Quiz_Eating Disorders
1. T he nurse is teaching a class on eating
disorders to a group of nurses. Which of the
following should the nurse include in the class?
1. E ating disorders affect females and males
equally
2. T here is an increased incidence of
depression in clients with eating disorders
3. T here is no mother–daughter connection in
eating disorders
4. T here is a 20% chance of dysthymia in
clients with eating disorders
2. T he nurse should monitor a client with an
eating disorder for which of the following
complications?
S elect all that apply:
[ ] 1. H ypertension
[ ] 2. Dysmenorrhea
[ ] 3. P arotid swelling
[ ] 4. Delayed gastric emptying
[ ] 5. B radycardia
[ ] 6. Dysthymia
3. T he nurse should administer which of the
following drugs to a client with an eating
disorder who has a delayed gastric emptying
time?
1. E someprazole (Nexium)
2. M etoclopramide (Reglan)
3. Dicyclomine (Bentyl)
4. Diphenoxylate with atropine sulfate
(Lomotil)
4. T he nurse is planning the care for a client with
muscle weakness, constipation, a serum
potassium of 3.0 mEq/L, and a pulse of 65 bpm.
What clinical manifestation should take priority
in this client’s plan of care?
1. M uscle weakness
2. S erum potassium 3.0 mEq/L
3. P ulse of 65 bpm
4. Constipation
5. T he nurse assesses a client for which of the
following findings in a client suspected of
having bulimia?
S elect all that apply:
[ ] 1. L axative abuse
[ ] 2. Amenorrhea
[ ] 3. L anugo
[ ] 4. Dental erosion from repeated vomiting
[ ] 5. C hemical dependency or stealing
pg. 1/RJS
behaviors
[ ] 6. P erfectionistic tendency
6. T he nurse administers which of the following
prescribed drugs to a client with anorexia
nervosa for the purpose of improving weight
gain?
1. O lanzapine (Zyprexa)
2. S ertraline (Zoloft)
3. F luoxetine (Prozac)
4. Q uetiapine (Seroquel)
7. W hich of the following statements would
provide the nurse with the most accurate
information regarding how successful the
treatment has been for a client with a longstanding
history of bulimia?
1. “I take my medicine when I have an urge to
binge.”
2. “I try to do other things when I feel I want to
eat.”
3. “I have learned to eat a variety of foods.”
4. “I no longer feel the need to see my therapist.”
8. T he nurse is caring for a 25-year-old client with
an eating disorder who is in the hospital. The
physician ordered periodic laboratory tests to
monitor the client’s medical status. Which of
the following serum laboratory test results is
abnormal and should prompt the nurse to
notify the physician?
1. C alcium of 9.2 mg/dl
2. M agnesium of 1.8 mEq/L
10133.
P otassium of 3.0 mEq/L
4. S odium of 128 mEq/L
9. T he nurse is collecting data on an 11-year-old
client suspected of having anorexia nervosa.
Which of the following physical assessment
findings should be reported to the client’s
physician confirming the presence of anorexia
nervosa?
1. A temperature of 37.2°C (99°F)
2. A pulse of 72 bpm
3. T he presence of lanugo
4. Dysmenorrhea
10. During an admission interview, a client with
anorexia nervosa complains of feeling cold all
the time and asks the nurse why. Which of the
following is the most appropriate response by
 Quiz_Eating Disorders
the nurse?
1. “Let me take your temperature.”
2. “You might be getting a cold.”
3. “There is a loss of subcutaneous fat.”
4. “You probably aren’t dressing warmly
enough.”
11. T he nurse should include which of the
following interventions in the plan of care for a
client with a binge-eating disorder?
S elect all that apply:
[ ] 1. E ncourage the client to keep a food diary
and a feelings diary
[ ] 2. E ncourage the client to gain ½ pound
a week
[ ] 3. I nstruct the client to avoid fasting
[ ] 4. I nstruct the client that high-calorie foods
are to be avoided
[ ] 5. E ncourage the client to plan for
structured meals
[ ] 6. I nstruct the client on well-balanced
nutrition
12. T he nurse is interviewing a 46-year-old female
client with a binge-eating disorder who is
tearful and admits to the nurse of being
depressed. The client states, “I have been fat all
my life and I can’t lose weight.” Which of the
following should be the priority response by the
nurse?
1. “In order to lose weight, you need to stop
binging.”
2. “You need to eat a well-balanced diet.”
3. “Cognitive behavioral therapy offers the
most success.”
4. “You will lose weight if you take your
sertraline (Zoloft).”
13. T he registered nurse is delegating clinical
assignments on an eating disorder unit for the
day. Which of the following clinical
assignments would be appropriate for the nurse
to delegate to a licensed practical nurse?
