Central Mindanao UniversityCOLLEGE OF NURSING

NRSG 52. NURSING NUTRITIONFINAL EXAM

ABSOLUTELY NO CHEATINGREAD INSTRUCTIONS CAREFULLYMultiple Choice: Write your answers on the space provided before each number. STRICTLY NO ERASURES. Any superimposition would invalidate your answer.

1. These are types of feeding designed for individuals who cannot accept or assimilate nutrients enterally

A. parenteral feeding.B. normal feedingC. Spoon feedingD. Intravenous feeding

2. The patient with nasogastric tube has nasopharyngeal irritation, which of the following interventions should be applied?

a. give anesthesia topicallyb. give decongestantsc. wash with plain NSSd. provide ice chips.

3. For three days a comatose patient has not defecated, what will you add to her diet?a. 1 serving of apple per mealb. 1 glass of milk per mealc. 1 serving of camote tops per meal.d. give stool softener mixed in the food

4. It is a type of enteric feeding route wherein the tube extends from the nose into the stomacha. nasogastric tube.b. esophagostomy tubec. gastrostomy tubed. jejunostomy tube

5. a patient with peptic ulcer is admitted, what type of diet is most likely prescribed to the patient?a. Bland diet.b. meat dietc. vegetable dietd. carbohydrate diet

6. Which among the food should be avoided to patients with hyperacidity?a. milkb. breadc. hot chilli.d. vegetables

7. Another term for malabsorption syndrome is:a. colic diseaseb. diarrheac. amoebiasisd. celiac disease.

8. It is a diarrheal condition in which there is excessive fat excreted in the stoola. steatorrhea.b. gonorrheac. amenorrhead. oliguria

9. It is a condition where the mucosa of the small intestine is damaged by gluten which results to the malabsorption of nutrients

a. ulcerative colitisb. gouty arthritisc. celiac disease.

d. diabetes10. A pediatric patient with celiac disease is admitted, what type of foods is allowed to give

a. breaded meatsb. oatmealsc. thickened soup with wheatd. corn soup.

11. Baby Drex was admitted due to diarrhea for 2 days especially after feeding, upon digging the history you knew that the mother has wean from breastfeeding to bottle feeding. It is suggestive that the patient has

a. lactose intolerance.b. amoebiasisc. constipationd. malaria

12. What could be your findings in your physical assessment of Drex that indicate he is dehydrateda. bulging eyesb. sunken fontanels.c. pitting edemad. vomiting

13. What will you teach to her mother in home care?a. reduce fiber rich foodsb. no more green vegetablesc. give antidiarrheal drugsd. continue breastfeeding.

14. It is a condition in which a person experiences hard feces that is difficult to egest.a. diarrheab. constipation.c. malabsorptiond. lactose intolerance

15. It is referred to as an increased occurrence of passage of gas or cramping pain associated with buildup of gas in the GIT

a. intestinal gas.b. haemorrhoidsc. cancerd. ascites

16. The following are possible causes of haemorrhoids, excepta. catharticsb. childbearingc. enemasd. spicy foods.

17. Yasmira has haemorrhoids, she has to changed her usual diet bya. increasing water intake up to 8-10 glasses or more.b. decreasing water intake c. eating spicy foodsd. refrain from strenuous exercises

18. A patient with gastroesophageal reflux is asking for information regarding her diet, what health teaching will you include?

a. eat fatty foodsb. eat small frequent meals.c. drink 1 liter of water an hour before mealsd. NPO for a day, until appetite has improved

19. Which among the food list can irritate damaged esophageal mucosaa. soft drinks.b. ricec. fatty foodsd. protein rich-foods

20. It is a malabsorption disorder cause by resections of portions of the small intestine due to an illness or injury

a. haemorrhoids

b. esophagitisc. short bowel syndrome.d. intestinal gas

21. This a condition in which there is enlargement of veins which occurs in the lower part of the rectum at the anal opening

a. hiatal herniab. gastritisc. haemorrhoids.d. polariods

22. It is a condition wherein there is scarring of the liver to patients with hepatitisa. cirrhosis.b. neurosisc. esophagitisd. liver atrophy

23. Which among the types of hepatitis can be transmitted through contaminated fooda. Hepatitis A.b. Hepatitis Bc. Hepatitis Cd. Hepatitis D

24. A patient is diagnosed with Hepatitis B, what should be avoideda. alcohol.b. spicy foodc. mint pepperd. yellow foods

25. It is the inflammation of the gallbladder a. cholecystitis.b. appendicitisc. choledolithiasisd. endomyelitis

26. It is a condition in which stones fall into the bile ducta. choledolithias.b. cholecystitisc. cholelithiasisd. cholelithothiasis

