Exam 1 and Exam 2
1. A nurse is teaching to a client who has dumping syndrome. Which of the following instructions
should the nurse include in the teaching?
a. consumes three large meals a day
b. eat protein at each meal
c. sit up in bed after meals
d. drink beverages with meals
Answer: b. eat protein at each meal
2. A nurse is providing teaching to a client who has a prescription for a low-saturated fat diet.
Which of the following statements by the client indicates an understanding of the teaching?
a. I will include 7 ounces offish in my diet weekly
b. I will use margarine on my waffles
c. I can eat the skin on poultry if it is broiled
d. I can choose an avocado dip instead of salsa
Answer: d. I can choose an avocado dip instead of salsa
3. Teaching about the dietary approaches to stop hypertension (Dash) diet to client who has
hypertension which of the instructions should the nurse include?
a. increase intake of refined carbohydrates
b. consumes ten percent of total calories from saturated fat
c. consume food that are high in calcium
d. limit sodium intake to 3,200 milligrams per day
Answer: c. consume food that are high in calcium
4. A client who is receiving parenteral nutrition and has a new prescription for probiotic therapy.
Which of the following findings therapy is effective?
a. client's blood glucose level is within the expected reference range
b. client reports ability to complete ADLs
c. client has soft, formed bowel movements
d. client's mucous membranes are pink
Answer: c. client has soft, formed bowel movements
5. A nurse is teaching a client who has a new diagnosis of diabetes mellitus about recognizing
hyperglycemia. Which of the following manifestations should the nurse include in the teaching?
a. metallic taste
b. cool skin
c. anxiety
d. hyperventilation
Answer: a. metallic taste
6. a client is prescribed a 1500 calorie diet. Thirty percent of calorie are to be derived from fat.
How may grams of fat should client Per day?
Answer: 50 grams
7. a medical record of a client who has aids and is malnourished. The client has been receiving
total parenteral nutrition which of the following findings should the nurse identify as a therapeutic
response of the TPN?
a. temperature 38.4°C (101.1°F)
b. Hb 9 g/dL
c. BMI 18.5.
d. BUN 25 mg/dL
Answer: c. BMI 18.5.
8. a nurse teaching plan for a client who is taking digoxin and furosemide. Which of the following
foods should the nurse ... to consume?
a. blueberries
b. green beans
c. cucumbers
d. bananas
Answer: d. bananas
9. a client who has Parkinson’s disease and prescribed a monoamine oxidase inhibitor. Which of
the following instructions should the nurse include?
a. do not eat grapefruit while taking this medication
b. maintains a low-protein diet
c. reduces intake of high calorie foods
d. avoids aged cheeses while taking this medication
Answer: d. avoids aged cheeses while taking this medication
10. a nurse is teaching to the parent of a toddle about nutritional needs and habits. Which of the
following instructions should the nurse include in the teaching?
a. avoids snacks between meals
b. fallows the toddler to feed himself
c. set mealtimes immediately after physical activity
d. provides different food for the toddle than the parents.
Answer: b. fallows the toddler to feed himself
11. a nurse is caring for a client who received radiation therapy to the pelvic area? The client is
experiencing chronic diarrhea. Which of the following action should the nurse take?
a. instructs the client to increase consumption of beans?
b. provides sugar-free candy for the client between meals
c. recommend that the client eliminate the intake of carbonated beverages.
d. encourages the client to drink 4 oz of milk after each loose stool
Answer: c. recommend that the client eliminate the intake of carbonated beverages.
12. a client who reports manifestations of gastroesophageal reflux disease (GERD) which of the
following client statements should identify as a contributing factor of GERD?
a. I stopped drinking caffeinated beverages several weeks ago
b. I like to drink a glass of warm milk before bed to help me sleep
c. I try to follow low-fat high protein diet to help me maintain my weight
d. I have recently stopped drinking alcohol
Answer: b. I like to drink a glass of warm milk before bed to help me sleep
13. …. Teaching for a client who has iron deficiency anemia. Which of the following information
should the nurse include?
a. drinking iced tea with meals can increase the amount of iron absorbed
b. fish and poultry are primary sources of heme iron
c. drinking orange juice with iron supplements can decrease absorption
d. cooking in a stainless-steel skillet increase the amount of iron in the food
Answer: b. fish and poultry are primary sources of heme iron
14. what is the priority guidance to t a client who has phenylketonuria (PKU) and is planning a
pregnancy. Which of the following should the nurse include in the discussion?
a. a low protein diet should be followed for 3 months prior to conception
b. breastfeeding will prevent your baby from developing PKU
c. A diet sodas should not be consumed more than two or three time per week.
d. serum bilirubin should be monitored one to two times per month during pregnancy
Answer: c. A diet sodas should not be consumed more than two or three time per week.