1. Develop a class to be taught on eating
disorders
2. I nstruct a client with bulimia on the
prescribed medication
3. C reate a meal plan for a client with anorexia
nervosa
4. M onitor a client with an eating disorder
after meals
pg. 2/RJS
14. A client with anorexia nervosa is crying and
tells the nurse, “I just want to die. I can’t live
like this anymore.” In determining what action
to take next, which of the following factors is a
priority for the nurse to consider?
1. H ow long the client has been feeling this
way
2. T he recovery rate with treatment
3. I f the client has a suicide plan
4. I f the client has a support system
15. T he nurse is signing a hospitalized client with
bulimia back in after a day pass at home. Which
of the following should be the nurse’s priority
action?
1. Ask the client about any special activities
while out on pass
2. O btain a detailed menu of what was eaten
3. S earch the client’s belonging for laxatives or
diuretics
4. Q uestion the client about any binge–purge
behavior at home
16. T he nurse is collecting a health history from a
25-year-old client suspected of having an eating
disorder. Which of the following questions is a
priority question for the nurse to ask the client?
1. “Is your father away from home much of the
time due to his job?”
2. “Do any siblings have issues with food?”
3. “Does your mother have an eating
disorder?”
4. “Do you have a friend who has a body image
problem?”
17. T he family of a male client suspected of having
an eating disorder asks the nurse how their son
can have an eating disorder because eating
disorders only occur in women. Which of the
following is the most appropriate response by
the nurse?
1. “Your son is very slender for his height.”
2. “Your son has a poor appetite.”
3. “The incidence of eating disorders is
increasing in males.”
4. “Food-related problems in males are
different from eating disorders.”
18. T he nurse is caring for a client with anorexia
nervosa. Which of the following interventions
should the nurse include in this client’s plan of
care?
 Quiz_Eating Disorders
elect all that apply:
[ ] 1. E ncourage the client to eat when hungry
[ ] 2. L imit mealtime to 1 hour
[ ] 3. M onitor the client for 30 minutes after
eating
[ ] 4. W eigh the client two to three times a
week
[ ] 5. P romote a weight gain of 3 to 5 pounds a
week
[ ] 6. R estrict exercise if the target weight is
not maintained
19. T he nurse is admitting a client with anorexia
nervosa to the hospital based on which of the
following criteria?
S elect all that apply:
[ ] 1. A systolic blood pressure of 90 mm Hg
[ ] 2. A loss of 20% of body weight
[ ] 3. A temperature of 35.4°C (95.8°F)
[ ] 4. A serum potassium level of 2.8 mEq/L
[ ] 5. A pulse of 60 beats per minute
[ ] 6. F ailure to gain weight
20. W hich of the following nursing diagnoses is
appropriate for the nurse to include in the plan
of care for a client with a binge disorder?
1. I neffective thermoregulation
2. R isk for self-mutilation
3. I neffective health maintenance
4. Anxiety
21. T he nurse should administer which of the
following drugs to a client with a binge-eating
disorder for the purpose of decreasing the binge
episodes?
1. S ertraline (Zoloft)
2. O lanzapine (Zyprexa)
3. Amitriptyline (Elavil)
4. I mipramine (Tofranil)
22. A client with anorexia nervosa who is
emaciated is crying and tells the nurse, “I feel
so fat when I look in the mirror.” Which of
NURSINGthe
following is the priority response for the
nurse?
1. “You shouldn’t look in the mirror if it upsets
you.”
2. “You are 30% below your body weight.”
3. “It must be very frightening to feel fat.”
4. “Ask another person for another opinion.”
pg. 3/RJS
23. T he nurse is caring for a client with bulimia
who informs the nurse of an unpleasant tingling
of the hands and around the mouth, as well as
muscular spasms. The nurse should notify the
physician of which of the following suspected
disorders?
1. C ushing’s syndrome
2. Addison’s disease
3. Hyperthyroidism
4. Tetany
24. T he nurse is evaluating the medical records of
the following four clients. It is essential that the
nurse report which of the following clients
immediately?
1. A client with anorexia nervosa who has a
pulse of 55 beats per minute
2. A client with bulimia who has a serum
potassium of 3.5 mEq/L
3. A client with anorexia who has a systolic
blood pressure of 90 mm Hg
4. A client with bulimia who has a serum
calcium of 8.6 mg/dl
25. T he nurse should monitor a client with bulimia
for which of the following clinical
manifestations of hypokalemia?
S elect all that apply:
[ ] 1. H ypotension
[ ] 2. W eak, thready pulse
[ ] 3. Diarrhea
[ ] 4. H yperreflexia
[ ] 5. Decreased urinary output
[ ] 6. S hallow respirations