Practice Exam Questions, Exams of Nursing

Download Practice Exam Questions and more Exams Nursing in PDF only on Docsity! Practice Exam Questions A child who is small for gestational age will fall at or below the: 5th %tile for age and length 5th %tile for age and weight 10th %tile for age and weight 10th %tile for age and length - 10th percentile for age and weight When cooking a steak to order, what is the quickest and most efficient piece of kitchen equipment to use? Convection oven Tilt skillet Steam jacketed kettle Salamander broiler - Salamander Broiler What is the intermediary step between aerobic respiration and the Krebs Cycle? conversion of pyruvate to acetate conversion of acetyl CoA to pyruvate conversion of acetyl CoA to lactate conversion of pyruvate to acetyl CoA - conversion of pyruvate to acetyl CoA A hospital patient with a milk allergy receives milk on their tray which results in anaphylaxis. This situation would be classified as what type of event according to quality improvement? rate-based sentinel critical compliance - sentinel 1 | P a g e What is the correct order of dietary lipids as they are digested and absorbed? Whole fats > fat droplets > chylomicrons > micelles Whole fats > micelles > fat droplets > chylomicrons Whole fats > chylomicrons > fat droplets > micelles Whole fats > fat droplets > micelles > chylomicrons - Whole fats > fat droplets > micelles > chylomicrons Which of the following is the safest way to cool food? Place in a shallow container and refrigerate immediately Place in a shallow container and allow to cool at room temperature. Transfer to a clean container, cover tightly, and refrigerate Allow to cool slightly at room temperature before refrigerating - Place in a shallow container and refrigerate immediately Per Americans with Disabilities Act compliance, doors must be at least ____wide to accommodate people with disabilities: 32" 36" 34" 38" - 32 The hospital dietitian continues to receive complaints from residents in a long-term care facility about receiving evening snacks. The dietitian should first. develop a sign off sheet once a resident is served. start the disciplinary process compare what is currently being done to policy and procedure. develop and monitor standards of care - compare what is currently being done to policy and procedure 2 | P a g e $3.75 $4.80 $2.99 $3.25 - $4.80 According to Herzberg's Theory of Motivation, what is considered a maintenance factor? Job security Potential for growth Responsibility Recognition - Job security Food stored in dry storage areas should be kept within what temperature range? 60-80 degrees F 50-70 degrees F 65-85 degrees F 70-85 degrees F - 50-70 degrees F The chalazae of the egg: exchange moisture and gases. anchor the yolk in the center. is also known as the embryo. give the egg its color. - anchor the yolk in the center What government organization would issue a recall on cranberry juice that contains undeclared sulfides? Occupational Safety and Health Administration Food and Drug Administration 5 | P a g e United States Department of Agriculture Centers for Disease Control - Food and Drug Administration An elevated thyroid stimulating hormone (TSH) test most likely indicates: Hypoparathyroidism Hyperparathyroidism Hypothyroidism Hyperthyroidism - Hypothyroidism A red beefy tongue most likely indicates: Vitamin B12 deficiency Severe malnutrition Riboflavin deficiency Impaired wound healing - Vitamin B12 deficiency What is the primary function of management? Directing Organizing Planning Controlling - Planning In renal failure, which of the following is elevated? Erythropoietin Magnesium Calcium Red blood cells - 6 | P a g e Magnesium A patient with galactosemia needs to avoid which of the following foods? Corn Spinach Blueberries Organ meats - Organ meats A public relations manager is developing a marketing campaign. The campaign will rely on grant dollars and donations from government agencies. This is known as what type of strategy? Purse Strings Partnership Government Relations Publics - Purse strings A client states, "I have been carbohydrate counting for a month and my blood sugar readings have been good." According to the Transtheoretical Model, in what stage of change is this client? Termination Preparation Maintenance Action - Action Cow's milk is naturally a good source of: Iron Vitamin A Vitamin C Vitamin E - Vitamin A 7 | P a g e Diabetes Liver disease - Atherosclerosis A Blood Urea Nitrogen level of 7 mg/dL most likely indicates: Liver disease Dehydration Normal value Renal failure - Normal value The following information is obtained from a hospital foodservice operations statement. Total food purchased: $13,567.14 Total sales: $25,315.00 Labor costs: $18,110.12 Meal equivalent factor: $1.75 Patient meals served: 1400 What is the labor cost per meal? $2.55 $1.14 $1.92 $2.10 - $1.14 Protein quality is best determined by: Protein digestibility corrected amino acid score. Protein efficiency ratio. Nitrogen balance. Biological value. - Protein digestibility corrected amino acid score Centers for Medicare/Medicaid Services mandate that healthcare facilities must allow no more than ____ hours between a patient's evening meal and following a.m. breakfast. 16 15 14 10 | P a g e 12 - 14 A patient admitted to the ICU is suspected of having acute liver impairment. Which of the following laboratory values is least effective in identifying liver dysfunction? Alpha 2 globulin Albumin Prealbumin Retinol binding protein - Albumin The temperature of foods held on a serving line should be checked at minimum every: 4 hours. 3 hours. 2 hours. 