15. a nurse is talking to a client who has cholecystitis about required dietary modifications. Which
of the following as appropriate for the client's diet?
a. Brown rice
b. banana muffin
c. boiled egg
d. Ground beef
Answer: a. Brown rice
16. …. parent of a school age child about the importance of maintaining water intake to prevent
dehydration. Which of the following choices should the nurse recommend as containing the
greatest percentage of water?
a. whole wheat bread
b. almonds
c. cheddar cheese
d. Tyroccoli
Answer: d. Tyroccoli
17. a client who has dysphagia and required a level 1 dysphagia diet. Which of the following foods
should the nurse choose for this client?
a. milk
b. apple juice
c. pudding
d. chicken noodle soup
Answer: c. pudding
18. a client who follows a vegan diet. The nurse should identify that the client is at risk for which
of the following deficiencies?
a. magnesium
b. vitamin D
c. vitamin C
d. Folic acid
Answer: c. vitamin C
19. …. Laboratory results for effectiveness of total parenteral nutrition (TPN) which of the
following laboratory values is factor for the nurse to monitor for short- term effectiveness of the
TPN
a. Prealbumin
b. Hemoglobin
c. total albumin
d. transferrin
Answer: a. Prealbumin
20. ….. for clients who are at risk for heart disease about decreasing saturated fats in their diet.
Which of the following fats diet is recommend the clients use then cooking?
a. canola oil
b. do. palm oil
c. peanut oil
d. stick margarine
Answer: a. canola oil
21. A nurse is teaching about denture care to the partner of a client who is unable to perform oral
hygiene. Which of the following should the nurse include in the teaching?
a. floss dentures as part of daily cleaning
b. wipe dentures before storing them in a dry container at night
c. use washcloth to clean the denture surfaces
d. wrap gloved fingers with gauze to remove dentures
Answer: d. wrap gloved fingers with gauze to remove dentures
22. …. Following about food allergies to the parents of toddler. Which of the following foods
should the nurse identify as the highest changes in toddlers?
a. eggs
b. the milk
c. bananas
d. citrus fruits
Answer: a. eggs
23. A nurse is selecting food items for a client who follows a lacto-vegetarian diet. Which of the
following foods should the nurse include in the meals?
a. eggs
b. hamburger
c. shrimp
d. Tycheese
Answer: d. Tycheese
24. a client following a gluten -free diet to a client who has celiac disease, which of the following
foods should the nurse recommend including in his diet?
a. corm
b. salami
c. barley
d. wheat germ
Answer: a. corm
25. what ….. category values for a client who is receiving a phosphate binder with meals for endstage renal disease. Which of the following values would indicate to the nurse that the treatment is
effective?
a. sodium 136
b. hemoglobin 15
c. total calcium 9.7
d. serum potassium
Answer: b. hemoglobin 15
26. A nurse is planning care for a client who has a new prescription for a total parenteral nutrition
(TPN) which of the following actions should the nurse plan to take?
a. changes the IV tubing for TPN solution every 72 hr
b. change the dressing around the IV site weekly
c. removes TPN from the refrigerator 5 min before infusing it.
d. discard remaining TPN solution that is still infusing after 24 hr.
Answer: d. discard remaining TPN solution that is still infusing after 24 hr.
27. a client who is obese and is prescribed a calorie reduction of 500 fewer calories per day. The
nurse should expect that client to do which of the following rate of weight loss?
a. 0.23 kg (0.5lb/day)
b. 0.45 kg (1Ib/week)
c. 0.23 kg (0.5lb/week)
d. 0.45 kg (1Ib/day)
Answer: b. 0.45 kg (1Ib/week)
28. …. Care for a client who is receiving radiation therapy and is experiencing nausea. Which of
the following should the nurse include in the plan?
a. administer antiemetics on a schedule
b. serves low carbohydrate meals
c. provides a snack 30 min before treatments
d. ensure foods are served hot
Answer: a. administer antiemetics on a schedule
29. Enteral feedings for a client who has inflammatory bowel disease. The nurse should recognize
that which of the following meals is appropriate for this client?
a. high fiber
b. low- protein
c. low calorie
d. hydrolyzed
Answer: d. hydrolyzed
30. a nurse is preparing to administer the inactivated influenza vaccine to a client. The nurse should
ask the client about allergies to which of the following foods?
a. shellfish
b. feggs
c. gelatin
d. citrus fruit
Answer: b. feggs
31. …. following about natural food sources that contain folate to client who plans to become
pregnant. The nurse should identify the following foods contains the highest amount of folate.
a. 1 cup cooked green peppers
b. 1 cup cooked carrots
c. 1 cup cooked lentils
d. 1 cup mashed potatoes
Answer: c. 1 cup cooked lentils
32. …. adult client who requires high- calorie liquid nutritional supplements. Which of the
following actions should the nurse take the client consumes the supplement?
a. leaves an opened supplement at the bedside throughout the day
b. enhances the flavor of supplements serving them warm
c. have the client swallow his medications with the supplement
d. offer the supplement as a substitute for one of the client's daily meals
Answer: b. enhances the flavor of supplements serving them warm
33. a client who has dysphagia. Which of the following actions should the nurse take?
a. Fly Voivode food in a thin liquid consistency
b. place the client in a semi-flowers positions when eating
c. instructs the client to keep their chin up when swallowing
d. initial calorie count of daily food intake.
Answer: d. initial calorie count of daily food intake.
