NU 155 Exam 2
1. A patient is being treated for fluid overload. What might you see in the patient’s care
plan regarding nutrition therapy? Select all that apply.
atient is placed on fluid restrictions
atient is placed on a sodium restricted diet
¢. Patient is encouraged to drink 1500 mL of water
atient education on checking food labels for sodium content
2.) A patient who has a colostomy is complaining about having excess gas. You ask the patient
to tell you what he has ate in the past 48 hours. Which food would you suspect is causing the
patient excessive gas?
A. Squash, Spinach, and Pickles
B. Chicken, grapes, and raspberries
herries, Radishes, and Watermelon
D. Caraway seeds, tomato soup, and eggs
3. A patient is diagnosed with Congestive Heart Failure and must follow a specific diet. Which
spices are okay for the patient to use daily?
A. Garlic Sodium
& Nutmeg
B. Sea salt & Pepper
Onion Salt & Garlic Powder
inger & Bay Leaves
4.) A patient with gout should follow what type of diet?
A. High-calcium diet
B. Renal Diet
w-purine diet
D. Potassium-modified diet
5.The client who was started on total parenteral nutrition (TPN) yesterday has the following
morning lab results. Which result indicates the greatest urgency for the nurse's collaboration
with the physician?
‘ ?otasslum of-a' 5
. Serum glucose of ‘9«36
C.BUN of 60
D. Prealbumin of 15
6.The nurse is creating a plan of care for a client receiving enteral feedings via a gastrostorny
tube (G-tube). The nurse should plan to include which intervention in the plan of care?
A. Provide oral fluids 3 times per day
heck around the stoma site for skin irritation.
C. Medicate with antidiarrheal medications every day
, g the tube feedings
D. Use sterile technique when administerin
7.The nurse instructs a client about a low-fat diet. Which menu selection indicates that the
client understands the nurse's instructions?
A. Shrimp and bacon salad
B. Liver, potato salad, sherbet
urkey breast, boiled rice, and fruit.
- Lean hamburger steak and macaroni and cheese
8.A patient with tented skin turgor, dry mucous membranes, and decreased urinary output is
under the nurse's care. Which nursing intervention should be included in the care plan for the
patient?
dministering I.V. and oral fluids.-
B. Clustering necessary activities throughout the day-
C. Assessing color, odor, and amount of sputum-
D. Monitoring serum albumin and total protein levels-
9.Lab tests revealed that the patient’s sodium level [Na+] is 170 mEq/L. Which clinical
manifestation would the nurse expect to assess?
( ented skin turgor and thirst.
B. Muscle twitching and tetany
C. Fruity breath and Kussmaul's respirations
D. Muscle weakness and paresthesia
10.A client with a very dry mouth, skin, and mucous membranes is diagnosed with dehydrat
ion_
Which intervention should the nurse perform when caring for a client diagnosed with fluid
volume deficit?
é\ssessing urinary intake and output.
B. Obtaining the client's weight weekly at different times of the day
C. Monitoring arterial blood gas (ABG) results
D. Maintaining L.V. therapy at the keep-vein-open rate
11.You are taking a patient's blood pressure manually. As you pump up the cuff above the
systolic pressure for a few minutes you notice that the patient develop a carpal spasm. Which
f the following is true? *
é’his is known as Jrousseau's Sign and is present in patients with Hypocalemia -
B. This is known as Trousseau's Sign and is present in patients with Hypercalemia-
C. This is known as Chvostek's Sign
D. The patient is having a normal nervous response to an inflating blood pressure cuff that is
inflated above the systolic pressure
1. A patient is being treated for fluid overload. What might you see in the patient’s care
plan regarding nutrition therapy? Select all that apply.
atient is placed on fluid restrictions
atient is placed on a sodium restricted diet
¢. Patient is encouraged to drink 1500 mL of water
atient education on checking food labels for sodium content
2.) A patient who has a colostomy is complaining about having excess gas. You ask the patient
to tell you what he has ate in the past 48 hours. Which food would you suspect is causing the
patient excessive gas?
A. Squash, Spinach, and Pickles
B. Chicken, grapes, and raspberries
herries, Radishes, and Watermelon
D. Caraway seeds, tomato soup, and eggs
3. A patient is diagnosed with Congestive Heart Failure and must follow a specific diet. Which
spices are okay for the patient to use daily?
A. Garlic Sodium
& Nutmeg
B. Sea salt & Pepper
Onion Salt & Garlic Powder
inger & Bay Leaves
4.) A patient with gout should follow what type of diet?
A. High-calcium diet
B. Renal Diet
w-purine diet
D. Potassium-modified diet
5.The client who was started on total parenteral nutrition (TPN) yesterday has the following
morning lab results. Which result indicates the greatest urgency for the nurse's collaboration
with the physician?
‘ ?otasslum of-a' 5
. Serum glucose of ‘9«36
C.BUN of 60
D. Prealbumin of 15
6.The nurse is creating a plan of care for a client receiving enteral feedings via a gastrostorny
tube (G-tube). The nurse should plan to include which intervention in the plan of care?
A. Provide oral fluids 3 times per day
heck around the stoma site for skin irritation.
C. Medicate with antidiarrheal medications every day
, g the tube feedings
D. Use sterile technique when administerin
7.The nurse instructs a client about a low-fat diet. Which menu selection indicates that the
client understands the nurse's instructions?
A. Shrimp and bacon salad
B. Liver, potato salad, sherbet
urkey breast, boiled rice, and fruit.
- Lean hamburger steak and macaroni and cheese
8.A patient with tented skin turgor, dry mucous membranes, and decreased urinary output is
under the nurse's care. Which nursing intervention should be included in the care plan for the
patient?
dministering I.V. and oral fluids.-
B. Clustering necessary activities throughout the day-
C. Assessing color, odor, and amount of sputum-
D. Monitoring serum albumin and total protein levels-
9.Lab tests revealed that the patient’s sodium level [Na+] is 170 mEq/L. Which clinical
manifestation would the nurse expect to assess?
( ented skin turgor and thirst.
B. Muscle twitching and tetany
C. Fruity breath and Kussmaul's respirations
D. Muscle weakness and paresthesia
10.A client with a very dry mouth, skin, and mucous membranes is diagnosed with dehydrat
ion_
Which intervention should the nurse perform when caring for a client diagnosed with fluid
volume deficit?
é\ssessing urinary intake and output.
B. Obtaining the client's weight weekly at different times of the day
C. Monitoring arterial blood gas (ABG) results
D. Maintaining L.V. therapy at the keep-vein-open rate
11.You are taking a patient's blood pressure manually. As you pump up the cuff above the
systolic pressure for a few minutes you notice that the patient develop a carpal spasm. Which
f the following is true? *
é’his is known as Jrousseau's Sign and is present in patients with Hypocalemia -
B. This is known as Trousseau's Sign and is present in patients with Hypercalemia-
C. This is known as Chvostek's Sign
D. The patient is having a normal nervous response to an inflating blood pressure cuff that is
inflated above the systolic pressure
