NCLEX-PN Test Bank 500 comprehensive practice
questions and verified answers.
(pharmacology, health promotion, physiological integrity, and
coordinated care.)
Which statement made by an adult patient demonstrates an understanding of healthy nutrition
teaching?
A. I need to stop eating red meat.
C
B. I will increase the servings of fruit juice to four a day.
C.
LE
I will make sure that I eat a balanced diet and exercise regularly.
D. I will not eat so many dark green vegetables and eat more yellow vegetables. -
Correct Answer- C. I will make sure that I eat a balanced diet and exercise regularly.
ST
The nurse teaches a patient who has had surgery to increase which nutrient to help with tissue
repair?
BE
A. Fat
B. Protein
C. Vitamin
D. Carbohydrate - Correct Answer- B. Protein
A client is receiving an enteral feeding that delivers 1.5 calories/mL. The feeding is infusing at
30 mL/hr via a feeding pump. What is the maximal amount of calories the client should receive
in an 8-hour period if the tube feeding is not interrupted? Fill in the blank. - Correct
Answer- 360
A client has a serum sodium level of 151 mEq/L (151 mmol/L), and the nurse reinforces dietary
teaching about the types of foods to avoid. The nurse determines that there is a need for further
,teaching if the client states that which food choices are good? Select all that apply -
Correct Answer- Sauerkraut
American cheese
A newly pregnant client is asking how to prevent neural-tube birth defects. The nurse reinforces
which food choices to
include in the diet? Select all that apply. - Correct Answer- Oranges
Broccoli Grapefruit
The nurse has completed diet teaching for a client who has been prescribed a low-sodium diet to
C
treat hypertension. The nurse determines that there is a need for further teaching when the client
makes which statement? - Correct Answer- "Fresh foods such as fruits and vegetables are
LE
high in sodium."
The nurse is caring for a client following a total hip replacement. The client has been diagnosed
ST
with iron deficiency anemia. The nurse instructs the client to increase intake of which foods?
Select all that apply. - Correct Answer- Lean beef and chicken liver
Clams and mussels
BE
The nurse is preparing to administer an intermittent tube feeding to a client. The nurse aspirates
and is unable to obtain any residual tube feeding. Which action should the nurse take
next? - Correct Answer- Turn the client to the side and attempt to aspirate again
A client with hypertension has been prescribed a low-sodium diet. The nurse reinforcing
instructions about foods that are allowed should include which foods in a list provided to the
client? Select all that apply. - Correct Answer- Fresh tomato
Summer squash
,A client in a long-term care facility is being prepared to be discharged to home in 2 days. The
client has been eating a regular diet for a week, yet is still receiving intermittent enteral tube
feedings and will need to receive these feedings at home. The client states concern about not
being able to continue the tube feedings at home with family caregivers. Which nursing response
would be appropriate at this time? - Correct Answer- "Tell me more about your concerns with
your feedings after going home."
A client is admitted to a long-term care facility with the diagnosis of weight loss secondary to
anorexia. The primary health care provider inserts a nasogastric tube and prescribes a tube
feeding of a standard formula feeding to run at 50 mL/hr.
The nurse plans care, knowing that which is true regarding enteral feedings? - Correct
Answer- Enteral feedings require the normal digestive capabilities of the gastrointestinal (GI)
C
tract.
LE
A client receiving total parenteral nutrition (TPN) asks the nurse if he has developed diabetes
when the capillary blood glucose level is monitored and he is given insulin. The nurse explains
that which is the reason for monitoring glucose levels and administering insulin? -
ST
Correct Answer- TPN contains concentrated carbohydrates and raises blood glucose.
The nurse caring for a client with a neurological disorder is assisting in planning care to maintain
BE
nutritional status. The client has had a swallowing study done that shows the client is at risk for
aspiration and is able to feed self. The nurse should review which interventions with the
unlicensed assistive personnel (UAP)? Select all that apply. - Correct Answer- Observe
client for episodes of coughing or choking.
