Chapter 12 Practice Questions - Nutrition Flashcards
The nurse recognizes which of these persons is at greatest risk for undernutrition?
a. 5-month-old infant
b. 50-year-old woman
c. 20-year-old college student
d. 30-year-old hospital administrator
a. 5-month-old infant
When assessing a patients nutritional status, the nurse recalls that the best definition of optimal nutritional status is sufficient nutrients that:
a. Are in excess of daily body requirements.
b. Provide for the minimum body needs.
c. Provide for daily body requirements but do not support increased metabolic demands.
d. Provide for daily body requirements and support increased metabolic demands.
d. Provide for daily body requirements and support increased metabolic demands.
The nurse is providing nutrition information to the mother of a 1-year-old child. Which of these statements
represents accurate information for this age group?
a. Maintaining adequate fat and caloric intake is important for a child in this age group.
b. The recommended dietary allowances for an infant are the same as for an adolescent.
c. The babys growth is minimal at this age; therefore, caloric requirements are decreased.
d. The baby should be placed on skim milk to decrease the risk of coronary artery disease when he or she grows older.
a. Maintaining adequate fat and caloric intake is important for a child in this age group.
A pregnant woman is interested in breastfeeding her baby and asks several questions about the topic. Which
information is appropriate for the nurse to share with her?
a. Breastfeeding is best when also supplemented with bottle feedings.
b. Babies who are breastfed often require supplemental vitamins.
c. Breastfeeding is recommended for infants for the first 2 years of life.
d. Breast milk provides the nutrients necessary for growth, as well as natural immunity.
d. Breast milk provides the nutrients necessary for growth, as well as natural immunity.
A mother and her 13-year-old daughter express their concern related to the daughters recent weight gain and her increase in appetite. Which of these statements represents information the nurse should discuss with them?
a. Dieting and exercising are necessary at this age.
b. Snacks should be high in protein, iron, and calcium.
c. Teenagers who have a weight problem should not be allowed to snack.
d. A low-calorie diet is important to prevent the accumulation of fat.
b. Snacks should be high in protein, iron, and calcium.
The nurse is assessing a 30-year-old unemployed immigrant from an underdeveloped country who has been in the United States for 1 month. Which of these problems related to his nutritional status might the nurse expect to find?
a. Obesity
b. Hypotension
c. Osteomalacia (softening of the bones)
d. Coronary artery disease
c. Osteomalacia (softening of the bones)
For the first time, the nurse is seeing a patient who has no history of nutrition-related problems. The initial nutritional screening should include which activity?
a. Calorie count of nutrients
b. Anthropometric measures
c. Complete physical examination
d. Measurement of weight and weight history
d. Measurement of weight and weight history
A patient is asked to indicate on a form how many times he eats a specific food. This method describes which of these tools for obtaining dietary information?
a. Food diary
b. Calorie count
c. 24-hour recall
d. Food-frequency questionnaire
b. Calorie count
The nurse is providing care for a 68-year-old woman who is complaining of constipation. What concern exists regarding her nutritional status?
a. Absorption of nutrients may be impaired.
b. Constipation may represent a food allergy.
c. The patient may need emergency surgery to correct the problem.
d. Gastrointestinal problems will increase her caloric demand.
a. Absorption of nutrients may be impaired.
During a nutritional assessment, why is it important for the nurse to ask a patient what medications he or she is taking?
a. Certain drugs can affect the metabolism of nutrients.
b. The nurse needs to assess the patient for allergic reactions.
c. Medications need to be documented in the record for the physicians review.
d. Medications can affect ones memory and ability to identify food eaten in the last 24 hours.
a. Certain drugs can affect the metabolism of nutrients.
A patient tells the nurse that his food simply does not have any taste anymore. The nurses best response would be:
a. That must be really frustrating.
b. When did you first notice this change?
c. My food doesnt always have a lot of taste either.
d. Sometimes that happens, but your taste will come back.
b. When did you first notice this change?
The nurse is performing a nutritional assessment on a 15-year-old girl who tells the nurse that she is so fat. Assessment reveals that she is 5 feet 4 inches and weighs 110 pounds. The nurses appropriate response would be:
a. How much do you think you should weigh?
b. Dont worry about it; youre not that overweight.
c. The best thing for you would be to go on a diet.
d. I used to always think I was fat when I was your age.
a. How much do you think you should weigh?