34. which of the laboratory results of a client who has bulimia nervosa. The nurse should notify the
provider of which of the following?
a. potassium 3.2 M
b. WBC 5,200
c. Hgb 14
d. magnesium 1.6
Answer: a. potassium 3.2 M
35. …. Client about foods containing protein. Which of the following foods should the nurse
include in the teaching as a understanding.
a. soymilk
b. gelatin
c. lack- eyed peas
d. cashews
Answer: c. lack- eyed peas
36. A nurse is teaching a client who is at 10 weeks gestation about increasing folate in her diet.
Which of the following foods choices should the nurse as the best soured of folate?
a. cup cooked asparagus
b. 1 small banana
c. 1 medium apple
d. 4 cup plain low- fat yogurt
Answer: a. cup cooked asparagus
37. …. facility is implementing a nutrition plan for a client who is at risk for malnutrition. Which
of the following actions should the nurse include in the plan (STA)
a. discourages snacks between meals
b. assesses for pain prior to mealtime
c. removes the bedpan from the clients sight
d. administers antiemetics following the meal
e. provides mouth care before feeding
Answer: b. assesses for pain prior to mealtime
38. ….. Glucose values for a client who is at risk for diabetes mellitus. Which of the following
findings should the nurse report?
a. fasting blood glucose 70mg/di
b. 2-hr glucose tolerance test level 150mg/dl
c. causal blood glucose 50 mg/dl
d. Glycosylated hemoglobin 5%
Answer: c. causal blood glucose 50 mg/dl
39. …. is newly prescribed atorvastatin for dyslipidemia. Which of the following questions should
the nurse ask first?
a. do you consume alcohol daily
b. do you check your blood pressure daily
c. do you regularly have your eyes examined
d. do you exercise regularly?
Answer: d. do you exercise regularly?
40. a nurse is talking to the parent of a newborn who has gastroesophageal reflux. Which of the
following instructions should nurse include?
a. position the newborn at a20-degree angle after feeding
b. dilute formula with 1 tablespoon of water
c. Provide a small feeding just before bedtime
d. place the newborn in a slide lying position if vomiting
Answer: d. place the newborn in a slide lying position if vomiting
41. …. teaching to the mother of a newborn about breastfeeding. Which of the following
statements by the client indicates understanding of the teaching?
a. I should use pumped breast milk within 72 hours of refrigeration
b. l should feed my baby on demand at least eight times each day
c. I will dilute juice with 50 percent water to supplement between feedings
d. I will begin and end with the same breast when I feed my baby
Answer: b. l should feed my baby on demand at least eight times each day
42. a patient who is recovering from a stroke. Which of the following findings is a manifestation of
dysphagia?
a. continuous smiling
b. expressive aphasia
c. weight gain
d. hoarse voice
Answer: d. hoarse voice
43. a client is in a continuous enteral feeding for a client who has a new gastrostomy tube. Which
of the following actions should the nurse take?
a. keep the client's head elevated at 15 during feedings
b. flush the client's tube with 30ml of water every 4 hr
c. measures the client's gastric residual every 12 hr
d. obtains the client's electrolyte levels every 4 hr
Answer: b. flush the client's tube with 30ml of water every 4 hr
44. A nurse is teaching the family of a school age child who is obese about complications of
childhood obesity. Which of the following complications should the nurse include in the teaching?
a. hypertension
b. type 1 diabetes mellitus
c. hypothyroidism
d. juvenile rheumatoid arthritis
Answer: a. hypertension
45. ….. department is assessing a young adult client who was administered a hypotonic iv fluid
bolus for rehydration after athletic event. Which of the following findings indicates the client Js
experiencing water intoxication?
a. muscle weakness
b. hypernatremia
c. exaggerated reflexes
d. weak pulses
Answer: a. muscle weakness
46. A nurse is assessing an older adult client who has dysphagia and is experiencing dehydration.
Which of the following findings should the nurse include?
a. tachycardia
b. decreased respiratory rate
c. hypertension
d. distended neck veins
Answer: c. hypertension
47. a nurse is talking to a client who has heart failure about limiting sodium intake to 1,000 mg/day
the nurse should inform the client which of the following dairy products has the highest sodium
content?
a. 1 cup milk
b. 1.2 cup yogurt
c. 4 oz vanilla pudding
d. 2 oz processed cheese
Answer: d. 2 oz processed cheese
48. A nurse is evaluating the client's laboratory results. The nurse should recognize that which of
the following results places the client at risk for coronary heart disease?
a. LDL 65 mg/dl tog
b. HBAlc 5%
c. Fasting glucose 140 mg. dl
d. total cholesterol 173 mg/dl 3(0 0
Answer: c. Fasting glucose 140 mg. dl
49. A nurse is providing teaching to a client who has type 1 diabetes mellitus. Which of the
following statements by the client indicates an understanding of the teaching?
a. albumin in my urine is an indication of normal kidney function
b. I will keep my blood glucose levels between 200 and 212 milligrams per deciliter
c. I will gave ketones in my urine if my blood glucose is maintained at 190 milligrams per deciliter
d. I will keep my HBA1C at five precent
Answer: d. I will keep my HBA1C at five precent
50. teaching for a client who adheres to a vegan diet. The nurse should identify that the client is
greatest risk for which of the following nutrient deficiencies?
