PRN1032 CCC1 Exam 1
1. Before any nutritional tray is delivered to a patient, the nurse has the responsibility of:
A) determining if the patient needs assistance to eat
B) confirming the diet on the tray
C) evaluate if the food is of appropriate temperature
D) Adding extra salt and sugar packets
B) Confirming the diet on the tray
2. The nutritional documentation that is most informative is:
A) ate all od lunch
B) ate 50% of lunch without difficulty. Refused all solid food
C) drank most liquids with difficulty
D) assisted feeding liquid diet, chocked
B) ate 50% of lunch without difficulty. Refused all solid food
3. When assisting a patient with a severe visual impairment who wishes to feed himself,
the nurse could best facilitate the patients eating by:
A) Placing the plate on his lap
B) Seating the patient in a chair and placing an over the bed table appropriately
C) Orientate the patient to the position of the foods on the plate using a clock face
description
D) Placing each food in a separate container or bowl
C) Orientate the patient to the position of the foods on the plate using a clock face
description
4. A patient who underwent surgery has an order to begin a clear liquid diet and can be
offered:
A) Tea with milk
, B) Jello
C) Cream of Soup
D) Fruit sherbet
B) Jello
5. A nurse caring for a patient with bulimia nervosa should add to the care plan to assess
for:
A) hiding food in napkins or under plates
B) inducing self to vomit
C) refusing to eat
D) flushing food down commode
B) inducing self to vomit
6. An obese patient who is in the latter part of the first trimester of a pregnancy ask how
much weight she should gain. The nurse's best response is to say that the total weight
gain should be no more than:
A) 35 pounds
B) 30 pounds
C) 20 pounds
D) 10 pounds
C) 20 pounds
7. The nurse takes into consideration that a patient who uses alcohol is at risk for a vitamin
deficiency in:
A) thiamine
B) cyanocobalamin
C) ascorbic acid
D) iron
, A) thiamine
8. A patient who is on a low cholesterol diet verbalizes that he enjoys eating meats and
does not intend to stop. The nurse's most helpful response would be, "You can enjoy
your meat if you will concentrate on such meats as:
A) broiled sirloin
B) fried catfish
C) baked turkey breast
D) sausage patties
C) baked turkey breast
9. An older male patient is concerned about his cholesterol laboratory report that shows
an elevated high density lipoprotein (HDL) level. The nurse explains that such a report
indicates that:
A) he should go on a strenuous low cholesterol diet
B) he is at the risk for hypertension
C) is developing atherosclerosis
D) his vessels are being cleansed of fatty deposits
D) his vessels are being cleansed of fatty deposits
10. An out-patient nurse asses a blood glucose level of 75 mg/dl in a patient who has been
on a low carbohydrate diet for the last 10 days. The nurse should:
A) notify the physician of the ineffective diet
B) document the finding
C) suggest a moderate increase in carbohydrate intake
D) arrange a dietician consultation to discuss a more effective diet
B) document the finding
, 11. Because of the patient's dysphagia the nurse recommends to the physician that the
patient be placed on a level 2 texture diet, which means that the food is:
A) thickened to prevent aspiration
B) pureed to a pudding consistency
C) mechanically altered, moist minced meat
D) minced into bite-size pieces
C) mechanically altered, moist minced meat
12. A nurse positions a patient for the insertion of a nasogastric (NG) tube by:
A) turning the patient to a right side lying position
B) sitting the patient upright and hyperextending the patient's head
C) lowering the head of the bed to a flat position
D) raising the head of the bed to 30 degrees
B) sitting the patient upright and hyperextending the patient's head
13. The nurse who is preparing to give a feeding per a nasogastric (NG) tube test the
placement of the tube most safely by:
A) checking the lungs for rhonchi
B) instilling 10 ml of sterile water and checking for cough
C) aspirating stomach contents
D) injecting 20 ml of air and listen at the tip of the xiphoid
C) aspirating stomach contents
14. Stopping the infusion and checking for residual volume, the nurse aspirates 500 ml of
gastric contents. The nurse should next:
A) replace the aspirate and continue with the feeding
B) throw the aspirate away and flush he tubing
C) replace the aspirate and delay feeding for 1 to 2 hours
