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 Correct Answers b
A client has had a stroke and will require long-term tube
feeding. Which type of feeding tubes would be most appropriate
for this client's needs?
(a) Gastrostomy tube
(b) Nasogastric tube
(c) Nasointestinal (NI) tube
(d) Salem sump tube Correct Answers a
A client having a bowel surgery asks why being NPO after
surgery is necessary. Which statement by the nurse best
describes the reason?
(a) To allow gas to accumulate and promote healing
(b) To rest the gastrointestinal tract and promote healing
(c) To increase mucus in the bowel that helps to promote healing
(d) To prevent gas from forming in the bowel and interfere with
healing Correct Answers b
A client is prescribed warfarin, an anticoagulant. When
educating this client about potential diet and drug interactions,
,the nurse would caution the client about foods containing which
nutrient?
(a) Calcium
(b) Vitamin K
(c) Potassium
(d) Vitamin C Correct Answers b
A client is receiving total parenteral nutrition (TPN). The nurse
will assess for complications related to:
(a) fluid and electrolyte levels.
(b) ability to reposition.
(c) pain level during infusion.
(d) nausea or vomiting. Correct Answers a
A client who is bedridden and dependent has been ordered to
resume an oral diet. When feeding the client, the nurse should
perform what action?
(a) Assist the client into a high-Fowler's position.
(b) Feed the client carbohydrate-rich foods at the beginning of
the meal.
(c) Suction the client's upper airway before feeding.
(d) Ensure that the client's food is at room temperature. Correct
Answers a
A client who is recovering from a stroke has begun tube
feedings. Which principle should the nurse follow when
administering the tube feeding?
(a) Feeds must be warmed prior to instillation to reduce the risk
of nausea and vomiting.
(b) Intermittent feedings use gravity for instillation or a feeding
pump to administer the formula over a set period of time.
, (c) Continuous feedings are the preferred method of introducing
the formula over a set period of time via gravity or pump.
(d) Feeding intolerance is less likely to occur with larger
volumes. Correct Answers b
A client who is taking supplements reports severe flushing and
itching an hour after ingestion. The nurse is aware that the
supplement is most likely:
(a) thiamin.
(b) folate.
(c) niacin.
(d) riboflavin. Correct Answers c--Niacin, part of the B
vitamins, has a known side effect of flushing and itching after
ingestion
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." Correct
Answers c--A client monitoring carbohydrate intake should be
mindful of the intake of extra sugar
A female client has developed an abscess following abdominal
surgery, and her food intake has been decreasing over the past 2
weeks. Which laboratory finding may suggest the need for
nutritional support?
(a) Low serum albumin levels
(b) Proteinuria
(c) Low random blood glucose levels