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What is the priority for preventing diabetes in people who are at high risk?

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Eat a low-sugar diet.
Achieve moderate weight loss through increased activity and lowered calorie and fat intake.
Eat a low-carbohydrate diet.
Consume a consistent amount of carbohydrate at every meal.
Dietary Approaches to Stop Hypertension (DASH) has been known effective as it help
lower the hypertension and causes significant improvement in a patient's heart health.
Based on your knowledge, which of the following the least important mineral? *
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Calcium
Magnesium
Potassium
Zinc
Serving pureed foods to a client with difficulty swallowing is what kind of hospital
diet? *
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Nutritional Supplements
Modular Products
Modified consistency diets
Therapeutic diets
Which is not appropriate for a patient with dysphagia? *
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Do not drink with food. May drink after no food in the mouth.
Encourage dry swallows or coughing to help clear food from the mouth between bites.
Small bites – ½ to 1 tsp solid food or 10-15ml liquid
Allow adequate time to eat (15-20mins)
ServSafe states that 4 hours is the maximum length of time ready-to-eat foods can
stay in the temperature danger zone. For safe food handling and storage the food
should be maintained within which of the following temperature? *
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<6 degrees Celsius or > 65 degrees Celsius
>4 degrees Celsius or < 60 degrees Celsius
<4 degrees Celsius or > 60 degrees Celsius
>6 degrees Celsius or < 65 degrees Celsius
Which of the following recommendations would be most appropriate to limit trans
fats? *
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Avoid commercially made baked goods and stick margarines.
Avoid egg yolks and shellfish.
Avoid red meats.
Avoid corn oil.
A client who wants to prevent further weight gain should be encouraged which of the
following exercise? *
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At moderate to vigorous intensity for 60 minutes/day on most days of the week.
At moderate intensity for 30 minutes everyday of the week.
At moderate to vigorous intensity for 90 minutes/day everyday
At moderate intensity for 30 minutes per day on most days of the week.
What is the recommended food portion for patients with dysphagia? *
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Food – ½ to 1 tsp solid food & liquid 10-15ml
Food –1 tbsp of solid food & liquid 10-15ml
Food – ½ -1 tbsp of solid food & liquid 15ml max per bite
Food – ½ tbsp of solid food & liquid 10-15ml
You are caring for a patient who is on pureed diet. However based on your
assessment, the patient has trouble swallowing. Which of the following is your initial
intervention? *
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refer for diet adjustments
determining the location of difficulty
trial swallowing of food
swallowing exercises
Which of the following recommendations would be most effective at increasing
sodium potassium intake? *
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Choose enriched grains in place of whole grains
Eat more fruits and vegetables
Because there are few good dietary sources of potassium, it is best obtained by taking potassium
supplements
Eat more seafood and poultry in place of red meat
The nurse knows her instructions about reading labels for sodium information have
been effective when the client verbalizes: *
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“The best way to use the “Nutrition Facts” label is to compare the sodium content of one brand or
variety of a food to another.”
“The “Nutrition Facts” labels is based on the current adult AI of 1500 mg Na.”
“Foods labeled as “no salt added” are sodium free.”
“Spaghetti sauce labeled “reduced sodium” has less sodium in it than spaghetti sauce labeled as
“light in sodium”.
What do you call the dietary fiber that acts as fertilizer for the healthy gut bacteria? *
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Antioxidants
Prebiotics
Probiotics
Water-soluble fiber
Which of the following is an least appropriate intervention for patients with
dysphagia? *
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Oral swallowing exercises.
If dry mouth – encourage to think or talk about food before meal time
Eat bitter or sweet food to heighten the senses
Consider tube feeding if <50% intake/ meal
The patient has been diagnosed heartburn. The patient complains burning sensation
under the sternum. As a nurse, which of the following is inappropriate for this
patient? *
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Avoid high sodium
Avoid overeating
Avoid large or high-fat meals
Avoid chocolate and alcohol
The goal of nutrition in diabetes mellitus is control of blood sugar level. Which among
the following is not a strategy for controlling the blood sugar level? *
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Limit Total Fat intake
Daily protein intake should be 15-20%
Based the amount of CHO on eating habits
Take sucrose foods occasional
A patient with cricopharyngeal dysfunction or loss of function of upper esophageal
sphincter is ordered to start supraglottic swallow. As a nurse taking care of the
patient, the patient demonstrates understanding of the procedure if the patient did
which of the following? *
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Elevate the larynx to maximum level during a swallow
Straighten the head and neck while swallowing
Take a breath and hold while swallowing then exhale forcefully or cough gently after the swallow
then swallow again
Putting 1/2 tsp of food in the mouth then drink water then swallow
The following are the sources of prebiotics, EXCEPT? *
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Onions and garlic
Slightly unripe bananas
Aged Cheeses
Raw asparagus
The client asks if yogurt with probiotics will relieve her symptoms of irritable bowel
syndrome. Which of the following would be the nurse’s best response? *
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“Probiotics are the only dietary intervention known to help irritable bowel syndrome.”