27. Mr Brown has pancreatitis which meansa. inflammation of the pancreas due to a decreased production of the digestive enzyme.b. inflammation of the pancreas due to increase production of digestive enzymec. inflammation of the pancreas due to increase intake of fatty foodd. inflammation of the pancreas due to decrease intake of fatty food

28. Hereditary disease in which there are high levels of sodium and chloride in tears, saliva and sweata. atherosclerosisb. cystic fibrosis.c. arteriosclerosisd. rheumatoid arthritis

29. Patients with cystic fibrosis shoulda. increase fluid intake.b. decrease fluid intakec. increase fat intaked. increase carbohydrate intake

30. This refers to the hardening of the arteries and thickening of the inside walls of the blood vesselsa. atherosclerosis.b. cystic fibrosisc. arteriosclerosisd. rheumatoid arthritis

31. Which of the following is not allowed to hypertensive patientsa. low sodium dietb. low fat dietc. high fiber diet

d. liberal sodium diet.32. It is also known in layman’s term as heart attack

a. myocardial infarct.b. atherosclerosisc. arteriosclerosisd. stroke

33. A patient is admitted due to nephritic syndrome, of which there is albuminuria, what nutritional health teaching will you provide

a. low calorie dietb. high calorie dietc. high sodium dietd. high protein diet.

34. It is the formation of renal or urinary calculi in the urine that precipitate as stones in the urinary passages

a. urolithiasis.b. chronic renal failurec. renal cystitisd. kidneycitis

35. Post-operatively, what diet modifications are usually followeda. NPO _> Liquid diet > Soft diet > DAT.b. DAT > Soft diet >Liquid diet >NPOc. NPO >General liquid diet >DATd. NPO >Liquid diet > soft diet > Hard diet

36. It is a type of tumour that is confined to an area where it originated and non- cancerous typea. carcinomab. melanomac. benign tumor.d. malignant tumor

37. It is a type of tumour which multiply and metastasize and cancerous in typea. carcinomab. melanomac. benign tumord. malignant tumor.

38. These are foods that promotes production of milk of lactating mothersa. galactogenic foods.b. goitrogenic foodsc. high liquid dietd. lactogenic foods

39. The following foods should be given liberally to lactating mothers, excepta. green leafy vegetablesb. papaya soupc. malunggay soupd. coffee.

40. A teenager is pregnant, what specific food should you encourage to eat which is rich in irona. green leafy vegetables.b. Vitamin C rich foodc. cantaloupesd. carrots

41. To prevent neural tube defects you should teach the mothers to eat foods rich ina. folic acid.b. vitamin Cc. irond. carotene

42. Common nutritional problems young high school students isa. extreme dieting.b. obesityc. UTId. pneumonia

43. A mother is complaining in feeding a toddler with food jags, you will teach her toa. start slowly with a food that the toddler hatesb. serve less that what he will eatc. prepare simple dishes.d. prepared mixed fruits or halohalo

44. A mother is concerned about her school-age child who is overweight, upon history taking you noted that the mother probably

a. stick to her rule of clean plate.b. has diabetes that runs in the familyc. has forced her child to consume high fiber fruitsd. has been cooking delicious meal

45. A toddler is dawdling during meal time. What might not cause such behaviour?a. child is trying to get attentionb. child may not be feeling wellc. child may be given proportion which are too larged. child may have supplemental vitamins to boost appetite.

46. A child was admitted due to urticaria and hives, basing on your assessment what might be the possible cause of such

a. child has been playing in the playgroundb. child has been weaned from bottle feedingc. child has an overdosage of vitaminsd. child has eaten allergenic foods.

47. An elderly patient has been weak and emaciated due to difficulty of chewing from loss of teeth and not getting use to dentures. What could be done to solve this problem?

a. serve hot foodsb. chop vegetables in large chunksc. flake fish and chop meat.d. serve attractive food with varying colors

48. An 80 year-old patient had a difficulty in sleeping, what could be given to promote sleep?a. green leafy vegetablesb. 4 liters of water before sleepingc. drink warm milk before sleeping.d. give hot green tea before sleeping

49. If diarrhea occurs what possible food should be served with meals?a. fiber riched foodsb. green leafy vegetablesc. milk and coffeed. banana.

50. What possible complications might occurs to patients who are alcoholicsa. liver cirrhosis.b. pancreatic cancerc. lung cancerd. intestinal abcess.

