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Exam 2 NURS 388

Total questions: 32

Worksheet time: 18mins

Name
Class
Date
1.

Which of the following are risk factors for Type 2 Diabetes?

a)

Obesity

b)

Physical inactivity

c)

Low HDL

d)

Being under 20 years old

e)

High protein intake

2.

What is the normal fasting blood glucose range?

a)

60-90 mg/dL

b)

70-100 mg/dL

c)

80-110 mg/dL

d)

90-120 mg/dL

3.

A nurse is reviewing the health history of a client. Which of the following findings places the client at greatest risk for having a stroke?

a)

Age 35 with a physically active lifestyle

b)

Family history of diabetes with a low-fat diet

c)

Hypertension that is not well controlled

d)

HDL cholesterol level of 65 mg/dL

4.

A patient has a BMI of 32. What classification is this?

a)

Underweight

b)

Normal weight

c)

Overweight

d)

Obese

5.

The nurse is teaching a client about dietary sources of calcium. Which of the following foods should the nurse include in the teaching? (Select all that apply)

a)

Milk

b)

Tofu

c)

Green leafy vegetables

d)

White rice

e)

Legumes

6.

A nurse is reviewing a client’s medication list and notes that the client is taking warfarin (Coumadin). Which of the following vitamins should the nurse instruct the client to avoid excessive intake of due to its interference with anticoagulation therapy?

a)

Vitamin A

b)

Vitamin C

c)

Vitamin K

d)

Vitamin D

7.

A nurse is assessing a client with a suspected vitamin B12 deficiency. Which of the following findings should the nurse expect? (Select all that apply)

a)

Numbness

b)

Hallucinations

c)

Fatigue

d)

Constipation

e)

Weight gain

8.

A nurse is providing dietary education to a client at risk for cardiovascular disease. Which of the following recommendations is most appropriate to reduce the client's risk of heart disease?

a)

High saturated fat intake

b)

Low fiber diet

c)

Plant-based diet

d)

Sedentary lifestyle

9.

A nurse is reviewing a client’s health history and notes multiple risk factors. Which of the following findings supports a diagnosis of metabolic syndrome? (Select all that apply).

a)

Low HDL levels

b)

Excess abdominal fat

c)

Heart Failure

d)

High HDL levels

e)

Elevated fasting blood glucose

10.

One pound of fat contains how many kcal?

a)

1000

b)

3500

c)

1500

d)

4000

11.

Which type of fiber helps most to reduce colon cancer risk?

a)

Soluble

b)

Insoluble

c)

Refined

d)

Processed

12.

A deficiency in which mineral can lead to osteoporosis?

a)

Calcium

b)

Iron

c)

Magnesium

d)

Zinc

13.

What factor indicates that a child is at risk for obesity?

a)

>85th percentile

b)

>50th percentile

c)

BMI of 26

d)

BMI of 30

14.

A nurse is educating a client who engages in regular physical activity about proper hydration. Which of the following statements by the client indicates an understanding of fluid guidelines for exercise?

a)

"I should drink 8 oz of water before exercising."

b)

"I need to drink 1.5 L of fluid for every kilogram of body weight I lose during exercise."

c)

"Sports drinks should contain at least 15% carbohydrates for energy."

d)

"I only need to hydrate after exercise to prevent heatstroke."

15.

A nurse is teaching a client about essential and nonessential nutrients. Which of the following statements by the client indicates a need for further teaching?

a)

"Essential nutrients must be obtained through the diet because the body cannot produce them."

b)

"Carbohydrates, proteins, and fats are examples of essential nutrients."

c)

"Nonessential nutrients are not used by the body and should be avoided."

d)

"The body can synthesize nonessential nutrients on its own."

16.

A nurse is discussing dietary fiber with a client who is at risk for constipation. Which of the following food options provided by the client indicates the highest source of insoluble fiber?

a)

Barley

b)

Oatmeal

c)

Applesauce

d)

White Bread

17.

In order to lose 3 pounds of fat in 2 weeks, how many calories would you reduce your daily intake by?

a)

800 kcal/day

b)

300 kcal/day

c)

500 kcal/day

d)

750 kcal/day

18.

A nurse is educating a 55-year-old patient on calculating their maximum heart rate. What would this patient's maximum HR be?

a)

165 bpm

b)

185 bpm

c)

100 bpm

d)

200 bpm

19.