“Although it is not guaranteed to help, probiotics may help and do not pose a health risk in
healthy people.”
“Because little is known about the effects of probiotics on health, you should avoid consuming
them.”
“Unfortunately, there isn’t anything that will help relieve irritable bowel syndrome.”
The client understands that losing weight will help lower blood pressure. What does
the client need to know about weight loss diets? *
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Low-fat, low-calorie diets are the best for overweight cardiac clients because benefits are
achieved from reducing all types of fat in the diet.
The appropriate calorie level DASH diet can promote weight loss while providing adequate
amounts of food components that have cardiometabolic benefits.
For overall health and weight, it doesn’t matter what kind of diet you choose.
A very-low-carbohydrate diet is best because it promotes quick weight loss and is nutritionally
adequate in all food components known to provide cardiometabolic benefits.
Which of the following is not an indication of enteral nutrition? *
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Comatose patients
Chewing problems
Intractable vomiting
Prolonged anorexia
When developing a teaching plan for a client with hypertension, which of the following
foods would the nurse advise the client to limit? *
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Eggs
Processed cheese
Milk
porridge
As the patient’s nurse, the following health educations to the primary care giver was
discussed early. You verified that the caregiver understood if which of the following is
not done during feeding the patient with dysphagia? *
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Watching cooking shows while eating to heighten the appetite
Upright position, bent slightly forward, chin tucked and head tilted forward (prevent aspiration
pneumonia)
Encourage dry swallows or coughing to help clear food from the mouth between bites.
Feeding assistant sit below patient’s eye level
A patient receiving parenteral nutrition is administered via the following except which
one of the following? *
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Subclavian line
Central venous catheter
Peripherally inserted central catheter (PICC) line
PEG tube
Which of the following is not a sample recommendation of food for patients in FULL
LIQUID diet? *
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Cooked Eggs
Eggnog
Apple Juice
Strawberry Milkshake
Dietary Approaches to Stop Hypertension (DASH) has been known effective as it help
lower the hypertension and causes significant improvement in a patient's heart health.
Based on your knowledge, which of the following is not taken in moderation? *
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fish
nuts
low-fat dairy
Poultry
Which statement indicates the patient understands the instruction about a DASH-style
diet? *
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“The most important thing about a DASH diet is to eat less cholesterol. No egg yolks for me.”
“I had given up sugar-sweetened soft drinks but now I am going to go back to drinking them
because they are allowed on my diet.”
“As long as I don’t add salt to my food while cooking or at the table, I will be able to achieve a
low-sodium diet.”
“I need to eat more fruits, vegetables, and whole grains.”
Why are carbonated beverages and spices avoided for patients with hiatal hernia? *
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irritates esophageal mucosa
relaxes pyloric sphincter
increases gas trapping
increases gastric motility
Quilgo Submission ID (do not edit) *
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lWeeZ009u6PBou1R
Which of the following would be most appropriate in modifying a regular diet to a high-
fiber diet? *
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Rice in place of mashed potatoes
Cream of wheat in place of cream of rice
Apple in place of apple juice
Ice cream in place of gelatin
The client with type 1 diabetes asks if she can have a glass of wine with dinner on the
weekends. Which of the following would be the nurse’s best response? *
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“It is better to have wine between meals than with meals so that it doesn’t interfere with your
normal food intake.”
“A mixed drink would be better than wine because the mixer will help slow the absorption of the
alcohol.”
“People with diabetes cannot have alcohol because it raises blood glucose levels very quickly.”
“An occasional glass of wine with dinner will not cause any problems. Be sure to limit yourself to
one serving.”
Which is the appropriate diet for patient with throat cancer? *
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Pureed thick consistency
full liquid diet
Pureed thin consistency
central line access for parenteral nutrition
The nurse knows her instructions have been effective when the patient with dumping
syndrome verbalizes she should do which of the following? *
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Avoid protein.
Drink liquids between, not with, meals.
Avoid lying down after eating.
Eat simple sugars in place of starches.
