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Chapter 73: Vitamins and Minerals Test Bank

Chapter 73: Vitamins and Minerals Test Bank

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Chapter 73: Vitamins and Minerals
Test Bank
MULTIPLE CHOICE
1.   An 80-year-old woman has chronically low hemoglobin despite a diet high in iron. The primary care nurse practitioner (NP) will perform laboratory tests to confirm a diagnosis and should suspect the patient will need:
a.

omega-3 supplements.

b.

a folic acid supplement.

c.

a daily multivitamin with iron.

d.

a diet high in green, leafy vegetables.

 
2.   The parent of a 3-year-old is concerned that the child’s legs are not straight. The primary care NP notes marked bowing of the child’s lower extremities. Radiologic studies show decreased ossification of the child’s bones. The NP should:
a.

prescribe vitamin D supplements.

b.

recommend calcium supplements.

c.

counsel the parent to increase the child’s milk intake.

d.

ensure that the parent is buying vitamin D–fortified milk.

 
3.   An adolescent girl reports having heavy menstrual periods. Her hemoglobin is consistently on the low end of the normal range. The primary care NP should prescribe:
a.

iron supplements.

b.

a folic acid supplement.

c.

oral contraceptive pills.

d.

increased red meats in her diet.

 
4.   The parents of a 3-year-old child tell the primary care NP that their child is a very picky eater and they are worried about the child’s nutrition. The NP should recommend:
a.

giving the child a daily multivitamin containing iron.

b.

providing small portions of a variety of foods at each meal.

c.

disciplining the child at mealtimes to ensure proper nutrition.

d.

making sure the child’s cereals are fortified with vitamins and minerals.

 
5.   A patient exhibits keratin deposits around hair follicles and has hardened pigmented “goose bump” lesions on all extremities. The primary care NP should consider prescribing:
a.

thiamine.

b.

vitamin A.

c.

beta carotene.

d.

ascorbic acid.

 
6.   The primary care NP sees a patient for an annual physical examination. The patient reports chronic alcohol abuse. The NP should refer the patient for treatment and should prescribe:
a.

niacin.

b.

thiamine.

c.

folic acid.

d.

vitamin B6.

 
7.   As patients age, it becomes particularly important to increase their intake of:
a.

iron.

b.

omega 3.

c.

vitamin C.

d.

B vitamins.

 
8.   A 40-year-old woman asks the primary care NP what she can do to minimize her risk of osteoporosis. She takes 800 mg of calcium and drinks 2 cups of skim milk each day. The NP should recommend that she:
a.

decrease dietary fat.

b.

limit her caffeine intake.

c.

consume a high-protein diet.

d.

drink diet instead of sugary sodas.

 
9.   A 13-month-old child drinks 40 to 48 ounces of milk every day. The parents report that the toddler eats a variety of baby fruits and vegetables but refuses meats and cereals. The primary care NP should order a:
a.

complete blood count (CBC).

b.

ferritin level.

c.

vitamin D level.

d.

serum calcium level.

 
10.   A patient reports fatigue and increased frequency of stools over the past week and reports having just begun a regimen of dietary changes to prevent hypertension. The primary care NP notes a rapid, irregular heart rate and a blood pressure of 92/58 mm Hg. The NP should question the patient about:
a.

caffeine intake.

b.

B vitamin intake.

c.

fat-soluble vitamins.

d.

use of salt substitutes.

 
11.   An adolescent girl has decided to become a vegetarian. The primary care NP should counsel her about iron intake and considering a vitamin containing:
a.

zinc.

b.

vitamin A.

c.

vitamin C.

d.

potassium.


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