N440 UNIT 2 – 2025 LATEST UPDATE 80 PRACTICE QUESTIONS
WITH CORRECT ANSWERS | CELIAC DISEASE, MALNUTRITION,
SWALLOWING SAFETY, AND LIVER DISORDERS COVERING RECENT
TESTED QUESTIONS
N440 UNIT 2 EXAMINES INTEGRATED CARE FOR PATIENTS WITH CELIAC
DISEASE, MALNUTRITION, LIVER CONDITIONS, AND SWALLOWING DISORDERS.
THIS 2025 PRACTICE SET PROVIDES HIGH-YIELD CLINICAL SCENARIOS THAT
STRENGTHEN STUDENTS’ ABILITY TO RECOGNIZE RISKS, RESPOND TO PRIORITY
CUES, AND IMPLEMENT EVIDENCE-BASED NURSING INTERVENTIONS IN BOTH
ACUTE AND COMMUNITY SETTINGS.
The nurse is obtaining a health history from the mother of a 10-month-old infant who has celiac
disease. Specific to celiac disease, the nurse would expect the mother to indicate that her baby:
a.Is irritable throughout the day.
b.Has bulky, foul, frothy stools.
c.Drinks large amounts of fluid.
d.Voids strong, concentrated urine. - CORRECT ANSWER-b.Has bulky, foul, frothy stools.
The nurse recognizes that anemia in a child with celiac disease is caused by:
1.Incomplete absorption of iron and folic acid.
2.Absence of the intrinsic factor in the stomach.
3.The decreased amount of iron in the celiac diet.
4.An inadequate food intake and the child's minimal appetite. - CORRECT ANSWER-1.Incomplete
absorption of iron and folic acid.
The parents of a child diagnosed with celiac disease tell the healthcare provider, "Our baby is getting
a lot of bruises lately." The healthcare provider explains that the bruising is most likely caused by a
deficiency in which of these nutrients?
Please choose from one of the following options.
A. Vitamin K
,B. Folate
C. Vitamin D
D. Iron - CORRECT ANSWER-A. Vitamin K
The nurse is assessing a patient with undernutrition who has been newly admitted to the unit.
Which assessment finding requires immediate action by the nurse?
1. Hair loss
2. Ulcerations of the mouth
3. Gagging with sips of water
4. Redness of, and excoriation to, feet - CORRECT ANSWER-3. Gagging with sips of water
Mrs. Smith begins to have cramping in her abdomen. Which is the nurse's priority action?
1. Call the rapid response team.
2. Decrease the tube feeding rate.
3. Check the feeding tube site for infection.
4. Immediately notify the health care provider. - CORRECT ANSWER-2. Decrease the tube feeding
rate.
Mrs. Smith's family reports they did not observe the patient having difficulty swallowing food at
home and are frustrated she is not to eat in the hospital. Which is the nurse's best response?
1. "The health care provider will be making rounds later this afternoon and you can speak to her
directly about your concerns."
2. "I will check with the health care provider to see if she can eat. You look at the menu and decide
which foods would be best to order."
3. "You should have noticed at home that she was choking and coughing while eating. This can lead
to pneumonia and a prolonged hospital stay."
4. "Signs of difficulty swallowing can be subtle, but complications are harmful. Mrs. Smith will not be
able to eat until her swallowing has improved." - CORRECT ANSWER-4. "Signs of difficulty swallowing
can be subtle, but complications are harmful. Mrs. Smith will not be able to eat until her swallowing
has improved."
, A patient with malnutrition presents with fatigue and low energy. Which laboratory value supports
these clinical manifestations?
1. Hemoglobin 9.4 g/dL
2. Potassium (K+) 3.8 mEq/L
3. Aspartate aminotransferase (AST) 28 units/L
4. Red blood cell count (RBC) 5.1 million cells/microliter - CORRECT ANSWER-1. Hemoglobin 9.4 g/dL
The nurse is caring for a patient with a history of undernutrition and stroke. The nurse observes the
patient coughing while taking sips of water. Which is the nurse's priority action?
1. Tell the patient to slow drinking.
2. Add a thickening substance to the patient's liquids.
3. Remove liquids from the patient's tray and switch to food.
4. Ensure the patient remains NPO and contact the health care provider. - CORRECT ANSWER-4.
Ensure the patient remains NPO and contact the health care provider.
A nurse is evaluating a patient with cachexia due to Marasmus. Which of the following is NOT a sign
that cachexia is occurring?
