Nursing Acceleration Challenge Exam I PN Nutrition and Diet Therapy

Question 1

A nurse is caring for a patient with chronic kidney disease (CKD). Which dietary modification is most appropriate for this patient?

Accepted Answer

Low-protein, low-potassium, low-phosphorus diet

Answer

High-protein, high-potassium diet

Answer

High-carbohydrate, high-sodium diet

Answer

Low-fat, high-fiber diet with unlimited fluid intake

Question 2

A nurse is preparing to administer a tube feeding via nasogastric (NG) tube. Which action should be performed FIRST?

Accepted Answer

Verify tube placement by checking gastric pH and auscultating the abdomen

Answer

Flush the tube with 30 mL of water

Answer

Elevate the head of the bed to 30–45 degrees

Answer

Connect the feeding bag and set the pump rate

Question 3

Which laboratory value best reflects a patient's long-term nutritional status and protein stores?

Accepted Answer

Serum albumin

Answer

Blood glucose

Answer

Hemoglobin A1c

Answer

Total cholesterol

Question 4

A patient with dumping syndrome following gastrectomy should be taught to:

Accepted Answer

Eat small, frequent meals low in simple sugars and lie down after eating

Answer

Drink large amounts of fluid with meals to aid digestion

Answer

Increase dietary fiber and eat three large meals per day

Answer

Consume a high-carbohydrate diet with moderate fluid intake during meals

Question 5

A nurse is counseling a patient on a low-sodium diet. Which food choice indicates the patient needs further teaching?

Accepted Answer

Canned vegetable soup

Answer

Fresh baked chicken breast

Answer

Fresh steamed broccoli

Answer

An apple

Question 6

A patient receiving total parenteral nutrition (TPN) develops sudden onset of chest pain, dyspnea, and decreased breath sounds on the left. The nurse should first suspect:

Accepted Answer

Pneumothorax from central line insertion

Answer

Hypoglycemia from incorrect TPN formulation

Answer

Catheter-related bloodstream infection

Answer

Air embolism from a disconnected tubing