Download Roth 10e NCLEX

Roth 10e NCLEX
Chapter 6
MULTIPLE CHOICE
1. The nurse is teaching a group of clients in a cardiac rehabilitation class about food sources of proteins.
In what foods will the nurse say protein is found?
a. in foods derived from both plant and
c. only in foods derived from plants
animal foods
b. only in foods derived from animals
d. only in fortified foods
ANS: A
Proteins are found in both animal and plant foods.
PTS: 1
REF: Food Sources
2. The school nurse is making a presentation to parents of teenage students. One parent is concerned that
their child is not getting adequate high quality dietary protein because the child has stopped eating
meat. The nurse tells the parent that certain diets that do not contain meat can still provide adequate
protein. Which of the following statements could the nurse make about vegetarian diets and protein?
a. all vegetarian diets deliver adequate high c. lacto-ovo vegetarian diets deliver adequate
quality dietary protein
high quality dietary protein
b. fruitarian diets deliver adequate high
d. vegan diets deliver adequate high quality
quality dietary protein
dietary protein
ANS: C
All vegetarian diets do not include high quality protein. Lacto-ovo-vegetarian diets include both milk
and eggs which are high quality proteins. Vegan diets include no animal products and therefore no
high quality protein. Fruitarian diets include no protein containing foods.
PTS: 1
REF: Food Sources
3. The nurse orders a protein supplement for an elderly client who is recovering from major surgery.
Which of the following reasons could the nurse give the client to explain why the supplement is
needed?
a. The additional protein is needed to help
c. The protein supplement will keep the
heal the surgical incision.
client from gaining weight while
hospitalized.
b. The protein will stimulate the client’s
d. The protein supplement is a snack to
appetite.
satisfy the client so dinner can be
delivered later.
ANS: A
Extra proteins are usually required after surgery, severe burns, or during infections in order to replace
lost tissue and to manufacture antibodies.
PTS: 1
REF: Dietary Requirements
4. The nurse cautions a client not to overuse products that neutralize stomach acids. Which of the
following statements could the nurse make to support this advice?
a. Hydrochloric acid is needed in the small c. It just isn’t a good idea to use acid
intestine for proteins to be absorbed
neutralizers.
b. Hydrochloric acid is needed to prepare the d. The pancreatic enzymes need hydrochloric
stomach to breakdown proteins.
acid to breakdown proteins.
ANS: B
Hydrochloric acid prepares the stomach so that the enzyme pepsin can begin its task of reducing
proteins to polypeptides. Pancreatic enzymes work in the small intestine, but do not require
hydrochloric acid to work.
PTS: 1
REF: Digestion and Absorption
MULTIPLE RESPONSE
1. The client asks the nurse “What are the best food sources for high-quality protein”. Which of the
following foods could the nurse say contain high quality proteins? Select all that apply.
a. cheese
d. fish
b. corn
e. milk
c. eggs
f. peanuts
ANS: A, C, D, E
Meats, fish, poultry, eggs, milk, and cheese are sources of high quality protein because they are
complete proteins. Corn and peanuts are incomplete proteins.
PTS: 1
REF: Food Sources
2. The nurse is teaching a client who follows a vegetarian diet how to combine plant based foods to
provide all of the essential amino acids. Which of the following food combinations could the nurse say
would be complementary proteins? Select all that apply.
a. cereal and milk
d. white bread and peanut butter
b. corn and brown rice
e. white rice and pinto beans
c. macaroni and cheese
f. whole grain bread and cheddar cheese
ANS: A, C, D, E, F
Corn and brown rice are not complementary proteins. Either corn or brown rice could be combined
with beans to make a pair of complementary proteins. All of the remaining combinations are
complementary proteins.
PTS: 1
REF: Classification
3. Which of the following teaching statements could the nurse make to a healthy adult client who is
consuming 2 grams of protein per kilogram of body weight per day. Select all that apply.
a. Excess protein intake may put more
d. Protein calories should represent no more
demand on the kidneys than they are
than 15-20% of daily calorie intake.
prepared to handle.
b. Excess protein intake may put more
e. The recommended protein intake for
demand on the liver than it is prepared to
healthy adults is 0.8 grams per kilograms
handle.
of body weight.
c. It is difficult to get that much protein in
f. You will need to consume at least 3 grams
each day, so drink some protein shakes to
of protein per kilogram of body weight to
get to your goal.
remain healthy
ANS: A, B, D, E
The National Research Council of the National Academy of Sciences considers the average adult’s
daily requirement to be 0.8 grams of protein for each kilogram of body weight/ The National Research
Council recommends that protein intake represent no more than 15-20% of one’s daily calorie intake
and not exceed double the amount given in the table of DRI’s. Excess protein intake may put more
demands on the liver and kidneys than they are prepared to handle.
PTS: 1
REF: Dietary Requirements and Excess Protein
4. The nurse is concerned about the welfare of an infant who appears to be malnourished. The nurse
evaluates the child’sappearance and concludes that the child may be suffering from marasmus. Which
of the following observations/symptoms would support the nurse’s conclusion? Select all that apply.
a. dull, dry hair
d. irritability
b. Edema
e. painful skin lesions
c. extreme wasting
f. wrinkled skin
ANS: A, C, D, F
Marasmus, a condition resulting from severe malnutrition, afflicts very young children who lack both
energy and protein foods as well as vitamins and minerals. The infant with marasmus is irritable and
appears emaciated from extreme wasting, but does not have edema. Hair is dull and dry, and the skin is
thin and wrinkled. Painful skin lesions and edema are signs of Kwashiorkor, another type of protein
energy malnutrition.
PTS: 1
REF: Protein Energy Malnutrition
5. An elderly client tells the visiting nurse that protein foods are not part of the client’s diet because meat
prices are too high to be affordable. What non-meat foods could the nurse recommend the client
consume to boost protein intake? Select all that apply.
a. beans with rice
d. Eggs
b. Cheese
e. oatmeal with milk
c. corn tortillas with beans
f. peanut butter on bread
ANS: A, B, C, D, E, F
Cheese and milk are both sources of high quality protein and grains combined with legumes are
complementary proteins.
PTS: 1
REF: Classification
6. A parent of three children whose ages are 3, 10, and 16 asks the nurse if all three children should be
fed the same amount of protein each day. What could the nurse say determines how much protein a
person needs each day? Select all that apply.
a. Age
d. physical condition
b. emotional condition
e. physical size
c. Ethnicity
f. Sex
ANS: A, B, D, E, F
One’s protein requirement is determined by size, age, sex, and physical and emotional conditions.
Ethnicity is not a consideration in determining protein requirements.
PTS: 1
REF: Dietary Requirements