A.Weight loss
B.Thin, wasted extremities
C.Loss of appetite
D.Large, rounded abdomen - CORRECT ANSWER-D.Large, rounded abdomen
During a study abroad program, a nursing student visits a village in which many children suffer from
Kwashiorkor. The nurse understands this is due to inadequate:
A.Protein
B.Calories
C.Iron
D.None of the above
E.Both A and B - CORRECT ANSWER-A.Protein
WITH CORRECT ANSWERS | CELIAC DISEASE, MALNUTRITION,
SWALLOWING SAFETY, AND LIVER DISORDERS COVERING RECENT
TESTED QUESTIONS
N440 UNIT 2 EXAMINES INTEGRATED CARE FOR PATIENTS WITH CELIAC
DISEASE, MALNUTRITION, LIVER CONDITIONS, AND SWALLOWING DISORDERS.
THIS 2025 PRACTICE SET PROVIDES HIGH-YIELD CLINICAL SCENARIOS THAT
STRENGTHEN STUDENTS’ ABILITY TO RECOGNIZE RISKS, RESPOND TO PRIORITY
CUES, AND IMPLEMENT EVIDENCE-BASED NURSING INTERVENTIONS IN BOTH
ACUTE AND COMMUNITY SETTINGS.
The nurse is obtaining a health history from the mother of a 10-month-old infant who has celiac
disease. Specific to celiac disease, the nurse would expect the mother to indicate that her baby:
a.Is irritable throughout the day.
b.Has bulky, foul, frothy stools.
c.Drinks large amounts of fluid.
d.Voids strong, concentrated urine. - CORRECT ANSWER-b.Has bulky, foul, frothy stools.
The nurse recognizes that anemia in a child with celiac disease is caused by:
1.Incomplete absorption of iron and folic acid.
2.Absence of the intrinsic factor in the stomach.
3.The decreased amount of iron in the celiac diet.
4.An inadequate food intake and the child's minimal appetite. - CORRECT ANSWER-1.Incomplete
absorption of iron and folic acid.
The parents of a child diagnosed with celiac disease tell the healthcare provider, "Our baby is getting
a lot of bruises lately." The healthcare provider explains that the bruising is most likely caused by a
deficiency in which of these nutrients?
Please choose from one of the following options.
A. Vitamin K
,B. Folate
C. Vitamin D
D. Iron - CORRECT ANSWER-A. Vitamin K
The nurse is assessing a patient with undernutrition who has been newly admitted to the unit.
Which assessment finding requires immediate action by the nurse?
1. Hair loss
2. Ulcerations of the mouth
3. Gagging with sips of water
4. Redness of, and excoriation to, feet - CORRECT ANSWER-3. Gagging with sips of water
Mrs. Smith begins to have cramping in her abdomen. Which is the nurse's priority action?
1. Call the rapid response team.
2. Decrease the tube feeding rate.
3. Check the feeding tube site for infection.
4. Immediately notify the health care provider. - CORRECT ANSWER-2. Decrease the tube feeding
rate.
Mrs. Smith's family reports they did not observe the patient having difficulty swallowing food at
home and are frustrated she is not to eat in the hospital. Which is the nurse's best response?
1. "The health care provider will be making rounds later this afternoon and you can speak to her
directly about your concerns."
2. "I will check with the health care provider to see if she can eat. You look at the menu and decide
which foods would be best to order."
3. "You should have noticed at home that she was choking and coughing while eating. This can lead
to pneumonia and a prolonged hospital stay."
4. "Signs of difficulty swallowing can be subtle, but complications are harmful. Mrs. Smith will not be
able to eat until her swallowing has improved." - CORRECT ANSWER-4. "Signs of difficulty swallowing
can be subtle, but complications are harmful. Mrs. Smith will not be able to eat until her swallowing
has improved."
, A patient with malnutrition presents with fatigue and low energy. Which laboratory value supports
these clinical manifestations?
1. Hemoglobin 9.4 g/dL
2. Potassium (K+) 3.8 mEq/L
3. Aspartate aminotransferase (AST) 28 units/L
4. Red blood cell count (RBC) 5.1 million cells/microliter - CORRECT ANSWER-1. Hemoglobin 9.4 g/dL
The nurse is caring for a patient with a history of undernutrition and stroke. The nurse observes the
patient coughing while taking sips of water. Which is the nurse's priority action?
1. Tell the patient to slow drinking.
2. Add a thickening substance to the patient's liquids.
3. Remove liquids from the patient's tray and switch to food.
4. Ensure the patient remains NPO and contact the health care provider. - CORRECT ANSWER-4.
Ensure the patient remains NPO and contact the health care provider.
A nurse is evaluating a patient with cachexia due to Marasmus. Which of the following is NOT a sign
that cachexia is occurring?
A.Weight loss
B.Thin, wasted extremities
C.Loss of appetite
D.Large, rounded abdomen - CORRECT ANSWER-D.Large, rounded abdomen
During a study abroad program, a nursing student visits a village in which many children suffer from
Kwashiorkor. The nurse understands this is due to inadequate:
A.Protein
B.Calories
C.Iron
D.None of the above
E.Both A and B - CORRECT ANSWER-A.Protein