a. potassium
b. omega 3- fatty acids
c. vitamin a
d. magnesium
Answer: b. omega 3- fatty acids
51. a nurse is teaching about breastfeeding to a client who is postpartum. Which of the Following
statements by the client indicates an understanding of the teaching?
a. I need to supplement feedings with water once my baby is 4 months old
b. the purpose of alternative breasts during feeding is to promote comfort
c. my baby will receive the most milk within the first 10 minutes of the feeding
d. during the first weeks. I should nurse my baby every 4 hours
Answer: d. during the first weeks. I should nurse my baby every 4 hours
52. A nurse in a critical unit is assessing an adult client. Which of the following findings by the
nurse indicates a fluid volume deficit?
a. blood pressure 152/90 mm hg
b. Acentral venous pressure 25 mm hg (normal CBP is 8 to 12 mmHg)
c. temperature 37.2 (99f)
d. pulse rate 118/min
Answer: b. Acentral venous pressure 25 mm hg (normal CBP is 8 to 12 mmHg)
53. a client who is receiving a continuous enteral tube feeding and reports cramping and abdominal
distention. Which of the following should the nurse take?
a. increases the rate of the feeding
b. request a high- fat formula
c. check for gastric residual
d. apply low intermittent suction
Answer: c. check for gastric residual
54. which of the laboratory values of four clients. Which of the following values indicates to the
nurse that client has iron- deficiency?
a. client whose RBC count is 5.2 million
b. a client whose hematocrit is 42%
c. a client whose hemoglobin is 15 g/dI
d. a client whose ferritin level is 8 mg/ml
Answer: d. a client whose ferritin level is 8 mg/ml
55. a nurse is teaching about nutrition to a client who has a new diagnosis of chronic kidney
disease. Which of the following recommendations should the nurse include in the teaching?
a. limit protein intake
b. increase phosphorus intake
c. increase potassium intake
d. limit calcium intake
Answer: a. limit protein intake
56. a client who has stomatitis following radiation therapy. Which of the following is an
appropriate intervention for the nurse to.
a. offer mouth rinse with normal saline and water
b. serve foods while still at a hot temperature
c. serve foods without sauces or gravies.
d. instruct the client to drink liquid without a straw
Answer: c. serve foods without sauces or gravies.
57. a nurse is caring for a client who has stomatitis following ration therapy. Which of the
following interventions is appropriate for the nurse to take?
a. serve the client hot meals
b. discourages the use of a straw
c. offer the client frozen bananas as a snack
d. avoid serve 4ng sauces or gravies
Answer: c. offer the client frozen bananas as a snack
58. A nurse is teaching a group of clients about dietary needs to prevent osteoporosis. Which of the
following dietary choices should the nurse the nurse recommend as having the highest calcium
content?
a. cup green grapes
b. I cup broccoli has highest calcium
c. cone medium banana
d. one large tomato
Answer: b. I cup broccoli has highest calcium
59. a nurse is assisting in the selection of food for a client who has hypokalemia. Which of the
Following foods should the nurse select that contains certain amount of potassium?
a. one medium raw tomato
b. 1 oz of cheddar cheese
c. cup of brown rice
d. one small baked potato
Answer: d. one small baked potato
60. a nurse is teaching a group of parents about appropriate food choices for toddlers. Which of the
following choices by the parents demonstrates an understanding of teaching?
a. hot dog cut in fourths
b. steak cut into small pieces
c. caramel popcorn
d. cooked spaghetti with sauce
Answer: d. cooked spaghetti with sauce
61. A client who has throat cancer and is receiving radiation therapy. The client reports nausea,
stomatitis, and weight, loss. Which of the following dietary interventions should the nurse
recommend?
a. consume foods high in fat content.
b. Select foods in high in protein
c. increase intake of liquids at mealtime
d. serve foods hot
Answer: b. Select foods in high in protein
62. for a client who has celiac disease. Which of the following meal items should the nurse select?
a. rice cereal with sliced bananas
b. rye toast with herbal tea
c. poached eggs with wheat bagel
d. graham crackers with peanut butter
Answer: a. rice cereal with sliced bananas
63. ….. Implementing a heat- healthy diet to a client who has coronary artery disease. Which of the
following does should be included to client?
a. baked ham
b. canned potato soup
c. processed cheese
d. broiled salmon
Answer: d. broiled salmon
64. Medication administration record for a client who is 2 days postoperative following abdominal
surgery. The nurse should include which of the following medications places the client at risk for
wound dehiscence?
a. zolmitriptan
b. verapamil
c. prednisone
d. omeprazole
Answer: c. prednisone
65. A nurse is teaching to a client who has a new diagnosis of Crohn's disease. Which of the
following statements by the client understand of the teaching?
a. avoiding glutamine will help me recover from this disease.
b. I should limit the amount of fiber in my diet.
c. I am likely to gain weight due to the disease
d. I will need to take mild laxatives to help me have a bowel movement
Answer: b. I should limit the amount of fiber in my diet.
