Nursing Elites

1. A home health nurse is conducting an initial visit with an older adult client. The client lives alone and has difficulty preparing his own meals. Which of the following actions should the nurse take first?

• A. Discuss nutritional requirements with the client.
• B. Refer the client to a senior citizen center.
• C. Arrange for a home-delivered meal program.
• D. Perform a nutrition screening.

Correct answer: D

Rationale: Performing a nutrition screening first allows the nurse to assess the client's nutritional status and identify specific needs.

2. A nurse is providing teaching about food allergies to the parents of a toddler. Which of the following foods should the nurse identify as highest risk for allergies in toddlers?

• A. Eggs
• B. Milk
• C. Bananas
• D. Citrus fruits

Correct answer: A

Rationale: Eggs are one of the most common food allergens in toddlers and should be introduced carefully.

3. A nurse is teaching a client about complete and incomplete proteins. Which of the following foods should the nurse include in the teaching as an incomplete protein?

• A. 4oz chickpeas
• B. 2 poached eggs
• C. 2oz cheddar cheese
• D. 4oz salmon fillet

Correct answer: A

Rationale: Chickpeas are an incomplete protein as they do not contain all essential amino acids.

4. A nurse is caring for a client who has a small-bore jejunostomy and is receiving a continuous tube feeding with a high-viscosity formula. Which of the following actions should the nurse take to prevent the tubing from clogging?

• A. Replace the bag and tubing every 24 hr
• B. Flush the tubing with 10 mL water every 6 hr
• C. Admin the feeding by gravity drip
• D. Heat the formula prior to infusion

Correct answer: B

Rationale: Flushing the tubing with 10 mL of water every 6 hours helps prevent clogging when using high-viscosity formulas.

5. A nurse is providing anticipatory guidance to a client who has Phenylketonuria (PKU) and is planning a pregnancy. Which of the following information should the nurse include in the discussion?

• A. Diet sodas should not be consumed more than two or three times per week.
• B. Serum bilirubin should be monitored one or two times per month during pregnancy
• C. Breastfeeding will prevent your baby from developing PKU.
• D. A low-protein diet should be followed for three months prior to conception.

Correct answer: D

Rationale: A low-protein diet helps manage PKU by reducing phenylalanine levels, which is crucial for maternal and fetal health.

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