RNSG 1533 Exam 2 Prep Material Newest
2025/2026 Complete Questions And Correct
Answers (Verified Answers)|Brand New
Version!
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. - CORRECT ANSWER-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.
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 - CORRECT ANSWER-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."
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. - CORRECT ANSWER-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
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. - CORRECT ANSWER-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
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. - CORRECT
ANSWER-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
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. - CORRECT
ANSWER-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
ANS: A
Hair loss (alopecia) and hair that is easily removed from the scalp (easy pluckability), like dry,
flaking skin, is caused by essential fatty acid deficiency. Inflammation of the tongue (glossitis)
and fissured tongue are manifestations of a niacin deficiency. Inflammation of peripheral
nerves (neuropathy) and numbness and tingling in extremities (paresthesia) are manifestations
of a thiamin deficiency. Fissures of the mouth (cheilosis) and inflammation of the mouth
(stomatitis) are manifestations of a pyridoxine deficiency. - CORRECT ANSWER-During a physical
examination, the nurse notes that the patient's skin is dry and flaking. What additional data
would the nurse expect to find to confirm the suspicion of a nutritional deficiency?
a. Hair loss and hair that is easily removed from the scalp
b. Inflammation of the tongue and fissured tongue
c. Inflammation of peripheral nerves and numbness and tingling in extremities
d. Fissures and inflammation of the mouth
Elimination is the excretion of waste products from the kidneys and intestines. - CORRECT
ANSWER-Elimination:
ANS: B
Establishing a bowel and bladder program for the patient is a priority to be sure that adequate
elimination is happening for the patient with a spinal cord injury. Speaking with the family to
determine food choices is not the primary concern. Speaking with the patient to know past
elimination habits does not apply, because the spinal cord injury changes elimination habits.
Establishing a bedtime ritual does not apply to elimination - CORRECT ANSWER-The nurse is caring
for a patient who has suffered a spinal cord injury and is concerned about the patient's
elimination status. What is the nurse's best action?
a. Speak with the patient's family about food choices.
2025/2026 Complete Questions And Correct
Answers (Verified Answers)|Brand New
Version!
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. - CORRECT ANSWER-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.
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 - CORRECT ANSWER-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."
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. - CORRECT ANSWER-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
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. - CORRECT ANSWER-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
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. - CORRECT
ANSWER-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
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. - CORRECT
ANSWER-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
ANS: A
Hair loss (alopecia) and hair that is easily removed from the scalp (easy pluckability), like dry,
flaking skin, is caused by essential fatty acid deficiency. Inflammation of the tongue (glossitis)
and fissured tongue are manifestations of a niacin deficiency. Inflammation of peripheral
nerves (neuropathy) and numbness and tingling in extremities (paresthesia) are manifestations
of a thiamin deficiency. Fissures of the mouth (cheilosis) and inflammation of the mouth
(stomatitis) are manifestations of a pyridoxine deficiency. - CORRECT ANSWER-During a physical
examination, the nurse notes that the patient's skin is dry and flaking. What additional data
would the nurse expect to find to confirm the suspicion of a nutritional deficiency?
a. Hair loss and hair that is easily removed from the scalp
b. Inflammation of the tongue and fissured tongue
c. Inflammation of peripheral nerves and numbness and tingling in extremities
d. Fissures and inflammation of the mouth
Elimination is the excretion of waste products from the kidneys and intestines. - CORRECT
ANSWER-Elimination:
ANS: B
Establishing a bowel and bladder program for the patient is a priority to be sure that adequate
elimination is happening for the patient with a spinal cord injury. Speaking with the family to
determine food choices is not the primary concern. Speaking with the patient to know past
elimination habits does not apply, because the spinal cord injury changes elimination habits.
Establishing a bedtime ritual does not apply to elimination - CORRECT ANSWER-The nurse is caring
for a patient who has suffered a spinal cord injury and is concerned about the patient's
elimination status. What is the nurse's best action?
a. Speak with the patient's family about food choices.
