RN NUTRITION PRACTICE 2023B
QUESTIONS AND ANSWERS GRADED
A+
kA nurse is teaching a prenatal education class about breastfeeding. Which of the following instructions
should the nurse include in the teaching?
a. Offer supplemental formula until the milk supply is established.
b. Offer the newborn 30 mL (1 oz) of glucose water after the first breastfeeding session.
c. Plan to breastfeed the newborn every 4 hr.
d. Plan 5-min feedings on each breast on the first day after birth - D. Plan 5-min feedings on each breast
on the first day after birth
The nurse should instruct the clients to let the newborn nurse for 5 min on each breast on the first day
to promote milk production
A nurse is providing teaching to a client who is currently experiencing an exacerbation of Crohn's
disease. Which of the following statements by the client indicates an understanding of dietary practices
during acute episodes?
a. "I will follow a high-protein diet"
b. "I will increase my fat intake"
c. "I will take a fiber supplement daily"
d. "I will consume three large meals throughout the day - A. "I will follow a high-protein diet"
Clients who have Crohn's disease should follow a high-calorie, high-protein diet to prevent malnutrition
and attain the required calories to promote healing.
A nurse is providing dietary teaching about reducing the risk of infection to a client who has cancer and
is receiving chemotherapy. Which of the following client statements indicates an understanding of the
teaching?
,a. "I will thaw my food at room temperature"
b. "I will use leftovers within 24 hrs"
c. "I should use home-canned goods within 2 years of canning"
d. "I should heat my food to at least 120 degrees Fahrenheit" - B. "I will use my leftovers within 24 hrs."
The client should use leftovers within 24 hrs to reduce the risk of infection from a foodborne pathogen.
A nurse is caring for a client who has been receiving total parenteral nutrition (TPN) and has a
prescription to discontinue the TPN. Which of the following findings should indicate to the nurse that the
child is experiencing a complication from discontinuing the TPN?
a. Confusion
b. Hot and dry skin
c. Nausea and vomiting
d. Stomatitis - A. Confusion
The nurse should identify confusion as a manifestation of hypoglycemia. Clients who are receiving total
parenteral nutrition are at risk for developing hypoglycemia when TPN is discontinued. The
manifestations of hypoglycemia are confusion, cool and clammy skin, erratic behavior, and shakiness.
A nurse is teaching a client who has a prescription for ferrous sulfate about food interactions. Which of
the following statements indicates that the client understands the teaching?
a. "I can take this medication with juice"
b. "I can take this medication with my eggs at breakfast"
c. "I will drink low-fat milk when taking this medication
d. "I will take this medication with my coffee" - A. "I can take this medication with juice"
The nurse should instruct the client to use this medication between meals with juice. The client can take
this medication with meals if gastric upset occurs.
A nurse is observing a client during mealtime who has a stroke and has left-sided facial weakness. Which
of the following findings places the client at risk for aspiration?
, a. Client places food on the right side of their mouth when eating.
b. Client avoids drinking liquids to help swallow food that is in their mouth.
c. Client tucks their chin down and tilts their head forward when eating.
d. Client is positioned at a 30 degree angle when eating. - D. Client is positioned at a 30 degree angle
when eating
The nurse should identify positioning a client at a 30 degree angle while eating increases the client's risk
for aspiration; therefore, the nurse should position the client in an upright position at 90 degrees to
prevent aspiration of food or liquids. This position helps with swallowing to protect the airway.
Aspiration can lead to complications including pneumonia.
A nurse is caring for a client who has anemia and a new prescription for an iron supplement. The nurse
should recommend the client consume the supplement with which of the following beverages to
increase absorption?
a. Protein shake
b. Skim milk
c. Tomato juice
d. Green tea - c. Tomato juice
the nurse should recommend the client consume the supplement with beverages containing vitamin c,
such as tomato juice or orange juice, because this will enhance the absorption of the iron supplement
A nurse is assessing a client who has fluid volume excess. Which of the following manifestations should
the nurse expect?
a. Weak peripheral pulses
b. Increased hematocrit
c. Crackles in the lungs
d. Weight loss from baseline - C. Crackles in the lungs
the nurse should identify that a client who has fluid volume excess can develop crackles in the lungs,
shortness of breath, and dyspnea.