A nurse is teaching a client about increasing vitamin D intake through diet. Which of the following foods should the nurse recommend as good sources of vitamin D?

a)

Brown rice and broccoli

b)

Oranges and spinach

c)

Egg yolks and fortified milk

d)

Chicken breast and apples

20.

A nurse is caring for a client with severe trauma from a car accident. The nurse understands that the client is in a catabolic state. Which of the following findings would the nurse expect?

a)

Positive nitrogen balance due to tissue repair

b)

Negative nitrogen balance, indicating muscle protein breakdown

c)

Decreased protein breakdown and increased fat storage

d)

Nitrogen retention due to increased caloric intake

21.

A nurse is reviewing medication and supplement use with a client who is prescribed warfarin (Coumadin). Which of the following statements by the client indicates a need for further teaching?

a)

"I will avoid foods high in vitamin K to prevent interference with my medication."

b)

"I take vitamin E supplements daily to help with my skin health."

c)

"I understand that herbal supplements can interact with warfarin."

d)

"I will inform my healthcare provider before starting any new vitamins or supplements."

22.

A nurse is teaching a client about dietary sources of calcium and factors that affect absorption. Which of the following statements by the client indicates a need for further teaching?

a)

"Drinking milk helps me meet my calcium needs."

b)

"Taking vitamin D helps my body absorb calcium better."

c)

"Leafy greens like kale are good sources of calcium."

d)

"Drinking several cups of black tea each day improves my calcium absorption."

23.

What BMI range is considered healthy?

a)

>18

b)

18-24.9

c)

25-29.9

d)

30-40

24.

A nurse is assessing a client with suspected ketosis. Which of the following situations could lead to excessive ketone production?

a)

High carbohydrate diet

b)

Increased protein intake

c)

Excess sodium consumption

d)

Low or no carbohydrate intake

25.

A nurse is caring for a client with a high fever due to an acute infection. Which of the following best describes the effect of fever on protein in the body?

a)

Proteins may denature and require increased intake to support immune function

b)

Proteins are stored in fat tissue during a fever

c)

Proteins are used to regulate blood glucose levels

d)

Protein metabolism decreases to conserve energy

26.

A nurse is teaching a client about incorporating antioxidants into their diet. Which of the following foods should the nurse include as good sources of antioxidants? (Select all that apply)

a)

Blueberries

b)

Red cabbage

c)

Olive oil

d)

White bread

e)

Kale

27.

A nurse is providing nutritional education to a client with concerns about nervous system health. Which of the following nutrients are essential for proper nervous system functioning? (Select all that apply)

a)

Vitamin B12

b)

Thiamine

c)

Vitamin K

d)

Calcium

e)

Sodium

28.

A nurse is caring for several clients with different dietary needs. Which client requires the highest priority for observation during mealtime?

a)

A client advanced to a mechanical soft diet following oral surgery

b)

A client recently advanced from NPO to clear liquids post-abdominal surgery

c)

A client with poorly fitted dentures on a regular diet

d)

A client with a history of stroke who is eating for the first time post-hospital admission

29.

A nurse is teaching a client with end-stage kidney disease (ESKD) about dietary management. Which of the following statements by the client indicates understanding of the teaching?

a)

"I should increase my fluid intake to help flush my kidneys."

b)

"I will limit my intake of high-sodium and processed foods."

c)

"I can eat as much protein as I want since my kidneys aren't working."

d)

"I should avoid all fruits and vegetables to prevent potassium overload."

30.

A nurse is reviewing lab results for a client who is a long-term smoker and reports fatigue and frequent colds. Which of the following vitamins should the nurse suspect may be deficient?

a)

Vitamin A

b)

Vitamin C

c)

Vitamin K

d)

Vitamin D

31.

A nurse is caring for a client diagnosed with essential fatty acid deficiency (EFAD). Which assessment findings should the nurse expect? (SATA)

a)

Dry, scaly dermatitis

b)

Hair loss

c)

Increased infections

d)

Neuropathy

e)

Poor wound healing

32.

A nurse is teaching a client who has iron-deficiency anemia about dietary choices to improve iron intake. Which meal selection by the client indicates understanding of the teaching?

a)

Scrambled eggs with milk and toast

b)

Oatmeal with tea and banana

c)

Grilled chicken salad with spinach and orange slices

d)

Yogurt parfait with strawberries