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Central Mindanao University

COLLEGE OF NURSING
NRSG 52. NURSING NUTRITION
FINAL EXAM
ABSOLUTELY NO CHEATING
READ INSTRUCTIONS CAREFULLY
Multiple Choice: Write your answers on the space provided before each number.
STRICTLY NO ERASURES. Any superimposition would invalidate your answer.
1. These are types of feeding designed for individuals who cannot accept or
assimilate nutrients enterally
A. parenteral feeding.
B. normal feeding
C. Spoon feeding
D. Intravenous feeding
2. The patient with nasogastric tube has nasopharyngeal irritation, which of the
following interventions should be applied?
a. give anesthesia topically
b. give decongestants
c. wash with plain NSS
d. provide ice chips.
3. For three days a comatose patient has not defecated, what will you add to her
diet?
a. 1 serving of apple per meal
b. 1 glass of milk per meal
c. 1 serving of camote tops per meal.
d. give stool softener mixed in the food
4. It is a type of enteric feeding route wherein the tube extends from the nose into
the stomach
a. nasogastric tube.
b. esophagostomy tube
c. gastrostomy tube
d. jejunostomy tube
5. a patient with peptic ulcer is admitted, what type of diet is most likely prescribed
to the patient?
a. Bland diet.
b. meat diet
c. vegetable diet
d. carbohydrate diet
6. Which among the food should be avoided to patients with hyperacidity?
a. milk
b. bread
c. hot chilli.
d. vegetables
7. Another term for malabsorption syndrome is:
a. colic disease
b. diarrhea
c. amoebiasis
d. celiac disease.
8. It is a diarrheal condition in which there is excessive fat excreted in the stool
a. steatorrhea.
b. gonorrhea
c. amenorrhea
d. oliguria
9. It is a condition where the mucosa of the small intestine is damaged by gluten
which results to the malabsorption of nutrients
a. ulcerative colitis
b. gouty arthritis
c. celiac disease.

A pediatric patient with celiac disease is admitted. 11. upon digging the history you knew that the mother has wean from breastfeeding to bottle feeding. It is a malabsorption disorder cause by resections of portions of the small intestine due to an illness or injury a. c. thickened soup with wheat d. constipation d. rice c. continue breastfeeding. cancer d. What will you teach to her mother in home care? a. drink 1 liter of water an hour before meals d. childbearing c. malabsorption d. until appetite has improved 19. It is a condition in which a person experiences hard feces that is difficult to egest. eating spicy foods d. decreasing water intake c. The following are possible causes of haemorrhoids. b. b. b. a. constipation. spicy foods. breaded meats b. no more green vegetables c. bulging eyes b. refrain from strenuous exercises 18. c. reduce fiber rich foods b. sunken fontanels. diarrhea b. protein rich-foods 20. enemas d. pitting edema d. What could be your findings in your physical assessment of Drex that indicate he is dehydrated a. 17. haemorrhoids c. corn soup. eat small frequent meals. what type of foods is allowed to give a. vomiting 13. amoebiasis c. lactose intolerance. intestinal gas. soft drinks. A patient with gastroesophageal reflux is asking for information regarding her diet. It is suggestive that the patient has a. fatty foods d. diabetes 10. Yasmira has haemorrhoids. malaria 12. b.d. NPO for a day. give antidiarrheal drugs d. except a. cathartics b. she has to changed her usual diet by a. It is referred to as an increased occurrence of passage of gas or cramping pain associated with buildup of gas in the GIT a. oatmeals c. Which among the food list can irritate damaged esophageal mucosa a. 14. lactose intolerance 15. ascites 16. eat fatty foods b. haemorrhoids . Baby Drex was admitted due to diarrhea for 2 days especially after feeding. c. what health teaching will you include? a. increasing water intake up to 8-10 glasses or more.

