2023 ATI Nutrition Practice Exam With Answers-356 Solved Questions

ATI NUTRIATION RETAKE EXAM 300 QUESTIONS AND ANSWERS
LATEST UPDATE /COMPLETE SOLUTIONS 2023
1. Nurse is reviewing the medication administration record for a client who is 2 day
postoperative following abdominal surgery. The nurse should recognize that which of the
following medications places the client at risk for wound dehiscence?
Answer: • Prednisone
2. Nurse is assessing client who is recovering from a stroke. Which of the following findings
is a manifestation of dysphagia?
Answer: • Hoarse voice
3. Nurse is providing nutritional education to a client who is obese. The nurse should include
in the information that which of the following gastrointestinal disorder is commonly
associated with obesity?
Answer: • Gastroesophageal reflux disease
4. Nurse is providing teaching to a client who has prescription for a low-saturated fat diet.
Which of the following statement by the client indicates an understanding of the teaching?
Answer: • “I can choose an avocado dip instead of salsa”
5. 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?
Answer: • Hypertension
6. Client is prescribed a 1,500-calorid diet. Thirty percent of the calories are to be derived
from fat. How many grams of fat should the nurse tell the client to consume per day? (round
the answer to the nearest whole number. Use a leading zero if it applied. Do not use a trailing
zero
Answer: • 1,500 divided by .3 (30%) = 450
• 450 divided by 7.7 (1gram = 7.7 calories) = 58.44 or 58 grams

7. Nurse at a health clinic 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?
Answer: • Eggs
8. Nurse is caring for a client who follows a vegan diet. The nurse should identify that the
client is at risk for which of the following deficiencies?
Answer: • Vitamin D
9. Nurse is initiating continuous enteral feeding for a client who has a new gastrostomy tube.
Which of the following actions should the nurse take?
Answer: • Measure the client's gastric residual every 12 hr
10. Nurse is planning dietary teaching for client who adheres to a vegan diet. The nurse
should identify that the client is at greatest risk for which of the following nutrient
deficiencies?
Answer: • Omega-3 fatty acids
11. Nurse is teaching a client who has Parkinson's disease and is prescribed a monoamine
oxidase inhibitor. Which of the following instructions should the nurse include?
Answer: • “Avoid aged cheeses while taking this medication”
12. Nurse is caring for a client who has dysphagia. Which of the following action should the
nurse take?
Answer: • 1 cup broccoli
13. Nurse is teaching a class about dietary guidelines to promote cardiovascular health.
Which of the following recommendation should the nurse include in the teaching?
Answer: • Increase intake of refined carbohydrates
14. Nurse is developing a plan of acre for a client who is receiving radiation therapy and is
experiencing nausea, which of the following intervention should the nurse include in the
plan?
Answer: • Administer antiemetics on a schedule

15. Nurse is caring for a client who has stomatitis following radiation therapy. Which of the
following is an appropriate intervention for the nurse to take?
Answer: • Offer mouth rinses with normal saline and water
16. Nurse is planning care for a client who has a new prescription for total parenteral
nutrition(TPN). Which of the following actions should the nurse plan to take?
Answer: • Discard remaining TPN solution that still infusing after 24 hr.
17. 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?
Answer: • “I will keep my HbA1C at five percent.”
18. Nurse is reviewing the laboratory results of a client who has bulimia. the nurse should
notify the provider of which of the following
Answer: • Potassium 3.2 mEq/L
19. Nurse is reviewing the laboratory values for a client who is receiving a phosphate binder
with meals for end- stage renal disease. Which of the following values should indicate to the
nurse that the treatment is effective?
Answer: • Total calcium 9.7 mg/Dl
20. Nurse is caring for a client who is receiving parenteral nutrition and has a new
prescription for probiotic therapy. Which of the following findings indicates the therapy is
effective?
Answer: • Client has soft, formed bowel movements.
21. 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?
Answer: • Cheese
22. Nurse is assisting in the selection of food for a client who has hypokalaemia. Which of
the following foods should the nurse select that contains the greatest amount of potassium?
Answer: • One small baked potato

23. Nurse is providing teaching to a client who has cholecystitis about required dietary
modification. The nurse should include which of the following foods as appropriate for the
client's diet?
Answer: • Brown rice
24. The nurse is providing discharge teaching to the mother of a newborn about
breastfeeding. which of the following statements by the client indicates an understanding of
the teaching?
Answer: • “I should feed my baby on demand at least eight times each day”
25. Nurse is teaching a group of clients about foods containing protein. Which of the
following foods should the nurse include in the teaching as a complete protein?
Answer: • Soy milk
26. Nurse is assessing an older adult client who has dysphagia and is experiencing
dehydration. Which of the following finding the nurse expect?
Answer: • Tachycardia
27. Nurse is providing discharge teaching to a client who has a new diagnosis of crohn's
disease. Which of the following statements by the client indicates an understanding of the
teaching?
Answer: • “I will need to take mild laxatives to help me have a bowel movement.”
28. 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?
Answer: • Hyperventilation
29. Nurse is caring for a client who received radiation therapy to the pelvic area. The client is
experiencing chronic diarrhoea. Which of the following actions should the nurse take?
Answer: • Encourage the client to drink 4oz of milk after each loose stool
30. Nurse is making a discharge teaching plan for a client who is taking digoxin and
furosemide. Which of the following foods should the nurse instruct the client to consume?

Answer: • Bananas
31. Nurse is providing teaching to a clients who has dumping syndrome. Which of the
following instructions should the nurse include in the teaching?
Answer: • “Sit up in bed after meal”
32. Nurse is providing teaching to a client who has heart failure about limiting intake to
1,000mg/day. The nurse should inform the client that which of the following dairy products
has the highest sodium content?
Answer: • 2 oz processed cheese
33. Nurse is teaching about implementing a heart-healthy diet to a client who has coronary
artery disease. Which of the following foods should the nurse recommend to the client?
Answer: • Broiled salmon
34. 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 the teaching?
Answer: • Steak cut into small pieces
35. Nurse is providing a teaching about food allergies to the parents of a toddler. Which of the
following foods should the nurse identify as the highest risk for allergies in toddlers?
Answer: • Eggs
36. Nurse is planning eating strategies with a client who has nausea from equilibrium
imbalance. Which of the following strategies should the nurse recommend?
Answer: • Limit fluid intake between meals
37. Nurse is providing teaching to the parents of a newborn who has gastroesophageal reflux.
Which of the following instructions should nurse include?
Answer: • Place the newborn in a side-lying position if vomiting
38. 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?
Answer: • Wrap gloved fingers with gauze to remove dentures

