C.

Freedom from illness

D. Freedom from physical and psychosocial stress
MABINI COLLEGES 7. Rona used a problem tree to analyze the community’s
Governor Panotes Avenue, health problems. This diagram indicates that:
Daet, Camarines Norte A. health problems have resolutions
B. poverty is the cause of all health problems
College of Nursing and Midwifery C. health is influenced by many factors
D. people can solve existing health problems
Rabe 4 – Community Health Nursing /Nutrition 8. Health needs and interventions are categorized as pri-
BSN 2 mary, secondary and tertiary. If the outcome of health
is “no complications from disease”, this is classified as
under:
NAME ___________________________ BLOCK _____
A. Tertiary B. Primary
DIRECTIONS: Each question in this test list 4 possible
C. Secondary D. All of the above
answer. You are to select the one best answer for each Situation: The World Health Organization (WHO), hand in
question. Write your answer on the answer sheet pro- hand with UNICEF and other agencies developed a strategy
vided. known as the Integrated Management of Childhood Illness
(IMCI). The strategy does not only focus on curative care but
Situation: The WHO defines Primary Health Care as an essen- it also answers on the aspect of nutrition, immunization, dis-
tial health care made universally accessible to individuals and ease prevention and health promotion. The following ques-
families in the community by means acceptable to them tions are related to IMCI.
through their full participation. 9. The following principles are correct about IMCI, ex-
cept:
1. Which of the following is NOT an application of public A. A combination of individual signs leads to a
health principle? child’s diagnosis
A. Nursing care is mainly directed to sick population B. The IMCI guidelines address most, but not all, of
who seek consultation at the health center the major reasons a sick child is brought to a clinic
B. The nurse utilizes various vital and health statistics C. All sick children must be routinely assessed for
to describe the population major symptoms
C. In preventing diseases, the nurse’s priority is to D. The guidelines under IMCI do not describe the
protect the population by instituting preventive management of trauma or other acute emergen-
measures cies due to accidents or injuries.
D. The nurse analyses the determinants of health 10. Most classification tables have three rows. The col-
needs and problems as basis in developing com- ored rows signify the severity of the illness. If a child is
munity health programs to be treated with home treatment this is classified un-
2. Which of the following is the most significant corner- der what color?
stones of the Primary Health Care: A. Pink C. Blue
A. Active community participation B. Yellow D. Green
B. Partnership and empowerment of the people
C. Use of appropriate technology 11. The following assessments are to be done by the nurse
D. Support mechanisms made available before checking the general danger signs, except:
3. The Primary Health Care team consists of the following A. Determine the age of the child
except: B. Assess if the child has cough or difficulty of
A. physicians, locally trained health workers and breathing
nurses C. Ask the mother what is/are the problems of the
B. nurses, midwives and medical technologists child
C. midwifes, nurse auxiliaries, and traditional birth D. Determine if it is an initial or follow –up visit
attendants 12. A mother brought her daughter, 4 years old, to the
D. nurses, healers and midwives RHU with complaints of cough and colds. Following the
4. The Philosophy of Community Health Nursing is: IMCI assessment guide, which of the following is a dan-
A. Promote health and prevent illness ger sign that indicates the need for urgent referral to a
B. Enhance capabilities of people hospital?
C. Raise level of health of the people A. Inability to drink C. Signs of severe dehydration
D. Uphold the worth and dignity of man B. High grade fever D. Cough for more than 30 days
5. Health services were devolved to Local Government
Units (LGU) for the following reasons except: 13. Another client is reported having difficulty of breathing
A. To transform LGU into self-reliant in their modest house. Which of the following findings
B. To involve in development and progress of com- indicates fast breathing?
munities A. Respiratory rate of 50 or more breaths for a 1
C. Empower local officials month old infant
D. To provide people better access to decision – B. Respiratory rate of 40 or more breaths for a 2
making months old infant
Situation: After gathering data from the community, Rona a C. Respiratory rate of 50 or more breaths for a 2
Public Health Nurse plans to analyze the health status of the weeks old infant
community. With this, she is aware that knowledge on the D. Respiratory rate of 60 or more breaths for a 6
Different concepts of health and health promotion is essen- weeks old infant
tial. Situation: The nurse plays a very important role in building
6. The World Health Organization (WHO) defines Health closer ties with the patient to gain their confidence especially
as: in the implementation and promotion of health care.