51. The common food serve to babies among Filipinos isa. lugaw.b. oatsc. cow’s milkd. wheat

52. Breastfeeding is mandatory among mothers nowadays, which of the following diseases is contraindicated in breastfeeding?

a. lung cancerb. active tuberculosis.c. pneumoniad. breast cancer

53. It is an acute paroxysm of pain, fussing and cyring and irritability which lasts for 3 months.a. colic.b. diarrheac. lactose intolerance

d. vomiting54. It is a type of milk is thickly evaporated milk with large amounts of sugar added

a. breastmilkb. skim milkc. sweetened condensed milk.d. evaporated milk.

55. These are some benefits of giving citrus fruits to infants, excepta. keep the child’s gum healthyb. prevent child’s skin from bruising easilyc. help boost immune systemd. promotes gastric ulcers.

56. What interventions should be made to address the problem on sweet tooth of school-age childrena. force bitter foodsb. give sweetened fruitsc. never give sweets as rewards.d. introduce bland diet

57. Which of the following is consistent of a good breakfast for an adulta. 1 serving of papaya, milk, 1 cup of rice, and fried fish.b. 1 cup of milk, smoked fish, 1 cup rice, sandwich spreadc.1 serving of fried longganisa, 1 cup of rice, 1 pc of boiled eggsd. i slice of mango, 1 cup steamed camote tops, 2 pc of medium sized fried hotdogs

58. The following are the main roles of nurses in nutritional care of the client, excepta. observingb. listeningc. reportingd. cooking.

59. The patient asks the nursing assistant for a bedpan. When patient is finished, the nursing assistant notifies the nurse that the patient has bright red streaking blood in the blood. What is this most likely a result of

a. diet high in red meatb. upper GI bleedingc. haemorrhoids.d. cancer of the large intestion

60. (Refer to situation no. 59) what diet should be introduced to the patient abovea. food rich in iron.b. food rich in fatc. food rich in sugard. food rich in Vitamin A

61. A newly admitted patient with suspected GI bleeding and notes the tarry-black color of stool. You suspect that the patient has been

a. skipping meals.b. eating too much from the required daily allowancec. eating spicy foodd. overconsumption of citrus fruits

62. A school nurse is having her routine assessment to the pupils, and notes increase incidence of cavities. What would be most like to increase the risk of tooth decay?

a. soft drinks.b. raw carrotsc. shelled peanutsd. cheddar cheese

63. The nursing instructor is talking about caring for patients with feeding tubes and endotracheal tubes. The instructor tells the students that before each tube feeding, the nurse should check for tube placement in the stomach. What is the purpose of the nurse’s actions?

a. prevent gastric ulcersb. prevent aspiration.c. prevent abdominal distentiond. prevent diarrhea

64. The nurse is initiating parenteral nutrition on a postoperative patient. The nurse will initiate the therapy by

a. starting rapidly on infusion rateb. starly slowly.c. change the rate of infusion hourlyd. increase infusion rate during mealtimes

65. You are checking placement of a nasogastric tube that has been in place for 2 days. The tube is draining green aspirate. What does color of aspirate indicate?

a. the tube is in the pleural spaceb. the tube is the intestinec. the tube is in the stomach.d. the tube is in the esophagus

66. You are caring for a patient with liver failure. Which vitamin does the liver require for the synthesis of prothrombin (clotting factor)?

a. Vitamin B12b. Vitamin Ac. Vitamin Dd. Vitamin K.

67. How is hepatitis A is transmitted?a. unintentional needlesticksb. fecal-oral route.c. contaminated foodd. airborn route

68. A patient newly diagnosed with type 2 diabetes is attending a nutrition class specifically designed for type 2 diabetes. What general guideline would it be important to teach the patient at this class?

a. low fat dietb. high protein dietc. controlled calorie intake based on body weight.d. fatty should be eliminated

69. A child has been diagnosed with food allergies. The nurse is providing information to the parents of this child. What food items would the nurse inform the parents are common allergens

a. citrus fruit and riceb. root vegetables and tomatoesc. tomatoes and bananasd. eggs and shrimps.

