group of clients. Which of the following clients may require additional dietary iron to prevent iron-deficiency anemia? Select all that apply. A. A client who is postmenopausal B. A client who is a vegetarian C. A middle adult male client D. A client who is breastfeeding E. A toddler who is overweight A client with diabetes that may be experiencing hypoglycemia should be instructed to: eat 15-20 g of carbs such as juice, soda, candies, honey, glucose tablets, etc. A nurse is caring for a patient who is to receive a full liquid diet due to dysphagia. What is the highest nursing priority: add thickener to liquids A nurse is calculating the daily protein allowance of a client who weighs 176 lb. The client's daily protein allowance is 0.8 g/kg. How many grams of protein should the client consume per day? 64 g A person with heart failure should have a daily sodium intake of: 2000 mg or less The nurse should instruct the diabetic client that their intake of carbohydrates should be 45 to 60% of total daily caloric intake. The nurse should instruct the diabetic client that they should limit their total daily cholesterol intake to: 200-300 mg/day Intermittent tube feeding formula set rate: administered every 4-6 hr in equal portions of 200-300 mL over a 30-60 min time frame, usually by gravity drip How often should you obtain gastric residuals for a client receiving tube feedings? every 4-6 hrs When beginning a new prescription for enteral nutrition by intermittent tube feeding how should you first initiate this feeding? Increase the formula over the first 4 to 6 feedings until the prescribed volume is achieved 1. A nurse isteaching a group of older adult clients about dietary needs. Which of the following statements should the nurse include in the teaching? A. Older adultsshould decrease their calorie intake B. Older adults should decrease their vitamin D intake C. Older adults should decrease their fiber intake D. Older adultsshould decrease their zinc intake. 2. A nurse is caring for a client who isreceiving parenteral nutrition and has a new prescription for probiotic therapy. Which of the following findings indicates the therapy is effective? A. Client has soft, formed bowel movements B. Client’s mucous membranes are pink C. Clientreports ability to complete ADLs D. Client’s blood glucose level is within the expected reference range 3. A nurse is planning care for a client who isto have a mechanically altered diet following a stroke which of the following foods should nurse recommend to include in the client’s diet? A. Mashed potatoes B. Ice cream C. Ground meat D. Strawberries E. Raw broccoli 4. A nurse isteaching a client who has hemoglobin of 10 g/dl about dietary interventions. Which of the following menu selections by the client indicates an understanding of the teaching? A. Apple slices B. Cottage cheese C. Beef liver D. Baked potato 5. A nurse is caring for a client who isreceiving chemotherapy and reports a loss of appetite. Which of the following strategies should the nurse recommend to increase the client’s protein intake? A. Grate cheese into soups B. Add mayonnaise to salads C. Use honey on toast D. Mix granola with fruits 6. A nurse is planning dietary teaching for a client who follows a vegetarian diet and needsto increase his iron intake. Which of the following food recommendations should the nurse include in the teaching? A. Raw cauliflower B. Carrotsticks C. Peanut butter D. Dried beans 7. A nurse is providing teaching about a gluten free diet to a client who has celiac disease. Which of the following foods should the nurse recommend the client include in his diet? A. Barley B. Corn C. Wheat germ D. Salami 8. A nurse is planning to reach a client who is recovering from an episode of acute diverticulitis and needsto eat foodsthat are high in fiber. Which of the following food choicesshould the nurse plan to recommend as having the highest fiber content? A. 3 oz turkey B. 1 cup low-fat, plain yogurt C. 1/2 cup cooked white rice D. 1/2 cup cooked peas 9. A nurse is providing dietary teaching to a client aboutsources of protein. The nurse should identify which of the following items as a complete protein? A. Gelatin B. Legumes C. Almonds D. Salmon 10. A nurse in the emergency department is assessing a young adult client who was administered a hypotonic IV fluid bolusforrehydration after collapsing at an athletic event. Which ofthe following dindings indicates the client is experiencing water intoxication? A. Weak pulses B. Hypernatremia C. Exaggerated