A. State of physical fitness
B. State of complete well-being
14. In conducting a clinic visit, the first step that Nurse C. Precipitate labor D. Prolonged dry labor
Minda should take is to:
A. Prepare the family record of the client 24. Upon admission to the labor room, the nurse moni-
B. Perform physical examination on the client tored the fetus and Jean’s contractions which are now
C. Greet the client and establish rapport intense, regular and lasting for 60 to 80 seconds at 2-3
D. Elicit and record the client’s chief complaint and minutes interval. Within an hour from admission, a
clinical history baby girl was delivered spontaneously. The nurse
15. Example of Primary level of prevention is illustrated by: records this as:
A. Teaching the mother of the child with diarrhea how to A. Emergency childbirth
use Oresol B. Hypotonic labor & delivery
B. Isolation of a child with chicken pox C. Precipitous delivery
C. Conducting Operation Timbang D. Precipitous labor
D. Teaching a patient post-mastectomy exercises 25. Attention to Mrs. Jean and the preterm baby are of
16. This allows Nurse Minda to assess the home and fam- paramount importance. The Nurse‘s immediate action
ily situations in order to provide the necessary nursing upon expulsion of the fetus would be to:
care and health related activities: A. Receive the infant in a warm blanket to prevent
A. Clinic visit C. Home survey heat loss
B. Family interview D. Home visit B. Dry the infant and wipe off the cheesy material
17. Which of the following is incorrect in obtaining Blood C. Hold the infant’s feet up to drain any fluids that
Pressure reading by auscultation? may clog the airway
A. Stethoscope head is placed over the brachial D. Clamp then cut the umbilical cord and apply beta-
pulse. dine
B. For obese patients, use the bell over the brachial Situation: As a community health nurse, the care that you
pulse render for the different clients in the community is guided by
C. Inflate the cuff rapidly until the column or needle the principles and strategies of the Philippine Health Care
reaches 30mmHg above palpated SBP Delivery System, Primary Health Care and the DOH. The
D. Deflate the cuff slowly and listen for pulse sounds. questions below pertain to the following concepts.
18. A Community health nurse is aware that the current 26. The Philippine Health Care Delivery System is correctly
concept of Health refers to: described in which of the following statements?
A. Maximum comfort and security of the community A. The PHCDS is composed only of the medical
B. Absence of disease and infirmity in the Barangay doctors and nurses.
C. Maximum health and safety in the hospital B. The Department of Interior and Local Government
D. Optimum level of functioning of individuals, fami- is the country’s foremost health coordinating
lies and communities agency because of the implementation of the
19. In Public Health, the emphasis is more on activities devolution.
aimed at: C. Health insurance companies dictate the current
A. Treatment of disease B.Prevention of disease referral system in the country.
D. Health care delivery system in the country was
C. Rehabilitation of patients D. Cure of disability specifically designed for the poor in congruence
20. A Community health nurse is aware that the mission of with the Primary Health Care concept.
the Department of Health is: 27. In order to help achieve its mission, the DOH adopted
A. The leader, staunch advocate and model in pro- the following strategies among others:
moting Health for all in the Philippines A. Focusing on programs that will fight poverty at the
B. Guarantee equitable, sustainable and quality family and community level.
health for all Filipinos, especially the poor B. Family empowerment rather than individual
C. Organizational development, strong policies sys- C. People-centered programs
tem and procedures D. All these strategies
D. Capable human resources and adequate financial 28. Barangay Makiling is a known catch basin especially
resources. during the raining season. Last summer, a group of
21. The rationales for Health Sector Reform are the follow- teenagers gathered together to clean up the drainage
ing except: and therefore preventing the occurrence of water born
A. Slowing down in the reduction of Infant Mortality disease. This is an example of:
rate (IMR) & Maternal Mortality rate (MMR) A. Better Quality of life B. Self Reliance
B. High burden from infectious diseases C. Self Therapy D. Self-Improvement
C. Burden of disease is heaviest on the poor 29. Primary Health Care’s contribution to national health
D. Inappropriate Health Delivery System development can be best illustrated by:
Situation: Jean, a 33 years old G1P0, expelled bloody tinged A. Provision of adequate health services to all
mucus over 24 hours. About 15 minutes ago, a sudden gush B. Reduction in the community’s mortality and
of warm liquid flowed accompanied by strong painful and morbidity
regular uterine contractions. Jean was taken to the hospital C. Mobilization of people’s effort for production
immediately. activities
22. Jean informs the Nurse that her bag of water (BOW) D. Increase social awareness and civic consciousness
broke. The most appropriate question to ask would be: 30. Mrs. Legaspi is a 29 year old pregnant woman who
A. How much water did you lose? sought consultation to the Barangay Health Worker
B. Describe the appearance of the fluid. (BHW) at around 7 PM with complaints of abdominal
C. Was it accompanied by bloody show? contraction. The BHW then assisted her to the nearby
D. How frequent are your contractions now? Lying- In Center where she eventually gave birth. What
23. The client’s membranes was ruptured, the Nurse pro- principle of Primary Health Care is being described in
tects Jean from increased risk for: the scenario?
A. Hemorrhage B. Intrauterine infection A. Community Participation B. Self reliance
 C. Affordability D. Accessibility and communities to cope with their health needs
Situation: The typology of family nursing problems is used in C. To increase the productivity of the people by
the statement of nursing diagnosis in the care of families. providing them with services that will increase
Elena, a Community Health Nurse is assigned to follow-up this their level of health
family. D. To contribute to national development through
31. The youngest child of the De los Reyes family has been promotion of family welfare, focusing particularly
diagnosed as mentally retarded. on mothers and children.
This is classified as a: 41. Community Health Nursing is a community-based
A. Health threat C. Foreseeable crisis practice. Which best explains this statement?
B. Health deficit D. Stress point A. The service is provided in the natural environment
32. The De los Reyes couple have a 6-year old child of people.
entering school for the first time. The de los Reyes B. The nurse has to conduct community diagnosis to
family has a: determine nursing needs and problems.
A. Health Threat C. Foreseeable crisis C. The services are based on the available resources
B. Health deficit D. Stress point within the community.
33. Nurse Elena needs to visit the family. To maintain the D. Priority setting is based on the magnitude of the
cleanliness of the bag and its contents, which of the health problems identified.
following must Nurse Elena do? Situation: In Integrated Management of Childhood Illness
A. Wash her hands before and after providing nursing (IMCI), conditions are classified so that corresponding
care to the family members. urgency could be determined.
B. In the care of family members, as much as 42. Which of the following severe conditions DOES NOT
possible, use only articles taken from the bag. always require urgent referral to a hospital?
C. Put on an apron to protect her uniform and fold it A. Mastoiditis B. Severe dehydration
with the right side out before putting it back into
the bag. C. Severe pneumonia D. Severe febrile disease
D. At the end of the visit, fold the lining on which the 43. A 4-month old infant was brought to the health center
bag was placed, ensuring that the contaminated because of cough. Her respiratory rate is 42/minute.
side is on the outside. Using the Integrated Management of Child Illness
Situation :Environmental Sanitation is one of the main (IMCI) guidelines of assessment, her breathing
problems in the big cities of our country. Nurses can do is considered:
something to make a difference. A. Fast C. Normal
34. Which of the following agencies is responsible for the B. Slow D. Insignificant
promotion of healthy environmental conditions and 44. Which of the following signs will indicate that a young
prevention of environment-related diseases? child is suffering from severe pneumonia?
A. Department of Health Field Units A. Dyspnea C.Wheezing
B. Environmental Health Service Office of the DOH B. Fast breathing D. Chest in drawing
C. Department of Health Sanitation Services 45. Using IMCI guidelines, you classify a child as having
D. Urban Health and National Organization severe pneumonia. What is the best management for
35. Which of the following agencies has the authority to the child?
act on all issues concerning environmental health? A. Prescribe an antibiotic
A. Environmental Health Service of the DOH B. Refer him urgently to the hospital
B. Waste Management and Disposal C. Instruct the mother to increase fluid intake
C. Environmental Sanitation Office D. Instruct the mother to continue breast feeding.
D. Sanitation Code #856 46. A 5-month old infant was brought by his mother to the
36. Which among the following health problems is related health center because of diarrhea occurring 4 to 5
to poor environmental conditions as its main cause? times a day. His skin goes back slowly after a skin pinch
A. Diarrhea B. Infectious hepatitis and his eyes are sunken. Using the IMCI guidelines, you
C. Dengue hemorrhagic fever D. Parasitism will classify this infant in which category?
37. As a nurse, the main topic for health teachings in the A. No signs of dehydration C. Some dehydration
prevention of environment-related illness would
include: B. Severe dehydration D. The data is insufficient
A. “linis bakuran” C. operation: linis Situation: In Integrated Management of Childhood Illness,
B. Street cleaning D. proper waste disposal major topics include assessing and classifying the sick child,
38. For hospital waste disposal, the recommendation is treating the sick child, counseling the mother, giving follow –
using up care and record forms. Communicable disease
A. shredder C. land fill management is an important aspect of this manual.
B. incineration D. compost pit 47. During the first 4 hours of diarrhea of a 4-month old
Situation: You will gather data for nutritional assessment of a child weighing less than 6 kilograms is given ORS amounting
purok wherein the information will come only from families to:
with members who belong to the target population. A. 200 – 400 ml C. 400 – 700 ml
39. What method of data gathering is best for this B. 700 – 900 ml D. 900 – 1000 ml
purpose? 48. A characteristic sign of pneumonia among infants is:
A. Census C. Record review A. Chest indrawing C.Rapid breathing
B. Survey D. Review of civil registry C. Fever and cough D. Rhinorrhea
40. Which is the primary goal of community health 49. Baby Ricky, 1 month old is brought to the RHU due to
nursing? cough and colds, inability to drink and wheezes. Which
A. TO support and supplement the efforts of the classification is he suffering?
medical profession in the promotion of health and A. Very Severe Disease C. Pneumonia
prevention of illness B. Very Severe Pneumonia D. Severe Pneumonia
B. To enhance the capacity of individuals, families 50. Which among the following is not a general danger sign
 assessed that needs urgent attention? a. Lactose c. Sucrose
A. Decreased drinking or breastfeeding
B. Vomits everything b. Fructose d. Maltose
C. Convulsions 58. A client is recovering from abdominal surgery and
D. Abnormally sleepy or difficult to awaken has a large abdominal wound. A nurse encourages
the client to eat which food item that is naturally
high in vitamin C to promote wound healing?
NUTRITION a. Milk c. Oranges
51. The nurse instructs a client with renal failure who is
receiving hemodialysis about dietary modifications. b. Banana d. Chicken
The nurse determines that the client understands 59. A nurse is caring for a client with cirrhosis of the
these dietary modifications if the client selects which liver. To minimize the effects of the disorder, the
items from the dietary menu? nurse teaches the client about foods that are high in
thiamine. The nurse determines that the client has
a. Cream of wheat, blueberries, coffee the best understanding of the dietary measures to
b. Sausage and eggs, banana, orange juice follow if the client states an intention to increase the
c. Bacon, cantaloupe melon, tomato juice intake of:
d. Cured pork grits, strawberries, orange juice a. Pork c. Milk
b. Chicken d. Broccoli
52. .The nurse is conducting a dietary assessment on a 60. The nurse is instructing a client with hypertension on
client who is on a vegan diet. The nurse plans to pro- the importance of choosing foods low in sodium. The
vide dietary teaching focusing on foods high in vita- nurse should teach the client to limit which of the
mins that may be lacking in a vegan diet. following foods?
a. Apple c. Banana
a. Vitamin A c. Vitamin b12
b. Vitamin C d. Vitamin E b. Smoked Sausage d. Steamed Vegetable
61. A postoperative client has been placed on a clear liq-
53. A client with hypertension has been told to maintain uid diet. Select the items that the client is allowed to
a diet low in sodium. A nurse who is teaching this consume on this diet. Select all that apply
client about foods that are allowed would plan to in- a. Gelatin c. Pudding
clude which food item in a list provided to the client? b. Vegetable Juice d. Pureed Vegetable
62. Which of the following therapeutic diet is intended
a. Tomato soup c. Boiled shrimp as an initial diet after a bowel surgery?
b. Instant oatmeal d. Pineapple a. High protein diet c. High fiber diet
54. A client who is recovering from surgery has been ad- b. Clear liquid diet d. Soft Diet
vanced from a clear liquid diet to a full liquid diet. 63. Which of the following statement is true about clear
The client is looking forward to the diet change be- liquid diet?
cause he has been "bored" with the clear liquid diet. a. Can be unappetizing and boring
The nurse would offer which full liquid item to the b. Contributes minimal residue
client? c. Easily digested and absorbed
a. Tea c. Gelatin d. All of the above
b. Popsicle d. Custard 64. This diet is intended as a transition diet after a clear
55. The nurse is teaching a client who has iron-defi- liquid following surgery?
ciency anemia about foods she should include in her a. Soft Diet c. Low Residue Diet
diet. The nurse determines that the client under-
stands the dietary modifications if she selects which b. Full Liquid Diet d. Mechanical Soft Diet
of the following from her menu? 65. This diet includes clear and opaque fluid foods and
a. Nuts and milk those that are liquid at body temperature?
b. Coffee and tea a. Full liquid diet c. Clear liquid diet
c. Cooked rolled oats and fish b. Low residue Diet d. Soft Diet
d. Oranges and dark green leafy vegetables 66. This food preparation is intended for those patients
56. A nurse is planning to teach a client with malabsorp- with difficulty in chewing, and dental problems?
tion syndrome about the necessity of following a a. Full liquid diet c. Mechanical Diet
low-fat diet. The nurse develops a list of high-fat b. Low residue Diet d. Soft Diet
foods to avoid and includes which food item on the 67. Which of the following food should be avoided in a
list? mechanical soft diet, except?
a. Oranges c. Broccoli a. Foods with coarse texture c. Dried foods
b. Cream Cheese d. Broiled Okra b. Raw fruits and vegetables d. Pureed Meat
57. A client who recently has been started on enteral 68. This type of diet is least likely to form an obstruction
feedings begins to complain of abdominal cramping, in the intestine when it is narrowed by inflamma-
followed by the passage of two liquid stools. A nurse tion?
notes that the client has abdominal distention as a. Low residue diet c. Bland diet
well. The nurse reviews the nutritional content on
the label of the can of feeding to see if it has which b. High fiber diet d. High protein diet
of the following ingredients?
69. Which of the following diet is least likely to cause diet. The nurse determines that the client under-
mechanical and chemical irritation of the GIT? stands the dietary instructions if she selects which of
a. Bland diet c. Soft diet the following from her menu?
a. Nuts and Fish
b. Mechanical Soft Diet d. Liquid diet b. Orange and Dark green leafy vegetables
70. Which of the following diet modification is most c. Butter and margarine
likely to be given to an obese patient to lower d. Sugar and candy
weight? 80. A client with heart failure has been told to maintain
a. High fiber diet c. High protein diet a low sodium diet. A nurse who is teaching this client
about foods that are allowed includes which food
b. Low-calorie diet d. Low protein diet item in a list provided to the client?
71. Which of the following describes a therapeutic food? a. Pretzel c. Whole wheat bread
a. Prepared foods that provide calories and nutri- b. Canned Tomato Juice d. Dried Apricot
ents 81. A client is recovering from debridement of the right
b. A practical food source that is useful in the fight leg. A nurse encourages the client to eat which food
against malnutrition item that is naturally high in vitamin C to promote
c. A high-energy food that is delivered in an acces- wound healing?
sible package a. Milk c. Chicken
d. All of the answers are correct b. Banana d. Strawberry
72. Which one of the following is not a common purpose 82. Fish, nuts, vegetable oils, and avocado are healthy
of therapeutic diets that are ordered by physicians? sources of:
a. Maintaining, restoring, or correcting the nutri- a. Fiber c. Fats and Lipids
tional status b. Carbohydrates d. Minerals
b. Controlling calorie intake for either losing, gain- 83. A client with a history of food allergies asks what di-
ing, or maintaining weight. etary selection method will decrease the likelihood
c. Consuming a considerable amount of carbohy- of allergic potential. What response by the nurse
drates, fat, and protein for control of diabetes. would be best?
d. increasing or decreasing the amount of a nutri- a. Eat small amounts of food regardless of allergic
ent such as protein. potential
73. Which of the following is not an example of a nutri- b. Increase the fluid content of the diet to mini-
ent modification diet? mize the risk of food allergies
a. Low-fatfat diet and/or low cholesterol diet. c. Avoid food items identified as potential aller-
b. High fiber diet gens
c. Protein diet d. Take antihistamines to prevent allergic reactions
d. Pureed Diet and eat what you like
74. Select the texture modification/ diet modified incon- 84. Which of the following should the nurse include as a
sistency primary focus in the teaching plan for a client placed
a. Mechanical soft die c. Food allergy diet on a full liquid diet?
b. Pureed diet d. Protein diet a. That the diet will be used on a long-term basis
75. Which type of therapeutic diet is used when prepar- b. That the focus of the diet is on meal planning
ing pureed diet? and diet selection techniques
a. Nutrient modification c. Those types of food items that are restricted on
b. Consistency modification this diet
c. Food allergy or food intolerance modification d. That this diet plan will be a temporary dietary
d. Additional feeding measure
76. Which type of therapeutic diet is used when prepar- 85. What would be the priority assessment for a female
ing Liquid tube feedings in place of meals? client reporting increased appetite, no weight gain,
a. Nutrient modification and a recent history of nausea and mild abdominal
b. Food allergy or food intolerance modification pain?
c. Tube feeding a. Refer to the emergency department for prompt
d. Texture modification treatment and management of symptoms.
77. Which type of therapeutic diet Reduces the calorie b. Obtain weight gain and vital signs to establish
intake for people who are overweight? client baseline.
a. Nutrient modification c. Place the client on a BRAT diet until nausea sub-
b. Food allergy or food intolerance modification sides.
c. Low calorie diet d. Ask the client if she has experienced many
d. Tube feeding changes in activity or fatigue level
78. A nurse is teaching a client with pancreatitis about 86. A client is given a clear liquid diet tray prior to diag-
following a low-fat diet. The nurse develops a list of nostic testing and states “I’m not eating this, I want
high-fat foods to avoid and includes which food on some real food”. Which of the following would be
the item list? the best response by the nurse?
a. Chocolate Milk c. Broccoli a. I am sure that you will have a regular diet after
b. Apple d. Salmon the test, so please just try some of this for now.
79. The nurse is teaching a client who has iron-defi- b. Would you like some ice cream to make you feel
ciency anemia about foods she should include in her good?
 c. This diet is what the doctor ordered 93. Which of the following health conditions correlates
d. I understand this is not your usual diet but it is with increased levels of protein?
needed to help the test establish a diagnosis. a. Marasmus and kwashiorkor
87. Which of the following would be most helpful in the b. Cardiac diseases and osteoporosis
nutritional management of an obese client with a c. Diarrhea due to dysentery
multisystem disorder? d. Burn injuries
a. Refer to a psychiatrist for counseling 94. Which of the following statements best describes
b. Refer to a physician who specializes in weight the concept of an essential nutrients?
disorders a. An essential nutrient provides all necessary en-
c. Make sure that the client continues to take all ergy requirements for the body
medications ordered to treat disease processes b. Nutrients that are essential are supplied to the
d. Discuss dietary meal planning activities with the body in their active form, as the body cannot
client synthesize them from other sources
88. A 68 –year old male client who has long-standing di- c. An essential nutrient provides the same amount
abetes with resultant complications has been hospi- of fat, protein and carbohydrates
talized with recurring frequency over the years and d. An essential nutrient can be synthesized in the
is extremely upset over this most current admission. body from precursor forms.
The client does not want to eat and repeatedly 95. A client who is learning about basic nutrition asks
pushes away the food tray at each meal. How would why excess amounts of carbohydrates (CHOs) in the
you respond to the client’s statement? diet are not good. The nurse would identify which of
a. Tell the client that you can get him something the following types of disorders could result?
else that would be more to his liking a. Cardiac disorders
b. Take the tray away and try again with the next b. Immune disorders
meal and get the client to eat c. Musculoskeletal disorders
c. Consult with the dietitian to improve the client’s d. Endocrine disorders
compliance 96. The nurse would use which of the following state-
d. Ask the client to share with you why he doesn’t ments to describe how dietary fiber aids in the pro-
feel like eating cesses of digestion, transport, and absorption?
89. A client diagnosed with anemia who is being treated a. Fiber helps to coat the gastric lining of the stom-
with iron replacement therapy is not responding to ach in order to decrease the acidic environment
clinical treatment and reports tingling and paresthe- b. Soluble fiber adds weight to feces and insolu-
sia of the extremities. Which of the following might ble fiber acts as a bulking agent to assist in the
account for the poor response to therapy? elimination process
a. Client compliance with iron replacement ther- c. A large amount of fiber in the diet has no effect
apy on the digestion of nutrients
b. Underlying medical condition of diabetes that is d. In order for dietary fiber to be effective, it must
complicating course of treatment be taken with mineral oil to facilitate the diges-
c. Client may also have a vitamin B 12 deficiency tion, transport, and absorption of nutrients
that may account for presentation of neuropa- 97. Which of the following foods selected by a client
thy symptoms who received dietary counseling for heart disease is
d. Client maybe taking vitamin C supplements that the lowest in fat content?
may account for presentation of neuropathy a. Canned tuna packed in its own oil
symptoms b. Bologna sandwich with mustard
90. The client with a low basal metabolic rate (BMR) c. Beef ribs cooked on a grill
would be most likely to experience which of the fol-
lowing nutritional status? d. 2% milk as a beverage
a. Undernutrition c. Obesity 98. Which of the following clients is at risk of developing
a digestive problem related to oral cavity?
b. Low serum albumin d. Low hemoglobin a. A 48 -year old male client with a history of gas-
91. Which of the following is an appropriate goal of tric reflux
nursing care for a client at risk for nutritional prob- b. An 18 – year old college student eating fast food
lems? for lunch
a. Provide oxygen c. A 20 –year old client who has a past history of
b. Treat complications of malnutrition wisdom tooth removal
c. Promote healthy nutritional practices d. A 50 – year old client with a history of tem-
d. Increase weight poromandibular joint disorder
92. A vegetarian client is receiving dietary instruction re- 99. Which of the following clients should be monitored
garding the use of complementary proteins in the for the development of uremia?
diet. Which of the following statements by the client a. An adolescent client entering puberty
indicates that client teaching has been adequate? b. A client with renal failure
a. I will eat gelatin for dessert c. A client with asthma
b. I will eat more complete protein food sources d. A client who is well hydrated
c. I will increase my intake of fruits 100.A client has constipation and has been instructed to
d. I will combine different plant food products to- increase fiber in the diet. The nurse has taught the
gether to form a complete protein. client to identify foods with fiber. Which of the fol-
lowing food selections by the client indicates health
teachings has been successful?
a. White bread
b. Pureed green vegetables
c. Kidney beans
d. Spaghetti