1. Before any nutritional tray is delivered to a patient, the nurse has the responsibility of:
A) determining if the patient needs assistance to eat
B) confirming the diet on the tray
C) evaluate if the food is of appropriate temperature
D) Adding extra salt and sugar packets
B) Confirming the diet on the tray
2. The nutritional documentation that is most informative is:
A) ate all od lunch
B) ate 50% of lunch without difficulty. Refused all solid food
C) drank most liquids with difficulty
D) assisted feeding liquid diet, chocked
B) ate 50% of lunch without difficulty. Refused all solid food
3. When assisting a patient with a severe visual impairment who wishes to feed himself,
the nurse could best facilitate the patients eating by:
A) Placing the plate on his lap
B) Seating the patient in a chair and placing an over the bed table appropriately
C) Orientate the patient to the position of the foods on the plate using a clock face
description
D) Placing each food in a separate container or bowl
C) Orientate the patient to the position of the foods on the plate using a clock face
description
4. A patient who underwent surgery has an order to begin a clear liquid diet and can be
offered:
A) Tea with milk
, B) Jello
C) Cream of Soup
D) Fruit sherbet
B) Jello
5. A nurse caring for a patient with bulimia nervosa should add to the care plan to assess
for:
A) hiding food in napkins or under plates
B) inducing self to vomit
C) refusing to eat
D) flushing food down commode
B) inducing self to vomit
6. An obese patient who is in the latter part of the first trimester of a pregnancy ask how
much weight she should gain. The nurse's best response is to say that the total weight
gain should be no more than:
A) 35 pounds
B) 30 pounds
C) 20 pounds
D) 10 pounds
C) 20 pounds
7. The nurse takes into consideration that a patient who uses alcohol is at risk for a vitamin
deficiency in:
A) thiamine
B) cyanocobalamin
C) ascorbic acid
D) iron
, A) thiamine
8. A patient who is on a low cholesterol diet verbalizes that he enjoys eating meats and
does not intend to stop. The nurse's most helpful response would be, "You can enjoy
your meat if you will concentrate on such meats as:
A) broiled sirloin
B) fried catfish
C) baked turkey breast
D) sausage patties
C) baked turkey breast
9. An older male patient is concerned about his cholesterol laboratory report that shows
an elevated high density lipoprotein (HDL) level. The nurse explains that such a report
indicates that:
A) he should go on a strenuous low cholesterol diet
B) he is at the risk for hypertension
C) is developing atherosclerosis
D) his vessels are being cleansed of fatty deposits
D) his vessels are being cleansed of fatty deposits
10. An out-patient nurse asses a blood glucose level of 75 mg/dl in a patient who has been
on a low carbohydrate diet for the last 10 days. The nurse should:
A) notify the physician of the ineffective diet
B) document the finding
C) suggest a moderate increase in carbohydrate intake
D) arrange a dietician consultation to discuss a more effective diet
B) document the finding
, 11. Because of the patient's dysphagia the nurse recommends to the physician that the
patient be placed on a level 2 texture diet, which means that the food is:
A) thickened to prevent aspiration
B) pureed to a pudding consistency
C) mechanically altered, moist minced meat
D) minced into bite-size pieces
C) mechanically altered, moist minced meat
12. A nurse positions a patient for the insertion of a nasogastric (NG) tube by:
A) turning the patient to a right side lying position
B) sitting the patient upright and hyperextending the patient's head
C) lowering the head of the bed to a flat position
D) raising the head of the bed to 30 degrees
B) sitting the patient upright and hyperextending the patient's head
13. The nurse who is preparing to give a feeding per a nasogastric (NG) tube test the
placement of the tube most safely by:
A) checking the lungs for rhonchi
B) instilling 10 ml of sterile water and checking for cough
C) aspirating stomach contents
D) injecting 20 ml of air and listen at the tip of the xiphoid
C) aspirating stomach contents
14. Stopping the infusion and checking for residual volume, the nurse aspirates 500 ml of
gastric contents. The nurse should next:
A) replace the aspirate and continue with the feeding
B) throw the aspirate away and flush he tubing
C) replace the aspirate and delay feeding for 1 to 2 hours