reflexes D. Muscle weakness 11. A nurse isreviewing the laboratory results of a client whohas bulimia nervosa. the nurse should notify the provider of which of the following results? A. Magnesium 1.6 B. Hgb 14 C. WBC 5200 D. Potassium 3.2 12. A nurse is caring for a client who istaking antibiotics and develops diarrhea. Which ofthe following foods should the nurse recommend to include in the client’s diet? A. Ice cream B. Whole wheat bread C. Fresh orange sections D. Yogurt 13. A nurse isreaching a client who is breastfeeding and has a new prescription for amoxinillin 250 mg po every 8 hr. which of the following information should the nurse include in the reaching? A. You should pump your breasts 1 hour after taking the antibiotic and discard the mike B. You may continue to breastfeed while you are on a short term antibiotic C. You will need to decrease your medication dose while breastfeeding D. Your body will metabolize the antibiotic so thatis will not be presentin the breast mike 14. A nurse is proving dietary teaching to a client who has a new diagnosis of gastroesophageal reflux disease. Which of the following foods or beverages should the nurse recommend to minimize heartburn? A. Potatoes B. Decaffeinated coffee C. Peppermint D. Orange juice 15. A nurse is planning eating strategies with a client who has nausea fromequilibrium imbalance. Which of the following strategies should the nurse recommend? A. Limit fluid intake between meals B. Provide low fat carbohydrates with meals C. Encourage the client to eat even if nauseated D. Serve hot food at mealtime 16. A nurse is developing a plan of care for a client who has anorexia nervosa. Which of the following actions should the nurse include in the plan? A. Informthe client that a weight gain of 2.3kg per week is expected B. Offerthe client a selection of beverages at each meal C. Encourage the client to participate in developing a system of rewards D. Arrange forsomeone to remain with the clientfor 30 min after meals 17. A nurse is caring for a client who isreceiving enteral feedings via tube. Which of the following actions should the nurse take to prevent aspiration? A. Warm the formula prior to administering B. Measure the client’s gastric residuals C. Elevate the head of the bed to 15 D. Auscultate the client’s bowelsounds 18. A nurse is teaching about managing hypoglycemia with carbohydrates to a client who has diabetes mellitus. Which of the flowing foods should the nurse include in the teaching as containing the most carbohydrates? A. 1 glucose tablet B. 4 ozfruit juice C. 1 tsp honey D. 4 pieces hard candy 19. A nurse isteaching the family of a school age child who is obese about complication of childhood obesity. Which of the following complications should the nurse include in the teaching? A. Type 1 diabetes mellitus B. Hypothyroidism C. Juvenile rheumatoid arthritis D. Hypertension 20. A nurse is planning care for a client who is pregnant and plansto breastfeed her newborn. Which of the following information should the nurse include in the plan of care? A. The newborn should breastfeed immediately following birth B. The newborn should have bursts of six sucks and swallows during feeding C. The newborn should receive 1 oz of glucose water after the first breastfeeding session D. The newborn should breastfeed every 4 hr during the day. 21. A nurse is planning care for a client who has ascites secondary to liver disease. Which of the following interventions should the nurse include in the plan of care? A. Restrict protein intake to less than 0.8 g/kg/day B. Decrease daily caloric intake by 20% C. Reduce complex carbohydratesto 30% of total calories D. Limitsodium to 2,000 mg or less per day 22. A nurse is caring for a client who isreceiving a continuoustube feeding and experiencing frequent diarrhea. Which of the following is an appropriate action for the nurse to take? A. Chill formula before administration B. Slow the rate of the feeding C. Change to intermittent bolusfeedings D. Recommend a low calorie formula 23. A nurse is caring for a client who reports nausea as a result of chemotherapy. Which of the following recommendations should the nurse make? A. Add seasoning to flavor food B. Eat foods served cold C. Eat a lightsnack prior to chemotherapy D. Lie down for 30 min after eating 24. A nurse in a provider’s office isreviewing laboratory results with a client who has been following diet therapy to lower cholesterol levels. Which of the following findings is the priority to report to the