NSG 3100 Exam 4 NCLEX
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse is providing education to a patient about the difference between simple and complex
carbohydrates. Which statement by the patient indicates a need for further education?
A. “Simple carbohydrates give me quick energy.”
B. “Complex carbohydrates come from fruit.”
C. “Complex carbohydrates take longer to break down.”
D. “Simple carbohydrates come from milk products.”
2. The nurse teaches the family member to provide the patient with how much dietary fiber per day?
A. 25 to 35 g
B. 20 to 35 g
C. 25 to 40 g
D. 20 to 40 g
3. The nurse is providing education to an older adult around a healthy diet to support the challenges
related to aging. Which statement indicates a need for further education?
A. “I should choose foods that are nutrient dense.”
B. “High-fiber foods minimize the risk of constipation.”
C. “I should eat more calories to avoid malnutrition.”
D. “I can add spices to enhance the taste of food.”
4. When caring for an adolescent patient with anorexia nervosa, the nurse knows what would be the
best treatment option for this patient?
A. Hospitalization with skill nursing care
B. Compulsory tube feedings
C. Individually determined by a collaborative team
D. Outpatient treatment
5. A new UAP is measuring a patient’s height. Which step of the procedure indicates a need for the
registered nurse to provide further education on this skill?
A. The UAP instructs the patient to remove shoes.
B. The UAP measures from the top of the patient’s head to the bottom of the patient’s
foot arch.
C. The UAP positions the head against the headboard or measuring device.
D. The UAP makes sure the patient is standing erect.
6. The nurse is performing an oral examination on a patient and notices a beefy-red tongue. The nurse
identifies this as a characteristic finding for what condition?
A. Anorexia nervosa
B. Malnutrition
C. Bulimia
D. Pernicious anemia
, 7. The nurse has delegated the feeding of a patient who has recently had a stroke to the UAP. Which
procedure that the UAP performs would demonstrate a need for further education?
A. Uses thickened liquids
B. Puts the bed at 25 degrees
C. Encourages slow eating
D. Has the patient alternate between food and sips of fluid
8. The nurse recognizes which outcome statement to be appropriate for the nursing diagnosis impaired
swallowing?
A. Patient will consume 50% of each meal.
B. Patient will gain 2 lb a week.
C. Patient will not show any signs of aspiration during meals.
D. Patient will demonstrate using an assistive device to feed self.
9. The nurse is explaining to the UAP that the patient is on a full-liquid diet. Which statement by the
UAP indicates a need for reorientation?
A. “I can give the patient orange juice.”
B. “I can give the patient yogurt.”
C. “I can give the patient oatmeal.”
D. “I can give the patient milk.”
10. The nurse is educating a patient about a renal diet. Which statement by the patient indicates a need
for further education?
A. “I need to eat a low-sodium diet.”
B. “I can have limited amounts of meat.”
C. “I can drink unlimited cola if it is diet.”
D. “I should avoid or limit bananas.”
11. The nurse knows that initial verification of a nasogastric placement is important. Which method is
considered the only reliable method to determine enteral tube placement?
A. Auscultation of air bolus
B. Measurement of pH of the aspirate
C. Radiographic image
D. Aspirate contents to visually inspect appearance
12. The nurse is attempting to open an occluded PEG tube. Which intervention by the nurse requires re-
education?
A. Flushes the tube with a small amount of air
B. Flushes the tube using a 50- to 60-mL syringe and warm water
C. Reinserts the stylet to break up the clot
D. Flushes the tube with a special enzyme solution
13. When the nurse is caring for a patient who is receiving total parenteral nutrition (TPN), the nurse
will change the tubing at which interval?
A. Every 72 hours
B. Every 48 hours
C. Every 24 hours
D. Every 12 hours
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse is providing education to a patient about the difference between simple and complex
carbohydrates. Which statement by the patient indicates a need for further education?
A. “Simple carbohydrates give me quick energy.”
B. “Complex carbohydrates come from fruit.”
C. “Complex carbohydrates take longer to break down.”
D. “Simple carbohydrates come from milk products.”
2. The nurse teaches the family member to provide the patient with how much dietary fiber per day?
A. 25 to 35 g
B. 20 to 35 g
C. 25 to 40 g
D. 20 to 40 g
3. The nurse is providing education to an older adult around a healthy diet to support the challenges
related to aging. Which statement indicates a need for further education?
A. “I should choose foods that are nutrient dense.”
B. “High-fiber foods minimize the risk of constipation.”
C. “I should eat more calories to avoid malnutrition.”
D. “I can add spices to enhance the taste of food.”
4. When caring for an adolescent patient with anorexia nervosa, the nurse knows what would be the
best treatment option for this patient?
A. Hospitalization with skill nursing care
B. Compulsory tube feedings
C. Individually determined by a collaborative team
D. Outpatient treatment
5. A new UAP is measuring a patient’s height. Which step of the procedure indicates a need for the
registered nurse to provide further education on this skill?
A. The UAP instructs the patient to remove shoes.
B. The UAP measures from the top of the patient’s head to the bottom of the patient’s
foot arch.
C. The UAP positions the head against the headboard or measuring device.
D. The UAP makes sure the patient is standing erect.
6. The nurse is performing an oral examination on a patient and notices a beefy-red tongue. The nurse
identifies this as a characteristic finding for what condition?
A. Anorexia nervosa
B. Malnutrition
C. Bulimia
D. Pernicious anemia
, 7. The nurse has delegated the feeding of a patient who has recently had a stroke to the UAP. Which
procedure that the UAP performs would demonstrate a need for further education?
A. Uses thickened liquids
B. Puts the bed at 25 degrees
C. Encourages slow eating
D. Has the patient alternate between food and sips of fluid
8. The nurse recognizes which outcome statement to be appropriate for the nursing diagnosis impaired
swallowing?
A. Patient will consume 50% of each meal.
B. Patient will gain 2 lb a week.
C. Patient will not show any signs of aspiration during meals.
D. Patient will demonstrate using an assistive device to feed self.
9. The nurse is explaining to the UAP that the patient is on a full-liquid diet. Which statement by the
UAP indicates a need for reorientation?
A. “I can give the patient orange juice.”
B. “I can give the patient yogurt.”
C. “I can give the patient oatmeal.”
D. “I can give the patient milk.”
10. The nurse is educating a patient about a renal diet. Which statement by the patient indicates a need
for further education?
A. “I need to eat a low-sodium diet.”
B. “I can have limited amounts of meat.”
C. “I can drink unlimited cola if it is diet.”
D. “I should avoid or limit bananas.”
11. The nurse knows that initial verification of a nasogastric placement is important. Which method is
considered the only reliable method to determine enteral tube placement?
A. Auscultation of air bolus
B. Measurement of pH of the aspirate
C. Radiographic image
D. Aspirate contents to visually inspect appearance
12. The nurse is attempting to open an occluded PEG tube. Which intervention by the nurse requires re-
education?
A. Flushes the tube with a small amount of air
B. Flushes the tube using a 50- to 60-mL syringe and warm water
C. Reinserts the stylet to break up the clot
D. Flushes the tube with a special enzyme solution
13. When the nurse is caring for a patient who is receiving total parenteral nutrition (TPN), the nurse
will change the tubing at which interval?
A. Every 72 hours
B. Every 48 hours
C. Every 24 hours
D. Every 12 hours