inflammation of the pancreas due to decrease intake of fatty food 28. neurosis c. arteriosclerosis d. mint pepper d. b. esophagitis d. b. Hepatitis D 24. appendicitis c. cystic fibrosis. Patients with cystic fibrosis should a. Which of the following is not allowed to hypertensive patients a. It is the inflammation of the gallbladder a. atherosclerosis. cholecystitis. gastritis c. short bowel syndrome. d. cholelithothiasis 27. rheumatoid arthritis 29. rheumatoid arthritis 31. This a condition in which there is enlargement of veins which occurs in the lower part of the rectum at the anal opening a. increase fluid intake. This refers to the hardening of the arteries and thickening of the inside walls of the blood vessels a. Hepatitis C d. alcohol. decrease fluid intake c. b. polariods 22. cholecystitis c. esophagitis c. what should be avoided a. increase fat intake d. Hepatitis A. d. c. inflammation of the pancreas due to increase intake of fatty food d. cystic fibrosis c. arteriosclerosis d. Hepatitis B c. b. endomyelitis 26.b. haemorrhoids. It is a condition wherein there is scarring of the liver to patients with hepatitis a. inflammation of the pancreas due to a decreased production of the digestive enzyme. choledolithiasis d. Hereditary disease in which there are high levels of sodium and chloride in tears. saliva and sweat a. cholelithiasis d. cirrhosis. A patient is diagnosed with Hepatitis B. choledolithias. b. hiatal hernia b. b. b. inflammation of the pancreas due to increase production of digestive enzyme c. low sodium diet . Mr Brown has pancreatitis which means a. b. spicy food c. liver atrophy 23. increase carbohydrate intake 30. It is a condition in which stones fall into the bile duct a. atherosclerosis b. intestinal gas 21. yellow foods 25. Which among the types of hepatitis can be transmitted through contaminated food a.

b. carrots 41. goitrogenic foods c. 40. DAT > Soft diet >Liquid diet >NPO c. renal cystitis d. of which there is albuminuria. green leafy vegetables. b. Post-operatively. folic acid. chronic renal failure c. NPO _> Liquid diet > Soft diet > DAT. green leafy vegetables b. kidneycitis 35. NPO >General liquid diet >DAT d. arteriosclerosis d. b. low fat diet c. galactogenic foods. 38. high calorie diet c. high sodium diet d. except a.b. iron d. malignant tumor 37. 32. melanoma c. stroke 33. Vitamin C rich food c. d. malunggay soup d. high fiber diet d. vitamin C c. high protein diet. malignant tumor. b. atherosclerosis c. low calorie diet b. urolithiasis. It is the formation of renal or urinary calculi in the urine that precipitate as stones in the urinary passages a. To prevent neural tube defects you should teach the mothers to eat foods rich in a. Common nutritional problems young high school students is a. melanoma c. b. b. cantaloupes d. carcinoma b. UTI . NPO >Liquid diet > soft diet > Hard diet 36. A teenager is pregnant. A patient is admitted due to nephritic syndrome. extreme dieting. liberal sodium diet. The following foods should be given liberally to lactating mothers. what specific food should you encourage to eat which is rich in iron a. carcinoma b. It is a type of tumour that is confined to an area where it originated and noncancerous type a. coffee. It is also known in layman’s term as heart attack a. obesity c. high liquid diet d. benign tumor d. b. carotene 42. papaya soup c. myocardial infarct. 34. benign tumor. It is a type of tumour which multiply and metastasize and cancerous in type a. These are foods that promotes production of milk of lactating mothers a. what diet modifications are usually followed a. lactogenic foods 39. what nutritional health teaching will you provide a.

has forced her child to consume high fiber fruits d. breast cancer 53. colic. pneumonia 43. flake fish and chop meat.d. child has been playing in the playground b. A mother is complaining in feeding a toddler with food jags. fiber riched foods b. What possible complications might occurs to patients who are alcoholics a. banana. child has been weaned from bottle feeding c. green leafy vegetables c. prepared mixed fruits or halohalo 44. b. 46. d. d. start slowly with a food that the toddler hates b. 4 liters of water before sleeping c. child may not be feeling well c. pneumonia d. child may have supplemental vitamins to boost appetite. An 80 year-old patient had a difficulty in sleeping. has diabetes that runs in the family c. c. b. If diarrhea occurs what possible food should be served with meals? a. b. An elderly patient has been weak and emaciated due to difficulty of chewing from loss of teeth and not getting use to dentures. chop vegetables in large chunks c. prepare simple dishes. 51. 50. The common food serve to babies among Filipinos is a. you will teach her to a. cow’s milk d. It is an acute paroxysm of pain. child may be given proportion which are too large d. b. which of the following diseases is contraindicated in breastfeeding? a. what could be given to promote sleep? a. pancreatic cancer c. fussing and cyring and irritability which lasts for 3 months. stick to her rule of clean plate. give hot green tea before sleeping 49. A child was admitted due to urticaria and hives. basing on your assessment what might be the possible cause of such a. oats c. Breastfeeding is mandatory among mothers nowadays. d. green leafy vegetables b. milk and coffee d. upon history taking you noted that the mother probably a. serve hot foods b. child is trying to get attention b. a. A toddler is dawdling during meal time. What could be done to solve this problem? a. lugaw. intestinal abcess. liver cirrhosis. drink warm milk before sleeping. diarrhea . child has eaten allergenic foods. serve less that what he will eat c. A mother is concerned about her school-age child who is overweight. What might not cause such behaviour? a. serve attractive food with varying colors 48. child has an overdosage of vitamins d. has been cooking delicious meal 45. active tuberculosis. 47. lung cancer b. lung cancer d. wheat 52.