provider? A. Triglycerides 300mg/dl B. HDL 45 mg/dl C. LDL 112 mg/dl D. Total cholesterol 220 mg/dl 25. A nurse is planning care for a client who has a new prescription for total parenteral nutrition TPN via peripheral inserted central catheter. Which of the following actions should the nurse include in the plan? A. Give dextrose 5% in water if the TPN solution is unavailable B. Change the IV tubing every 24 hr C. Check the rate of infusion every 12 hr D. Discard the uninfused lipuds after 18 hr 26. A nurse is proving dietary teaching to a client who is pregnant and requires an increase in dietary iron. Which of the following food is a source of heme iron that the nurse should include in the teaching? A. Fortified cereals B. Kale C. lima beans D. Ground beef 27. A nurse is caring for an older adult client who has a prescription for warfarin and an elevated prothrombin time. The nurse should recognize that which of the following vitaminsreducesthe anticoagulant effect of warfarin? A. Vitamin A B. Vitamin K C. Thiamin D. Folate 28. A nurse is discussing denture care with the partner of a client who is unable to perform oral hygiene. Which of the following should be included in the discussion? A. Wrap gloved finger with gauze to remove dentures B. Use a washcloth to clean the denture surfaces C. Wipe dentures before storing them in a dry container at night D. Floss dentures as part of daily cleaning 29. A nurse is caring for a clientwho requestsinformation aboutincorporating healthy habitsinto daily activities. Which of the following is an appropriate response by the nurse? A. Limittotal fatintake to 25 percent of your total calories B. Keep your daily cholesterol intake between 400 and 500 milligrams per day C. Consume 55 percent of your total caloriesfrom protein D. Restrictsalt intake to 1 tablespoon daily 30. A nurse is planning care for client who practices Islam and is currently observing dietary restrictions for the month of Ramadan. Which of the following interventions should the nurse include in the plan of care? A. Provide a strictly vegetarian diet on Fridays B. Serve meat and dairy itemsseparately C. Facilitate fasting during daylight hours D. Remove beef productsfromthe dietary plan 31. A nurse is providing nutritional teaching to a client who hastype 2 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? A. Ishould decrease my cholesterol intake to 300 milligrams per day B. I will limit my saturated fatintake to 20 percent of my daily intake C. I can consume 130 grams of carbohydrates per day D. I need to increase my protein intake to 45 percent of my daily colories. 32. A nurse is providing teaching about the DASH diet to a client who has hypertension. Which of the following instructions should the nurse include? A. Limit sodium intake to 3,200 milligrams per day B. Consume foodsthat are high in calcium C. Consume ten percent of total caloriesfrom saturated fat D. Increase intake ofrefined carbohydrates 33. A nurse is planning care for a client who followsthe dietary laws of Orthodox Judaism. Which of the following food selections should the nurse plan to include on the client’s meal tray? A. Cooked ham B. Sausage omelet C. Cheeseburger D. Baked chicken breast 34. A nurse is assessing a client who isreceiving TPN. The nurse should identify which of the following finding as an adverse effect of TPN? A. Hemoglobin 16g/dl B. Weight gain of 1.5 kg per day C. Temperature 36.1 D. Blood glucose 98 35. A nurse isreviewing the laboratory findings of a client who hastype 1 diabetes mellitus. Which of the following finding should the nurse report to the provider? A. Creatinine 1.0 mg/dl B. BUN 15 C. Hbaic 9% D. Hct 45% 36. A nurse is providing nutritional reaching to a client who has AIDS related wasting syndrome. Which of the following instructions should the nurse include in the teaching? A. Avoid desserts made with eggs B. Increase fluid intake with meals C. Add butter to vegetables D. Prepare hot chocolate with water instead of milk 37. A nurse is caring for a client who has dysphasia. Which of the following actionsshould the nurse take? A. Allow 20 min for the client to eat B. Administer liquidsto the client with a syringe C. Encourage the client to use a spoon when eating D. Instructthe client to tilt his head backward when swallowing 38. A nurse is providing anticipatory guidance to a client who has phenylkeonuria (PKU) and is planning a pregnancy. Which of the following information should the nurse include in the discussion? A. A low protein diet should be