PrepU Questions (Exam 2) Flashcards
The nurse has determined that a client has a BMI of 27. The nurse recognizes that this client is in which of the following categories?
- healthy weight
- obesity class 1
- obesity class 2
- overweight
Ch. 8 (Energy Balance)
4: overweight
The nurse is concerned that a client who is 5 ft. 10 in. tall (1.78 meters) is too thin. If the client’s current weight is 110 lbs., what is this client’s current body mass index?
- 24.80
- 15.78
- 21.67
- 18.32
Ch. 8 (Energy Balance)
2: 15.78
110/2.2=50 50/1.78 squared = 15.78
A client’s BMI is reflective of class 3 obesity. Using the rule-of-thumb method, the nurse determines that the 300-pound client should consume how many calories each day? Round to the nearest whole number.
1. 2527
2. 2572
3. 2775
4. 2727
Ch. 8 (Energy Balance)
4: 2727 calories
The nurse is reviewing a client’s food log on a follow-up visit. The client has noted the calories by fats, proteins, and carbohydrates. However, the client has not included any calories from the glass of wine they drink every evening. The nurse points out that alcohol contains how much energy?
1. 5 cal/g
2. 9 cal/g
3. 7 cal/g
4. 3 cal/g
Ch. 8 (Energy Balance)
3: 7 cal/g
4 cal/g = carbohydrates/proteins
9 cal/g = fat
How many feet are in a meter?
Ch. 8 (Energy Balance)
3 feet/meter
What is the conversion of pounds to kilograms?
Ch. 8 (Energy Balance)
lbs/2.2 = kg
How do you calculate body mass index (BMI)?
Ch. 8 (Energy Balance)
weight in kg/height in meters squared
The client is being admitted for outpatient surgery. During the assessment, the nurse notes the client is 6 ft 3 in tall and weighs 97 kg. What is this client’s BMI?
1. 24
2. 30
3. 33
4. 27
Ch. 8 (Energy Balance)
4: 27
The nurse knows that teaching has been effective when a client who has celiac disease is able to identify that for a product to be labeled gluten-free, it must have fewer than which number of parts per million (ppm)?
Ch. 9 (Food & Supplement Labeling)
20
The nurse is aware that the strongest evidence for using CBD is its effectiveness in treating which condition?
1. fibromyalgia related pain
2. traumatic brain injuries
3. epilepsy syndromes that have poor response to antiseizure medications
4. muscle spasticity related to multiple sclerosis
Ch. 9 (Food & Supplement Labeling)
3.epilepsy syndromes that have poor response to antiseizure medications
The nurse is explaining supplements to a client. The nurse correctly explains which of the following is a plant or part of a plant used to decrease health problems?
Ch. 9 (Food & Supplement Labeling)
herb
The nurse is discussing food allergies with a client. Which ingredient does the nurse question as being required to be disclosed on packaging as an allergen?
Ch. 9 (Food & Supplement Labeling)
barley
Which of the following is a supplement ingredient that was not marketed in the United States before October 15, 1994?
1. new dietary ingredient
2. genetically modified food
3. irradiated food
4. herb
Ch. 9 (Food & Supplement Labeling)
new dietary ingredient
Which herbal dietary supplement does the nurse identfy as being among the top three for sales in the United States?
1. milk thistle
2. echinacea
3. tumeric
4. oregano
Ch. 9 (Food & Supplement Labeling)
3.tumeric
The nurse eats a prepackaged hot dog with 18 mg of cholesterol. Which nutrient claim term may legally be displayed on the hot dog packaging?
1. low
2. very low
3. free
4. good source
Ch. 9 (Food & Supplement Labeling)
1.low
Which information regarding the ingredient list does the nurse provide to a community nutrition class.
1. ingredient lists are required on all foods
2. the relative proportion of each ingredient is provided
3. ingredients that comprise under 2% of a product are not required to be listed
4. ingredients are listed in descending order by weight
Ch. 9 (Food & Supplement Labeling)
4.ingredients are listed in descending order by weight
A nurse is assisting a client in learning how to read food labels. Teaching has been effective when after reviewing an ingredients list including whole-wheat flour, sunflower oil, and salt, in that order the client tells the nurse which of the following?
1. salt has the highest quantity
2. there is one third as much salt by weight as whole-wheat flour
3. there is more sunflower oil than whole-wheat flour
4. there is more whole-wheat flour than salt
Ch. 9 (Food & Supplement Labeling)
4.there is more whole-wheat flour than salt
A client wants to lose weight and asks the nurse about herbal supplements for this purpose. Which information will the nurse share?
