SNLE Nutrition and Diet Therapy 2

Question 1

A patient diagnosed with celiac disease must strictly avoid which dietary protein?

Accepted Answer

Gluten

Answer

Celiac disease is an autoimmune condition triggered by gluten, a protein found in wheat, barley, and rye that causes intestinal villous atrophy.

Question 2

Which type of enteral feeding formula is most appropriate for a patient with poorly controlled diabetes mellitus?

Accepted Answer

Diabetic-specific formula with reduced carbohydrate content

Answer

Diabetic-specific enteral formulas contain modified carbohydrates and higher fat/fiber to reduce postprandial glucose excursions.

Question 3

A patient receiving total parenteral nutrition (TPN) develops sudden diaphoresis, tremor, and confusion. What is the nurse's priority action?

Accepted Answer

Check the blood glucose level

Answer

These symptoms suggest hypoglycemia; checking blood glucose is the priority assessment before any intervention to confirm the cause.

Question 4

Which dietary modification is most appropriate for a patient with hepatic encephalopathy?

Accepted Answer

Moderate protein restriction with emphasis on branched-chain amino acids

Answer

Hepatic encephalopathy management involves moderating protein intake and preferring branched-chain amino acids to reduce ammonia production.

Question 5

A patient recovering from gastric bypass surgery experiences flushing, tachycardia, and diarrhea shortly after eating. The nurse should advise the patient to:

Accepted Answer

Eat small, frequent meals and avoid simple sugars

Answer

Dumping syndrome follows rapid gastric emptying; small frequent meals and avoiding simple sugars slow gastric transit and reduce symptoms.

SNLE Practice Test

SNLE Practice Test

SNLE Nutrition and Diet Therapy 2