followed for three months prior conception B. Breastfeeding will prevent your baby form developing PKU C. Serumbilitubin should be monitored one to two times per month during pregnancy D. Dietsodasshould not be consumed more than two to three times per week 39. A nurse is providing nutritional teaching to an older adult client who has heat failure. Which of the following statements by the client indicates an understanding of the teaching? A. I can use hydrogenated vegetable oil for cooking B. I will limit my meat intake to 6 ounces per day C. I will drink 12 ounces of two percent milk per day D. I can choose pretzelsfor a healthy snack 40. A nurse is assessing a client who reports a headache and dizziness. The nurse notesthat the client is shaky and sweaty. The nurse should prepare to intervene for which of the following imbalances? A. Hyperglycemia B. Hypernatremia C. Hypoglycemia D. Hypokalemia 41. A nurse is caring for a client who hasstomatitisfollowing radiation therapy. Which of the following interventions is appropriate for the nurse to take? A. Avoid serving sauces or gravies B. Discourage the use of a straw C. Serve the client hot meals D. Offerthe clientfrozen bananas as a snack 42. A nurse is caring for a client who has dysphaiga and requireslevel 1 dysphagia diet. Which of the following foods should the nurse chose for the client? A. Apple juice B. Chicken noodle soup C. Milk D. Pudding 43. A nurse in a long term care facility is caring for a client who cannot wear dentures due to stomatitis. Which of the following dietsshould the nurse recommend for the client? A. Pureed diet B. Light diet C. Low protein diet D. Full liquid diet 44. A nurse is providing dietary teaching to a client aboutthe importance of adequate calcium intake. Which of the following client statements indicates an understanding of the primary function of calcium? A. Calcium is need for blood clotting B. Calcium helpsregulate blood pressure C. Calcium is involved in muscle contraction D. Calcium is necessary for bone formation 45. A nurse isreoving teaching aboutfood allergiesto the parents of a toddler. Which of the following foods should the nurse identify as highest risk for allergies in toddlers? A. Milk B. Citrusfruits C. Bananas D. Eggs 46. A nurse is providing teaching to an obese client who has gestational diabetes and is at 25 weeks of gestation. Which of the following statements made by the client indicates a need for further teaching? A. This meansthat I will have diabetesfor the rest of my life. B. If feel dizzy, Ishould drink six ounces of a nondietsoda C. This does not mean that my baby will have this disease D. Being obese might be one reason why I developed diabetes 47. A nurse isteaching a client who has diabetes mellitus about manifestations of hypoglycemia. Which of the following manifestations should the nurse include in the teaching? A. Skin clammy to the touch B. Breath that has a fruity odor C. Weight loss D. Increased urinary out put 48. Nurse is caring for a young adult who is discontinuing birth control pills and wishesto start a family. Which of the following statements by the nurse is an appropriate dietary guideline? A. Increase yourtotal intake ofseafood to 20 ounces per week B. Decrease ascorbic acid in your diet C. Increase folic acid to 400 micrograms per day prior to getting pregnant D. Increase your caloric intake before pregnancy to stabilize your metabolism 49. A nurse is providing teaching to a client who has a prescription for a low saturated fat diet. Which of the following statements by the client indicates an understanding of the reaching? A. I can eat the skin on poultry if it is broiled B. I will include 7 ounces of fish in my diet weekly C. I can choose an avocado dip instead of salsa D. I will use margarine on my waffles 50. A nurse is providing teaching to a client who has heart failure about limiting sodium intake to 1,000mg , the nurse should inform the client that which of the following fairy products hasthe highest sodium content? A. 2 oz processed cheese B. 4 oz vanilla pudding C. 1/2 cup yogurt D. 1 cup milk 51. A nurse isreviewing the laboratory reports of a client who is undergoing nutritional screening due to a risk for chronic kidney disease. The nurse should identify that which of the following results indicates the need for further assessment? A. Sodium 140 B. Serum creatinine 3.5 C. Blood urea nitrogen 18 mg D. Hematocrit 45% 52. A nurse is caring for an older adult client who requires high calorie liquid nutritional