Add the prescribed thickener to liquids
The nurse instructs a client at risk for hypokalemia from thiazide diuretic therapy about foods
that are high in
potassium. The nurse determines that there is a need for further teaching if the client states that
which foods are high in potassium and should be included in the diet plan? Select all that apply -
Correct Answer- Eggs
, White bread with butter
The nurse needs to increase the calcium in the diet of a client who is lactose intolerant. Which
food items should the nurse encourage? Select all that apply. - Correct Answer- Tofu
Broccoli Sardines Mustard greens
A client has been diagnosed with pernicious anemia. In planning care for the client, the nurse
anticipates that the client will be treated with which vitamin or mineral? - Correct Answer-
Vitamin B12
A client states that he has removed all dairy foods from his diet because he is lactose intolerant.
C
The nurse plans care for the client knowing which information? - 100% CORRECT
LE
ANSWER AS Calcium and protein are valuable nutrients and need to be supplemented in some
form.
ST
The nurse is providing dietary instructions to a client with a diagnosis of ulcerative colitis. The
client is prescribed to follow a low residue diet during episodes of diarrhea. Which food should
the nurse instruct the client to avoid? - Correct Answer- Fresh corn on the cob
BE
A client is receiving total parenteral nutrition and has been NPO. The primary health care
provider (PHCP) prescribed small amounts of clear liquids today. The nurse's priority is to
collect data regarding which criterion before giving the client anything by mouth? -
Correct Answer- The presence of the swallow reflex
The mother of an infant newly diagnosed with cystic fibrosis is being taught proper nutritional
needs for the infant. The nurse determines that the mother understands nutritional needs when the
mother gives which response? - Correct Answer- "I know I need to monitor my infant's
stools, and if there are more than four stools a day, I will increase the pancreatic enzyme."
The nurse who is assisting in a weight loss program prepares to monitor a client's weight. The
client receives education about caloric intake and weight reduction. In order to lose 2 pounds per
questions and verified answers.
(pharmacology, health promotion, physiological integrity, and
coordinated care.)
Which statement made by an adult patient demonstrates an understanding of healthy nutrition
teaching?
A. I need to stop eating red meat.
C
B. I will increase the servings of fruit juice to four a day.
C.
LE
I will make sure that I eat a balanced diet and exercise regularly.
D. I will not eat so many dark green vegetables and eat more yellow vegetables. -
Correct Answer- C. I will make sure that I eat a balanced diet and exercise regularly.
ST
The nurse teaches a patient who has had surgery to increase which nutrient to help with tissue
repair?
BE
A. Fat
B. Protein
C. Vitamin
D. Carbohydrate - Correct Answer- B. Protein
A client is receiving an enteral feeding that delivers 1.5 calories/mL. The feeding is infusing at
30 mL/hr via a feeding pump. What is the maximal amount of calories the client should receive
in an 8-hour period if the tube feeding is not interrupted? Fill in the blank. - Correct
Answer- 360
A client has a serum sodium level of 151 mEq/L (151 mmol/L), and the nurse reinforces dietary
teaching about the types of foods to avoid. The nurse determines that there is a need for further
,teaching if the client states that which food choices are good? Select all that apply -
Correct Answer- Sauerkraut
American cheese
A newly pregnant client is asking how to prevent neural-tube birth defects. The nurse reinforces
which food choices to
include in the diet? Select all that apply. - Correct Answer- Oranges
Broccoli Grapefruit
The nurse has completed diet teaching for a client who has been prescribed a low-sodium diet to
C
treat hypertension. The nurse determines that there is a need for further teaching when the client
makes which statement? - Correct Answer- "Fresh foods such as fruits and vegetables are
LE
high in sodium."
The nurse is caring for a client following a total hip replacement. The client has been diagnosed
ST
with iron deficiency anemia. The nurse instructs the client to increase intake of which foods?