70. Which among the food is best for patient with osteomalacia?a. cereal with milk.b. bananac. waffled. pan de sal

71. A school nurse is teaching an adolescent girl of normal weight some of the key factors necessary to maintain good nutrition in her teen year. What would the nurse be correct to focus on?

a. decreasing her calories and encouraging her to maintain her weight to avoid obesityb. increasing BMI to at least 35, taking a multivitamin, and discussing body imagec. increasing milk intake, eating a balance diet and discussing eating disorders.d. obtaining a food diary along with providing close monitoring for anorexia

72. While admitting your new patient, you do the nutritional assessment and have known that he is an Adventist that he is prohibited to eat pork. What would this be considered?

a. a personal choiceb. religious practice.c. risk for malnutritiond. a lifestyle choice

73. You are completing a health assessment on a new patient. You note that the patient has dry, dull, brittle hair and dry flaky skin with poor skin turgor. What might this indicate?

a. excessive physical activityb. poor personal hygienec. poor nutritional status.d. damage from an environmental cause

74. You are assessing a new clinic patient who has come in because of an unintended weight loss of 10 pounds. During the assessment, you learn that the patient has ill-fitting dentures and a limited intake of high-fiber foods. You would be aware that the patient is at risk for what problem?

a. constipation.b. dehydrationc. malabsorption of nutrientsd. inadequate caloric intake

75. You are teaching a nutrition education class held for a group of older adults at a senior center. You would be sure to teach the group that older adults have an increased need for nutrients and what?

a. decreased need for calcimb. increased need for glucosec. increased need for sodiumd. decreased need for calories.

76. The nurse in a clinic is providing education to a patient who wishes to lose weight. The nurse informs the patient that she has a body mass index of 45. What does this indicate?

a. patient in normal weightb. patient is extremely obese.c. patient is overweightd. patient is underweight

77. You meet a family at the prenatal clinic. What is the most effective way to assess the woman’s usual food intake during her pregnancy?

a. assess a list she makes describing a good dietb. ask her to describe her total intake for a weekc. assess her skin for hydration and colord. ask her to describe her intake for the last 24 hours.

78. You encourage a pregnant woman to eat a diet high in complete protein. Assuming she likes all of the following foods. Which of them would you recommend as a source of this for her?

a. whole apple b. toasted breadc. boiled or fried egg.d. green leafy vegetables

79. Which food is not a good source of iron?a. milk.b. legumesc. grainsd. beef

80. A woman in early pregnancy is concerned because she is nauseate every morning. Which of the following would be the best measure to help relieve this?

a. take a teaspoon of baking soda before breakfastb. delay toothbrushing until noonc. take dry crackers in the morning.d. take two aspirin on arising

81. If constipation is a problem for a woman during pregnancy. Which of the following would be best to recommend?

a. mineral oilb. increase fiber intake.c. stopping prenatal vitamins temporarilyd. eating more meat products

82. A new mother asks you how soon she can breast-feed after delivery. You best answer would be (barring unforeseen complications)

a. immediately after birth.b. after the infant is allowed to restc. once the infant has a first feeding of formulad. in 24 hours after her infant is given water

83. On the 4th day postpartum, a woman develops breast engorgement, which of the following would be best to recommend to her as a means of alleviating this problem?

a. discontinue breastfeeding for 24 hoursb. decreasing her fluid intake to take below 500mL per 24 hours

c. encouraging her to continue regular breastfeeding.d. having her apply lanolin cream to each breast

84. Which of the following statements is true about breastfeeding?a. breastfeeding increases the risk for breast cancerb. bre astfeeding offers a good chance for bonding with the infant.c. uterine involution is slowed by breastfeedingd. breastfeeding mother have a decreased risk for developing thrombophlebitis

85. Which of the following is released by breastfeedinga. human gonodotropin hormoneb. estrogenc. lactased. oxytocin.

86. A mother who intends to breastfeed is advised by her sister to use formula for the first few days until her “real” milk comes in. The best response by the nurse about this information would be

a. suggest that the mother use formula to supplement for the first 2 daysb. discuss with the mother that her “real” milk will not come in if she uses formula and does not nurse the baby needs the first few day of lifec. discuss the colostrums is all the nutrition a baby needs the first few day of lifed. advise the mother to disregard any suggestions by her sister about newborn nutrition.

87. Newborns can become dehydrated more easily than adults. This is explained by which statement?a. newborns do not have as many fluid choices as adultsb. the large amount of body fluids are mainly extracellular fluid in a newborn.c. adults get sick more oftend. newborns lose more fluids through insensible water loss

88. Which of the following would you suggest to a mother to help her maintain effective breastfeedinga. keep active because this improves milk productionb. avoid chocolate to prevent constipationc. weight the baby daily to be certain.d. increase fluid intake.

89. A preschooler has celiac disease. Her mother is preparing a gluten-free diet. By preparing which breakfast foods would you believe she understands the diet?

a. eggs and orange juice.b. toasted bread and grape jellyc. oat cereal and skim milkd. peanut butter and rye toast

90-100. Signs of good nutrition in children

Bunos Question (5pts) Draw and Explain the “milk let-down reflex”.

Believe you can and you're halfway there…. RARSOLIVEN2014