N440 - Exam 2 UPDATED ACTUAL Exam
Questions and CORRECT Answers
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:
1.Is irritable throughout the day.
2.Has bulky, foul, frothy stools.
3.Drinks large amounts of fluid.
4.Voids strong, concentrated urine. - CORRECT ANSWER -2
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
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?
1. Vitamin K
2. Folate
3. Vitamin D
4. Iron - CORRECT ANSWER -1
Total enteral nutrition is contraindicated for which patient?
, 1. Older adult receiving chemotherapy
2. Patient who has had a stroke and has dysphagia
3. Patient who has had extensive jaw and mouth surgery
4. Patient with intestinal obstruction that has progressed to diffuse peritonitis - CORRECT
ANSWER -4
The nurse is caring for a patient receiving a continuous feeding through an NG tube. Which
position is best to prevent aspiration?
1. Semi-fowlers
2. Trendelenburg
3. Supine
4. Sims - CORRECT ANSWER -1
The nurse is assessing a patient receiving TPN at 100 ml/hr. The TPN solution has 50 mL left in
the bog. The nurse looks for the next bag of TPN, but it is not on the unit. When the pharmacy is
called the nurse is told it will take at least 1 hour for the next bog of TPN to be delivered. What
does the nurse do?
1. Call the HCP
2. Administer 10% Dextrose/Water until the TPN is available
3. Prepare to treat the patient for hyperglycemia
4. Cap the TPN line until the next TPN solution is available - CORRECT ANSWER -2
Which interventions are necessary to provide safe, quality care to a patient receiving enteral tube
feeding? (select all that apply)
1. Check the residual volume every 4-6 hours
2. Change the feeding bag and tubing every 12 hours
3. Keep the head of the bed elevated at least 30 degrees
Questions and CORRECT Answers
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:
1.Is irritable throughout the day.
2.Has bulky, foul, frothy stools.
3.Drinks large amounts of fluid.
4.Voids strong, concentrated urine. - CORRECT ANSWER -2
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
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?
1. Vitamin K
2. Folate
3. Vitamin D
4. Iron - CORRECT ANSWER -1
Total enteral nutrition is contraindicated for which patient?
, 1. Older adult receiving chemotherapy
2. Patient who has had a stroke and has dysphagia
3. Patient who has had extensive jaw and mouth surgery
4. Patient with intestinal obstruction that has progressed to diffuse peritonitis - CORRECT
ANSWER -4
The nurse is caring for a patient receiving a continuous feeding through an NG tube. Which
position is best to prevent aspiration?
1. Semi-fowlers
2. Trendelenburg
3. Supine
4. Sims - CORRECT ANSWER -1
The nurse is assessing a patient receiving TPN at 100 ml/hr. The TPN solution has 50 mL left in
the bog. The nurse looks for the next bag of TPN, but it is not on the unit. When the pharmacy is
called the nurse is told it will take at least 1 hour for the next bog of TPN to be delivered. What
does the nurse do?
1. Call the HCP
2. Administer 10% Dextrose/Water until the TPN is available
3. Prepare to treat the patient for hyperglycemia
4. Cap the TPN line until the next TPN solution is available - CORRECT ANSWER -2
Which interventions are necessary to provide safe, quality care to a patient receiving enteral tube
feeding? (select all that apply)
1. Check the residual volume every 4-6 hours
2. Change the feeding bag and tubing every 12 hours
3. Keep the head of the bed elevated at least 30 degrees
