N440 Exam 2 Questions with Complete
Solutions
Which nursing intervention will be most beneficial in helping pancreatitis pt and his wife plan
for the future if pt is unable to modify his lifestyle? Discuss the need to complete an
advanced directive.
A nurse is conducting a nutrition assessment on a client who is admitted for hip replacement
surgery. The client reports that he is Jewish and follows the kosher dietary tradition. Which of the
following statements by the nurse will have the greatest impact on the client's nutritional health
during his hospitalization? Tell me more about your preferred eating habits.
The nurse is planning care for a postoperative patient. What should be included when planning
for this patient's nutritional needs? Daily caloric intake should be increased.
Obesity BMI BMI >30
Overweight BMI BMI >25
,Hypercatabolism When catabolism exceeds normal physiological rates.
Normal BMI BMI of 18.5-24.9
Malnutrition A deficiency of macro-nutrients.
Hypermetabolism When resting energy needs are increased.
The nurse is administering a 200 mL nasogastric feeding. Upon aspirating, there is 20 mL of
residual. What should the be the nurse's next action? Replace aspirate and begin tube
feeding.
How are small-bore feeding tubes different from large-bore tubes? Small bore tubes are
more comfortable for continuous feeding.
A client who is recovering from surgery has been advanced from a clear liquid diet to a full
liquid diet. The client is looking forward to the diet change because he has been bored with the
clear liquid diet. The nurse would offer which full liquid item to the client? Custard.
, The nurse calculates a client's BMI as 13. Which intervention should the nurse initiate?
Encourage the client to have high calorie, increased protein snacks.
The nurse is administering metoclopramide (Reglan) to a client. The patient asks the nurse how
this drug works. How should the nurse respond? It will help your stomach to empty faster
and reduce your nausea.
The nurse is caring for a patient with stress incontinence. The patient begins reporting painful
urination and foul smelling urine. What is the most appropriate action from the nurse?
Contact the provider and anticipate antibiotic administration
A patient with severe dementia has become incontinent of urine. The patient's daughter asks why
this is happening. What is the best response by the nurse? Your mother is losing control
of her bladder due to the dementia.
The nurse is caring for a patient who has suffered a spinal cord injury and is concerned about the
patient's elimination status. What is the nurse's best action? Establish a bowel and bladder
program for the patient
The kidneys play a major role in all of the following except: Regulating CO2
Solutions
Which nursing intervention will be most beneficial in helping pancreatitis pt and his wife plan
for the future if pt is unable to modify his lifestyle? Discuss the need to complete an
advanced directive.
A nurse is conducting a nutrition assessment on a client who is admitted for hip replacement
surgery. The client reports that he is Jewish and follows the kosher dietary tradition. Which of the
following statements by the nurse will have the greatest impact on the client's nutritional health
during his hospitalization? Tell me more about your preferred eating habits.
The nurse is planning care for a postoperative patient. What should be included when planning
for this patient's nutritional needs? Daily caloric intake should be increased.
Obesity BMI BMI >30
Overweight BMI BMI >25
,Hypercatabolism When catabolism exceeds normal physiological rates.
Normal BMI BMI of 18.5-24.9
Malnutrition A deficiency of macro-nutrients.
Hypermetabolism When resting energy needs are increased.
The nurse is administering a 200 mL nasogastric feeding. Upon aspirating, there is 20 mL of
residual. What should the be the nurse's next action? Replace aspirate and begin tube
feeding.
How are small-bore feeding tubes different from large-bore tubes? Small bore tubes are
more comfortable for continuous feeding.
A client who is recovering from surgery has been advanced from a clear liquid diet to a full
liquid diet. The client is looking forward to the diet change because he has been bored with the
clear liquid diet. The nurse would offer which full liquid item to the client? Custard.
, The nurse calculates a client's BMI as 13. Which intervention should the nurse initiate?
Encourage the client to have high calorie, increased protein snacks.
The nurse is administering metoclopramide (Reglan) to a client. The patient asks the nurse how
this drug works. How should the nurse respond? It will help your stomach to empty faster
and reduce your nausea.
The nurse is caring for a patient with stress incontinence. The patient begins reporting painful
urination and foul smelling urine. What is the most appropriate action from the nurse?
Contact the provider and anticipate antibiotic administration
A patient with severe dementia has become incontinent of urine. The patient's daughter asks why
this is happening. What is the best response by the nurse? Your mother is losing control
of her bladder due to the dementia.
The nurse is caring for a patient who has suffered a spinal cord injury and is concerned about the
patient's elimination status. What is the nurse's best action? Establish a bowel and bladder
program for the patient
The kidneys play a major role in all of the following except: Regulating CO2
