Nursing Elites

1. A nurse is providing education to a client who is experiencing dumping syndrome following gastric surgery. Which of the following statements by the client indicates an understanding of the teaching?

• A. I should drink additional fluids with my meals.
• B. I should eat high-fiber snacks between meals.
• C. I should eat a protein source with each meal.
• D. I can have caffeinated beverages in small amounts.

Correct answer: C

Rationale: Eating a protein source with each meal can help manage dumping syndrome by slowing gastric emptying and reducing symptoms.

2. A nurse is assessing a client who has a stage III pressure ulcer that is healing poorly. The nurse should identify that which of the following vitamin deficiencies increases the client’s risk for delayed wound healing?

• A. Vitamin C
• B. Vitamin D
• C. Vitamin E
• D. Vitamin B6

Correct answer: A

Rationale: Vitamin C deficiency can impair collagen synthesis and delay wound healing, making it important for recovery from pressure ulcers.

3. A nurse is teaching a client about dietary changes needed for weight loss. Which of the following actions should the nurse perform first?

• A. Educate the client about daily caloric requirements.
• B. Determine the client’s daily caloric intake.
• C. Provide the client with meal planning information.
• D. Show the client how to identify the fat content of packaged foods.

Correct answer: B

Rationale: Determining the client’s daily caloric intake is the first step in creating an effective weight loss plan.

4. A nurse is completing a nutritional assessment of an adult female client. Which of the following findings should indicate to the nurse that the client is at an increased risk of developing cancer?

• A. Eats at least 5 servings of fruits and vegetables daily.
• B. Eats 6 servings of whole grains daily.
• C. Limits alcohol consumption to 2 drinks per day.
• D. Limits red meat intake to 3oz per day.

Correct answer: C

Rationale: Limiting alcohol consumption to 2 drinks per day is still above the recommended limit for reducing cancer risk; the recommendation is 1 drink per day for women.

5. A nurse is caring for a client with a major burn injury and is receiving TPN. Which of the following lab tests is the priority for the nurse to use to confirm the client is receiving adequate nutrition?

• A. Iron
• B. Magnesium
• C. Folic acid
• D. Prealbumin

Correct answer: D

Rationale: Prealbumin is a sensitive indicator of protein status and nutrition, making it a priority for assessing nutritional adequacy in clients receiving TPN.

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