Exam All Answers and Illustrations
Given
Which statement made by an adult patient demonstrates an understanding
of healthy nutrition teaching?
A. I need to stop eating red meat.
B. I will increase the servings of fruit juice to four a day.
C. 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. - 🧠 ANSWER ✔✔C. I will make sure that I eat a balanced diet
and exercise regularly.
,The nurse teaches a patient who has had surgery to increase which
nutrient to help with tissue repair?
A. Fat
B. Protein
C. Vitamin
D. Carbohydrate - 🧠 ANSWER ✔✔B. Protein
The nurse is caring for a patient experiencing dysphagia. Which
interventions help decrease the risk of aspiration during feeding? (Select all
that apply.)
A. Sit the patient upright in a chair.
B. Give liquids at the end of the meal.
C. Place food on the strong side of the mouth.
D. Provide thin foods to make it easier to swallow.
E. Feed the patient slowly, allowing time to chew and swallow.
,F. Encourage the patient to lie down to rest for 30 minutes after eating. - 🧠
ANSWER ✔✔A. Sit the patient upright in a chair.
C. Place food on the strong side of the mouth.
E. Feed the patient slowly, allowing time to chew and swallow.
The nurse suspects that the patient receiving parenteral nutrition (PN)
through a central venous catheter (CVC) has an air embolus. What action
does the nurse need to take first?
A. Raise the head of the bed to 90 degrees
B. Turn patient to left lateral decubitus position
C. Notify health care provider immediately
D. Have the patient perform the Valsalva maneuver - 🧠 ANSWER ✔✔B.
Turn patient to left lateral decubitus position
The acceptable macronutrient distribution range for carbohydrates is
a. 20-30% of cal
b. 45-65% of cal
c. 10-25% of cal
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, d. 30-45% of cal - 🧠 ANSWER ✔✔b. 45-65% of cal
Which action is initially taken by the nurse to verify the correct position of a
newly placed small-bore feeding tube?
A. Placing an order for x-ray film examination to check the position
B. Confirming the distal mark on the feeding tube after taping
C. Testing the pH of the gastric contents and observing the color
D. Auscultating over the gastric area as air is injected into the tube - 🧠
ANSWER ✔✔A Placing an order for x-ray film examination to check
position
The catheter of the patient receiving parenteral nutrition (PN) becomes
occluded. Place the steps for caring for the occluded catheter in the order
in which the nurse would perform them.
A. Attempt to aspirate a clot.
B. Temporarily stop the infusion.
C. Flush the line with saline or heparin.