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This
is a multiple choice type of exam, you will answer this within 1 hr & 45
minutes. Please make sure you have a stable internet connection. Full Name
should be in CAPITAL letters.
SECRET
1. Which of the following is an important concern for the nurse who is *1/1
providing nutrition by peripheral vein?
a. calorie overload
c. fluid overload
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Other:
b. is indigestible.
d. is inedible.
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b. infectious processes
c. inadequate diets
d. malabsorption
6. An appropriate diet for the patient with IBD would allow the basic *0/1
principles of optimum nutrition and would:
a. be increased in fiber.
c. be decreased in fiber.
d. be decreased in sodium.
7. Patients with colostomies usually gain control of evacuation faster than *0/1
patients with ileostomies because:
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a. constipation.
b. diarrhea.
c. odors.
d. is nutritionally adequate
d. is nutritionally adequate.
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11. Which of the following foods are allowed on a minimum-residue diet? * 0/1
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14. Which of the following foods are allowed on a minimum-residue diet? * 0/1
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18. The symptoms of hepatitis that interfere with food intake include 1/1
a. anorexia.
b. confusion.
c. constipation.
d. internal bleeding.
19. Which of the following foods may be restricted in the diet of the hepatitis *0/1
patient?
a. milk
b. butter
c. noodles
d. chocolate
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20. The symptom of cirrhosis that may interfere with nutrient intake is * 1/1
a. anorexia.
b. distention.
c. pain.
21. Which of the following meals would best fit the needs of a cirrhotic *0/1
patient with esophageal varices who is on a 350 g carbohydrate, 80 g protein,
100 g fat diet?
22. The purpose of the low-protein diet (15–20 g) is to help prevent the *1/1
development of hepatic coma by
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23. Which of the following meals would be appropriate for a person on a 15 g *0/1
protein diet?
d. tomato stuffed with tuna fish, crackers with butter, ice cream, tea
a. glucose.
b. fatty acids.
c. ammonia.
d. sodium.
b. increased fluids.
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26. Mr. L. was admitted to the hospital complaining of abdominal pain, fatigue, *1/1
and anorexia. His skin showed a yellow tinge as did the sclera of his eyes.
Laboratory tests and assessments revealed evidence of liver dysfunction, fluid
retention, and portal hypertension. Macrocytic anemia, thiamin and zinc
deficiency were also identified. The following questions pertain to this
situation.
a. hepatitis
b. jaundice
c. cirrhosis
d. cancer
27. Which of the following diet modifications would be appropriate for Mr. L.? *1/1
a. 250 mg sodium
b. 60 g protein
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28. What daily measurements are appropriate for Mr. L.’s condition? * 1/1
c. skinfold thickness
29. Four days after admission, Mr. L.’s condition seemed to worsen. He *1/1
appeared confused, forgetful, and lethargic. His blood levels of ammonia were
elevated and his skin color had deepened. Given these symptoms, the most
probable cause of his worsening condition is
a. allergic reaction.
c. esophageal varices.
d. advanced cirrhosis.
30. All except which of the following foods should be omitted from Mr. L.’s diet *1/1
while he is in this stage of his illness?
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a. fats.
b. bile.
c. cholecystokinin.
d. cholesterol.
32. Bile functions in the digestion of food in which of the following ways? * 1/1
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34. Symptoms of cholecystitis that interfere with nutrient intake include all *1/1
except
a. distention.
b. pain.
c. internal bleeding.
a. calcium.
b. chloride.
c. cholesterol.
d. cholecystokinin.
a. I.V. therapy.
c. low-fat.
d. full-liquid.
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d. I.V. therapy
38. Which of the following foods is not a member of any of the meat *1/1
exchange groups?
b. soy milk, 1 c
d. 1 hot dog
39. Which of the following statements correctly describes the action of *1/1
insulin?
c. Insulin decreases the conversion of glucose to fat for storage as adipose fat
tissue.
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41. In the exchange system of diet control, an ounce of canned tuna may be *1/1
exchanged for all except:
d. one egg.
42. The exchange system of diet control is based on principles of: * 1/1
c. nutritional balance.
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43. How much orange juice would substitute for the CHO in an uneaten slice *1/1
of bread?
a. 1⁄2 c
b. 3⁄4 c
c. 1 c
d. 1–1⁄2 c
44. The diabetic diet is designed for long-term use and contains a balance of: * 1/1
a. energy.
b. nutrients.
c. distribution.
a. carbohydrates.
b. proteins.
c. fats.
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46. If 50% of the total calories in a 1500 calorie diabetic diet is from *1/1
carbohydrates, how many grams of carbohydrate will the diet contain? (Round
to nearest whole number.)
a. 50
b. 150
c. 190
d. 210
47. Emphasis is placed on using polyunsaturated fats and limiting foods *0/1
high in cholesterol in the diet of the diabetic. The reason for this is:
48. The daily intake of foods for the diabetic is spaced at regular intervals *1/1
throughout the day. The reason for this is:
d. to prevent obesity.
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49. Sally, an 8-year-old diabetic, is ready to go home from the hospital. Sally’s *1/1
mother should know that:
a. 1250 calories.
b. 1500 calories
c. 1600 calories.
d. 1850 calories.
a. 1 lb per week
b. 2 lb per week
c. 3 lb per week
d. 4 lb per week
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52. Which two of the following food portions have the * 0/1
a. 4 oz lean meat
b. 1 granola bar
53. Which of the following menus would be the best choice for a person on *1/1
a 1-g sodium, low-cholesterol diet?
54. From the following list, which foods would be most suitable for a person *0/1
on a 500-mg sodium diet?
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···/1
Option 1
a. tubule.
b. glomerulus.
c. nephron.
d. ureter.
56. Approximately how many ml of water leave the body via the kidney per *1/1
day?
a. 1000–1500
b. 2000–2500
c. 500–1000
d. 3000
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57. Neutrality is restored to the body by the kidney in which of these ways? * 1/1
a. reabsorption of electrolytes
c. excretion of bicarbonate
58. The vitamin whose activity depends upon efficient kidney function is: * 1/1
a. ascorbic acid.
b. B12.
c. D.
d. retinol
a. 1⁄4.
b. 1⁄2.
c. 2⁄3.
d. 0.
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a. 0–1⁄4.
b. 1⁄4–1⁄2.
c. 1⁄2–2⁄3.
d. 3⁄4–
61. Chronic renal failure usually occurs over a long period of time from *1/1
diseases that affect the nephron. Included are all except which of these
diseases?
a. renal osteodystrophy
b. congenital abnormalities
c. untreated glomerulonephritis
d. insulin-dependent diabetes
62. Reduced secretion of phosphate, sulfates, and organic acids from *1/1
ingested foods results in:
a. metabolic alkalosis.
b. metabolic acidosis.
c. edema.
d. ascites.
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a. sodium retention.
b. calcium excretion.
c. metabolic acidosis.
d. erythrocyte reduction.
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66. Which of these nutrients should be restricted in the diet of the person on *1/1
CAPD?
a. sodium
b. potassium
c. fluid
d. phosphorus
67. The amount of protein needed for a patient on peritoneal dialysis is: * 1/1
68. Effects of a severely restricted diet on a patient with CAPD include all of *1/1
these except:
a. hemorrhagic shock.
c. heart arrhythmias.
d. dehydration.
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immobilized.
70. The diet therapy indicated for a patient with calcium phosphate kidney *1/1
stones is:
71. In planning a diet for a patient with calcium phosphate kidney stones, *1/1
which of the following foods could you use in unlimited amounts?
a. fruits
b. meat
c. milk
d. cheese
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a. physical examination.
b. pap smears.
c. mammograms.
b. susceptibility to infection.
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b. response to therapy.
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a. 2 times RDA/DRI
b. 5 times RDA/DRI
c. 10 times RDA/DRI
d. 20 times RDA/DRI
c. chronic inflammation.
d. hypermetabolism.
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81. T lymphocyte production in HIV infection will drop from normal levels to: * 0/1
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83. Both parents of an infant have a history of emotional problems. The nurse *1/1
recognizes that
d. b) and c)
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84. Teaching parents about nutrition of healthy infants includes providing *0/1
education to
d. a) and b)
e. b) and c)
85. When introducing solid foods, parents should be aware that * 1/1
a. mixed cereals are one of the first foods introduced because they are simple and
easy-to-digest
b. fruits should be offered before vegetables as they are typically more pleasing to
the infant
c. cereals should be fortified with iron to reduce the baby’s risk for iron-deficiency
anemia
d. when first introducing cereal, the parents should mix a tablespoon of cereal with a
tablespoon of warmed breast milk or
baby formula
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86. Parents of an infant should be instructed that during the first few weeks of *1/1
life infants need to nurse _____ times per day.
a. 2–4
b. 4–8
c. 8–12
d. 12–16
87. The nurse discovers that there is incongruence between the parent’s *1/1
learning priorities and his/her own priorities. The nurse should
88. The parent of an infant states, “I will never subject my child to infant *1/1
formula. It is such an inadequate form of nutrition.” The nurse recognizes that
infant formula
b. never completely replaces the complex nutrients and immune system benefits of
breast milk
c. does provide the nutrition necessary for formula-fed infants to grow and thrive
d. b) and c)
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89. Parents should be instructed that when choosing an infant formula for *1/1
partially breastfed or formula fed infants that they should choose
a. low-iron formula
b. iron-fortified formula
c. iron-free formula
d. a) or c)
c. having the parent simply observe as the nurse demonstrates the skill taught to
them
d. a) and b)
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92. When preparing to provide parent education to parents who do not speak *1/1
English as their primary language, the nurse should
c. provide the education without making accommodations for the parent’s primary
language
93. After demonstrating how to properly mix a bottle of infant formula, the *1/1
nurse asks the parent, “On a scale of 1–10 how certain are you that you will be
able to perform the skill?” This is an example of assessing the parent’s
a. readiness to learn
b. self-efficacy
c. learning barriers
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94. All of the following statements about infant nutrition and healthy eating are *1/1
accurate, except:
a. Honey is not recommended for children under one year of age as it can lead to
scurvy
c. Hard, small and round, or smooth and sticky, solid foods should be avoided to
prevent aspiration and choking
d. Raw or undercooked meats, poultry, and milk products are not recommended
95. When assessing self-identified learning priorities, the nurse discovers that *1/1
there is incongruence between the parent’s priorities and his/her priorities. In
response, the nurse should
d. recognize that it will not be possible to effectively educate this particular parent
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b. a need to double the amount of carbohydrates and fats to maintain their activity
level
c. a need for more calories than they can take in from eating three meals a day
97. The parent of a school-aged child states, “My son’s favorite meals are high *1/1
in fat and often lack vegetables. Is there a way to make his meals healthier?”
The nurse should suggest that the parent
e. a) and c)
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98. Barriers to the parents’ ability to learn can include any of the following, *1/1
except
b. low literacy
99. The parent of a school-aged female child states, “The only time she snacks *1/1
is when she is watching television. Some days that is a lot and
other days it is hardly any at all.” Which of the following is an appropriate
response from the nurse?
a. “Children who watch over 3 hours of television per day are at a higher risk for
becoming obese. It is recommended that
b. “You can never get enough television support. As long as your child is snacking on
healthy snacks, it is fine for her to
c. “Children often reach for the food that is closest at hand when they are looking for
a snack. You can make healthy snacks
d. “You have no cause to be concerned. Time spent watching television will not
affect your daughter unless it is preventing her
e. a) and c)
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100. The mother of a healthy 7-year-old boy asks the nurse for suggestions on *1/1
healthy snacks for her to provide to her son. Which of the
following would it be appropriate for the nurse to suggest?
a. A medium-sized apple
d. 1 cup of carrots cut into small pieces and served with 2 tablespoons of hummus
Forms
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