The nurse is discussing appropriate foods with the mother of a 3-year-old child. Which of these foods are recommended?
a. Foods that the child will eat, no matter what they are
b. Foods easy to hold such as hot dogs, nuts, and grapes
c. Any foods, as long as the rest of the family is also eating them
d. Finger foods and nutritious snacks that cannot cause choking
d. Finger foods and nutritious snacks that cannot cause choking
The nurse is reviewing the nutritional assessment of an 82-year-old patient. Which of these factors will most likely affect the nutritional status of an older adult?
a. Increase in taste and smell
b. Living alone on a fixed income
c. Change in cardiovascular status
d. Increase in gastrointestinal motility and absorption
b. Living alone on a fixed income
When considering a nutritional assessment, the nurse is aware that the most common anthropometric measurements include:
a. Height and weight.
b. Leg circumference.
c. Skinfold thickness of the biceps.
d. Hip and waist measurements.
a. Height and weight.
If a 29-year-old woman weighs 156 pounds, and the nurse determines her ideal body weight to be 120 pounds, then how would the nurse classify the womans weight?
a. Obese
b. Mildly overweight
c. Suffering from malnutrition
d. Within appropriate range of ideal weight
a. Obese
How should the nurse perform a triceps skinfold assessment?
a. After pinching the skin and fat, the calipers are vertically applied to the fat fold.
b. The skin and fat on the front of the patients arm are gently pinched, and then the calipers are applied.
c. After applying the calipers, the nurse waits 3 seconds before taking a reading. After repeating the procedure three times, an average is recorded.
d. The patient is instructed to stand with his or her back to the examiner and arms folded across the chest. The skin on the forearm is pinched.
c. After applying the calipers, the nurse waits 3 seconds before taking a reading. After repeating the
procedure three times, an average is recorded.
In teaching a patient how to determine total body fat at home, the nurse includes instructions to obtain measurements of:
a. Height and weight.
b. Frame size and weight.
c. Waist and hip circumferences.
d. Mid-upper arm circumference and arm span.
a. Height and weight.
The nurse is evaluating patients for obesity-related diseases by calculating the waist-to-hip ratios. Which one of these patients would be at increased risk?
a. 29-year-old woman whose waist measures 33 inches and hips measure 36 inches
b. 32-year-old man whose waist measures 34 inches and hips measure 36 inches
c. 38-year-old man whose waist measures 35 inches and hips measure 38 inches
d. 46-year-old woman whose waist measures 30 inches and hips measure 38 inches
a. 29-year-old woman whose waist measures 33 inches and hips measure 36 inches
A 50-year-old woman with elevated total cholesterol and triglyceride levels is visiting the clinic to find out about her laboratory results. What would be important for the nurse to include in patient teaching in relation to these tests?
a. The risks of undernutrition should be included.
b. Offer methods to reduce the stress in her life.
c. Provide information regarding a diet low in saturated fat.
d. This condition is hereditary; she can do nothing to change the levels.
c. Provide information regarding a diet low in saturated fat.
In performing an assessment on a 49-year-old woman who has imbalanced nutrition as a result of dysphagia, which data would the nurse expect to find?
a. Increase in hair growth
b. Inadequate nutrient food intake
c. Weight 10% to 20% over ideal
d. Sore, inflamed buccal cavity
b. Inadequate nutrient food intake
A 21-year-old woman has been on a low-protein liquid diet for the past 2 months. She has had adequate intake of calories and appears well nourished. After further assessment, what would the nurse expect to find?
a. Poor skin turgor
b. Decreased serum albumin
c. Increased lymphocyte count
d. Triceps skinfold less than standard
b. Decreased serum albumin
The nurse is performing a nutritional assessment on an 80-year-old patient. The nurse knows that physiologic changes can directly affect the nutritional status of the older adult and include:
a. Slowed gastrointestinal motility.
b. Hyperstimulation of the salivary glands.
c. Increased sensitivity to spicy and aromatic foods.
d. Decreased gastrointestinal absorption causing esophageal reflux.
a. Slowed gastrointestinal motility.
Which of these interventions is most appropriate when the nurse is planning nutritional interventions for a healthy, active 74-year-old woman?
a. Decreasing the amount of carbohydrates to prevent lean muscle catabolism
b. Increasing the amount of soy and tofu in her diet to promote bone growth and reverse osteoporosis
c. Decreasing the number of calories she is eating because of the decrease in energy requirements from the loss of lean body mass
d. Increasing the number of calories she is eating because of the increased energy needs of the older adult
c. Decreasing the number of calories she is eating because of the decrease in energy requirements from the loss of lean body mass