supplements. Which of the following actionsshould the nurse take to ensure the client consumesthe supplement? A. Leave an opened supplement at the bedside throughout the day B. Have the clientswallow hismedications with the supplement C. Offer the supplement as a substitute for one of the client’s daily meals D. Enhance the flavor of supplements by serving then warm 53. A nurse is caring for a client who has an NG tube for gastric decompression. The nurse suspectsthe client’s tube is displaced. Which of the following actions should the nurse take? A. Instill 0.9% normalsaline into the client’s NG tube B. Auscultate the client’s bowelsounds C. Measure the PH of the client’sstomach contents D. Pull the catheter out 7.6 cm 54. A nurse is providing teaching to the parents of a 6 month old infant. Which of the following potions should the nurse instruct the parents to include in the infant’s diet? A. 2% milk B. Scrambled eggs C. Rice cereal D. Apple juice 55. A nurse is assessing a client who has a stage 3 pressure ulcer that is healing poorly. The nurse should identify that which of the following vitamin deficiencies increases the client’s risk for delayed would healing? A. Vit D B. Vit C C. Vit E D. Vit B6 56. A nurse is assessing a client who is postoperative and has an indwelling urinary catheter. Which of the following findings indicates that the client is experiencing dehydration? A. Urine specific gravity 1.010 B. Blood pressure 150/82 Hg C. Bun 15 mg D. Urine output 20ml/hr 57. A nurse in a long term care facility is developing strategiesto promote increased food intake for an older adult client. Which of the following interventions should the nurse implement? A. Pervade entertainment while the client is eating B. Offer finger foods at mealtime C. Provide opportunitiesto eat three large meals per day D. Offer sugarsubstitutes to increase the client’s appetite 58. A nurse is assessing an adolescent client’s nutritional intake. Which of the following statements by the client indicates an understanding of nutrient dense food choices? A. Ishould eat pasta with cheese sauce B. Ishould eat refried beans C. Ishould eatsweetened fruit yogurt D. Ishould eat oven-baked sweet potato fries 1. A nurse is caring for a client who expresses a desire to lose weight. Which of the following actions should the nurse take first? a. Recommend checking weight once weekly. b. Obtain a 24-hr dietary recall. c. Assist with creating an exercise plan. d. Initiate a plan for diet modification. 2. A nurse is teaching about nutritional requirements for a client who is starting a vegetarian diet. Which of the following information should the nurse include in the teaching? a. Consume high-fat cheese to replace meats when on a vegetarian diet. b. A vegetarian diet is high in vitamin B12 • c. Fewer calories are required when on a vegetarian diet. d. Include two servings per day of nuts when on a vegetarian diet. 3. A nurse is caring for a client who has acute inflammatory bowel disease. Which of the following nutritionalsupplementsshould the nurse anticipate providing to this client? a. Hydrolyzed formula b. Polymeric formula c. Milk-based supplement formula d. Modular product supplement formula 4. A nurse is teaching a client who is newly diagnosed with type 1 diabetes mellitus how to count carbohydrates. Which of the following statements made by the client indicates an understanding of the teaching? a. "I am including vegetables asstarch itemsin my carbohydrate count." b. "I am limiting the number of carbohydratesto four carbohydrate choices or 60 grams per day." c. "I know the serving size can affect the number of carbohydrates I eat." d. "I know the carbohydrate count is dependent on the caloriesin the food item." 5. A nurse is providing dietary teaching for a client who has osteoporosis. The nurse should instruct the client that which of the following foods hasthe highest amount of calcium? a. 1 cup avocado b. 2 tablespoons peanut butter c. ½ cup roasted sunflowerseeds d. ½ cup roasted almonds 6. A nurse is discussing dietary factorsto assist in blood pressure management for a client who has hypertension. Which of the following client statements indicates an understanding of the teaching? a. "I can drink up to three glasses of wine each day." b. "Ishould choose whole grain pastas when selecting my foods." c. "Ishould decrease my consumption of foods high in potassium." d. "I can use low-sodium salt substitutes when I cook my food." 7. A nurse is caring for a client who has a new prescription for