Which of the following delivery type of nasogastric feeding is applicable to a patient
transitioning to oral intake? *
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Continuous drip
Intermittent feeding
Cyclic Feeding
Bolus feeding
When developing a teaching plan for a client who is lactose intolerant, which of the
following foods would the nurse suggest as sources of calcium the client could
tolerate? *
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Whole grains, nuts, and cocoa
Cheddar cheese, bokchoy, broccoli
Spinach, beet greens, soy milk
Poultry, meat, eggs,
According to American Heart Association, 125/86 is classified as which of the
following? *
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Stage I Hypertension
Pre-hypertensive
Normal
A woman at 5 weeks gestation is complaining of nausea throughout the day. What
should the nurse recommend? *
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Small frequent meals of easily digested carbohydrates
A low fiber intake.
Small frequent meals that are high in protein
A liquid diet until the nausea subsides
Which of the following diet is applicable for patient with pancreatic disease? *
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Low carbohydrate diet
Protein restricted diet
High carbohydrate diet
Fat restricted diet
The nurse knows that instructions for a healthy diet have been effective when the
client expresses a need to eat more which of the following? *
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Oily fish and nuts
Lean red and deli meats
Diet soda and diet desserts
Italian bread and cornflakes
Which of the following diet is applicable for patient before his/her surgery to minimize
fecal residue? *
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Low fiber diet
High fiber diet
Fat restricted diet
Protein restricted diet
A client is wondering whether to go on a low-fat diet or a low-carb diet to lose weight.
As a nurse, what Is your best advice? *
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“Lowering fat intake causes a great calorie deficit than lowering carbohydrate intake because fat
has more calories/gram than carbohydrate do.”
“A low-carb diet is easier to achieve and more filling than a low-fat diet. I would try that if I were
you.”
“The best approach is to eat a diet that is low in both carbohydrates and fat. That means
concentrate on eating a diet high in fat-free protein.”
“For weight loss, it doesn’t matter if you lower fat or lower carbohydrates, what is necessary is to
consume fewer calories that you expend.”
Your classmate is performing one of the helpful breathing exercises for patient with
COPD. As performed, the client demonstrated slowly inhalation through the nose,
drawing the breath down toward the stomach. Then, tightening the abdominal
muscles and let the stomach fall downward while exhaling like whistling. Which of the
following is currently performed by the client? *
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pursed-lip breathing
diaphragmatic excursion
supraglottic breathing exercise
huff coughing
The doctor has ordered to start bolus feeding to a patient with nasogastric tube. How
long is the maximum time of delivery of the osteurized feeding (OF) via NGT? *
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15 minutes
30 minutes
20 minutes
10 minutes
The patient vomited due to stomach upset. As a nurse which of the following is not an
appropriate health teaching? *
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Do not mix hot and cold goods
Broth based soups, warm tea with mint or ginger ale
Eat small warm meals
Good oral health
Vitamin D plays a lot of roles in the body. Which of the following is not a role of
vitamin D? *
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Maintain normal release of insulin by beta cells
Maintaining epigenome, reducing inflammation
Helps the insulin to move the glucose in the cell
Protecting beta cell against destruction
Which food groups provides the least carbohydrates? *
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Meat
Vegetables
Milk
Fruit
Mr. Roque asks why sugar should be limited in the diet. As a nurse, which of the
following is the best response? *
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“Sugar provides more calories per gram than starch, protein, or fat.”
“A high sugar intake increases the risk of heart disease and diabetes.”
“There is a direct correlation between sugar intake and the risk of obesity.”
“Foods high in sugar generally provide few nutrients other than calories and may make it hard to
consume a diet that has enough of all the essential nutrients.”
You are handling a patient with continuous drip via subclavian vein. Which of the
following refers to a potentially fatal complication increases insulin caused by a
dramatic increase in calories? *
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Dumping syndrome
hyperglycosemia
Refeeding syndrome
Pleural congestion
Which is the least food/ingredient appropriate and helpful for patient with COPD? *
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rice
lentils
chicken
olive oil
Which statement indicates the patient understands nutrition recommendations
regarding carbohydrate intake? *
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“It is important to consume the proper balance of starch, sugar, and fiber at each meal.”
“It is important to consume the correct amount of carbohydrate at each meal and snack.”
“People with diabetes should avoid sugars and foods that contain sugars.”
“Carbohydrates must be balanced in relation to the amount of protein and fat consumed.”
What is a kind of lipids that acts the precursor of bile acids, steroid hormones, and Vit
D? *
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trigylcerides
lipoproteins
sterols
cholesterol
Which of the following is not a feeding routes for enteral access for nutrition? *
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nasosigmoistomy
nasogastric
nasoduodenal
nasojejustomy

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