Kozier & Erb’s Fundamentals of Nursing, 10/E
Chapter 47
Question 1
Type: MCSA
The parent of a newborn infant reports that the baby wakes up every 2 hours and only takes about 2 ounces of
formula before going back to sleep. What instruction should the nurse give this parent?
1. Make the baby wait at least 3 hours between feedings.
2. Continue to feed the baby with this on-demand schedule.
3. When the baby gets sleepy during feeding, use techniques such as moving around and tickling to encourage
wakefulness.
4. Offer the baby less formula to prevent waste.
Question 2
Type: MCSA
What criteria should the nurse use to evaluate to determine if an infant’s regurgitation, or spitting up, should be
further investigated?
1. How often the baby spits up
2. How much the baby spits up at a time
3. If the baby is gaining weight adequately
4. The consistency of the regurgitated matter
Question 3
Type: MCSA
The parents of a 7-month-old child have started offering solid foods to their baby. The baby has enjoyed and
tolerated rice cereal, applesauce, and other fruits. Which food should the nurse recommend to be introduced next?
1. Strained beef
2. Green beans
3. Squash
4. Strained chicken
Question 4
Type: MCSA
The nurse has advised the client to consume alcohol only in moderation. What guideline should the nurse provide
as a “moderate” alcohol intake?
1. Two drinks per week for women, three for men
2. Two drinks per day for women, three for men
3. One drink per day for women, two for men
4. One drink per week for women, two for men
Question 5
Type: MCSA
The nurse completes triceps skinfold measurement on a client. In order to obtain the most meaningful data, how
soon should the nurse repeat this measurement?
1. 2 days
2. 10 days to 2 weeks
3. 1 month
4. 1 year
Question 6
Type: MCSA
The client’s lab studies reveal a normal serum albumin with a prealbumin of 10. How should the nurse interpret
the significance of these readings?
1. The client has had recent protein malnutrition.
2. The client is now relatively well nourished with malnutrition 6 to 8 months ago.
3. The client is at risk for development of malabsorption syndromes.
4. Carbohydrate malnutrition has occurred over the last 6 months.
Question 7
Type: MCSA
A client reports following the “food pyramid” to guide nutritional intake. How should the nurse evaluate this
information?
1. Because this food pyramid is produced by the U.S. Department of Agriculture, the client is likely consuming
necessary levels of all essential nutrients.
2. The food pyramid is most useful when applied to the nutritional intake of children.
3. The food pyramid is not very useful because it does not take fluid intake and combination foods into
consideration.
4. Following the appropriate food pyramid is helpful, but there are additional factors to consider in a balanced diet.
Question 8
Type: MCSA
The nurse has instructed an overweight client to follow a 2,000-calorie diet by substituting foods considered low
in calories for those higher in calories. How should the client interpret the food label to decide if a food is low in
calories?
1. The product label will state “lighter” or “reduced calories.”
2. The Nutrition Facts label will have the letter “L” located in the lower right corner.
3. Nutritional labeling on the product will indicate less than 40 calories per serving.
4. The product will contain no more than 11% fat.
Question 9
Type: MCSA
Nitrogen balance testing is planned for a client. What instruction to the staff caring for this client is essential?
1. Remove the client’s oxygen cannula 10 minutes prior to the test.
2. Accurate measurement of food intake is very important.
3. All urine output should be collected for 48 hours.
4. Keep the client NPO beginning at midnight before the test.
Question 10
Type: MCSA
A client who has undergone a gastrointestinal surgery is permitted to have a clear liquid diet on the second
postoperative day. Which fluid should the nurse order from the diet kitchen for this client?
1. Apricot nectar
2. Cranberry juice
3. Chicken broth
4. Cherry ice pop
Question 11
Type: MCSA
Unlicensed assistive personnel are assigned the task of feeding breakfast to older clients with alterations in
mobility and orientation. What instruction should the nurse include in this delegation?
1. Breakfast should be completed quickly so that baths may begin.
2. Give fluids before and after each bite of solid foods.
3. Stand to the left of right-handed clients during feeding.
4. Engage the client in conversation during the meal.
Question 12
Type: SEQ
The nurse is preparing to insert a nasogastric tube into a client. In what order will the nurse conduct the following
steps?
Standard Text: Click and drag the options below to move them up or down.
Choice 1. Ask the client to tilt the head forward.
Choice 2. Insert the tube with its natural curve toward the client.
Choice 3. Ask the client to hyperextend the neck.
Choice 4. Have the client swallow a small amount of liquid.
Choice 5. Employ a slight twisting motion on the tube.
Question 13
Type: MCSA
The nurse has delegated administration of tube feeding to a specially trained UAP. What action should be taken
by the nurse in regard to this delegation?
1. Order the equipment to give the feeding.
2. Check the tube for placement.
3. Set up the equipment and mix the feeding.
4. Regulate the rate of the feeding.
Question 14
Type: MCSA
The nurse notices that the client’s continuous open system tube-feeding set is almost empty. What action should
the nurse take?
1. Add tube feeding to the set.
2. Discontinue the feeding and hang a closed system bag.
3. Wash out the set and add new feeding.
4. Flush the set with clear carbonated soda and discontinue.
Question 15
Type: MCSA
As the nasogastric tube is passed into the oropharynx, the client begins to gag and cough. What is the correct
nursing action?
1. Remove the tube and attempt reinsertion.
2. Give the client a few sips of water.
3. Use firm pressure to pass the tube through the glottis.
4. Have the client tilt the head back to open the passage.
Question 16
Type: MCSA
The nurse notes that the tube-fed client has shallow breathing and dusky color. The feeding is running at the
prescribed rate. What should the nurse do first?
1. Place the client in high Fowler’s position.
2. Turn off the tube feeding.
3. Assess the client’s lung sounds.
4. Assess the client’s bowel sounds.
Question 17
Type: MCSA
The client has a body mass index (BMI) of 18. How should the nurse interpret this finding?
1. The client is malnourished.
2. The client is underweight.
3. The client is normal.
4. The client is overweight.
Question 18
Type: MCSA
On admission, the client weighs 165 lb (75 kg). The client reports that this is a weight loss from 180 lb (82 kg).
What is this client’s percent weight loss?
1. 4.5%
2. 6.25%
3. 8.3%
4. 10.0%
Question 19
Type: MCSA
The client is weighed each month while residing in the long-term care facility. This month the client weighs 110
lb (50 kg). The nurse compares this weight to the last 3 months’ results and discovers the client has lost 22 lb (10
kg). There has been no attempt to lose this weight. How should the nurse interpret this weight loss?
1. No malnutrition
2. Mild malnutrition
3. Moderate malnutrition
4. Severe malnutrition
Question 20
Type: MCSA
The nurse is reviewing laboratory data for a client who is receiving total parenteral nutrition. Which laboratory
value should be immediately brought to the physician’s attention?
1. BUN of 60
2. Prealbumin of 15
3. Serum glucose of 328
4. Potassium of 3.5
Question 21