1. manufacturers are required to prove efficacy for weight loss claims
2. consumers are well protected from ineffective herbal supplements
3. the composition of ingredients cannot be ensured, so effectiveness may be altered
4. herbal supplements for weight loss are regulated like over the counter medications
Ch. 9 (Food & Supplement Labeling)
3.the composition of ingredietns cannot be ensured, so effectiveness may be altered
While teaching a class on nutrition, the nurse should encourage clients to try to consume more of which of the following nutrients listed on the nutrition facts label?
1. total fat
2. potassium
3. cholesterol
4. saturated fat
Ch. 9 (Food & Supplement Labeling)
2.potassium
The nurse is teaching a unit on food labeling to a community nutrition class. The nurse informs the class that the labeling term “made with organic ingredients” means that which percentage of the product’s ingredients are certified organic?
1. 100%
2. at least 70%
3. at least 95%
4. less than 70%
Ch. 9 (Food & Supplement Labeling)
2.at least 70%
The nurse is conducting a nutrition workshop as part of a community outreach program. Which information about herbs does the nurse provide to the participants?
1. they are harmless
2. they are supplements
3. they are effective
4. they are safe
Ch. 9 (Food & Supplement Labeling)
2.they are supplements
A client asks a nurse, “How do I know I that the vitamin supplement I buy at the supermarket is good enough for my family?” The nurse explains that supplement manufacturers must provide the FDA with what type of information before marketing a new dietary ingredient?
1. safety
2. potential interactions
3. appropriate dosage
4. effectiveness
Ch. 9 (Food & Supplement Labeling)
1.safety
The nurse is explaining the U.S. Food and Drug Administration (FDA) regulation of dietary supplements to a client who wants to know if a particular supplement is safe. Which information will the nurse share regarding the role of FDA regulation?
1. ingredients that become available after October 1994 do not require a safety review
2. consumer advisories ban the sale of dangerous products
3. the manufacturer must prove safety with significant scientific agreement (SSA)
4. the FDA must prove danger
Ch. 9 (Food & Supplement Labeling)
4.the FDA must prove danger
The client requests specific nutritional advice regarding lowering heart disease risk. In attempting to provide the client with advice of the highest level of scientific backing, which reccomendation does the nurse make?
1. eat plenty of foods with soluble fiber
2. include walnuts in your diet
3. eat foods that are rich in calcium
4. get plenty of B vitamins
Ch. 9 (Food & Supplement Labeling)
1.eat plenty of foods with soluble fiber
Inclusion of information on which nutrient(s) does the nurse identifiy to a client as resulting from the 2016 rules update on the Nutrition Facts label? Select all that apply.
1. iron
2. potassium
3. vitamin A
4. vitamin C
5. vitamin D
Ch. 9 (Food & Supplement Labeling)
2.potassium
4.vitamin C
5.vitamin D
The %DV listed for vitamin D in a Nutrition Facts label is based on which of the following?
1. based on newer scientific evidence
2. includes a health claim
3. new adequate intakes
4. does not require the actual gram amounts
Ch. 9 (Food & Supplement Labeling)
1.based on newer scientific evidence
The nurse is discussing dietary supplements with a client. The nurse should tell the client that the supplement label should include which of the following if it complies with the Council for Responsible Nutrition?
1. a list of contaminants and impurities
2. a warning if package contains natural toxins
3. disclosure of allergens
4. a notice of any improper handling
Ch. 9 (Food & Supplement Labeling)
3.disclosure of allergens
The nurse’s community nutrition class is eager to learn about CBD products. Which information will the nurse provide?
1. unlike other supplements, CBD dosages are standardized
2. CBD can produce nasuea, fatigue, and irritability
3. CBD will not interact with prescription medications
4. regular use of CBD is appropriate for anyone over 18
Ch. 9 (Food & Supplement Labeling)
- CBD can produce nasuea, fatigue, and irritability
Which of the following is required to list a claim on dietary supplement packaging?
1. disclaimer
2. scientific evidence
3. FDA approval
4. proof of safety
Ch. 9 (Food & Supplement Labeling)
1.disclaimer
Which of the following is a treatment that destroys bacteria and parasites that cause foodborne illnesses?
