Nursing Elites

1. A client is prescribed a 1500 calorie diet. Thirty percent of the calories are to be derived from fat. How many grams of fat should the nurse tell the client to consume per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

• A. 21
• B. 49
• C. 60
• D. 50

Correct answer: D

Rationale: To calculate the grams of fat: 1500 calories x 30% = 450 calories from fat. Since 1 gram of fat = 9 calories, 450 / 9 = 50 grams of fat.

2. A nurse is preparing to remove a client’s clogged NG tube prior to re-inserting a new tube. Which of the following actions should the nurse take first?

• A. Assist the client to blow her nose.
• B. Ask the client to take a deep breath and hold it.
• C. Pinch the proximal end of the tube.
• D. Disconnect the tube from suction source.

Correct answer: D

Rationale: Disconnecting the tube from the suction source is the first step in safely removing a clogged NG tube.

3. A nurse is assessing the nutritional status of an infant who is 6 months old. The infant weighed 2.7 kg at birth. Which of the following indicate to the nurse that the infant is within expected range?

• A. 5.5 kg
• B. 6.4 kg
• C. 4.5 kg
• D. 3.6 kg

Correct answer: B

Rationale: An infant's weight should approximately double by 6 months. A weight of 6.4 kg indicates normal growth from a birth weight of 2.7 kg.

4. A nurse is performing a nutritional evaluation for a client who reports paresthesia of the hands and feet. The nurse should identify this manifestation as an indication of which of the following dietary deficiencies?

• A. Iron
• B. Riboflavin
• C. Vitamin C
• D. Vitamin B12

Correct answer: D

Rationale: Vitamin B12 deficiency can lead to neurological symptoms, including paresthesia (tingling or numbness) of the hands and feet, due to its role in nerve health.

5. 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.

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