NACE EXAM — Health Care exam material
HEAL100 · Other
HEAL100 Health Care — exam and revision material · Other
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Health Care exam material, 7 pages. Originally published on StudyMerit.
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Fundamentals Kaplan Integrated Test / QUESTIONS AND ANSWERS / 100% CORRECT AND RATED A+ Which laboratory test is the best indicator of a client in need of TPN? Serum albumin 1. 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) 2. A nurse provides discharge education for a client diagnosed with ketosis. Which nutrient would be added to this client's diet?. Carbohydrates 3. 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 4. A postmenopaus al 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 5. The nurse is performing a nutritional assessment of an obese client who visits a weight control clinic. What in formation 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. 6. 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 7. The nurse is caring for four clients. The nurse recognizes that which c lient’s lifestyle choice contributes most highly to risk for development of cardiometabolic syndrome? 28 - year old who eats fast food daily 8. 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 ga strostomy 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? Cranberr y juice
12. Which nursing action associated with successful tube feedings follows recommended guidelines? Check the residual before each feeding or every 4 to 8 hours during a continuous feeding. 13. Which clients would the nurse expect to have an increase i n basal metabolic rate (BMR)? Select all that apply. a toddler who is having a growth spurt, an adolescent who has a fever, an adult who is going through an emotional time due to divorce 14. The nurse is teaching four clients in a community health center. W hich client does the nurse identify as needing more servings per day of milk? teenager who is in the second trimester of pregnancy 15. A nurse is managing a client's continuous tube feeding via an NG tube. How often should the nurse check for residual? Eve ry 4 to 6 hours 16. An athlete wants to increase her intake of complex carbohydrates and asks the nurse about potential sources. Which food is considered a complex carbohydrate? Bread 17. A nurse is caring for a client with chronic anemia. What should be included in the diet of this client? Red meat 18. A nurse in a rural health center meets a new client, age 4. The nurse notices as the client enters the clinic that his legs appear to be bowed. When he smiles, the nurse also notes that his dentition is qui te malformed for a child his age. What vitamin deficiency would the nurse most suspect? Vitamin D 19. 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. 20. A client who is recovering from a stroke has begun tube feedings. Which principle should the nurse follow when administering the tube feeding? Intermittent feedings use gravi ty for instillation or a feeding pump to administer the formula over a set period of time. 21. The nurse has observed that a client's food intake has diminished in recent days. What intervention should the nurse perform in order to stimulate the client's ap petite? Try to ensure that the client's food is attractive and sufficiently warm. 22. The nurse is caring for a client with an enlarged thyroid gland. Which nutritional deficiency will the nurse suspect is linked to the client's condition? Iodine 23. The nur se is assessing clients for basal metabolic rate (BMR). Which client would the nurse suspect would have an increased BMR? a client who has 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: Vege table 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 admin istered 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 syndr ome. 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 co ncentrating. 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 B 12 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 th at his BMI is 28. How would the nurse best classify James? Overweight
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HEAL100 · Other
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HEAL100 · Other
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