1. irradiation
2. genetic modification
3. hybridization
4. organic farming
Ch. 10 (Consumer interests & Concerns)
1.irradiation
The majority of foodborne illnesses resulting in death are caused by:
1. parasites
2. fungi
3. bacteria
4. viruses
Ch. 10 (Consumer interests & Concerns)
3.bacteria
The nurse is seeing a client who indicates a desire to incorporate a specific nutrient into their diet after watching a news brief on the benefits of the dietary supplement. The client reports not knowing how much of the supplement to take because this was not discussed on the news. Which response by the nurse is most approriate?
1. how do you believe this supplement is going to change your health?
2. your belief in this supplement is unsupported but likely harmless
3. i dont like this is going to work for you
4. you have been the victim of false information
Ch. 10 (Consumer interests & Concerns)
1.how do you believe this supplement is going to change your health?
The nurse is teaching a community nutrition class about the Clean 15 and Dirty Dozen lists. Which fruit does the nurse identify as being among the produce types listed in the Clean 15.
1. cherries
2. grapes
3. pineapple
4. peaches
Ch. 10 (Consumer interests & Concerns)
3.pineapple
While teaching a nutrition class for clients who want to prevent heart disease, the nurse discusses that on a Nutrition Facts label, which of the following listed nutrients should consumers try to limit?
1. iron
2. vitamin A
3. potassium
4. saturated fat
Ch. 10 (Consumer interests & Concerns)
4.saturated fat
The national news reported results of a recent research study conducted by the Society for the Psychic Development of Hamsters showing that eating candy helped 5% of participants prevent weight gain. The reliability of these results should be questioned because:
1. the study was not conducted in a reputable research facility
2. the results sounds too good to be true
3. the study is outdated
4. the promoter of the message stands to benefit economically
Ch. 10 (Consumer interests & Concerns)
1.the study was not conducted in a reputable research facility
The nurse explains to a client that a food label includes all of the following with the exception of what information?
1. nutrient, health, and structure/function claims
2. genetically modified organisms
3. an ingredient list
4. nutrition facts
Ch. 10 (Consumer interests & Concerns)
2.genetically modified organisms
A client is taking multiple medications daily for the treatment of HIV. Which of the following supplements should the nurse tell the client to avoid?
1. echinacea
2. garlic
3. saw palmetto
4. cranberry
Ch. 10 (Consumer interests & Concerns)
2.garlic
In examining product packaging while shopping, which health claim does the nurse identify as requring the lowest level of supportive evidence?
1. calcium lowers risk of osteoporosis
2. green tea lowers cancer risk
3. olive oil lowers risk of cardiovascular disease
4. cranberry helps promote urinary tract health
Ch. 10 (Consumer interests & Concerns)
4.cranberry helps promote urinary tract health
Which pathogen causes a small percentage of all foodborne illness but a higher percentage of foodborne illness resulting in hospitalization and death?
1. campylobacter
2. salmonella, nontyphoidal
3. toxoplasma gondii
4. norovirus
Ch. 10 (Consumer interests & Concerns)
2.salmonella, nontyphoidal
A nurse is most likely to have a male client report taking which of the following herbal supplements?
1. soy isoflavones
2. cranberry
3. garlic
4. saw palmetto
4.saw palmetto
Is the following statement true or false?:
Ingredient listings and Nutrition Facts labels are reliable and accurate by law.
Ch. 10 (Consumer interests & Concerns)
true
What do structure/function claims do?
1. offer the possibility that afood may improve body function
2. show FDA approval of the claim
3. cannot appear on junk food
4. include symbols in their claim
Ch. 10 (Consumer interests & Concerns)
1.offer the possibility that a food may improve body function
Is the following statement true or false?:
Dietary supplements are required to carry warning labels approved by the FDA.
Ch. 10 (Consumer interests & Concerns)
false
Is the following statement true or false?:
Rinsing all fruits and vegetables under running water and discarding the outer leaves, are vital to reduce exposure ot natural dangers such as bacteria and mand-made risks such as chemical residues.
Ch. 10 (Consumer interests & Concerns)
true
Do genetically engineered foods pose a health or safety risk when ingested?
Ch. 10 (Consumer interests & Concerns)
no
U.S. Food and Drug Association (FDA) asserts this
A nurse is learning more about food beliefs associated with various religions. Which of the following religions has a moral code that focuses on making thoughtful decisions about food?
1. christianity
2. judaism
3. buddhism
4. islamic
Ch. 11 (Cultural & Religious Influences on Food & Nutrition)
3.buddhism
The nurse received a report that a client being admitted to the unit has not had dinner while in the emergency department. The client is identified as a member of the Church of Jesus Christ of Latter-Day Saints. What item would the nurse omit from a food tray for this client?
