NUR 152 Exam 2 (Weeks 4-6): Updated A+ Guide
Solution
The client reports to the nurse that she feels as if her eyes are persistently dry. This
symptom is consistent with a deficiency in which dietary element?
(a) Protein
(b) Vitamin D
(c) Calcium
(d) Vitamin A - ANSWERd
A nurse documents a client's hemoglobin as 80 g/L. What nutritional condition does
this biochemical data signify?
(a) Dehydration
(b) Malnutrition
(c) Malabsorption
(d) Anemia - ANSWERd--normal = 12 to 18 g/dL; 120 to 180 g/L
The nurse is performing a nutritional assessment of an obese client who visits a
weight control clinic. What information should the nurse take into consideration
when planning a weight reduction plan for this client?
(a) To lose 1 pound/week, the daily intake should be decreased by 200 calories.
(b) One pound of body fat equals approximately 5,000 calories.
(c) Psychological reasons for overeating should be explored, such as eating as a
release for boredom.
(d) Obesity is very treatable, and 50% of obese people who lose weight maintain the
weight loss for 7 years. - ANSWERc--One pound of body fat is equal to approximately
3,500 calories. To lose 1 pound/week, the daily intake should be decreased by 500
calories per day. Obesity can be difficult to treat due to various factors.
A 16-year-old adolescent informs her nurse that she became a vegetarian 1 year ago.
Lately she is reporting fatigue and has trouble concentrating. A quick blood test
ordered by her licensed provider informs the nurse that she has pernicious anemia.
This is a deficiency of what vitamin?
(a) vitamin C
(b) vitamin B12
(c) folic acid
(d) vitamin A - ANSWERb
A client with diabetes mellitus must monitor carbohydrate intake. Which client
statement requires nursing intervention?
(a) "I like to eat eggs for breakfast."
(b) "I'll monitor my intake of fruit juice."
(c) "My favorite drink is coffee with sugar."
(d) "At every meal, I eat a small portion of lean meat." - ANSWERc--A client
monitoring carbohydrate intake should be mindful of the intake of extra sugar
, The charge nurse is observing a new nurse care for a client who is receiving a
continuous feeding through a nasogastric feeding tube. Which action by the new
nurse would require intervention by the charge nurse?
(a) The new nurse places the client in the left lateral recumbent position.
(b) The new nurse changes gloves before preparing the feeding bag.
(c) The new nurse interrupts the feeding every 4 hours and aspirates gastric
contents.
(d) The new nurse asks the client whether nausea or abdominal pain is present. -
ANSWERa
A nurse is reviewing a client's laboratory values. Which laboratory value would be
indicative of a client's level of malnutrition?
(a) Hemoglobin
(b) Serum albumin
(c) Creatinine
(d) Oxygen saturation - ANSWERb
An older adult client informs the nurse that foods don't taste or smell the same and
eating is a chore. What suggestion can the nurse provide to the client to address this
age-related change?
(a) Try eating foods that are attractive and at the proper temperature.
(b) Try eating 2 to 3 foods at a time.
(c) Try eating foods with the same textures and aromas.
(d) Use spicy condiments to add flavor. - ANSWERa
The nurse is teaching the caregiver of a toddler about the importance of calcium to
help a child's teeth and bones develop properly. Which client statement reflects that
nursing teaching has been effective?
(a) "Vitamin A helps calcium absorption."
(b) "Vitamin D helps calcium absorption."
(c) "Too much calcium can cause bone softening."
(d) "Muscles store excess calcium." - ANSWERb
The nurse is caring for a client with malnutrition due to protein deficiency. Which
information should the nurse teach family members about protein? Select all that
apply.
(a) Protein can be found in meat and fish.
(b) Recommended daily allowance of protein is 0.8 g/kg.
(c) Protein should be baked, boiled or grilled to lessen fat intake.
(d) A mix of unsalted nuts, seeds and dried fruit make a good protein snack.
(e) A serving of protein is about the size of the palm of your hand. - ANSWERa,b,c,d,e
An athlete wants to increase her intake of complex carbohydrates and asks the nurse
about potential sources. Which food is considered a complex carbohydrate?