55. food rich in iron. sweetened condensed milk. The patient asks the nursing assistant for a bedpan. (Refer to situation no. haemorrhoids. the nurse should check for tube placement in the stomach. overconsumption of citrus fruits 62. The instructor tells the students that before each tube feeding. cooking. sandwich spread c. When patient is finished. vomiting 54. food rich in sugar d. These are some benefits of giving citrus fruits to infants. and fried fish. shelled peanuts d. What is the purpose of the nurse’s actions? a. 1 serving of papaya. smoked fish. 1 cup rice. eating spicy food d. except a. i slice of mango. 1 cup steamed camote tops. You suspect that the patient has been a. except a. skim milk c. breastmilk b. help boost immune system d. eating too much from the required daily allowance c. 59) what diet should be introduced to the patient above a. 1 pc of boiled eggs d. d. food rich in Vitamin A 61. b. 1 cup of rice. 1 cup of rice. upper GI bleeding c. and notes increase incidence of cavities. 59. 56. What is this most likely a result of a. promotes gastric ulcers. introduce bland diet 57. The nursing instructor is talking about caring for patients with feeding tubes and endotracheal tubes. diet high in red meat b. food rich in fat c. raw carrots c. the nursing assistant notifies the nurse that the patient has bright red streaking blood in the blood. keep the child’s gum healthy b.c. 2 pc of medium sized fried hotdogs 58. prevent child’s skin from bruising easily c.1 serving of fried longganisa. prevent aspiration. prevent abdominal distention . d. d. 1 cup of milk. prevent gastric ulcers b. reporting d. skipping meals. cancer of the large intestion 60. What interventions should be made to address the problem on sweet tooth of school-age children a. force bitter foods b. Which of the following is consistent of a good breakfast for an adult a. What would be most like to increase the risk of tooth decay? a. A newly admitted patient with suspected GI bleeding and notes the tarry-black color of stool. lactose intolerance d. It is a type of milk is thickly evaporated milk with large amounts of sugar added a. evaporated milk. The following are the main roles of nurses in nutritional care of the client. observing b. c. listening c. soft drinks. give sweetened fruits c. never give sweets as rewards. milk. A school nurse is having her routine assessment to the pupils. b. b. cheddar cheese 63. b.

eggs and shrimps. Which among the food is best for patient with osteomalacia? a. What general guideline would it be important to teach the patient at this class? a. banana c. What does color of aspirate indicate? a.d. you do the nutritional assessment and have known that he is an Adventist that he is prohibited to eat pork. waffle d. You are caring for a patient with liver failure. The nurse is initiating parenteral nutrition on a postoperative patient. change the rate of infusion hourly d. citrus fruit and rice b. the tube is the intestine c. increasing milk intake. d. A school nurse is teaching an adolescent girl of normal weight some of the key factors necessary to maintain good nutrition in her teen year. obtaining a food diary along with providing close monitoring for anorexia 72. d. c. tomatoes and bananas d. c. risk for malnutrition d. the tube is in the stomach. eating a balance diet and discussing eating disorders. The nurse will initiate the therapy by a. Which vitamin does the liver require for the synthesis of prothrombin (clotting factor)? a. taking a multivitamin. increasing BMI to at least 35. high protein diet c. What food items would the nurse inform the parents are common allergens a. A child has been diagnosed with food allergies. controlled calorie intake based on body weight. d. The tube is draining green aspirate. Vitamin A c. unintentional needlesticks b. Vitamin B12 b. starly slowly. religious practice. cereal with milk. fatty should be eliminated 69. pan de sal 71. Vitamin D d. the tube is in the esophagus 66. contaminated food d. a lifestyle choice . fecal-oral route. b. starting rapidly on infusion rate b. c. and discussing body image c. low fat diet b. Vitamin K. A patient newly diagnosed with type 2 diabetes is attending a nutrition class specifically designed for type 2 diabetes. 67. 70. the tube is in the pleural space b. What would the nurse be correct to focus on? a. root vegetables and tomatoes c. What would this be considered? a. You are checking placement of a nasogastric tube that has been in place for 2 days. increase infusion rate during mealtimes 65. While admitting your new patient. airborn route 68. a personal choice b. decreasing her calories and encouraging her to maintain her weight to avoid obesity b. How is hepatitis A is transmitted? a. The nurse is providing information to the parents of this child. prevent diarrhea 64.

