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CMS NUTRITION EXAM
QUESTIONS & ANSWERS
Question: A nurse is assessing a client's risk for pressure
injuries using a skin risk assessment tool. The client eats more than half of most meals but occasionally refuses a meal. Which of the following information should the nurse document on the nutrition category of the skin risk assessment tool?
CORRECT ANSWER : adequate
- a client who eats more than half of most meals,
occasionally refuses a meal, and has four servings of protein each day scores a 3 (adequate) in the nutrition category of the skin risk assessment tool
Question: A nurse is providing discharge teaching to a
client who has Parkinson's disease and a prescription for levodopa-carbidopa. Which of the following foods should the nurse instruct the client to consume with the medication?
CORRECT ANSWER : one slice wheat toast
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- absorption of levodopa-carbidopa decreases when
consumed with protein, one slice of wheat toast is the lowest source of protein at 3 g per slice
Question: A nurse is teaching a client who has chronic
kidney disease about limiting dietary calcium intake.Which of the following food choices should the nurse include in the teaching as having the highest amount of calcium?
CORRECT ANSWER : 1 cup low-fat yogurt
- the nurse should determine that low fat yogurt
containers 314 mg of calcium per cup, which is the highest amount of calcium; therefore the client should limit low fat yogurt in the diet
Question: A nurse is caring for a client who is receiving
intermittent enteral feedings every 4 hours via an NG tube. Which of the following actions should the nurse take to reduce the risk for aspiration?
CORRECT ANSWER : place the client in a semi-
fowler's position
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Question: A nurse is admitting a client who has had a
fever and diarrhea for the past 3 days. Which of the following findings should indicate to the nurse the client is dehydrated?
CORRECT ANSWER : orthostatic hypotension
- the nurse should identify a client who is dehydrated can
experience orthostatic hypotension due to the fluid loss from the client's body, which causes low blood volume, resulting in low blood pressure
Question: A nurse is creating a plan of care for a client
who has mucositis following head and neck radiation therapy to treat cancer. Which of the following interventions should the nurse include in the plan?
CORRECT ANSWER : increase fluid intake to 2 L per
day
- to promote hydration and peristalsis
Question: A nurse is assessing a client who has an
elevated blood pressure, headache, and is sweating. The
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client recently started taking an MAOI. The nurse should question the client regarding the consumption of which of the following foods?
CORRECT ANSWER : cheddar cheese
- avoid consumption of most types of cheese and other
foods that contain high levels of tyramine, which can lead to hypertensive crisis
Question: A nurse is providing dietary teaching for a
client who has COPD. Which of the following instructions should the nurse include in the teaching?
CORRECT ANSWER : consume foods that are soft in
texture and easy to chew
Question: A nurse is updating a plan of care for a client
who is receiving intermittent enteral feedings and is experiencing diarrhea. Which of the following interventions should the nurse include in the plan?
CORRECT ANSWER : feed the client in small, frequent
volumes