39. 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?
Answer: • Increase potassium intake
40. Nurse is providing discharge teaching for a client who has iron deficiency anemia. Which
of the following information should the nurse include?
Answer: • Fish and poultry are primary source of heme iron
41. Nurse is providing anticipatory guidance to a client who has phenylketonuria (PKU) and
is planning a pregnancy. Which of the following information should the nurse include in the
discussion?
Answer: • Serum bilirubin should be monitored one to two times per month during
pregnancy
42. Nurse is caring for 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?
Answer: • Select foods high in protein
43. Nurse in a critical care unit is assessing an adult client. Which of the following finding by
the nurse indicates a fluid volume deficit?
Answer: • Pulse rate 118/min
44. A nurse is caring for a client who expresses a desire to lose weight. Which of the
following actions should the nurse take first?
Answer: • Obtain a 24-hr dietary recall.
45. Nurse is teaching about nutritional requirements for a client who is starting a vegetarian
diet. Which of the following information should the nurse include in the teaching?
Answer: • Include two servings per day of nuts when on a vegetarian diet.
46. A nurse is caring for a client who has acute inflammatory bowel disease. Which of the
following nutritional supplements should the nurse anticipate providing to this client?

Answer: • Hydrolysed formula
47. A nurse is teaching a client who is newly diagnosed with type 1 diabetes mellitus how to
count carbohydrates. Which of the following statements made by the client indicates an
understanding of the teaching?
Answer: • “I know the serving size can affect the number of carbohydrates I eat.”
48. A nurse is providing dietary teaching for a client who has osteoporosis. The nurse should
instruct the client that which of the following foods has the highest amount of calcium?
Answer: • 1⁄2 cup roasted almonds
49. A nurse is discussing dietary factors to assist in blood pressure management for a client
who has hypertension. Which of the following client statements indicates an understanding of
the teaching?
Answer: • “I should choose whole grain pastas when selecting my food.”
50. A nurse is caring for a client who has a new prescription for parenteral nutrition (PN)
containing a mixture of dextrose, amino acids, and lipids. Prior to administration of the PN,
the nurse should report which of the following food allergies to the provider?
Answer: • Eggs
51. 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?
Answer: • 1 cup low-fat yogurt
52. A home health nurse is providing dietary teaching to the guardians of a 3-year-old child.
Which of the following statements by the guardians should the nurse identify as
understanding of the teaching?
Answer: • “I will put low-fat milk in her cup for her to drink.”
53. A nurse is caring for an adolescent who has type 1 diabetes mellitus. Which of the
following actions should the nurse take to assess for Somogyi phenomenon?
Answer: • Monitor blood glucose levels during the night.

54. A nurse is reviewing the introduction of solid foods with the guardian of a 4month-old
infant. Which of the following statements by the guardian indicates an understanding of the
teaching?
Answer: • “I will introduce a new solid food every 5 days.”
55. A nurse in a long-term care facility is monitoring a client during mealtime who has
Parkinson's disease. Which of the following findings should the nurse identify as the priority?
Answer: • The client drools while eating
56. A home health nurse is reviewing the medical record of a client who had an open
reduction internal fixation of the tibia. Which of the following findings should the nurse
identify as a risk factor for impaired wound healing?
Answer: • The client consumes 1,000 kcal daily.
57. A nurse is providing teaching to a client who has diabetes mellitus and an HbA1c of
8.7%. Which of the following statements by the client indicates an understanding of this
laboratory value?
Answer: • “This shows that I have not been following my diet.”
58. A nurse is teaching a client about stress management. Which of the following statements
by the client indicates an understanding of the teaching?
Answer: • “I will take a long walk every evening.”
59. A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is
prescribed an oral diet. The client asks the nurse why the TPN is being continued since he is
now eating. Which of the following responses should the nurse make?
Answer: • You should consume at least 60 percent of your calories orally before the
parenteral nutrition can be discontinued.
60. A nurse is caring for a client who is receiving total parenteral nutrition (TPN) through a
peripherally inserted central catheter. The pharmacist informs the nurse that there will be a
delay in delivering the next bag of TPN solution. Which of the following actions should the
nurse take?

Answer: • Infuse dextrose 10% in water when the current infusion ends.
61. A nurse is assessing a client who has diabetes mellitus. Which of the following findings
should the nurse identify as a manifestation of hypoglycemia?
Answer: • Diaphoresis
62. A nurse is planning dietary teaching for a client who has dumping syndrome following a
gastrectomy. Which of the following interventions should the nurse include in the client's
plan of care?
Answer: • Select grains with less than 2 g fiber per serving.
63. A nurse is providing dietary teaching to a client who is postoperative following a gastric
bypass procedure. Which of the following instructions should the nurse include?
Answer: • Begin each meal with a protein.
64. A nurse is evaluating a client who is receiving a continuous enteral feeding and has
diarrhoea. Which of the following actions should the nurse take to reduce the client's
diarrhoea?
Answer: • Decrease the rate of the feeding.
65. A nurse is assessing a client who has an elevated blood pressure, headache, and is
sweating. The client recently started taking a MAOI. The nurse should question the client
regarding the consumption of which of the following foods?
Answer: • Cheddar cheese
66. A Nurse is teaching a client who has hypertension about decreasing sodium intake. Which
of the following information should the nurse include in the teaching?
Answer: • Season foods with herbs and spices.
67. A nurse is providing discharge teaching to a postpartum client about breast milk use and
storage. Which of the following statements should the nurse make?
Answer: • “You cannot place thawed breast milk back in the freezer.”

68. A nurse is teaching an adolescent who has a new diagnosis of celiac disease. Which of the
following statements by the client indicates an understanding of the teaching?
Answer: • “I need to eliminate rye from my diet.”
69. A nurse is reviewing the laboratory values of a group of clients. Which of the following
clients should the nurse identify as experiencing dehydration?
Answer: • A client who has a sodium level of 150 mEq/L
70. A nurse is providing education to an adolescent about making nutrient-dense food
choices. Which of the following statements by the client indicates an understanding of
teaching?
Answer: • “Canned pinto beans are a better choice than refried beans.”
71. A nurse is teaching a prenatal education class about breastfeeding. Which of the following
instructions should the nurse include in the teaching?
Answer: • Plan 5-min feedings on each breast on the first day after birth.
72. A nurse is assessing a client for dysphagia following a stroke. The nurse should identify
which of the following findings as a manifestation of dysphagia?
Answer: • The client's voice changes after eating.
73. A community health nurse is planning to teach a class about weight management for
cardiovascular health. Which of the following statements should the nurse plan to include?
Answer: • “Plan to lose weight gradually at1⁄2 to 1 pound per week.”
74. A nurse in an acute care facility is planning care for a client who has chosen to follow
Islamic dietary laws during Ramadan. Which of the following actions should the nurse plan
to take?
Answer: • Provide a snack for the client after sunset.
75. 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?
Answer: • Increase fluid intake to 2 L per day.

