Online Practice Test 47

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Site Title: Kozier & Erb's Fundamentals of Nursing Book Title: Kozier & Erb's Fundamentals of Nursing Location on Site: Chapter 47 > NCLEX® Review Date/Time Submitted: August 1, 2012 at 1:57 AM (UTC/GMT)

Summary of Results 70% Correct of 10 Scored items: 7 Correct:  70% 3 Incorrect:  30% More information about scoring

1.		While teaching a weight management class, the nurse explains the importance of fiber in the diet for health and weight management. When reviewing the content at the end of the class, the nurse is aware that there is a misunderstanding when a class member responds: Your Answer: "Fiber is a complex carbohydrate that takes a long time to digest, so a person will experience a decreased appetite."
		Objective: Identify essential nutrients and their dietary sources. Rationale: Fiber is a complex carbohydrate that cannot be digested, adds bulk, satisfies appetite, comes from plants, and aids digestion and waste elimination. Nursing Process: Evaluation Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
2.		The nurse reads a food label that indicates the following: Carbohydrates: 22 grams Fat: 7 grams Protein: 16 grams The nurse calculates the number of total calories to be:  Your Answer: 215 calories
		Objective: Identify essential nutrients and their dietary sources. Rationale: Calories are calculated from the amount of energy released from food metabolism. Carbohydrates and proteins release 4 calories/gram, and fat releases 9 calories/gram. Nursing Process: Planning Client Need: Physiological Integrity Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
3.		When evaluating compliance with a health and weight loss plan, the nurse notes that which activity as most likely being responsible for a three-pound weight loss in the past month? Your Answer: Physical activity
		Objective: Discuss body weight and body mass standards. Rationale: Metabolism of food maintains and provides energy for the body. Exercise increases the metabolic rate and burns more calories. This causes weight loss. The other kinds of activity may cause some energy expenditure, but much less than the amount caused by physical activity. Nursing Process: Evaluation Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
4.		Which client assessed during screening for under- and over nourishment would be considered to be the healthiest? Your Answer: Male, 25 years old, 5 feet 6 inches, 160 pounds, BMI 25, Body fat 21% Correct Answer: Male, 25 years old, 5 feet 11 inches, 160 pounds, BMI 18, Body fat 17%
		Objective: Discuss body weight and body mass standards.  Rationale: Male, 25 years old, 5 feet 11 inches, 160 pounds, BMI 18, Body fat 17% is considered the healthiest based on the information given for BMI and body fat for the ages and heights listed. BMI of 25% or higher is considered overweight. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
5.		The mother of a preschooler asks the nurse about snacks for her child. Which of the foods mentioned is not an age-appropriate snack? Your Answer: Yogurt Correct Answer: Fruit-flavored Popsicles
		Objective: Identify developmental nutritional considerations.  Rationale: Fruit-flavored Popsicles is not an age-appropriate snack. The preschooler should be eating more adult-like food. Their busy, active lifestyle leads to quick meals with a need for nutritious snacks. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
6.		While performing a health assessment, a nurse notes risk factors for nutritional deficiencies. Which client is most likely to suffer a vitamin B deficiency? Your Answer: One who abuses alcohol
		Objective: Discuss essential components and purposes of nutritional screening and nutritional assessment. Rationale: Individuals with a sedentary lifestyle may have a tendency to eat fast foods that are high in salt and saturated fats. Vitamin B is found in low-fat meats. Someone who abuses alcohol is less likely to adhere to recommended nutritional guidelines. Pregnancy requires many additional nutrients. Nursing Process: Assessment Client Need: Physiological Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection. Key words = "most likely"
7.		When eating properly, clients on vegetarian diets will eat a nutritionally complete diet. However, there is a risk of malnutrition of which nutrient?  Your Answer: Protein
		Objective: Discuss essential components and purposes of nutritional screening and nutritional assessment. Rationale: With vegetarian diets, there is a risk of not getting enough protein, since vegetarians don't eat meats that contain protein. Carotene and vitamin C are rich in vegetables. Vegetarians are at no greater risk of water deficiency than non-vegetarians. See Box 47-6, Combinations of Plant Proteins that Provide Complete Proteins. Nursing Process: Assessment Client Need: Physiological Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
8.		Which of the following menus is acceptable for a client on a soft diet? Your Answer: Sweet potatoes, shredded pork, and apple sauce
		Objective: Discuss nursing interventions to treat clients with nutritional problems. Rationale: Meat needs to be lean, tender, chopped, or shredded. Vegetables and fruits need to be cooked, creamed, mashed, and without membranes. Nursing Process: Implementation Client Need: Physiological Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection
9.		A client who has a feeding tube most likely has a nursing diagnosis of:  Your Answer: Impaired swallowing
		Objective: Plan, implement, and evaluate nursing care associated with nursing diagnoses related to nutritional problems.  Rationale: Impaired gas exchange is a possibility if a client is unable to swallow, and aspirates food or stomach contents. While possible, this is less likely than Impaired swallowing. A feeding tube will not help a client with constipation or delayed gastric emptying. Nursing Process: Assessment Client Need: Physiological Integrity Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
10.		Which client is most likely to receive total parenteral nutrition (TPN)? Your Answer: A client with severe malnutrition due to metastatic cancer who is in a hospice program Correct Answer: A client NPO following surgery for repair of gunshot wounds to the gastrointestinal system
		Objective: Plan, implement, and evaluate nursing care associated with nursing diagnoses related to nutritional problems. Rationale: TPN is used to achieve an anabolic state in clients unable to maintain a normal nitrogen balance. TPN is used for clients with serious illness unable to eat for more than five days. The client in Answer 1 is in the acute phase of an illness that is most likely self-limited. TPN is used for clients with metastatic cancer; however, the client in Answer 2 is facing the end of life and is less likely to be using this expensive medical treatment. Removal of a lung is serious surgery, but the client usually begins eating within five days after surgery. Nursing Process: Planning Client Need: Physiological Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.