Chapter 12, Nutrition Assessment: Findings in Nutrition Assessment—Sherpath

Question 1 of 9

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A body mass index (BMI) of 22.5 indicates what about the patient’s nutritional status?

• • The patient’s caloric intake is not adequate.Nutritional intake status that is not adequate may result in an abnormal BMI.
• • The patient’s caloric intake is less than needed.Nutritional intake status that is less than needed may result in an abnormal BMI.
• • The patient’s caloric intake is more than needed.Nutritional intake status that is more than needed may result in an abnormal BMI.
• Correct
  • The patient’s caloric intake is adequate.A BMI of 22.5 is normal and indicates the patient’s nutritional intake status is adequate.

Question 2 of 9

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The nurse calculates the patient’s body mass index as 19 and determines what about the patient’s nutritional status?

• • The patient’s nutritional intake is not adequate.Nutritional intake status that is not adequate may result in an abnormal BMI.
• Correct
  • The patient’s nutritional intake is adequate.A BMI between 18 and 24.9 is normal and indicates the patient’s nutritional intake status is adequate.
• • The patient’s nutritional intake is more than needed.Nutritional intake status that is more than needed may result in an abnormal BMI.
• • The patient’s nutritional intake is less than needed.Nutritional intake status that is less than needed may result in an abnormal BMI.

Question 3 of 9

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The nurse is measuring waist-to-hip circumference ratios of multiple patients. Which patient’s waist-to-hip ratio indicates good nutritional status?

• Correct
  • 70:91 cm (0.77)Waist-to hip ratios less than 1.0 in men and less than 0.85 in women indicate good nutritional status (normal fat distribution).
• • 97:86 cm (1.13)A waist-to hip ratio of 1.13 indicates an excess proportion of trunk and abdominal fat (e.g., apple-shaped body) and poor nutritional status (overweight).
• • 91:70 cm (1.3)A waist-to-hip ration of 1.3 indicates an excess proportion of trunk and abdominal fat (e.g., apple-shaped body) and poor nutritional status (overweight).
• • 107:101 cm (1.06)A waist-to-hip ration of 1.06 indicates an excess proportion of trunk and abdominal fat (e.g., apple-shaped body) and poor nutritional status (overweight).

Question 4 of 9

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Match the biochemical indicator to the result associated with good nutritional status in adults.

• 14.0 g/dL
• 45%
• 74 mg/dL
• 4.0 g/dL

Question 5 of 9

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An adult female patient’s hemoglobin test result is 14.0 g/dL. Which nutrient is sufficient in the patient’s diet?

• Correct
  • Iron14.0 is a normal hemoglobin level and indicates sufficient iron in the diet.
• • ProteinA hemoglobin test does not measure protein intake.
• • FolateA hemoglobin test does not measure folate intake.
• • LipidsA hemoglobin test does not measure lipid intake.

Question 6 of 9

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Which biochemical test results indicate adequate nutrition in the adult male patient?

• • Transferrin saturation 18%The normal transferrin saturation for an adult male is 20.0% or greater, so a value of 18% does not indicate adequate nutrition for the adult male patient.
• • Hemoglobin 12.0 mg/dLThe normal hemoglobin for an adult male is 14.0 mg/dL or greater, so a value of 12.0 mg/dL does not indicate adequate nutrition for the adult male patient.
• Correct
  • Serum albumin 5.0 g/dLThe normal serum albumin range for an adult male is 3.4 to 5.4 g/dL and indicates adequate nutrition for the adult male patient.
• • Serum folate 2.4 ng/mLThe normal serum folate range for an adult male is 3.6 to 20 ng/mL, so a value of 2.4 ng/mL does not indicate adequate nutrition for the adult male patient.

Question 7 of 9

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A patient with obesity is at risk for which health problems?

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  • Type 2 diabetesIncreased visceral fat (fat around the organs) in people who are obese places the patient at increased risk for health problems including type 2 diabetes.
• Correct
  • DyslipidemiaIncreased visceral fat (fat around the organs) in people who are obese places the patient at increased risk for health problems including dyslipidemia, or an abnormal amount of lipids in the blood.
• Correct
  • Colon cancerObesity places the patient at risk for some cancers, including colon cancer. Research continues to evaluate the association between obesity and cancer.
• • Sensitivity to coldObesity does not place the patient at risk for sensitivity to cold.
• Correct
  • Heart failureIncreased visceral fat (fat around the organs) in people who are obese places the patient at increased risk for cardiovascular disease, and may lead to heart failure.

Question 8 of 9

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Match the abnormal assessment finding to the nutritional abnormality.

• Hemoglobin 11.0 g/dL
• Serum triglyceride 200 mg/dL
• Body mass index 17
• Metabolic alkalosis

Question 9 of 9

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A patient with anemia has decreased hemoglobin, decreased serum iron, and increased total iron-binding capacity (TIBC) levels. Which nutrient would the nurse suspect is deficient?

• Correct
  • IronDecreased hemoglobin, decreased serum iron, and increased TIBC levels are associated with iron deficiency anemia.
• • ProteinDecreased serum albumin is associated with lack of protein in the diet but not with decreased hemoglobin, decreased serum iron, and increased TIBC levels.
• • Folic acidFolic acid deficiency anemia is associated with decreased hemoglobin, increased serum iron, and normal TIBC levels.
• • Vitamin B12Vitamin B₁₂ deficiency anemia is associated with decreased hemoglobin, increased serum iron, and normal TIBC levels.