Select all that apply. - Correct Answer- Lean beef and chicken liver
Clams and mussels
BE
The nurse is preparing to administer an intermittent tube feeding to a client. The nurse aspirates
and is unable to obtain any residual tube feeding. Which action should the nurse take
next? - Correct Answer- Turn the client to the side and attempt to aspirate again
A client with hypertension has been prescribed a low-sodium diet. The nurse reinforcing
instructions about foods that are allowed should include which foods in a list provided to the
client? Select all that apply. - Correct Answer- Fresh tomato
Summer squash
,A client in a long-term care facility is being prepared to be discharged to home in 2 days. The
client has been eating a regular diet for a week, yet is still receiving intermittent enteral tube
feedings and will need to receive these feedings at home. The client states concern about not
being able to continue the tube feedings at home with family caregivers. Which nursing response
would be appropriate at this time? - Correct Answer- "Tell me more about your concerns with
your feedings after going home."
A client is admitted to a long-term care facility with the diagnosis of weight loss secondary to
anorexia. The primary health care provider inserts a nasogastric tube and prescribes a tube
feeding of a standard formula feeding to run at 50 mL/hr.
The nurse plans care, knowing that which is true regarding enteral feedings? - Correct
Answer- Enteral feedings require the normal digestive capabilities of the gastrointestinal (GI)
C
tract.
LE
A client receiving total parenteral nutrition (TPN) asks the nurse if he has developed diabetes
when the capillary blood glucose level is monitored and he is given insulin. The nurse explains
that which is the reason for monitoring glucose levels and administering insulin? -
ST
Correct Answer- TPN contains concentrated carbohydrates and raises blood glucose.
The nurse caring for a client with a neurological disorder is assisting in planning care to maintain
BE
nutritional status. The client has had a swallowing study done that shows the client is at risk for
aspiration and is able to feed self. The nurse should review which interventions with the
unlicensed assistive personnel (UAP)? Select all that apply. - Correct Answer- Observe
client for episodes of coughing or choking.
Add the prescribed thickener to liquids
The nurse instructs a client at risk for hypokalemia from thiazide diuretic therapy about foods
that are high in
potassium. The nurse determines that there is a need for further teaching if the client states that
which foods are high in potassium and should be included in the diet plan? Select all that apply -
Correct Answer- Eggs
, White bread with butter
The nurse needs to increase the calcium in the diet of a client who is lactose intolerant. Which
food items should the nurse encourage? Select all that apply. - Correct Answer- Tofu
Broccoli Sardines Mustard greens
A client has been diagnosed with pernicious anemia. In planning care for the client, the nurse
anticipates that the client will be treated with which vitamin or mineral? - Correct Answer-
Vitamin B12
A client states that he has removed all dairy foods from his diet because he is lactose intolerant.
C
The nurse plans care for the client knowing which information? - 100% CORRECT
LE
ANSWER AS Calcium and protein are valuable nutrients and need to be supplemented in some
form.
ST
The nurse is providing dietary instructions to a client with a diagnosis of ulcerative colitis. The
client is prescribed to follow a low residue diet during episodes of diarrhea. Which food should
the nurse instruct the client to avoid? - Correct Answer- Fresh corn on the cob
BE
A client is receiving total parenteral nutrition and has been NPO. The primary health care
provider (PHCP) prescribed small amounts of clear liquids today. The nurse's priority is to
collect data regarding which criterion before giving the client anything by mouth? -
Correct Answer- The presence of the swallow reflex
The mother of an infant newly diagnosed with cystic fibrosis is being taught proper nutritional
needs for the infant. The nurse determines that the mother understands nutritional needs when the
mother gives which response? - Correct Answer- "I know I need to monitor my infant's
stools, and if there are more than four stools a day, I will increase the pancreatic enzyme."
The nurse who is assisting in a weight loss program prepares to monitor a client's weight. The
client receives education about caloric intake and weight reduction. In order to lose 2 pounds per