76. A Nurse is assessing a client who has type 2 diabetes mellitus. The nurse should recognize
which of the following as a manifestation of hypoglycemia?
Answer: • Confusion
77. A nurse is reviewing the laboratory findings of a client who has acute pancreatitis. Which
of the following is an expected finding?
Answer: • Increased glucose
78. A nurse is preparing to bottle feed an infant who has a cleft lip. Which of the following
actions should the nurse take to reduce the risk of aspiration?
Answer: • Squeeze the infant's cheeks together while feeding
79. A nurse is teaching about increasing dietary intake of micronutrients to a client who has
difficulty seeing at night. Which of the following micronutrients should the nurse include in
the teaching?
Answer: • Vitamin A
80. A nurse is providing teaching to a client who has dumping syndrome and is experiencing
weight loss. Which of the following instructions should the nurse include in the teaching?
Answer: • Consume liquids between meals.
81. A nurse is caring for a client who has undergone a radical head and neck resection to treat
cancer and is receiving radiation therapy. The nurse should monitor for which of the
following potential adverse effects?
Answer: • Changes in the production of saliva
82. A client is experiencing anorexia related to cancer treatment. Which of the following
interventions should the nurse implement to increase the client's nutritional intake?
Answer: • Add extra calories and protein to every meal.
83. A nurse is developing an educational program about the glycemic index of foods for
clients who have diabetes mellitus. Which of the following foods should the nurse identify as
having the highest glycemic index?

Answer: • Baked potato
84. A nurse is assessing a client who has fluid volume excess. Which of the following
manifestations should the nurse expect?
Answer: • Crackles in the lungs
85. A nurse is providing information to a client who has a new prescription for atorvastatin.
Which of the following beverages should the nurse include in the information as
contraindicated while taking this medication?
Answer: • Grapefruit juice
86. A Nurse in a provider's office is assessing a client who has HIV. The nurse should identify
which of the following findings as an indication to increase the client's nutritional intake?
Answer: • Presence of herpes simplex virus infection
87. A nurse is caring for a client who is dehydrated and is receiving intermittent enteral
feeding. Which of the following actions should the nurse plan to take?
Answer: • Provide the formula as a continuous infusion.
88. A nurse is caring for a client who is receiving continuous enteral tube feedings. Which of
the following actions should the nurse take to prevent aspiration?
Answer: • Monitor gastric residuals every 4 hr.
89. A nurse is providing teaching about lowering solid fat intake to an adolescent client who
usually consumes about 2,000 calories per day. Which of the following instructions should
the nurse include?
Answer: • “Choose ground beef that is at least 70% lean.”
90. A nurse is assessing a client who is suspected of having lactose intolerance. Which of the
following is an expected finding?
Answer: • Flatulence
91. A nurse is preparing a health promotion seminar for a group of clients about cancer
prevention. Which of the following information should the nurse include?

Answer: • Eat at least 2.5 cups of fruits and vegetables each day.
92. A nurse in a clinic is reviewing the laboratory findings of a client who recently began a
Dietary Approaches to Stop Hypertension (DASH) diet. Which of the following laboratory
findings indicates the client has reached one of the goals of the DASH diet?
Answer: • Total cholesterol 190 mg/dl
93. A nurse is caring for a client who is at 8 weeks of gestation and has a BMI of 34. The
client asks about weight goals during her pregnancy. The nurse should advise the client to do
which of the following?
Answer: • Gain approximately 6.8 kg (15 lb).
94. A nurse is teaching a client who reports constipation about ways to increase dietary intake
of fiber. Which of the following information should the nurse include?
Answer: • Leave the skin on when eating fruit.
95. A nurse is caring for a client who adheres to a kosher diet. Which of the following food
choices would be appropriate for this client?
Answer: • Vegetable salad with cheese
96. A nurse is providing dietary instructions for a client who has a prescription for warfarin.
Which of the following foods should the nurse recommend the client eat in moderation while
taking this medication?
Answer: • Leafy green vegetables
97. A nurse is providing teaching to a client who has dumping syndrome. Which of the
following information should the nurse include?
Answer: • Apply pectin to foods.
98. A nurse is teaching a client about measures to reduce the risk of osteoma Acia. Which of
the following instructions should the nurse include in the teaching?
Answer: • Consume 20 mcg of vitamin D daily.

99. A nurse is providing teaching to a client who is a vegetarian and requires an increase in
zinc intake. Which of the following foods should the nurse include in the teaching as the best
source of zinc?
Answer: • Pinto beans
100. A nurse is assessing a client's risk for pressure injuries using the Braden scale. 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 Braden scale?
Answer: • 3 (Adequate)
101. A nurse is teaching a female client about a healthy diet to control hypertension. Which of
the following client statements indicates an understanding of the teaching?
Answer: • “I will eat four servings of unsalted nuts per week.”
102. A nurse is performing a cultural nursing assessment for a client whose religious practices
include fasting 1 day each week. Which of the following questions should the nurse ask the
client? (Select all that apply.)
Answer: • Are exempt from fasting during illness?
• Does fasting mean refraining from drinking Liquid?
• Does your fasting occur during certain hours of the day?
• Does fasting mean eating only a certain type of food?
103. A nurse is providing information about cardiovascular risk to a client who has received a
lipid panel report. The nurse should include that which of the following findings is within an
expected reference range?
Answer: • HDL 79 mg/dl
104. A nurse is teaching a client about managing irritable bowel syndrome (IBS). Which of
the following information should the nurse include in the teaching?
Answer: • Take peppermint oil during exacerbation of manifestations.
105. A nurse is caring for a client who has advanced Parkinson's disease and dysphagia.
Which of the following actions should the nurse take?
Answer: • Offer the client a high-calorie diet.