QUESTIONS AND ANSWERS GRADED
A+
kA nurse is teaching a prenatal education class about breastfeeding. Which of the following instructions
should the nurse include in the teaching?
a. Offer supplemental formula until the milk supply is established.
b. Offer the newborn 30 mL (1 oz) of glucose water after the first breastfeeding session.
c. Plan to breastfeed the newborn every 4 hr.
d. Plan 5-min feedings on each breast on the first day after birth - D. Plan 5-min feedings on each breast
on the first day after birth
The nurse should instruct the clients to let the newborn nurse for 5 min on each breast on the first day
to promote milk production
A nurse is providing teaching to a client who is currently experiencing an exacerbation of Crohn's
disease. Which of the following statements by the client indicates an understanding of dietary practices
during acute episodes?
a. "I will follow a high-protein diet"
b. "I will increase my fat intake"
c. "I will take a fiber supplement daily"
d. "I will consume three large meals throughout the day - A. "I will follow a high-protein diet"
Clients who have Crohn's disease should follow a high-calorie, high-protein diet to prevent malnutrition
and attain the required calories to promote healing.
A nurse is providing dietary teaching about reducing the risk of infection to a client who has cancer and
is receiving chemotherapy. Which of the following client statements indicates an understanding of the
teaching?
,a. "I will thaw my food at room temperature"
b. "I will use leftovers within 24 hrs"
c. "I should use home-canned goods within 2 years of canning"
d. "I should heat my food to at least 120 degrees Fahrenheit" - B. "I will use my leftovers within 24 hrs."
The client should use leftovers within 24 hrs to reduce the risk of infection from a foodborne pathogen.
A nurse is caring for a client who has been receiving total parenteral nutrition (TPN) and has a
prescription to discontinue the TPN. Which of the following findings should indicate to the nurse that the
child is experiencing a complication from discontinuing the TPN?
a. Confusion
b. Hot and dry skin
c. Nausea and vomiting
d. Stomatitis - A. Confusion
The nurse should identify confusion as a manifestation of hypoglycemia. Clients who are receiving total
parenteral nutrition are at risk for developing hypoglycemia when TPN is discontinued. The
manifestations of hypoglycemia are confusion, cool and clammy skin, erratic behavior, and shakiness.
A nurse is teaching a client who has a prescription for ferrous sulfate about food interactions. Which of
the following statements indicates that the client understands the teaching?
a. "I can take this medication with juice"
b. "I can take this medication with my eggs at breakfast"
c. "I will drink low-fat milk when taking this medication
d. "I will take this medication with my coffee" - A. "I can take this medication with juice"
The nurse should instruct the client to use this medication between meals with juice. The client can take
this medication with meals if gastric upset occurs.
A nurse is observing a client during mealtime who has a stroke and has left-sided facial weakness. Which
of the following findings places the client at risk for aspiration?
, a. Client places food on the right side of their mouth when eating.
b. Client avoids drinking liquids to help swallow food that is in their mouth.
c. Client tucks their chin down and tilts their head forward when eating.
d. Client is positioned at a 30 degree angle when eating. - D. Client is positioned at a 30 degree angle
when eating
The nurse should identify positioning a client at a 30 degree angle while eating increases the client's risk
for aspiration; therefore, the nurse should position the client in an upright position at 90 degrees to
prevent aspiration of food or liquids. This position helps with swallowing to protect the airway.
Aspiration can lead to complications including pneumonia.
A nurse is caring for a client who has anemia and a new prescription for an iron supplement. The nurse
should recommend the client consume the supplement with which of the following beverages to
increase absorption?
a. Protein shake
b. Skim milk
c. Tomato juice
d. Green tea - c. Tomato juice
the nurse should recommend the client consume the supplement with beverages containing vitamin c,
such as tomato juice or orange juice, because this will enhance the absorption of the iron supplement
A nurse is assessing a client who has fluid volume excess. Which of the following manifestations should
the nurse expect?
a. Weak peripheral pulses
b. Increased hematocrit
c. Crackles in the lungs
d. Weight loss from baseline - C. Crackles in the lungs
the nurse should identify that a client who has fluid volume excess can develop crackles in the lungs,
shortness of breath, and dyspnea.