(a) Molasses
(b) Syrup
(c) Brown sugar
Solution
The client reports to the nurse that she feels as if her eyes are persistently dry. This
symptom is consistent with a deficiency in which dietary element?
(a) Protein
(b) Vitamin D
(c) Calcium
(d) Vitamin A - ANSWERd
A nurse documents a client's hemoglobin as 80 g/L. What nutritional condition does
this biochemical data signify?
(a) Dehydration
(b) Malnutrition
(c) Malabsorption
(d) Anemia - ANSWERd--normal = 12 to 18 g/dL; 120 to 180 g/L
The nurse is performing a nutritional assessment of an obese client who visits a
weight control clinic. What information should the nurse take into consideration
when planning a weight reduction plan for this client?
(a) To lose 1 pound/week, the daily intake should be decreased by 200 calories.
(b) One pound of body fat equals approximately 5,000 calories.
(c) Psychological reasons for overeating should be explored, such as eating as a
release for boredom.
(d) Obesity is very treatable, and 50% of obese people who lose weight maintain the
weight loss for 7 years. - ANSWERc--One pound of body fat is equal to approximately
3,500 calories. To lose 1 pound/week, the daily intake should be decreased by 500
calories per day. Obesity can be difficult to treat due to various factors.
A 16-year-old adolescent informs her nurse that she became a vegetarian 1 year ago.
Lately she is reporting fatigue and has trouble concentrating. A quick blood test
ordered by her licensed provider informs the nurse that she has pernicious anemia.
This is a deficiency of what vitamin?
(a) vitamin C
(b) vitamin B12
(c) folic acid
(d) vitamin A - ANSWERb
A client with diabetes mellitus must monitor carbohydrate intake. Which client
statement requires nursing intervention?
(a) "I like to eat eggs for breakfast."
(b) "I'll monitor my intake of fruit juice."
(c) "My favorite drink is coffee with sugar."
(d) "At every meal, I eat a small portion of lean meat." - ANSWERc--A client
monitoring carbohydrate intake should be mindful of the intake of extra sugar
, The charge nurse is observing a new nurse care for a client who is receiving a
continuous feeding through a nasogastric feeding tube. Which action by the new
nurse would require intervention by the charge nurse?
(a) The new nurse places the client in the left lateral recumbent position.
(b) The new nurse changes gloves before preparing the feeding bag.
(c) The new nurse interrupts the feeding every 4 hours and aspirates gastric
contents.
(d) The new nurse asks the client whether nausea or abdominal pain is present. -
ANSWERa
A nurse is reviewing a client's laboratory values. Which laboratory value would be
indicative of a client's level of malnutrition?
(a) Hemoglobin
(b) Serum albumin
(c) Creatinine
(d) Oxygen saturation - ANSWERb
An older adult client informs the nurse that foods don't taste or smell the same and
eating is a chore. What suggestion can the nurse provide to the client to address this
age-related change?
(a) Try eating foods that are attractive and at the proper temperature.
(b) Try eating 2 to 3 foods at a time.
(c) Try eating foods with the same textures and aromas.
(d) Use spicy condiments to add flavor. - ANSWERa
The nurse is teaching the caregiver of a toddler about the importance of calcium to
help a child's teeth and bones develop properly. Which client statement reflects that
nursing teaching has been effective?
(a) "Vitamin A helps calcium absorption."
(b) "Vitamin D helps calcium absorption."
(c) "Too much calcium can cause bone softening."
(d) "Muscles store excess calcium." - ANSWERb
The nurse is caring for a client with malnutrition due to protein deficiency. Which
information should the nurse teach family members about protein? Select all that
apply.
(a) Protein can be found in meat and fish.
(b) Recommended daily allowance of protein is 0.8 g/kg.
(c) Protein should be baked, boiled or grilled to lessen fat intake.
(d) A mix of unsalted nuts, seeds and dried fruit make a good protein snack.
(e) A serving of protein is about the size of the palm of your hand. - ANSWERa,b,c,d,e
An athlete wants to increase her intake of complex carbohydrates and asks the nurse
about potential sources. Which food is considered a complex carbohydrate?
(a) Molasses
(b) Syrup
(c) Brown sugar
