Question

Create an NCLEX style question focused on vitamins and minerals. Include the rationale with an appropriate APA reference and citation.

Answer 1

1. A 68-year-old client in the hospital with a chronic illness is 25% overweight. This client refuses to eat vegetables and continues to ask for food to be delivered from the local pizza restaurant. Which of the following might this client be experiencing?
a. Protein-calorie malnutrition
b. Undernutrition
c. Overnutrition
d. Both over and undernutrition

ANS: d. Both over and undernutrition

2. An obese client with an alteration in nutritional status is being seen in the clinic for poor wound healing. To gain a more comprehensive picture of this client's nutritional status, which of the following tools can the nurse ask the client to complete?
a. Food frequency questionnaire
b. Seven-day day food log
c. CAGE assessment
d. Three- day diet recall

ANS: a. Food frequency questionnaire

3. Rationale: A food frequency questionnaire assesses intake of a variety of food groups on a daily, weekly, or longer basis.

A client comes into the clinic for a routine examination. The nurse measures this client's weight at 231 pounds. Previously this client weighed 247 pounds. Which of the following can the nurse accurately document about this assessment finding?
a. Nothing.
b. The client has lost 6.9 percent of his weight.
c. The client has a health condition causing weight loss.
d. The client has lost 6.5 percent of his weight.

ANS: d. The client has lost 6.5 percent of his weight.

4. The nurse calculates a client's body mass index as being 25.2. According to the Classification of Body Mass Index in Adults, which of the following can the nurse accurately document about this finding?


a. This client is overweight.
b. This client is mildly malnourished.
c. This client is of normal weight.
d. This client is obese.

ANS: a. This client is overweight.

5. A client asks the nurse if her weight would be considered a health risk. According to the height-weight table, the client is 10 pounds overweight. Which of the following would be an appropriate response for the nurse to make to this client?
a. Yes, this weight puts you at risk for developing heart disease.
b. No, 10 pounds are nothing to be concerned about.
c. Yes, and you should diet to lose those 10 pounds as soon as possible.
d. Let's measure your waist size and use the calipers before figuring that out.

ANS: d. Let's measure your waist size and use the calipers before figuring that out.

6. The nurse is preparing to conduct skin-fold measurements on a male client being treated for obesity. Which of the following should the nurse instruct the client to do prior to completing this measurement?
a. Ask the client to raise their arm above their head.
b. Ask the client to cross their arm and touch the opposite shoulder until the measurement is done.
c. Ask the client to have their arm hang freely during the measurement.
d. Ask the client to bend their arm until the measurement is done.

ANS: c. Ask the client to have their arm hang freely during the measurement.

7. To ensure a complete nutritional assessment, the nurse tells the client that laboratory tests will need to be done. Which of the following would be the most appropriate for this assessment?
a. The client needs a complete blood count and cholesterol level drawn.
b. The client needs a chest x-ray and ECG completed.
c. There are no individual laboratory tests to assess nutritional status. This nurse is mistaken.
d. The client needs a DEXA scan and cholesterol level drawn

ANS: c. There are no individual laboratory tests to assess nutritional status. This nurse is mistaken

8. A client in the clinic is complaining of developing "lots of blocked pores that look yellow" around his eyes. After inspecting these areas, the nurse realizes this client might be demonstrating:
a. Signs of a low vitamin K level.
b. Signs of a low vitamin C level.
c. Signs of an elevated cholesterol level.
d. Signs of an elevated blood glucose level.

ANS: c. Signs of an elevated cholesterol level.

9. A client who is 25 pounds underweight comes into the clinic with the new complaint of bruising and "bleeding marks" under the skin. The nurse realizes this client might be demonstrating signs of:
a. Vitamin D deficiency
b. Protein deficiency
c. Vitamin B deficiency
d. Vitamin C deficiency

ANS: d. Vitamin C deficiency

10. A client who is undernourished is seen in the clinic for an infected foot wound. The nurse realizes this client is at continued risk for:
a. Elevated iron level
b. Ongoing infections
c. Elevated albumin level
d. The development of type 2 diabetes

ANS: b. Ongoing infections

For free online practice given links can helpfull:

https://nurseslabs.com/fundamentals-nursing-nclex-practice-quiz-9-25-questions/

https://www.flashcardmachine.com/nursing.html

https://quizlet.com/subject/fundamentals-nursing-nutrition-questions/

Links for online paid practice:

https://study.com/academy/exam/course/nursing-101-fundamentals-of-nursing.html#3

https://www.khanacademy.org/test-prep/nclex-rn/nclex-practice-questions

Refer to the books like Saunders Comprehensive Review for the NCLEX-RN® Examination, NCLEX-RN Premier 2017 with 2 Practice Tests, HESI Comprehensive Review NCLEX-RN

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