106. A nurse is educating a group of clients about vitamin and mineral intake during
pregnancy. Which of the following supplements should the nurse instruct the clients to avoid
taking with iron?
Answer: • Calcium
107. A nurse is providing teaching for a client who has a new prescription for nifedipine.
Which of the following foods should the nurse instruct the client to avoid?
Answer: • Grapefruit juice
108. A nurse is preparing to administer an influenza vaccine to an adult client who reports
food allergies. Which of the following food allergies could place the client at risk for a
reaction?
Answer: • Eggs
109. A nurse is planning care for a client who is receiving radiation to the neck and has
developed stomatitis. Which of the following interventions should the nurse include in the
plan?
Answer: • Relieve mouth pain by consuming frozen foods.
110. A nurse is developing a teaching plan for a client who has dysphagia and is being
discharged home with a prescription for a mechanical soft diet. Which of the following foods
should the nurse include in the plan?
Answer: • Mashed potatoes
111. A nurse is providing dietary teaching for a client who has COPD. Which of the following
instructions should the nurse include in the teaching?
Answer: • Consume foods that are soft in texture and easy to chew.
112. A nurse is caring for a client who is receiving continuous tube feedings via a
gastrostomy tube. The client has had three loose stools in the last 4 hr. Which of the following
prescriptions should the nurse anticipate?
Answer: • Decrease the rate of the feeding.

113. A nurse is providing teaching to a client who is lactating about increasing protein intake.
Which of the following foods should the nurse recommend as the best source of protein?
Answer: • Cottage cheese
114. A nurse is performing a comprehensive nutritional assessment for a client. After
reviewing the client's laboratory results, which of the following findings should the nurse
report to the provider?
Answer: • Prealbumin 8 mg/dL
115. A client reports constipation during a routine checkup. The client was previously
encouraged to increase their intake of mineral supplements. Which of the following minerals
should the nurse identify as the possible cause of the constipation?
Answer: • Calcium
116. 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?
Answer: • One slice wheat toast
117. A nurse is providing nutritional teaching to the guardians of a 2-year-old toddler. Which
of the following snack foods should the nurse recommend including in the toddler's diet?
Answer: • 1 cup of yogurt
118. A nurse is initiating an enteral feeding for a client who has chronic bronchitis. Which of
the following types of formula should the nurse anticipate administering to the client?
Answer: • High calorie
119. A nurse is assessing a client who has end-stage kidney disease {ESKD). Which of the
following dietary habits increases the client's risk for dysrhythmias?
Answer: • Eating a diet rich in potassium
120. A nurse is reviewing the laboratory results of a client who is receiving continuous total
parenteral nutrition. Which of the following results should the nurse report to the provider?
Answer: • Glucose 238 mg/dl

121. A nurse is providing information regarding breastfeeding to the parents of a newborn.
Which of the following statements should the nurse make?
Answer: • “Breast milk is nutritionally complete for an infant up to 6 months of age.”
122. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The
current bag of TPN is empty and a new bag is not available on the unit. Which of the
following solutions should the nurse infuse until a new bag of TPN is available?
Answer: • Dextrose 10% in water
123. A nurse is caring for a client who is being treated for cancer using chemotherapy. Which
of the following interventions should the nurse suggest to aid in management of treatmentrelated changes in taste?
Answer: • Use plastic utensils.
124. A nurse is caring for a client who has age-related macular degeneration (AMD) and asks
the nurse if there are any nutritional changes to consider. Which of the following responses
should the nurse make?
Answer: • “Increase dietary intake of lutein.”
125. A nurse is teaching a client who has a BMI of 22 about dietary recommendations during
pregnancy. Which of the following statements by the client indicates an understanding of the
teaching?
Answer: • “I should plan to gain a total of 25 to 35 pounds.”
126. A nurse is admitting a client who has had a fever and diarrhoea for the past 3 days.
Which of the following findings should indicate to the nurse the client is dehydrated?
Answer: • Orthostatic hypotension
127. A nurse is caring for a client who is receiving intermittent enteral feedings every 4 hr via
an NG tube. Which of the following actions should the nurse take to reduce the risk for
aspiration?
Answer: • Place the client in a semi-Fowler's position.

128. A nurse is reviewing the laboratory data of four clients. The nurse should identify that
which of the following clients is experiencing fluid overload?
Answer: • A client who has a sodium level of 130 mEq/L
129. A nurse is reviewing the laboratory results of a client who has a pressure injury. Which
of the following findings should indicate to the nurse that the client is at risk for impaired
wound healing?
Answer: • Albumin 3.0 g/dl
130. A nurse is updating a plan of care for a client who is receiving intermittent enteral
feedings and is experiencing diarrhoea. Which of the following interventions should the nurse
include in the plan?
Answer: • Feed the client in small, frequent volumes.
131. A nurse is caring for a client who has anaemia and a new prescription for an iron
supplement. The nurse should recommend the client consume the supplement with which of
the following beverages to increase absorption?
Answer: • Tomato juice
132. A nurse is caring for a client who is receiving radiation therapy. The client reports a
metallic taste in his mouth while eating. Which of the following actions should the nurse
take? (Select all that apply.)
Answer: • Offer citrus fruits
• Suggest pickles as a snack
• Gargle with mouthwash.
133. A nurse is caring for a client who has diabetes mellitus and reports feeling dizzy, weak,
and shaky. Which of the following is the priority action by the nurse?
Answer: • Check the client's blood glucose level.
134. A nurse is providing discharge teaching to a client who has a new ileostomy. Which of
the following dietary guidelines should the nurse include in the teaching?
Answer: • Prepare meals on a schedule.

