ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 5 : Adult Health and Nutritional Assessment Questions
Question 1 of 5
A 51-year-old woman's recent complaints about fatigue are thought to be attributable to iron deficiency anemia. The patient's subsequent diagnostic testing includes quantification of her transferrin blood levels. This biochemical assessment would be performed by assessing which of the blood following?
Correct Answer: B
Rationale: Biochemical assessments are made from studies of serum (albumin, transferrin, ferritin, retinol, hemoglobin, vitamin A, carotene, vitamin C, and total lymphocyte count) and studies of urine (creatinine, thiamine, riboflavin, niacin, and iodine). Transferrin is found in serum, not urine, CSF, or synovial fluid.
Question 2 of 5
An older adult's unexplained weight loss of about 15 pounds over the past 3 months has prompted a thorough diagnostic workup. What is the nurse's rationale for prioritizing biochemical assessment when appraising a person's nutritional status?
Correct Answer: C
Rationale: Biochemical assessment reflects both the tissue level of a given nutrient and any abnormality of metabolism in the utilization of nutrients. It does not focus on abnormalities in the chemical structure of nutrients. Biochemical assessment is not predictive.
Question 3 of 5
A school nurse at a middle school is planning a health promotion initiative for girls. The nurse has identified a need for nutritional teaching. What problem is most likely to relate to nutritional problems in girls of this age?
Correct Answer: D
Rationale: Adolescent girls are at particular nutritional risk because iron, folate, folate and calcium intakes are below recommended levels, and they are a less physically active group compared to adolescent males. Protein and calorie intake is most often sufficient.
Question 4 of 5
A team of community health nurses has partnered with the staff at a youth drop-in center to address some of the health promotion needs of teenagers. The nurses have identified a need to address nutritional assessment and intervention. Which of the following most often occurs during the teen years?
Correct Answer: A
Rationale: Adolescence is a time period of critical growth and acquisition of lifelong eating habits, and, therefore, nutritional assessment, nutrition analysis, and intervention are critical. Peer pressure does not influence growth rate. Cultural influences tend to become less important during the teen years; they do not emerge for the first time at this age. BMI can be assessed at any age.
Question 5 of 5
A newly admitted patient has gained weight steadily over the past 2 years and the nurse recognizes the need for a nutritional assessment. What assessment parameters Krebs are included when assessing a patient's nutritional status?
Correct Answer: B,C,E
Rationale: The sequence of assessment of nutritional status parameters may vary, but evaluation of nutritional status includes one or more of the following methods: measurement of BMI and waist circumference, biochemical measurements, clinical examination findings, and dietary data. Ethnic mores and wrist circumference are not assessment parameters for nutritional status.