Practice 2023 A
Questions with
Complete Solutions
Graded A+
Denning [Date] [Course title]
,A nurse is caring for a client.
Exhibit 1
Nurses' Notes:
2 months ago: Client discharged from hospital following total gastrectomy. Client tolerating full liquid
diet. May advance to pureed diet in 1 week. Client instructed to schedule appointments with surgeon
for monthly follow-up visits.
Today: Client presents to surgeon's office for monthly follow-up visit. Client reports that they advanced
their diet to a soft diet as instructed. Client states, "I am eating fine, but about 15 minutes after I eat, I
get abdominal cramps, nausea, diarrhea, and it feels like my heart is racing. When that happens, my
muscles feel weak, and I get sweaty."
Exhibit 2
Vital Signs:
2 months ago:
Temperature 37° C (98.6° F)
Heart rate 82/min
Respiratory rate 14/min
Blood pressure 129/84 mm Hg
SpO2 98% on room air
Today:
Temperature 37° C (98.6° F)
Heart rate 62/min
Respiratory rate 16/min
Blood pressure 122/76 mm Hg
SpO2 99% on ro - Answer: For each assessment finding, click to specify if the finding is consistent with
dumping syndrome, hypoglycemia, or refeeding syndrome. Each finding may support more than one
condition.
Assessment Findings
Dumping Syndrome:
, Abdominal cramping
Muscle Weakness
Nausea
Diarrhea
Sweating
Timing of manifestations after eating
Hypoglycemia:
Muscle Weakness
Sweating
Refeeding Syndrome:
Muscle weakness
A nurse is caring for a client in a health clinic.
Exhibit 1
Nurses' Notes
6 months ago:
Older adult client brought to the clinic by adult child for reports of increasing forgetfulness and
confusion. Child states, "My father went shopping and forgot where he left the car." Today's weight is
75.7 kg (167 lb).
Today:
Client presented to provider's office with adult child for follow-up visit for dementia that was diagnosed
6 months ago. Child reports client has continued forgetfulness and confusion. Child states, "Sometimes I
come over to his house and find uneaten food in the microwave." Client denies forgetting to eat and
reports eating 3 meals per day. Today's weight is 68 kg (150 lb). Malnutrition Screening Tool (MST) score
of 4 which indicates potential malnutrition.
Exhibit 2
Vital Signs
6 months ago: