Fundamentals Kaplan Integrated Test-with 100% verified solutions-2024.docx | Exams Nursing | Docsity (2024)

Download Fundamentals Kaplan Integrated Test-with 100% verified solutions-2024.docx and more Exams Nursing in PDF only on Docsity! Fundamentals Kaplan Integrated Test-with 100% verified solutions-2024 1. Which laboratory test is the best indicator of a client in need of TPN? Serum albumin 2. A physician orders nutritional therapy administered via a central vein for a client who cannot take foods orally. What is the term for this type of nutrition? Total parenteral nutrition (TPN) 3. A nurse provides discharge education for a client diagnosed with ketosis. Which nutrient would be added to this client's diet?. Carbohydrates 4. An athlete wants to increase the intake of complex carbohydrates and asks the nurse about potential sources. Which food is considered a complex carbohydrate? Pasta 5. A postmenopausal client wishes to increase the amount of vitamin D that she consumes to help keep her bones strong. Which food will the nurse recommend? Milk 6. The nurse is performing a nutritional assessment of an obese client who visits a weight control clinic. What information should the nurse take into consideration when planning a weight reduction plan for this client? Psychological reasons for overeating should be explored, such as eating as a release for boredom. 7. A 45-year-old client on the inpatient unit has just resumed eating a normal diet. The nurse checks a blood sugar with the morning labs and the result is 99.10 mg/dL (5.5 mmol/L). How would the nurse interpret this blood glucose? Normal 8. The nurse is caring for four clients. The nurse recognizes that which client’s lifestyle choice contributes most highly to risk for development of cardiometabolic syndrome? 28-year old who eats fast food daily 9. The nurse is providing care for an older adult client who is recovering from pneumonia on the hospital's medical unit. The nurse sets up the client's dinner tray on his overbed table. The client then states, “I won't be having any of this.” What is the nurse's most appropriate response? “Can you tell me why you don't want to have dinner tonight?” 10.The nurse performs gastrostomy site care and notes drainage. What action does the nurse take? Place a drain sponge under the external bumper. 11.A nurse is caring for a client who has been ordered a clear liquid diet. Which liquid can be included in the client's diet? Cranberry juice 12.Which nursing action associated with successful tube feedings follows recommended guidelines? Check the residual before each feeding or a fever 24.The community nurse is educating client groups about nutrition. Which group does the nurse identify that will benefit most from nutritional counseling and intervention? older adults living on a fixed income 25.At what period of life do nutrient needs stabilize? Adulthood 26.Which of the following is a fat-soluble vitamin? Vitamin E 27.A client with diabetes mellitus must monitor carbohydrate intake. Which client statement requires nursing intervention? “My favorite drink is coffee with sugar.” 28.A client is discussing vitamin and mineral intake with the nurse. Which client statement requires further nursing teaching? “My husband and I are ordering a product that has megadoses of vitamins.” 29.A nurse is learning about religious dietary restrictions at a nursing conference. Which religious meal selection should the nurse understand is appropriate? Hindus: Vegetable plate 30.A client is prescribed warfarin, an anticoagulant. When educating this client about potential diet and drug interactions, the nurse would caution the client about foods containing which nutrient? Vitamin k 31.A nurse is working with a 46-year-old woman who is working to lose weight. Based on recommendations from the USDA regarding diet modification, which is not appropriate advice for this client? Drink juice for majority of fluid intake. 32.Which client(s), at risk for poor nutritional intake, would benefit from nutritional counseling from the nurse? Select all that apply. pregnant teenagers, people with substance use problems, older adults living on fixed incomes 33.A physician orders nutritional therapy administered via a central vein for a client who cannot take foods orally. What is the term for this type of nutrition? Total parenteral nutrition (TPN) 34.A nurse is conducting client education with a woman who meets the diagnostic criteria for metabolic syndrome. The nurse is teaching the client about the MyPlate tool for promoting healthy food intake. According to MyPlate, the highest proportion of food in each meal should consist of what? Vegetables 35.An older adult client informs the nurse that foods don't taste or smell the same and eating is a chore. What suggestion can the nurse provide to the client to address this age-related change? Try eating foods that are attractive and at the proper temperature. 36.A client with partial-thickness or second-degree burns is encouraged to increase the proteins in their diet. Which food is high in protein? scrambled eggs with cheese 37.A 16-year-old adolescent informs her nurse that she became a vegetarian 1 year ago. Lately she is reporting fatigue and has trouble concentrating. A quick blood test ordered by her licensed provider informs the nurse that she has pernicious anemia. This is a deficiency of what vitamin? vitamin B12 38.A client has developed dysphagia secondary to a cerebrovascular accident. The nurse is aware that the client is at risk for: aspiration 39.A nurse is working with a 45-year-old construction worker. The nurse obtains his height and weight and calculates that his BMI is 28. How would the nurse best classify James? Overweight 40.When teaching a client, which laboratory tests will the nurse identify that assess cardiac and vascular disease risk? Select all that apply. cholesterol level, lipoprotein level, triglyceride level 41.A female client has developed an abscess following abdominal surgery, and her food intake has been decreasing over the past 2 weeks. Which laboratory finding may suggest the need for nutritional support? Low serum albumin levels 42.A nurse is reviewing a client's laboratory values. Which laboratory value would be indicative of a client’s level of malnutrition? Serum albumin 43.A nurse is caring for a client who has a malabsorption disease. The nurse should understand that which structure in the gastrointestinal system absorbs the majority of digested food and minerals? Small intestine 44.The nurse is teaching four clients in a community health center. Which client does the nurse identify as needing more servings per day of milk? teenager who is in the second trimester of pregnancy 45.A client is receiving continuous tube feeding via a nasogastric (NG) tube. What should the nurse use to determine that the NG is in correct placement? Select all that apply. Stop tube feedings for 1 hour after medication before testing the pH of the gastric fluid. Visually assess aspirate that it differs from the color and consistency of the tube feeding. Measure the exposed length of feeding tube and compare it to 56.A 40-year-old man has consumed a breakfast consisting of cereal, milk, orange juice, and coffee. His blood sugar in 2 hours is likely to be in what range? 140–180 mg/dL 57. A nursing student is teaching healthy nutrition to a client who is vegetarian. Which statement by the nursing student requires the nursing instructor to intervene? “Obesity is closely linked with vegetarianism.” 58.Which nursing student statement regarding vegetarian diets requires further teaching from the nursing instructor? “According to research, vegetarians have a higher incidence of obesity than others.” 59.Which vitamin is found only in animal foods? vitamin B12 60.Total parenteral nutrition (TPN) has been ordered for a client. The nurse is aware that the assessment criteria for ordering TPN is what? Select all that apply. Client is not able to absorb nutrients properly, A debilitating condition for more than 2 weeks, Renal or hepatic failure 61.A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which action should the nurse perform with TPN? Discard unused TPN every 24 hours. 62.A nurse is caring for a client with a gastrostomy tube in place. Which is an accurate guideline for care of the insertion site? If the gastric tube insertion site has healed and the sutures are removed, use soap and water to clean the site. 63.Which nursing action is performed according to guidelines for aspirating fluid from a small-bore feeding tube? If fluid is obtained when aspirating, measure its volume and pH and flush the tube with water. 64.The nurse has obtained a client's capillary blood glucose sample and the results are significantly lower than reference range. What is the nurse's priority action? Assess the client for signs and symptoms of hypoglycemia. 65.A client with dysphagia prepares to eat dinner. How does the nurse best help this client? Ensure the head of the bed is high- Fowler. 66.Which task may be safely delegated to unlicensed assistive personnel (UAP)? Feeding a client who is at risk for aspiration 67.The nurse is reviewing a client's most recent laboratory results, which reveal increases in hematocrit, creatinine, and blood urea nitrogen (BUN). After collaborating with the interdisciplinary team, what intervention is most appropriate? Increase the client's fluid intake. 68.The nurse is teaching an older adult client about different types of proteins that can be eaten. Which foods will the nurse identify as containing dietary protein? Select all that apply. Beans, nuts, poultry, fish 69.The average dietary nutrient intake level that meets the nutritional requirement of almost all healthy people in a selected age and gender group is the: RDA level