parenteral nutrition (PN) containing a mixture of dextrose, amino acids, and lipids. Priorto administration of the PN, the nurse should report which of the following food allergies to the provider? a. Gelatin b. Peanuts c. Shellfish d. Eggs 8. A nurse is teaching a client who has chronic kidney disease about limiting dietary calcium intake. Which ofthe following food choicesshould the nurse include in the teaching as having the highest amount of calcium? a. 1 cup low-fat yogurt b. 1 oz cheddar cheese c. 1 egg d. ½ cup spinach 9. A home health nurse is providing dietary teaching to the guardians of a 3-year-old child. Which of the following statements by the guardians should the nurse identify as understanding of the teaching? a. "I will offer my child a cup of peanut butter to dip her celery in." b. "I can leave her grapes whole,so she can practice getting them with her fork." c. "I can give her popcorn as a snack to provide a serving of whole grains." d. "I will put low-fat milk in her cup for her to drink." 10. A nurse is caring for an adolescent who hastype 1 diabetes mellitus. Which of the following actions should the nurse take to assess for Somogyi phenomenon? a. Monitor blood glucose levels during the night. b. Check for urinary ketones at the same time each day for 1 week. c. Perform an oral glucose tolerance test after administering a dose of insulin. d. Compare current glycosylated hemoglobin level with the level at time of diagnosis 11. A nurse is reviewing the introduction of solid foods with the guardian of a 4-month-old infant. Which of the following statements by the guardian indicates an understanding of the teaching? a. "My baby should consume 2 tablespoons of solid food at each feeding." b. "The majority of my baby's calories should come from solid food." c. "I will give my baby one bottle of fruit juice each day." d. "I will introduce a new solid food every 5 days." 12. A nurse in a long-term care facility is monitoring a client during mealtime who has Parkinson's disease. Which of the following findings should the nurse identify as the priority? a. The client eats all of their cake and a few bites of bread. b. The client drools while eating. c. The client's hand trembles when they holdstheirspoon. d. The client choosesto sit alone during the meal. 13. A home health nurse is reviewing the medical record of a client who had an open reduction internal fixation of the tibia. Which of the following findingsshould the nurse identify as a risk factor for impaired wound healing? a. The client's hemoglobin is 15 g/dl. b. The client's peripheral pulses are +3 distal to the affected extremity. c. The client consumes 1,000 kcal daily. d. The client takeszinc supplements. 14. A nurse is providing teaching to a client who has diabetes mellitus and an HbA1c of 8.7%. Which of the following statements by the client indicates an understanding of this laboratory value? a. "Ishould have gone to my exercise class yesterday." b. "Thisshowsthat my result isfinally within a normal range." c. "Thisshowsthat I have not been following my diet." d. "Ishould have my blood work done first thing in the morning." 15. A nurse isteaching a client about stress management. Which of the following statements by the client indicates an understanding of the teaching? a. "I will take a long walk every evening." b. "I will keep a daily diet and activity log." c. "I will avoid eating 1 hour before bedtime." d. "I will drink a full glass of water with each meal." 16. A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is prescribed an oral diet. The client asksthe nurse why the TPN is being continued since he is now eating. Which of the following responses should the nurse make? a. "Your blood glucose levels need to be within a normal range before the parenteral nutrition can be stopped." b. You should consume at least 60 percent of your calories orally before the parenteral nutrition can be discontinued." c. "You should have a weight gain of at least 1 kilogram per day before the therapy is stopped." d. "Your bowel movements need to be regular before the therapy can be discontinued." 17. A nurse is caring for a client who is receiving total parenteral nutrition (TPN) through a peripherally inserted central catheter. The pharmacist informsthe nurse that there will be a delay in delivering the next bag of TPN solution. Which of the following actions should the nurse take? a. Slow the rate of the current infusion. b. Infuse 0.9% sodium chloride when the current infusion ends. c. Infuse