135. A nurse is providing teaching to a client who is currently experiencing an exacerbation
of Crohn's disease. Which of the following statements by the client indicates an
understanding of dietary practices during acute episodes?
Answer: • “I will follow a high-protein diet.”
136. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the
following interventions should the nurse include in the plan?
Answer: • Assign privileges based on direct weight gain.
137. A nurse is caring for a group of clients. A client who has which of the following
conditions has an increased protein requirement?
Answer: • Pressure injury
138. A nurse is assessing a client who experienced a 5% weight loss in the past 30 days.
Which of the following findings should the nurse identify as an indication of malnutrition?
Answer: • Ankle edema
139. A nurse is admitting a client who has diabetic ketoacidosis. Which of the following
findings should the nurse expect?
Answer: • Increased urination
140. A nurse in an emergency department is reviewing the laboratory report for a client who
is confused and reports nausea and abdominal cramping. The nurse should expect the client's
laboratory results to indicate a dietary deficiency of which of the following minerals?
Answer: • Sodium
141. A nurse in an antepartum clinic is teaching a client about nutritional recommendations
during pregnancy. Which of the following client statements indicates an understanding of the
teaching?
Answer: • “I should take a daily iron supplement during my pregnancy.”
142. A nurse is providing teaching regarding diet modifications to a client who is at a high
risk for cardiovascular disease. The client is accustomed to traditional Mexican foods and

wants to continue to include them in her diet. Which of the following recommendations
should the nurse give the client?
Answer: • Use canola oil instead of lard for frying.
143. A nurse is planning discharge teaching for a client who is postoperative following
placement of a colostomy. Which of the following statements should the nurse plan to
include?
Answer: • Increase your intake of foods containing pectin
144. A Nurse is caring for a client who is prescribed captopril. The nurse should recognize
that which of the following foods could cause a potential medication interaction?
Answer: • Cantaloupe
145. A nurse in a clinic is reviewing the laboratory findings of a client who has type 2
diabetes mellitus. Which of the following findings indicates the client's plan of care is
effective?
Answer: • HbA1c 6.5%
146. A nurse is planning dietary interventions for a client who is prescribed external radiation
for laryngeal cancer. The client reports manifestations of stomatitis. Which of the following
interventions should the nurse include?
Answer: • Provide meals at room temperature.
147. A nurse is teaching an older adult client about nutritional recommendations. Which of
the following statements should the nurse make?
Answer: • You should increase your daily protein intake
148. A nurse is providing dietary teaching about increased zinc intake for a client who has
chronic skin ulcers of the lower extremities. Which of the following foods should the nurse
recommend as containing the highest amount of zinc?
Answer: • 4 oz ground beef patty

149. A nurse is assessing the meal pattern of a client who has diverticular disease and a
prescription for a high-fiber diet. Which of the following food choices by the client contains
the most fiber?
Answer: • 1⁄2 cup bran cereal
150. A nurse is providing teaching to a client who reports nausea during pregnancy. Which of
the following statements by the client indicates an understanding of the teaching?
Answer: • “I will eat dry cereal before I get out of bed.”
151. A nurse is providing teaching about cancer prevention to a group of clients. Which of the
following client statements indicates an understanding of the teaching?
Answer: • “I will eat five servings of fruits and vegetables each day.”
152. A nurse is providing dietary teaching about reducing the risk of infection to a client who
has cancer and is receiving chemotherapy. Which of the following client statements indicates
an understanding of the teaching?
Answer: • “I will use leftovers within 24 hours.”
153. A nurse is providing dietary teaching to a client who has celiac disease. Which of the
following statements by the client indicates an understanding of the teaching?
Answer: • “I can have tapioca pudding for dessert.”
154. A Nurse is caring for a client who develops diarrhoea while receiving a continuous A
nurse is teaching a client who is preparing for bowel surgery about a low-residue diet. Which
of the following food choices by the client indicates an understanding of the teaching?
Answer: • Two poached eggs and a banana
155. A nurse is caring for a client who develops diarrhoea while receiving a continuous
enteral tube feeding. Which of the following actions should the nurse take?
Answer: • Warm the formula to room temperature
156. A nurse is caring for a client who is receiving continuous enteral feedings via a NG tube.
The nurse notices that the tube feeding has stopped infusing. Which of the following actions
is the nurse's priority?

Answer: • Flush the tube with warm water
157. A nurse is conducting dietary teaching for a group for clients who are trying to become
pregnant. Which of the following food items should the nurse include as containing the
highest amount of folate?
Answer: • 3.5 oz chicken liver
158. A nurse is caring for a client who has cirrhosis and ascites. Which of the following
dietary instructions should the nurse provide for this client?
Answer: • “Decrease your sodium intake to 1 to 2 grams per day.”
159. A nurse is teaching a client who has a prescription for ferrous sulfate about food
interactions. Which of the following statements indicates that the client understands the
teaching?
Answer: • “I can take this medication with juice.”
160. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of
the following laboratory findings indicates that the TPN therapy is effective?
Answer: • Prealbumin 30 mg/dL
161. A nurse is providing nutritional teaching to a client who reports wanting to lose weight.
The nurse should identify that which of the following client statements indicates an
understanding of the teaching?
Answer: • “I will make a list before I go grocery shopping.”
162. A nurse Is providing dietary teaching about prevention of neural tube defects in the fetus
to a client who is pregnant. Which of the following nutrients should the nurse recommend?
Answer: • Folate
163. A nurse is caring for a client who had a stroke and has manifestations of dysphagia.
Which of the following interventions should the nurse take?
Answer: • Place the client in a semi Fowler's position.

164. A Nurse is providing discharge teaching to an older adult client who lives alone. Which
of the following strategies should the nurse include to address the client's decreased sense of
taste and smell?
Answer: • Label and date food in the refrigerator.
165. A nurse is teaching a client who has a goitre appropriate food choices related to dietary
needs. Which of the following client statements indicates an understanding of the teaching?
Answer: • “I will eat more tuna”
166. A nurse is reviewing the laboratory findings of a client who has Clostridium difficile.
Which of the following findings should indicate to the nurse that the client is experiencing
fluid volume deficit?
Answer: • HCT 53%
167. A client in the oliguric phase of acute renal failure had a urinary output of 420 ml during
the preceding 24-hour period. How much fluid should the nurse plan to provide the client
over the next 24 hr?
Answer: • 920 ml
168. 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?
Answer: • “Consume nutrition-dense foods first.”
169. A nurse is teaching a client who is receiving bolus feeding through a nasogastric tube
about dumping syndrome. The nurse should instruct the client to report which of the
following manifestations?
Answer: • Bradycardia
170. A client is receiving a thiazide diuretic for treatment of hypertension. Which of the
following foods selected by the client reflects understanding of the nurses teaching regarding
this medication?
Answer: • Cheddar cheese

171. 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?
Answer: • Limit protein intake
172. A nurse is caring for a client who has stomatitis following radiation therapy. Which of
the following interventions is appropriate for the nurse to take?
Answer: • Avoid serving sauces or gravies.
173. A nurse is teaching the Guardians of a school-age child about nutrition. Which of the
following statements should the nurse make?
Answer: • You should eat meals together most of the time
174. A Nurse is assessing an older adult client who has dysphagia and is experiencing
dehydration. Which of the following findings should the nurse expect?
Answer: • Tachycardia
175. 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?
Answer: • Avoid taking this medication with milk products
176. A nurse is planning care for a client who had a stroke and is having difficulty eating.
Which of the following interventions should the nurse include in the plan?
Answer: • Describe food locations as if the clients plate were a clock.
177. A nurse is caring for a client who has malnutrition. Which of the following findings
should the nurse report to the provider?
Answer: • BMI of 18.5
178. A nurse is assessing a client who is postoperative. Which of the following findings
places the client at risk for delayed wound healing?
Answer: • Decreased albumin level
179. A nurse is caring for a client who has dysphagia. Which of the following instructions
should the nurse give to the client to decrease the risk of choking?