1 hour. - 4 hours The Americans with Disabilities Act designates that dining table heights should be between____ and ____ inches in height. 32-38 26-32 28-34 34-40 - 28-34 What is the total amount of calories provided by the following solution? 100 mL 25% dextrose, 200 mL 5% amino acids, 300 mL 20% lipids? 800 740 725 825 - 11 | P a g e 725 A food service director evaluates monthly financial reports and has determined food costs increased by 8%. The best way to determine the cause of the food cost increase is to: Compare the prices charged by the purveyor to bid specifications Have a second person take physical inventory and review prices on individual items. Review charge receipts and cash receipts Evaluate inventory and food purchases - Evaluate inventory and food purchases The second compartment of a three-compartment sink is reserved for: Scraping Cleaning Rinsing Sanitizing - Rinsing A hospital foodservice operation has 15 FTEs that produce 4500 meals in a 40-hour work week. How many meals per labor hour are being produced? 7.5 23.0 13.3 12.5 - 7.5 What is the percent (%) Ideal Body Weight of a male who is 5'10" and 160 lbs.? 100% 110% 96% 103% - 96% 12 | P a g e Relapse prevention Stimulus Control Self-monitoring Cognitive restructuring - Cognitive restructuring A pastry chef tests a new cake recipe to find that it has good flavor, but is dry and crumbly. What was most likely the cause? The oven temperature was too high. The oven temperature was too low. Too much sugar was added to the mix. Too much liquid was added to the mix. - The oven temperature was too high The National Health and Examination Survey (NHANES) tracks the nation's health and nutrition each year by selecting participants in different areas of the country to provide free health exams. This would be best described as a: Trend Study. Cohort study. Cross-sectional study. Experimental study. - Trend Study The Worker Adjustment and Retraining Notification Act requires businesses to notify employees of: Changes in work schedule Changes to benefits plan. Upcoming layoffs. Vacant job positions within the company. - Upcoming layoffs A(n) ________ is a medical finding by the examiner, whereas, a(n) __________ is a condition perceived by the patient. 15 | P a g e symptom, etiology sign, symptom symptom, sign etiology, sign - sign, symptom A hemoglobin value of 12 g/dL for a male patient indicates: iron-deficiency anemia malabsorption dehydration hemolysis - iron deficiency anemia A manager is assessing how well the foodservice operation is at turning over inventory. They calculate a monthly inventory turnover rate of 3. This means the operation: has a poor inventory turnover rate. is turning over inventory every 3 months. has an acceptable inventory rate is turning over inventory 12 times per year. - has an acceptable inventory rate An overweight patient with acid reflux reports daily use of Pepcid. A dietitian should be most concerned about: iron deficiency. possible anorexia. increased magnesium levels. decreased vitamin B12 levels. - decreased vitamin B12 levels Which of the following is the most immediate by-product of protein catabolism? Ammonia Bilirubin 16 | P a g e Ketone Urea - Ammonia Aseptically packaged dairy products and canned chicken should be stored at which temperature? 75-85 degrees F 50-70 degrees F 30-45 degrees F 0-25 degrees F - 50-70 degrees F The following nutrient needs to be supplemented in a distal ileum resection: Calcium Folate Iron Vitamin B12 - Vitamin B12 The synthesis of glucose from glycerol and amino acids is known as a process called: Gluconeogenesis Glycogenolysis Glucogenesis Glycolysis - Gluconeogenesis A WIC dietitian completes a nutrition assessment of a 3 year old female client. The child plots at 8% on the Centers for Disease Control BMI for age growth chart. The dietitian should interpret this as: Normal weight Stunted growth Failure to thrive Underweight - 17 | P a g e Assess learning needs Create learning plan Self-reflection Complete activity log - Self-reflection What is the best nutrition recommendation for a patient with acute cholecystitis? Avoid protein, small, frequent meals. Avoid fried foods, carbonated beverages. Avoid fat, small, frequent meals. Nothing by mouth. - Nothing by mouth A food service employee applied for an open cook position in the kitchen where they work. Another employee was chosen for the position. The employee not chosen for the position feels they were not given the same consideration and files a grievance against the hiring supervisor. The food service director should: Meet with the employee and explain why they were not chosen for the position. Give the employee the pay raise they would make as a cook. Give the employee filing the grievance the position and ask them to halt the grievance. Meet with an arbitrator to see if this is an offense that warrants the grievance. - Meet with the employee and explain why they were not chosen for the position How many carbohydrate choices are in the following meal: 3 oz. grilled salmon, 1 cup pasta, 1 cup romaine lettuce, 1 tbsp. salad dressing, 2 inch brownie, black coffee? 3 3 1/2 4 1/2 4 - 4 20 | P a g e According to the Academy of Nutrition and Dietetics Standards of Practice and Professional Performance guidelines, how many years must a registered dietitian practice before they are considered to be at a proficient level of practice? 