Nursing Elites

1. A nurse is evaluating the meal choices of a client who has major depressive disorder and a prescription of Phenelzine. Which of the following selections should the nurse identify as appropriate?

• A. Cheddar cheese
• B. Smoked salmon
• C. Strawberry yogurt
• D. Pepperoni pizza

Correct answer: C

Rationale: Strawberry yogurt is appropriate as it does not contain high levels of tyramine, which can interact negatively with Phenelzine.

2. A nurse has just inserted an NG tube for a client who is to start enteral tube feedings. Which of the following actions should the nurse take to verify tube placement?

• A. Measure the tube length.
• B. Obtain an abdominal x-ray.
• C. Flush the tube with 20 mL of water.
• D. Auscultate the client’s lungs.

Correct answer: B

Rationale: Obtaining an abdominal x-ray is the most accurate method to verify the correct placement of an NG tube.

3. A nurse is providing teaching about formula feeding to the parents of an infant. Which of the following instructions should the nurse include?

• A. Formula that remains in the bottle should be used for one more feeding.
• B. Formula should be changed to whole milk when the infant is 9 months old.
• C. If the infant is gaining weight too rapidly, dilute the formula.
• D. If the infant turns away after taking most of the feeding, stop the feeding.

Correct answer: D

Rationale: If the infant turns away after taking most of the feeding, it indicates they are full, and continuing to feed may lead to overfeeding.

4. A nurse is caring for a client who is receiving parenteral nutrition. Which of the following findings indicates the therapy is effective?

• A. Client has soft, formed bowel movements.
• B. Client’s mucous membranes are pink.
• C. Client reports ability to complete ADLs.
• D. Client’s blood glucose level is within the expected reference range.

Correct answer: D

Rationale: Having a blood glucose level within the expected reference range indicates that parenteral nutrition is effectively meeting the client's nutritional needs.

5. A nurse is teaching a parent about appropriate snack choices for her 9-month-old infant. Which of the following food choices should the nurse recommend?

• A. Skim milk
• B. Unsalted popcorn
• C. Graham crackers
• D. Raw carrots

Correct answer: C

Rationale: Graham crackers are an appropriate snack choice for a 9-month-old infant due to their texture and ease of consumption.

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