Answer: • Obtain your vitamins in liquid form
180. A nurse is assisting a client who has a wound that is not healing. Which of the following
dietary supplements should the nurse recommend?
Answer: • Vitamin C
181. A nurse is teaching a client who is at 10 weeks of gestation about increasing folate in her
diet. Which of the following food choices should the nurse recommend as the best source of
folate?
Answer: • ½ cup cooked asparagus
182. A nurse is providing discharge teaching to a client who was in the first trimester of
pregnancy and has chronic nausea. Which of the following statements by the client indicates
an understanding of the teaching?
Answer: • I will eat a high-carbohydrate diet
183. 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?
Answer: • Prealbumin 10 mg/DL
184. 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?
Answer: • I will try new foods one at a time
185. A Nurse is teaching a parent about appropriate snack choices for her 9 month old infant.
Which of the following food choices should the nurse recommend?
Answer: • Raw carrots
186. A nurse is reviewing the laboratory findings of a client who has heart failure. Which of
the following findings indicates that the client is experiencing fluid volume excess?
Answer: • BUN 10 mg/DL
187. A nurse is planning a mechanical soft diet for a client who has difficulty chewing. Which
of the following foods should the nurse plan to include on the client's meal tray?

Answer: • The nurse should include foods such as mashed potatoes, scrambled eggs, and
finely chopped soft fruits. Additionally, consider including cooked vegetables and soft pasta
to ensure ease of chewing.
Rationale:
Canned fruit in water or light syrup.
188. 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
Answer: • Weight gain of 1.5 kg (3.3 lb) per day
189. A nurse is planning nutritional care for a group of clients. The nurse should recommend
a high protein, commercially prepared liquid nutritional supplement for which of the
following clients?
Answer: • A client who has burns over 21% of total body surface area
190. 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?
Answer: • Almonds
191. 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?
Answer: • Administer antiemetics on a schedule
192. A nurse is providing breakfast for a client who has celiac disease. Which of the
following meal items should the nurse select?
Answer: • Rice cereal with sliced bananas
193. A nurse is assisting a client at mealtime who is at risk for aspiration following a stroke.
Which of the following actions should the nurse take?
Answer: • Place the client in a semi Fowler's position to eat
194. a nurse is caring for a client who has dysphagia and requires a level 2 dysphagia diet.
Which of the following foods should the nurse provide for the client?

Answer: • Cottage cheese
195. 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?
Answer: • Baked sweet potato
196. 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?
Answer: • 1/2 cup Corn Flakes with skim milk
197. A nurse is assisting in the selection of food for a client who has hypokalaemia. Which of
the following foods should the nurse select that contains the greatest amount of potassium?
Answer: • one small baked potato
198. A nurse is planning care for a client who is pregnant and plants to breastfeed her
newborn. Which of the following information should the nurse include in the plan of care?
Answer: • The newborn should breastfeed immediately following birth
199. 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?
Answer: • Provide a non-skid placemat for the client at meals
200. A nurse is teaching a client who is 24 hr postpartum about breastfeeding. Which of the
following client statements indicates an understanding of the teaching?
Answer: • “I will alternate the first breast that I offer my baby with each feeding.”
201. A nurse in a provider's office is reviewing the laboratory values of a client who reports a
poor appetite. Which of the following values should the nurse report to the provider?
Answer: • HgB 10g/DL
202. A nurse is teaching a group of nurses about the dietary practices to consider when
planning care for clients who follow a Kosher diet. Which of the following dietary practices
should the nurse include in the teaching?

Answer: • The client can’t eat meat and non-dairy margarine together
203. A nurse is using the Braden scale to assess a client's risk for pressure injury. Which of
the following findings should the nurse identify as the greatest risk for developing a pressure
injury?
Answer: • Intermittent paresthesias of the lower extremities
204. A nurse is teaching about managing hypoglycemia with carbohydrates to a client who
has diabetes mellitus. Which of the following foods should the nurse include in the teaching
as containing the most carbohydrate?
Answer: • 1 tsp honey
205. A nurse is teaching a group of parents about appropriate food choices for toddlers.
Which of the following choices by the parents demonstrates understanding of the teaching?
Answer: • Steak cut into small pieces
206. 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?
Answer: • Sepsis
207. 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?
Answer: • “I keep my ripe fruits refrigerator until I eat them”
208. A nurse is teaching a client who has celiac disease about gluten free foods. Which of the
following foods should the nurse recommend?
Answer: • Tapioca
209. 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?
Answer: • “I can choose an avocado dip instead of salsa.”

210. 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?
Answer: • Hypertension
211. A nurse is teaching a client about nutrition dense food choices. Which of the following
statements by the client indicates an understanding of the teaching?
Answer: • “I should eat oven baked sweet potato fries.”
212. 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?
Answer: • “I will keep my HbA1c at 5 percent.”
213. 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?
Answer: • Abdominal obesity
214. 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?
Answer: • Refer the client to a weight loss support group.
215. 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?
Answer: • 1 scrambled egg
216. A nurse is caring for a client who has a small bore 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?
Answer: • Administer the feeding by gravity drip.
217. 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?