You are completing a health assessment on a new patient. Assuming she likes all of the following foods. boiled or fried egg. poor personal hygiene c. assess her skin for hydration and color d. You would be sure to teach the group that older adults have an increased need for nutrients and what? a. You are assessing a new clinic patient who has come in because of an unintended weight loss of 10 pounds. Which food is not a good source of iron? a. Which of the following would be best to recommend? a. patient is extremely obese. green leafy vegetables 79. You would be aware that the patient is at risk for what problem? a. beef 80. What might this indicate? a. legumes c. b. ask her to describe her total intake for a week c. you learn that the patient has ill-fitting dentures and a limited intake of high-fiber foods. You meet a family at the prenatal clinic. brittle hair and dry flaky skin with poor skin turgor. During the assessment. assess a list she makes describing a good diet b. The nurse in a clinic is providing education to a patient who wishes to lose weight. A new mother asks you how soon she can breast-feed after delivery. damage from an environmental cause 74. Which of them would you recommend as a source of this for her? a. malabsorption of nutrients d. dull. 76.73. d. poor nutritional status. inadequate caloric intake 75. increased need for sodium d. You note that the patient has dry. grains d. ask her to describe her intake for the last 24 hours. d. take two aspirin on arising 81. What does this indicate? a. whole apple b. delay toothbrushing until noon c. You encourage a pregnant woman to eat a diet high in complete protein. eating more meat products 82. increased need for glucose c. d. b. patient is overweight d. mineral oil b. You best answer would be (barring unforeseen complications) . increase fiber intake. constipation. If constipation is a problem for a woman during pregnancy. c. decreased need for calories. decreased need for calcim b. toasted bread c. patient in normal weight b. What is the most effective way to assess the woman’s usual food intake during her pregnancy? a. take a teaspoon of baking soda before breakfast b. A woman in early pregnancy is concerned because she is nauseate every morning. stopping prenatal vitamins temporarily d. take dry crackers in the morning. milk. excessive physical activity b. You are teaching a nutrition education class held for a group of older adults at a senior center. dehydration c. patient is underweight 77. 78. The nurse informs the patient that she has a body mass index of 45. c. Which of the following would be the best measure to help relieve this? a.

human gonodotropin hormone b. 87. oat cereal and skim milk d. newborns lose more fluids through insensible water loss 88. Which of the following statements is true about breastfeeding? a. newborns do not have as many fluid choices as adults b. c. once the infant has a first feeding of formula d. advise the mother to disregard any suggestions by her sister about newborn nutrition. oxytocin. A mother who intends to breastfeed is advised by her sister to use formula for the first few days until her “real” milk comes in.a. decreasing her fluid intake to take below 500mL per 24 hours c. d. b. after the infant is allowed to rest c. weight the baby daily to be certain. suggest that the mother use formula to supplement for the first 2 days b. toasted bread and grape jelly c. in 24 hours after her infant is given water 83. encouraging her to continue regular breastfeeding. peanut butter and rye toast 90-100. a woman develops breast engorgement. breastfeeding increases the risk for breast cancer b. A preschooler has celiac disease. which of the following would be best to recommend to her as a means of alleviating this problem? a. keep active because this improves milk production b. increase fluid intake. Newborns can become dehydrated more easily than adults. b. the large amount of body fluids are mainly extracellular fluid in a newborn. Which of the following is released by breastfeeding a. The best response by the nurse about this information would be a. On the 4th day postpartum. discontinue breastfeeding for 24 hours b. lactase d. d. uterine involution is slowed by breastfeeding d. immediately after birth. adults get sick more often d. having her apply lanolin cream to each breast 84. bre astfeeding offers a good chance for bonding with the infant. estrogen c. . 89. discuss the colostrums is all the nutrition a baby needs the first few day of life d. Which of the following would you suggest to a mother to help her maintain effective breastfeeding a. Signs of good nutrition in children Bunos Question (5pts) Draw and Explain the “milk let-down reflex”. 86. eggs and orange juice. discuss with the mother that her “real” milk will not come in if she uses formula and does not nurse the baby needs the first few day of life c. By preparing which breakfast foods would you believe she understands the diet? a. This is explained by which statement? a. c. Her mother is preparing a gluten-free diet. avoid chocolate to prevent constipation c. breastfeeding mother have a decreased risk for developing thrombophlebitis 85.

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