1. vegetables
2. fish
3. tea
4. milk
Ch. 11 (Cultural & Religious Influences on Food & Nutrition)
3.tea
When working with a client who practices Judaism, the nurse recognizes which of the following CORRECTLY represents the practice of kosher dietary laws?
1. using the leanest cuts of pork
2. eating shrimp and lobster only on special occasions
3. avoiding cheese and dairy products
4. having meat and dairy at separate meals
Ch. 11 (Cultural & Religious Influences on Food & Nutrition)
4.having meat and dairy at separate meals
The nurse is caring for a client of African descent, whose family recently immigrated to the United States (US). Which difference(s) would the nurse expect to see between this client’s eating patterns and those of Black clients who were born in the US? Select all that apply.
1. black americans born outside the U.S. have a lower Dietary Approaches to Stop Hypertension (DASH) diet score
2. foreign-born Black Americans are more likely to be in the lower one-third for intake of fruits & veggies than those born in the U.S.
3. Black Americans who are born outside the U.S. are more likely to be in the top one-third for intake of whole grains than those born in the U.S.
4. Persons of African descent born outside U.S. are more likely to be in the top one-third for itnake of omega-3 fatty acids than those born in the U.S.
5. Foreign-born individuals of African descent have a higher Healthy Eating Index (HEI) score than those born in the U.S.
Ch. 11 (Cultural & Religious Influences on Food & Nutrition)
3.black Americans who are born outside the U.S. are more likely to be in the top one-third for intake of whole grains than those born in the U.S.
4.Persons of African descent born outside the U.S. are more likely to be inthe top one-third for intake of omega-3 fatty acids than those born in the U.S.
5.Foreign-born individuals of African descent have a higher Healthy Eating Index (HEI) score than those born in the U.S.
Food habits are one of the last behaviors people change when assimilating to a new country. The evolution that occurs as immigrants implement eating patterns and food selections of the host country is referred to as which of the following?
1. dietary integration
2. foodway
3. cultural reinvention
4. dietary acculturation
Ch. 11 (Cultural & Religious Influences on Food & Nutrition)
4.dietary acculturation
Although each culture has their own customs, there is a common element they all share. Which element is common between cultures?
1. to view slimness as attractive and desirable
2. to eat three or more times daily
3. to rely on meat to attain their protein requirements
4. to use food as a way to socialize
Ch. 11 (Cultural & Religious Influences on Food & Nutrition)
4.to use food as a way to socialize
Which of the following statements would explain why immigrant children assume foodways of a new culture sooner than their parents do?
1. children do not have a direct cultural identity
2. parents encourage the adoption of the new culture
3. parents usually do not change dietary patterns to approximate the host culture
4. children learn from other children at school
Ch. 11 (Cultural & Religious Influences on Food & Nutrition)
4.children learn from other children at school
The nurse is seeing a client wants to be able to eat out at a Mexican restaurant while adhering to a healthy eating pattern. Which of the following selections would be best for this client when eating out?
1. chile relleno with arroz roho
2. fajitas with pico de gallo sauce
3. hard shell beef tacos with sour cream
4. green chile and cheese flautas
Ch. 11 (Cultural & Religious Influences on Food & Nutrition)
2.fajitas with pico de gallo sauce
The nurse is concerned that a client of Japanese descent only drinks green tea for breakfast. What should the nurse do first to improve this client’s nutrition for the first meal of the day?
1. discus the use of nutritional supplements with the health care provider
2. notify the dietitian to discuss meal choices with the client
3. add eggs, toast, and bacon to the client’s breakfast selections
4. ask what foods are preferred to eat for breakfast
Ch. 11 (Cultural & Religious Influences on Food & Nutrition)
4.ask what foods are preferred to eat for breakfast
The nurse is providing education about nutrition to a community with a predominantly Hispanic American population. Which nutrition-related health factor is associated with Hispanic or Latino American clients when compared to their non-Hispanic White counterparts?
1. elevated stroke risk
2. higher physical activity levels
3. increased prevalence of diabetes
4. shorter life expectancy
Ch. 11 (Cultural & Religious Influences on Food & Nutrition)
3.increased prevalence of diabetes
In the United States, lifestyle changes have had a dramatic impact on daily food preparation. Meals are often prepared using which of the following?
1. nutrient-dense foods
2. fresh fruits and vegetables
3. homemade foods
4. convenience foods
Ch. 11 (Cultural & Religious Influences on Food & Nutrition)
4.convenience foods