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John Wilson is a 74-year-old retired schoolteacher. He is 5'8" tall and weighs 136 pounds. His wife died nine months ago. During a routine visit to the doctor, it was noted that his weight had decreased 21 pounds since his visit a year ago. Mr. Wilson does not have any medical problems, though he does report feeling depressed and lonely. The physician ordered a panel of lab tests including hemoglobin, hematocrit, and albumin, which all were low.  A healthy BMI for a man his height is 24. What is Mr. Wilson's percent usual body weight?


A) 86.6%
B) 88.3%
C) 99.1%
D) 113.2%
E) 115.4%

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A disadvantage to using a food frequency questionnaire is:


A) it is expensive to administer.
B) it is not effective for monitoring short-term changes in food intake.
C) it is affected by seasonal changes in the diet.
D) it influences the food choices of the consumer.
E) it takes too long to obtain the results.

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When checking laboratory values for electrolyte levels, the normal range for serum sodium should be between:


A) 3.5 to 5.1 mEq/L.
B) 7 to 35 mEq/L.
C) 98 to 106 mEq/L.
D) 136 to 145 mEq/L.
E) 158 to 178 mEq/L.

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When utilizing the multiple pass technique of the 24-hour dietary recall method, the first pass is completed when:


A) the patient writes down all of the food he has consumed in the past 24 hours.
B) the patient includes extra foods to his intake list, such as condiments.
C) the patient measures the amount of liquid consumed during the last 24 hours.
D) the patient provides a quick list of foods consumed without prompts.
E) the patient describes how all of his foods have been prepared.

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John Wilson is a 74-year-old retired schoolteacher. He is 5'8" tall and weighs 136 pounds. His wife died nine months ago. During a routine visit to the doctor, it was noted that his weight had decreased 21 pounds since his visit a year ago. Mr. Wilson does not have any medical problems, though he does report feeling depressed and lonely. The physician ordered a panel of lab tests including hemoglobin, hematocrit, and albumin, which all were low.  A healthy BMI for a man his height is 24. What is Mr. Wilson's ideal body weight?


A) 145 pounds
B) 158 pounds
C) 161 pounds
D) 170 pounds
E) 175 pounds

Correct Answer

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A patient is completing a food frequency questionnaire that is designed to evaluate calcium intake. This questionnaire would most likely include which foods?


A) raspberries and kiwi
B) summer squash
C) yogurt and cheese
D) ham and bacon
E) lima or kidney beans

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The 24-hour recall provides accurate and complete data for assessing an individual's diet.

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Which type of assessment evaluates a person's risk of malnutrition by ranking key variables from the medical history and physical examination?


A) Subjective Global Assessment
B) Integrated assessment
C) Functional assessment
D) Nutrition care plan
E) Katz Index

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Along with environmental factors, genetic variation also determines susceptibilities to disease.

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What information would most likely be included in the "E" portion of a PES statement?


A) long-term use of corticosteroids
B) poor control of blood glucose levels
C) decreased intake of vitamin C
D) high risk of accidental injury
E) weight gain of 10 percent over the past six months

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What laboratory test would most likely aid in the diagnosis of anemia?


A) red blood cell count
B) total protein
C) C-reactive protein
D) blood urea nitrogen
E) white blood cell count

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Which medical problem is not generally associated with malnutrition?


A) Celiac disease
B) dementia
C) pressure sores
D) incontinence
E) major surgery

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Which nursing diagnosis has nutritional implications?


A) hyperthermia
B) self-esteem disturbance
C) impaired dentition
D) sleep pattern disturbance
E) disruption of gas exchange

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List three different methods for obtaining food intake data and describe the major uses, advantages, and limitations of each.

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There are several methods designed to co...

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When performing a nutrition screening, the registered dietitian asks the patient about his health history. What information should be included in this section to determine if the patient is at risk of malnutrition?


A) height, weight, and BMI
B) current medical diagnosis
C) food allergies and intolerances
D) loss of subcutaneous fat
E) low handgrip strength

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A disadvantage of using a food record is:


A) it is too time consuming for the patient.
B) it only offers limited food lists for the consumer.
C) it does not rely on the patient's memory for accuracy.
D) it may provide more information than is needed.
E) it is affected by seasonal changes in the diet.

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Height and weight are the most common anthropometric measurements and are used to evaluate growth in children and nutrition status in adults.

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Match each nutrition term with the appropriate definition.

Premises
nucleotides
chromosomes
pressure sores
length
half-life
noncoding sequence
nutrition care process
anthropometric
kcalorie counts
nursing diagnoses
diet orders
inherited disorders
wasting
anorexia
nutrition support teams
protein energy malnutrition
polymorphisms
24-hour recall
food record
genome
Responses
loss of appetite
structures within the nucleus of a cell that contain the cell's DNA and associated proteins
a state of malnutrition characterized by depletion of tissue proteins and energy stores
the distance from the top of the head to the soles of the feet while a person is recumbent
regions of DNA that do not code for proteins
specific instructions regarding dietary management
a detailed log of food eaten during a specified time period
clinical judgments about actual or potential health problems that provide the basis for selecting appropriate nursing interventions
the full complement of genetic material in the chromosomes of a cell
the length of time that it takes for half the amount of a substance circulating in the plasma to degrade
the gradual atrophy of body tissues; associated with protein- energy malnutrition or chronic illness
health care professionals responsible for the provision of nutrients by tube feeding or intravenous infusion
regions of skin and tissue that are damaged due to prolonged pressure on the affected area by an external object
a record of foods consumed during the previous day or in the past 24 hours
variations in DNA sequences of a particular gene
related to physical measurements of the human body, such as height, weight, body circumferences, and percentage of body fat
the subunits of DNA and RNA molecules
medical conditions resulting from genetic defects
estimates of food energy consumed by patients for one or more days
a systematic approach used by dietetics professionals to evaluate and treat nutrition-related problems

Correct Answer

nucleotides
chromosomes
pressure sores
length
half-life
noncoding sequence
nutrition care process
anthropometric
kcalorie counts
nursing diagnoses
diet orders
inherited disorders
wasting
anorexia
nutrition support teams
protein energy malnutrition
polymorphisms
24-hour recall
food record
genome

Nursing Exam Review Multiple Choice Though a dietitian or dietetic technician may perform a patient's nutrition screening, it should occur within _____ hours of admission.


A) 12
B) 24
C) 36
D) 48
E) 72

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What best describes a task of the registered dietitian?


A) making referrals for dietary counseling
B) administering total parenteral nutrition
C) conducting nutrition assessments
D) administering formula through feeding tubes
E) prescribing diet orders

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