66. …. parents of school age children about iron intake. Which of the following should the nurse
include as a manifestation ?
a. elevated temperature
b. increased risk of infection
c. lowered intellectual performance
d. decreased sleeping time
Answer: c. lowered intellectual performance
67. ….. strategies with a client who has nausea from equilibrium imbalance. Which of the
following strategies should the nurse include?
a. encourages the client to eat even if nauseated
b. limit fluid intake between meals
c. Provides low- fat carbohydrates with meals
d. serve hot foods at mealtime
Answer: c. Provides low- fat carbohydrates with meals
68. ….. who is postoperative and has an indwelling urinary catheter? Which of the following
findings indicates that the client...?
a. Dehydration?
b. urine output of 20 ml/hr
c. BUN 15mg/dl
d. Urine specific gravity 1.010
Answer: b. urine output of 20 ml/hr
69. ….. Education to a client who is obese. The nurse should include in the information that which
of the following disorder is commonly associated with obesity?
a. gastroesophageal reflux disease
b. crohn's disease
c. celiac disease
d. peptic ulcer disease
Answer: a. gastroesophageal reflux disease
70. ... who reports wanting to lose weight about behavioral modifications. Which of the following
statements should the nurse teaching?
a. make sure to drink water with your meals.
b. set your wight loss goals to 2.5 pounds per week
c. your biggest meal of the day should be breakfast
d. meal replacement shakes can cause weight gain
Answer: a. make sure to drink water with your meals.
71. about dietary guidelines to promote cardiovascular health. Which of the following
recommendation should the nurse include in the teaching?
a. decrease intake of omega 3~ fatty acids
b. increase intake of refined carbohydrates
c. decrease intake of potassium
d. Increase intake of whole grains
Answer: d. Increase intake of whole grains
Exam 2
1. A nurse is administering continuous eternal feedings for a client through a percutaneous
esophageal gastrostomy (PIG) tube. Which of the following actions should the nurse take?
a. Check gastric residual every 8 hr
b. Flush the tube with 15 ml of water every 8 hr
c. Return gastric contents if residual is less than 250 ml
d. Measure the pH of gastric residual every 24 hr
Answer: b. Flush the tube with 15 ml of water every 8 hr
2. A client in the oliguric phase of acute renal failure had a urinary output of 420 ml during the
preceding 24 hr period. How much fluid should the nurse plan to provide the client over the next
24 hr?
a. 2040ml
b. 1530 ml
c. 920 ml
d. 2550 m
Answer: c. 920 ml
When you are on dialysis, you will need to limit how much fluid you consume each day.
Your nephrologist and renal dietitian will tell you the amount of fluid you should consume, but the
general recommended amount of fluid is 32 ounces per day.
3. A nurse is providing teaching to a group of clients about retaining nutrients when preparing
fruits and vegetables. Which of the following client statements indicates an understanding of the
teaching?
a. I cook vegetables for the weeks and reheat them at each meal.
b. I soak fruits in water before peeling them.
c. I boil vegetables on the stove until they are soft.
d. I keep my ripe fruits refrigerated until I eat them.
Answer: c. I boil vegetables on the stove until they are soft.
4. A nurse is teaching a client who is receiving bolus feedings through a nasogastric tube about
dumping syndrome. The nurse should instruct the client to report. Which of the following
manifestation?
a. Bradycardia
b. Constipation
c. Dizziness
d. Drowsiness
Answer: b. Constipation
5. A nurse is teaching a group of clients about risk factors for developing diabetes mellitus. The
nurse should include which of the following as a risk factor for diabetes?
a. Elevated HDL level
b. History of hyperthyroidism
c. Abdominal obesity
d. History of hypotension
Answer: a. Elevated HDL level
6. A nurse is teaching a client who is 24 hrs postpartum about breastfeeding, which of the Tip wing
client statements indicates an understanding of the teaching?
a. I will alternate the first breast that I offer my baby with each feeding.
b. T57 I will nurse my baby once every 4 hours.
c. I will store my breastmilk in the refrigerator up to 48 hours
d. I will offer my baby water between feedings.
Answer: a. I will alternate the first breast that I offer my baby with each feeding.
7. A nurse is planning care for client who is pregnant and plans to breastfeed her newborn.
Which of the following information should the nurse include in the plan of care?
a. The newborn should breastfeed immediately following birth.
b. The newborn should breastfeed every 4 hrs during the day
c. The newborn should receive 1 oz of glucose water after the first breastfeeding session.
d. The newborn should have bursts of six sucks and swallows during feeding.
Answer: a. The newborn should breastfeed immediately following birth.
