Exam (elaborations)
HA Theory Lec. 2 ACS Ch. 8, 9, 10, 11 Questions With Complete Solutions
- Course
- Health Assessment
- Institution
- Nightingale College
HA Theory Lec. 2 ACS Ch. 8, 9, 10, 11 Questions With Complete Solutions
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HA Theory Lec. 2 ACS Ch. 8, 9, 10, 11 Questions WithComplete Solutions
1. 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 Correct Answer ANS: A
10. 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
physician's review.
d. Medications can affect one's memory and ability to identify
food eaten in the last
24 hours. Correct Answer ANS: A
11. A patient tells the nurse that his food simply does not have
any taste anymore. The nurse's best response would be:
a. "That must be really frustrating."
b. "When did you first notice this change?"
c. "My food doesn't always have a lot of taste either."
d. "Sometimes that happens, but your taste will come back."
Correct Answer ANS: B
12. 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
nurse's appropriate response would be:
a. "How much do you think you should weigh?"
b. "Don't worry about it; you're 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."
Correct Answer ANS: A
13. 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
Correct Answer ANS: D
14. 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 Correct
Answer ANS: B
15. 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. Correct Answer ANS: A
16. 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 woman's weight?
a. Obeseb.
b. Mildly overweight
c. Suffering from malnutrition
d. Within appropriate range of ideal weight Correct Answer
ANS: A
17. 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 patient's 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.
Correct Answer ANS: C
18. 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. Correct Answer
ANS: A
19. 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 inchesd.
d. 46-year-old woman whose waist measures 30 inches and hips
measure 38 inches Correct Answer NS: A
2. When assessing a patient's 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. Correct Answer ANS: D
20. 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.
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