Answer: • Fractures
218. A nurse is caring for a client who has heart failure and has gained 0.9 kg (2 lb) over the
last 24 hr. Which of the following interventions should the nurse take?
Answer: • Reduce the client's sodium intake.
219. 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)
Answer: • Sit up for 1 hr after eating meals.
• Sip fluids slowly throughout the day.
220. A nurse is administering continuous enteral feedings for a client through a percutaneous
oesophageal gastrostomy (PEG) tube. Which of the following actions should the nurse take?
Answer: • Measure the pH of gastric residual every 24 hr
221. A nurse is teaching an in-service about manifestations of hypoglycemia to a group of
newly licensed nurses. Which of the following should the nurse include in the teaching?
Answer: • Blurred vision
222. A nurse is teaching a group of clients about recommended nutrition for healthy eating.
Which of the following instructions should the nurse include in the teaching?
Answer: • Limit cholesterol intake of 500 mg per day
223. 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?
Answer: • Encourage the client to use a straw when drinking liquids.
224. Nurse is providing dietary teaching to a client newly diagnosed with celiac disease.
Which of the following information should the nurse include in the teaching?
Answer: • “This condition may cause secondary lactose intolerance.”
225. A nurse is caring for a client who has moderate partial thickness burns over 30% of their
total body surface area. Which of the following actions should the nurse take?

Answer: • Provide a vitamin C supplement
226. A nurse is teaching a group of clients about dietary needs to prevent osteoporosis. Which
of the following dietary choices should the nurse recommend as having the highest calcium
content?
Answer: • 1 cup broccoli
227. 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?
Answer: • Headache
228. A nurse is caring for an older adult client who reports difficulty chewing due to ill fitting
dentures. Which of the following foods should the nurse recommend for the client?
Answer: • Apple slices
229. A nurse measures a client's weight at 70 kg and height as 1.6 m. What is a client's body
mass index? (Round the answer to the nearest whole number. Use a leading zero if it applies.
Do not use a trailing zero.)
Answer: • 27
230. A nurse is reviewing the laboratory reports of a client who is undergoing nutritional
screening due to a risk for chronic kidney disease. The nurse should identify that which of the
following results indicates the need for further assessment?
Answer: • Serum creatinine 3.5 mg/dL
231. A nurse is providing dietary teaching about prevention of neural tube defects in the fetus
to a client who is pregnant. Which of the following nutrients should the nurse recommend?
Answer: • Folate
232. 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.)
Answer: • Common foods that are served cold

• Sit up for 1 hr after eating meals.
• Sip fluids slowly throughout the day.
233. A nurse is completing a nutritional assessment of an adult female client. Which of the
following findings should indicate to the nurse that the client is at an increased risk of
developing cancer?
Answer: • Limits red meat intake to 3oz per day.
234. A nurse is teaching a client who has chronic kidney disease about dietary needs. Which
of the following foods should the nurse identify as being the lowest in phosphorus?
Answer: • Medium apple
235. A nurse is a long-term care facility is developing strategies to promote increased food
intake for an older adult client. Which of the following interventions should the nurse
implement?
Answer: • Offer finger foods at mealtime.
236. A nurse is providing dietary teaching to a client who has a new diagnosis of
gastroesophageal reflux disease. Which of the following foods or beverages should the nurse
recommended to minimize heartburn?
Answer: • Potatoes
237. A nurse is providing teaching to an obese client who has gestational diabetes and is at 25
weeks of gestation. Which of the following statements made by the client indicates a need for
further teaching?
Answer: • This means that I will have diabetes for the rest of my life.
238. A nurse is assessing the nutritional status of an infant who is 6 months old. The infant
weighed 2.7 kg at birth. Which of the following indicate to the nurse that the infant is within
expected range?
Answer: • 5.5 kg
239. A nurse is caring for a 30-month-old toddler and is preparing a nutritional snack. Which
of the following foods is appropriate for the nurse to offer the toddler?

Answer: • Cheese
240. A nurse is discussing denture care with the partner of a client who is unable to perform
oral hygiene. Which of the following should be included in the discussion?
Answer: • Wrap gloved fingers with gauze to remove dentures.
241. A nurse is planning eating strategies with a client who has nausea from equilibrium
imbalance. Which of the following strategies should the nurse recommend?
Answer: • Provide low-fat carbohydrates with meals.
242. A nurse is planning care for a client who has ascites secondary to liver disease. Which of
the following interventions should the nurse include in the plan of care?
Answer: • Limit sodium to 2000 mg or less per day.
243. A nurse is providing discharge teaching about food choices to a client who has
hypokalaemia. Which of the following foods should the nurse identify as the best source of
potassium?
Answer: • 1 cup cooked tomatoes
244. A nurse is caring for a client who reports she is having difficulty losing weight. Which of
the following responses by the nurse is appropriate?
Answer: • It is helpful to self-monitor your eating.
245. A nurse is performing a nutritional evaluation for a client who reports paresthesias of the
hands and feet. The nurse should identify this manifestation as an indication of which of the
following dietary deficiencies?
Answer: • Vitamin B12
246. A nurse is caring for four clients. The nurse should plan to administer total parenteral
nutrition for which of the following clients?
Answer: • A client who has colon cancer and will undergo a hemicolectomy
247. A nurse is caring for a client who follows the dietary laws of Orthodox Judaism.
Which of the following meal choices should the nurse request for the client?

Answer: • Spaghetti with tomato sauce
248. A nurse is caring for a client who has a body mass index (BMI) of 30. Four weeks after
nutritional counseling, which of the following evaluation findings indicates the plan of care
was followed?
Answer: • Weight Loss of 2.7kg
249. A nurse is preparing to teach a group of clients about vitamins and minerals. The nurse
should include in the teaching that which of the following minerals is necessary for the
transmission of nerve impulses?
Answer: • Calcium
250. 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?
Answer: • Refer the client to a weight-loss support group.
251. A nurse is teaching a client about complete and incomplete proteins. Which of the
following foods should the nurse include in the teaching as an incomplete protein?
Answer: • 4oz chickpeas
252. A nurse is teaching a client about strategies to prevent constipation. Which of the
following statements by the client indicates an understanding of the teaching?
Answer: • Eating foods high in fiber will make elimination easier.
253. A nurse has just inserted an NG tube for a client who is to start enteral tube feedings.
Which of the following actions should the nurse take to verify tube placement?
Answer: • Obtain an abdominal x-ray.
254. A nurse is admitting a client who practices Hinduism. The nurse should identify that
which of the following foods is prohibited according to Hindu dietary practices?
Answer: • Beef
255. A nurse is developing a plan of care for a client who has anorexia nervosa. Which of the
following actions should the nurse include in the plan?