8. A nurse is teaching an in service about manifestation of hypoglycemia to a group of newly
licensed nurses. Which of the following should the nurse include in the teaching?
a. Vomiting
b. Blurred vision
c. Bradycardia
d. Kussmaul respirations
Answer: b. Blurred vision
9. A nurse is providing dietary teaching to a client about sources of protein. The nurse should
identify which of the following items as a complete protein?
a. Legumes
b. Gelatin
c. Salmon
d. Almonds
Answer: b. Gelatin
10. A client is receiving a thiazide diuretic for treatment of hypertension. Which of the following
foods selected by the client reflects understanding of the nurse's teaching regarding this
medication?
a. Baked potato
b. Navy beans and hams
c. Cheddar cheese
d. Beef broth
Answer: a. Baked potato
11. A nurse is providing dietary teaching to a client who has a body mass index of 28. Which of the
following actions should the nurse take?
a. Recommend a total fiber intake of 12 g each day
b. Encourage the client to continue current daily caloriec intake.
c. Refer the client to a weight loss support group
d. Advise the client to add 500 calories per day of the diet
Answer: c. Refer the client to a weight loss support group
12. A nurse is planning nutritional care for a group of clients. The nurse should recommend a highprotein, commercially prepared liquid nutritional supplement for which of the following clients?
a. A client who has cholelithiasis and BMI of 31
b. A client who has dumping syndrome
c. A client who has burns over 21% of total body surface area
d. A client who has chronic kidney disease
Answer: c. A client who has burns over 21% of total body surface area
13. A nurse is caring for a client who has heart failure and has gained 0.9kg (21b) over the last 24
hr. which of the following interventions should the nurse take?
a. Encourage the client to rest in bed for longer periods
b. Weigh the client once per week
c. Provide the client with three large meals per day
d. Reduce the client's sodium intake
Answer: d. Reduce the client's sodium intake
14. A nurse is reviewing the laboratory reports of a client who is undergoing nutrional screening
due to a risk for chronic kidney disease. The nurse should identify that which of the following suits
indicates the need for further assessment?
a. Serum creatinine 3.5 mg/dl
b. Blood urea nitrogen 18 mg/dl
c. Sodium 140 mEq/ L
d. Hematocrit 45%
Answer: a. Serum creatinine 3.5 mg/dl
15. A nurse is reviewing the laboratory findings of an older adult client. The nurse should identify
which of the following findings as an indication of malnutrition?
a. Hemoglobin 16 g/dl
b. Prealbumin 10 mg/dl
c. RBC count 5 million/ mm3
d. WBC count 7000/ mm3
Answer: b. Prealbumin 10 mg/dl
16. A nurse is teaching a client who has a new colostomy about nutrition. Which of the following
client statements indicates an understanding of the teaching?
a. I will drink 4 to 6 cups of fluid per day
b. I will try new foods one at a time
c. I will chew gum to decrease gas formation.
d. I will eat a large evening mea
Answer: a. I will drink 4 to 6 cups of fluid per day
17. A nurse is assessing a client who is receiving total parenteral nutrition (TPN). The nurse should
recognize that which of the following is a metabolic complication associated with an infusion of
TPN.
a. Thrombosis
b. Azotemia
c. Endocarditis
d. Sepsis
Answer: d. Sepsis
18. A nurse is developing a plan of care for a client who is receiving radiation therapy and is
experiencing nausea. Which of the following interventions should the nurse include in the plan?
a. Administer antiemetics on a schedule.
b. Ensure foods are served hot
c. Serve low carbohydrate meals
d. Provide a snack 30 min before treatments.
Answer: a. Administer antiemetics on a schedule.
19. A nurse is preparing to assist a client who has dysphagia to eat a pureed diet. Which of the
following actions should the nurse plan to take?
a. Allow at least 15 min for eating.
b. Assist the client to a chair at the bedside.
c. Provide a distraction during mealtimes.
d. Keep the client's head in a neutral or slightly flexed position
Answer: b. Assist the client to a chair at the bedside.
20. A nurse is assessing a 1- year old infant during a wellness visit for health and nutrition. Which
of the following findings should the nurse report to the provider?
a. The child is still breastfeeding two times per day
b. The child's weight has doubled since birth
c. The child consumes 9 Oz of juice per day
d. The child eats % cup of table food per meal
Answer: b. The child's weight has doubled since birth
21. A nurse is initiating an intermittent enteral feeding for a client who has a new gastrostomy tube.
Which of the following actions should the nurse take first?
a. Elevate the head of the bed
b. Insert air into the tube before pulling ack gastric contents
c. Attach the barrel of the syringe to the tube after removing the plunger
d. Flush the tube with 30 ml water
Answer: a. Elevate the head of the bed
22. A nurse is planning care for a client who reports increasing difficulty swallowing food. Which
of the following interventions should the nurse plan to take?
a. Encourage the client to rest prior to mealtimes.
b. Place the client into a semi reclining position for meals.
c. Turn on the clients television during meals
d. Encourage the client to use a straw when drinking liquids
Answer: a. Encourage the client to rest prior to mealtimes.
23. A nurse measures a client's weights as 70 kg and height as 1.6m. what is the client's body mass
index?
Answer: 27.3
Ex: 60 kg and 1.6 m
60/1.62- 23.43kg/m2
Formula:
•
Divide your weight (in kilograms) by your height (in meters).
•
Divide the answer by your height again to get your BMI.
•
The World Health Organization (WHO) defines a healthy adult BMI as being between 18.5
and 25. A BMI less than 18.5 indicates underweight (possibly caused by disease/
malnutrition/ or eating disorders such as anorexia nervosa) and a BMI over 25 as
overweight (possibly caused by poor diet choices or lack of exercise).
