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This test consists of 70 questions and answers
1. A nurse in a provider's office is caring for a client.
The nurse is planning dietary teaching for the client during the follow-up visit. Identify which
of thefollowing information the nurse should include.
Select all that apply
.:Ans>> Black beans are a safe source of fiber.
,Corn is an acceptable food to eat.
Quinoa is an acceptable grain to consume.It is safe
to use potato flour when cooking.
Rationale: When generating solutions and planning dietary teaching for a client whohas a new
diagnosis of celiac disease, the nurse should plan to instruct the client about foods that contain
gluten as well as foods that are gluten-free. The nurse should include that potato flour is safe for use
as it does not contain gluten. Beansand legumes are naturally gluten free and are a good source of
fiber. Corn, quinoa,and plain rice are also naturally gluten free and acceptable for consumption.
2. A nurse in a pediatrician's office is caring for a newborn. The nurse is providing teaching
to the parent about infant nutrition at the follow-up visit. Select the 3 statements the nurse
should include
.:Ans>> "Your baby is gaining weightat the expected rate."
"Your baby's length should be around 27 inches long by one year of age.""Your baby
should weigh about twenty pounds by one year of age."
Rationale: When taking action and providing teaching, the nurse should inform theparent that their
newborn should triple their birth weight and increase in length by 50% by one year of age. The nurse
should also inform the parent that their newbornis gaining weight at the expected rate, which is to
return to birth weight around 2 weeks of age.
,3. A charge nurse is reviewing the electronic medical record (EMR) of a client. Which of the
following findings from the client's EMR should the nurse recog-nize as an indication that the
client is experiencing hypervolemia?
Select all that apply
.:Ans>> Respiratory assessment
Blood pressure
Heart rate
, Pulse assessment
Sodium level Edema
assessment
Rationale: When recognizing cues, the charge nurse should identify that the client'sEMR findings of
pulse, respiratory, and edema assessments, blood pressure, heartrate, and sodium level could
indicate the client is experiencing hypervolemia. The client findings tachycardia, crackles in the lung
bases, bounding peripheral pulses,pitting edema, hyponatremia, and hypertension can be an
indication of fluid reten- tion.
4. A nurse is caring for a client who is at 16 weeks of gestation. Drag wordsfrom the
choices below to fill in each blank in the following sentence.
After initiating the client's prescriptions, the nurse should identify that theclient is at risk
for developing and
.:Ans>> Venous thrombosis
Hyperglycemia
Rationale: When analyzing cues, the nurse should identify that after initiating TPN therapy, the client
is at risk for developing venous thrombosis and hyperglycemia. Venous thrombosis can develop