2 4 5 3 - 3 A female military veteran has been receiving continuous high scores on her performance appraisals. She finds out that she does not receive as much pay as her male counterparts who have the same qualifications. Which Act would protect her against these discrepancies? Equal Pay Act Uniformed Services Employment and Reemployment Rights Act Title VII of the Civil Rights Act Fair Labor Standards Act - Equal Pay Act An advanced deficiency in which vitamin causes cheilosis? Pantothenic Acid Niacin Riboflavin Biotin - Riboflavin A serum calcium of 7.8 mg/dL will trigger what adaptive response under normal physiologic conditions? Release of calcitonin. Intestinal release of calcium-binding protein Osteoclast release of calcium. Release of parathyroid hormone. - Release of parathyroid hormone 21 | P a g e A director receives communication that an employee wants to file a grievance against a supervisor. The director should first: Interview the employee and the supervisor before filing a grievance. Refer the employee to the grievance committee for further assistance. Speak with the supervisor about their side of the situation. Ask the employee if they are familiar with the organization's grievance process. - Ask the employee if they are familiar with the organization's grievance process. Which of the following would indicate behavior change when a wellness program for hospital nurses is monitored? body mass index gym membership purchases waist circumference vending machine sales - vending machine sales A dietitian sits on a committee that is planning a new satellite kitchen in a facility adjacent to the main kitchen. The new chef asks for a versatile piece of equipment for sautéing, stewing, and simmering. What piece of equipment would be most appropriate? Combi-oven Steam-jacketed kettle Tilt skillet Convection oven - Tilt Skillet The Billroth II procedure will most likely affect absorption of: Vitamin B 12 Sodium Vitamin C Iron - Iron 22 | P a g e Renal concentration power Fluid concentration inside blood cells ADH concentration in serum - Renal concentration power A foodservice manager receives a complaint from a customer that an eggplant dish served at lunch is an unappetizing blue color. What most likely occurred? The dish was prepared in an iron pan. Lemon juice was added at the end of preparation. The dish was overcooked. A maillard reaction. - The dish was prepared in an iron pan A hemoglobin value of 18 g/dL in a female patient most likely indicates: liver disease iron-deficiency anemia blood loss dehydration - dehydration Which of the following is the best meal recommendation for a child with galactosemia? Ham and cheese sandwich, grapes. Yogurt, peaches, granola. Baked chicken strips, steamed broccoli, rice. Edamame sliders, carrot sticks, hummus. - Baked chicken strips, steamed broccoli, rice Antiseptic hand gels are commonly used in health care facilities. Which of the following statements is true? Hand antiseptics are used before hand washing. Hand antiseptics can be used in place of hand washing. After immediate use of hand antiseptics, food handling is safe. 25 | P a g e Hand antiseptics must comply with FDA standards. - Hand antiseptics must comply with FDA standards It is difficult for a patient with Huntington's disease to exercise due to: Anomia Chorea Ataxia Echolalia - Chorea A foodservice director is planning for a new facility on a university campus. What calculation would help them to forecast their staffing needs? Labor Cost Percentage Net Profit Employee Turnover Meals per Labor Hour - Meals per labor hour An AIDS patient is taking dronabinol. What side effect is most likely to occur? Diarrhea Nausea Weight loss Weight gain - Weight gain As serum folate levels decrease: Folate is not converted to active form. Vitamin B 12 levels rise. Homocysteine levels rise. Red blood cells become smaller. - Homocysteine levels rise 26 | P a g e A(n)____________ plan is systematically driven by stakeholders and relies on resolving issues through analysis and organization. Functional Formal Strategic Operations - Strategic A diet technician has missed a nutrition trigger for the fourth time on a newly admitted patient and is being scolded by a dietitian. The clinical nutrition manager should first: Pull the diet technician to the side to speak with them alone. Write the diet tech up for neglect. Hold an in-service training on identifying nutrition triggers. Create a new standard of care for nutrition screening. - Pull the diet technician to the side to speak with them alone In a ketogenic diet, decreased utilization of which digestive enzyme occurs? secretin lipase amylase carboxypeptidase - amylase Which mineral aids the absorption of calcium in the small intestine? Vitamin D Sodium Magnesium Potassium - Magnesium 27 | P a g e 26 servings 13 servings - 26 servings Which of the following fish would be safest to consume during pregnancy? Swordfish Tilefish King mackerel Grouper - Grouper What food should be avoided for one to two days post-operatively for gastric bypass patients? Beef broth Clear gelatin Consommé Soda - Soda A dietitian is counseling a family of an 8-year-old child with ADHD who is being treated with methylphenidate. Based on this information, the dietitian understands that: Iron should be supplemented due to decreased absorption. Growth can be affected due to anorexia. Weight gain is an unintentional side effect. Hypoglycemia can result after drug administration. - Growth can be affected due to anorexia A long-term care resident recently diagnosed with cancer is on a renal diet for chronic kidney disease. The resident receives hemodialysis every other day. A nutrition assessment reveals <50% intake at meals. The dietitian should: recommend liberalizing the diet add a renal friendly oral supplement with meals continue renal diet and reassess in a week 30 | P a g e determine exact intake with a calorie count - Recommend liberalizing the diet 31 | P a g e