24. A nurse is teaching a client who is at risk for osteoporosis, which of the following information
should the nurse include in the teaching?
a. The major source of calcium intake to support bone health should be form dietary supplements.
b. Increasing fiber intake will promote the transport of nutrients to the bones.
c. Increasing intake of green vegetables and beans will promote bone density.
d. Citrus fruits aid with the absorption of calcium to increase bone density.
Answer: d. Citrus fruits aid with the absorption of calcium to increase bone density.
25. A nurse is reviewing the laboratory findings of a client who has Clostridium difficle. Which of
the following findings should indicate to the nurse that the client is experiencing fluid volume
deficit?
a. Potassium
b. HbAlc 5%
c. Sodium 145 meq
d. Het 53%
Answer: a. Potassium
26. A nurse is caring for an older adult client who reports difficulty chewing due to lit- fitting
dentures. Which of the following foods should the nurse recommend for the client?
a. Dried fruit
b. Roast beef
c. Tuna fish
Answer: c. Tuna fish
27. A nurse is assessing a client who is receiving total parenteral nutrition TPN the nurse should
identify which of the following findings as an adverse effect of TPN?
a. Weight gain of 1.5 KZ (3.3 LB) per day
b. blood glucose 98 milligrams /DL
c. hemoglobin 16 gram /dI
d. temperature 36.1 Celsius (97,f)
Answer: a. Weight gain of 1.5 KZ (3.3 LB) per day
28. A nurse is teaching a parent about recommended protein intake for a toddler the nurse should
identify that which of the following food selections is equivalent to 1 oz of protein?
a. 1 slice of bread
b. 2 tbsp peanut butter
c. 1 scrambled egg
d. % cup peas
Answer: c. 1 scrambled egg
29. A nurse is teaching a parent about appropriate snack choices for her 9- month-old infant which
of the following food choices to the nurse recommend?
a. Graham crackers
b. Raw carrots
c. Unsalted popcorn
d. Skim milk
Answer: a. Graham crackers
30. A nurse is developing a plan of care for a client who is recovering from a stroke and is
experiencing dysphagia and right sided weakness, which of the following interventions should the
nurse include in the plan of care ?
a. Provide a non-skid placemat for the client at meals
b. Instruct the client to chew food on the right side of their mouth
c. Instruct the client to tilt their head back when swallowing.
d. Provide narrow-grip utensils during meals
Answer: d. Provide narrow-grip utensils during meals
31. A nurse is assessing a client who has a wound that is not healing, which of the following
dietary supplement should the nurse recommend?
a. Potassium
b. Vitamin D
c. Calcium
d. Vitamin C
Answer: d. Vitamin C
32. A nurse Is caring for a client who is receiving intermittent enteral feedings and reports
Constipation. The nurse notes that the client's fluid intake is 1,500 ML and urinary output is
l,500ML in the past 24 hour, which of the following action should the nurse take?
a. Decrease the infusion rate of feeding
b. Change the feeding to a continuous infusion.
c. Request a prescription for a diuretic.
d. Increase the amount of free water
Answer: d. Increase the amount of free water
33. A nurse is caring for a client who had a stroke and has manifestations of dysphagia, which of
the following intervention should the nurse take?
a. Add a thickening agent to liquids
b. Use liquids to clear food from the client's mouth
c. Tilt the client's head backwards to facilitate swallowing.
d. Place the client in a semi-flower position
Answer: a. Add a thickening agent to liquids
34. A nurse is providing teaching to a client about high- fiber foods which of the following foods
should the nurse include as containing the highest amount of fiber?
a. 1 slice of whole wheat bread
b. 1 medium apple with peel
c. cup cooked broccoli
d. % cup corn flakes with skim milk
Answer: b. 1 medium apple with peel
35. A nurse is caring for a client who is receiving chemotherapy treatments. The client states I feel
so nauseated after my treatments, which of the following instructions should the nurse provide the
client (select all that apply)
a. Sip fluids throughout the day
b. Eat foods low in carbohydrates.
c. Consume foods that are served cold
d. Limit use of antiemetics until after first emesis
e. Sit up for 1 hr after eating meals.
Answer: b. Eat foods low in carbohydrates.
c. Consume foods that are served cold
d. Limit use of antiemetics until after first emesis
36. A nurse is providing discharge teaching to a client who is in the first trimester of pregnancy and
has chronic nausea, which of the following statement by the client indicates an understanding of
the teaching?
a. I will drink 12 ounces of water with breakfast
b. I will lie down for 1 hour after eating
c. I will include a high-fat food with each meal
d. I will eat a high carbohydrate diet
Answer: d. I will eat a high carbohydrate diet
37. A nurse is providing dietary teaching about prevention of neural tube defects in the fetus a
client who is pregnant which of the following nutrition should the nurse recommend?
a. calcium
b. Vitamin B12
c. magnesium
d. folate
Answer: d. folate
38. A nurse is assisting a client at mealtime who is at risk for aspiration following a stroke, which
of the following action should the nurse take ?
a. instruct the client to tuck her chin when swallowing
b. tell the client to lie down after eating a meal
c. place the client in a semi- Flower's position to eat
d. encouraged declined to rest 10 minutes before meal time
Answer: a. instruct the client to tuck her chin when swallowing
39. A nurse is caring for a client who has dysphagia, which of the following instructions should the
nurse give to give to the client to decrease the risk of choking?
a. obtain your vitamins in liquid form
b. drink water with each bite of food
c. let foods cool to room temperature before consuming.
d. tilt your head forward while you eat
Answer: d. tilt your head forward while you eat
40. a nurse is caring for a client who has a small-bone jejunostomy tube and is receiving a
continuous tube feeding with a high-viscosity formula. Which of the following actions should the
nurse take to prevent the tubing from clogging?
a. Replace the bag and tubing every 24 hr
b. Heat the formular prior to infusion
c. Administer the feeding by gravity drip
d. A Flush the tubing with 10 ml water every 6 hr
Answer: d. A Flush the tubing with 10 ml water every 6 hr
41. A nurse is teaching an older adult client about vitamin D deficiency, the nurse should encourage
the client to consume an adequate amount of vitamin D to prevent which of the following
complications?
a. fractures
b. bleeding
c. infection
d. dry eyes
Answer: a. fractures
42. A nurse is teaching a client ways to manage anorexia while receiving radiation therapy, which
of the following instructions should the nurse include in the teaching?
a. avoid overeating during good days
b. consume nutrition dense Food First
c. limit high-kilocalorie supplement to between meals
d. eat hot foods rather than cold foods
Answer: b. consume nutrition dense Food First
43. A nurse is caring for a client who has malnutrition which of the following findings should the
nurse report to the provider?
a. BMI of l8.5
b. potassium 3.7 meq/dl
c. phosphorus 3.5 mg/dl
d. albumin 2.5 g/dl
Answer: d. albumin 2.5 g/dl
44. A nurse is planning care for a client who has AIDS, which of the following intervention should
the nurse include in the plan?
a. restrict oral fluids
b. select high-calorie foods
c. provided large meals
d. provide sweet snacks between meals
Answer: b. select high-calorie foods
45. A nurse is providing breakfast for a client who has celiac disease, which of the following meal
items should the nurse select?
a. Rye toast with herbal tea
b. Graham crackers with peanut butter
c. poached eggs with wheat bagel
d. rice cereal with sliced bananas
Answer: d. rice cereal with sliced bananas
46. A nurse is teaching the parent of a child who is lactose intolerant about adhering to a lowlactose diet. Which of the following foods should the nurse recommend?
a. breakfast cereal
b. whole grain bread
c. lunch meet
d. soy yogurt
Answer: d. soy yogurt
47. A nurse is caring for a client who consumed 40,000 MCG of vitamin A daily for 3 months, for
which of the following findings should the nurse monitor to identify vitamin A toxicity?
a. Renal calculi
b. headache
c. tachycardia
d. moonfaced
Answer: b. headache
48. A nurse is teaching about managing hyperglycemia with carbohydrates to a client who has
diabetes mellitius which of the following food should the nurse include in the teaching as
containing the most carbohydrates?
a. 1 tsp honey
b. 4 pieces hard candy
c. 4 OZ fruit juice
d. 1 glucose tablet
Answer: d. 1 glucose tablet
49. A nurse is teaching a client who has a new prescription for tetracycline which of the following
nutritional considerations should the nurse include in the teaching?
a. take a folic acid supplement while on this medication
b. increase vitamin C intake while taking this medication
c. eliminate raw fruits and vegetables until 2 weeks after completing this medication
d. avoid taking this medication with milk products
Answer: d. avoid taking this medication with milk products
50. A nurse is caring for a client who had a stroke and is drooling which of the following actions
the nurse priority?
a. monitor for a change in the client voice quality while eating
b. check clients' gag reflex
c. offer declined thickened liquids to drink
d. monitor declined for indications of fatigue during meals
Answer: a. monitor for a change in the client voice quality while eating
51. A nurse is reviewing the laboratory findings of a client who has heart failure, which of the
following in findings indicates that the client is experiencing fluid volume exists?
a. Hgb 15 g/dl
b. creatinine 0.8 mg/dl
c. BUN 8 mg/dl
d. sodium 140 meg/dl
Answer: c. BUN 8 mg/dl
52. A nurse is teaching a client about foods high in vitamin A. which of the following food choices
by the client indicates an understanding of the teaching?
a. egg white omelet
b. Brown rice
c. baked sweet potato
d. cauliflower
Answer: c. baked sweet potato
53. A nurse is teaching a client who has a goiter appropriate food choice related to dietary needs
which of the following client statements indicates an understanding of the teaching?
a. I will eat more tuna
b. I will eat blueberries every morning
c. I will eat more red meat
d. I will eat bananas for a snack
Answer: d. I will eat bananas for a snack
54. A nurse is teaching a client who has celiac disease about gluten- free foods which of the
following foods should the nurse recommend?
a. cold cuts
b. flavored chips
c. tapioca
d. Barley
Answer: c. tapioca