Answer: • Encourage the client to participate in developing a system of rewards.
256. A client is prescribed a 1500 calorie diet. Thirty percent of the calories are to be derived
from fat. How many grams of fat should the nurse tell the client to consume per day? (Round
the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing
zero.)
Answer: • 50 grams
257. A home health nurse is conducting an initial visit with an older adult client. The client
lives alone and has difficulty preparing his own meals. Which of the following actions should
the nurse take first?
Answer: • Perform a nutrition screening.
258. A nurse is providing teaching about formula feeding to the parents of an infant. Which of
the following instructions should the nurse include?
Answer: • If the infant turns away after taking most of the feeding, stop the feeding.
259. A nurse is teaching about implementing a heart-healthy diet to a client who has coronary
artery disease. Which of the following foods should the nurse recommend to the client?
Answer: • Broiled salmon
260. A nurse is teaching a client about adding more fiber to his diet. The nurse should teach
the client that which of the following foods has the highest fiber content?
Answer: • 1 Slice Rye Toast
261. A nurse is evaluating the meal choices of a client who has major depressive disorder and
a prescription of Phenelzine. Which of the following selections should the nurse identify as
appropriate?
Answer: • Strawberry yogurt
262. A nurse is providing teaching about food allergies to the parents of a toddler. Which of
the following foods should the nurse identify as highest risk for allergies in toddlers?
Answer: • Eggs

263. A nurse is preparing to administer a gavage feeding via nasogastric tube to a preterm
newborn who is receiving supplemental oxygen. Which of the following actions should the
nurse take?
Answer: • Measure the stomach aspirate prior to the feeding.
264. A nurse is providing education to a client who is experiencing dumping syndrome
following gastric surgery. Which of the following statements by the client indicates an
understanding of the teaching?
Answer: • I should eat a protein source with each meal.
265. A nurse is initiating continuous enteral feedings for a client who has a new gastrostomy
tube. Which of the following actions should the nurse take?
Answer: • Flush the client's tube with 30 mL of water every 4 hr.
266. A nurse is teaching an in-service about manifestations of hypoglycemia to a group of
newly licensed nurses. Which of the following should the nurse include in the teaching?
Answer: • Blurred vision
267. A nurse is assessing a client who has a stage III pressure ulcer that is healing poorly. The
nurse should identify that which of the following vitamin deficiencies increases the client's
risk for delayed wound healing?
Answer: • Vitamin C
268. 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?
Answer: • I will keep my HbA1c at five percent.
269. A nurse is caring for a client who is receiving parenteral nutrition. Which of the
following findings indicates the therapy is effective?
Answer: • Client reports ability to complete ADLs.
270. A nurse is teaching a client about dietary changes needed for weight loss. Which of the
following actions should the nurse perform first?
Answer: • Determine the client's daily caloric intake.

271. A nurse is teaching a group of clients about stress. Which of the following should the
nurse include in the teaching?
Answer: • Acute stress causes an increase in metabolism.
272. A nurse is caring for an older adult client who reports difficulty chewing due to ill fitting
dentures. Which of the following foods should the nurse recommend for the client?
Answer: • Tuna fish
273. 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?
Answer: • Encourage the client to rest prior to mealtimes.
274. A nurse is caring for a client who is receiving a continuous enteral tube feeding and
reports cramping and abdominal distention. Which of the following actions should the nurse
take?
Answer: • Check for gastric residual.
275. A nurse is reviewing the laboratory findings of a client who has heart failure. Which of
the following findings indicates that the client is experiencing fluid volume excess?
Answer: • BUN 8mg/dl
276. A nurse is preparing to remove a client's clogged NG tube prior to re-inserting a new
tube. Which of the following actions should the nurse take first?
Answer: • Assist the client to blow her nose.
277. A nurse is caring for a client who is taking antibiotics and develops diarrhoea. Which of
the following foods should the nurse recommend to include in the client's diet?
Answer: • Yogurt
278. A nurse is teaching a parent about appropriate snack choices for her 9-month-old infant.
Which of the following food choices should the nurse recommend?
Answer: • Graham crackers

279. A nurse is caring for a client who is lactose intolerant. Which of the following clinical
manifestations should the nurse assess be?
Answer: • Cramping
280. A nurse is planning care for a client who reports following Seventh-Day Adventist
dietary laws. Which of the following dietary guidelines should the nurse include in the plan
of care?
Answer: • Request that coffee is removed from meal trays.
281. A nurse is assessing a client who reports muscle spasms in his calves and tingling in his
hands. The client indicates consuming a low intake of milk products and green leafy
vegetables. The nurse should identify that the clients findings indicate a deficiency in which
of the following sources of nutrition?
Answer: • Calcium
282. A nurse is teaching a nutrition class for clients who have type 2 diabetes mellitus. Which
of the following statements should the nurse include about management of acute illness?
Answer: • Consume carbs every 3-4 hrs
283. A nurse is teaching a group of clients who are at risk for heart disease decreasing
saturated fats in their diet. Which of the ff fats should the nurse rec the clients use when
cooking?
Answer: • Canola Oil
284. A nurse is caring for a client who has a small-bore jejunostomy and is receiving a
continuous tube feeding with a high-viscosity formula. Which of the ff actions should the
nurse take to prevent the tubing from clogging?
Answer: • Replace the bag and tubing every 24 hr
285. A nurse is teaching about diet modification to a client who is breastfeeding. Which of the
following statements by the client indicates an understanding of the teaching?
Answer: • I should drink an 8 ounce glass of water each time my baby nurses.

286. 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?
Answer: • 1 scrambled egg
287. A nurse is on medical surgical unit caring for a client who follows the dietary laws of
Orthodox Judaism. Which of the following menu selections should the nurse
recommendation for this client?
Answer: • Grilled vegetables
288. A nurse is caring for a client who has stomatitis following radiation treatment. Which of
the following is an appropriate interventions for the nurse to take?
Answer: • Serve foods without sauces or gravies
289. A nurse is reviewing the lab findings of a client who has Clostridium Difficile. Which of
the following findings should indicate to the nurse that the client is experiencing Fluid
Volume Deficit?
Answer: • Hct 53%
290. A nurse is caring for a client a major burn injury and is receiving TPN. Which of the
following lab tests is the priority for the nurse to use to confirm the client is receiving
adequate nutrition?
Answer: • Prealbumin
291. A nurse is teaching a client who has hypertension about a heart healthy diet which of the
following statements indicates that the client understands the teaching?
Answer: • I will eat five 8-ounce servings of fruit daily.
292. A nurse is reviewing the lab results of a client who has bulimia nervosa. The nurse
should notify the provider of which of the following results?
Answer: • Potassium 3.2
293. 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?
Answer: • Consume nutrient-dense foods first

294. A nurse is providing anticipatory guidance to client who has Phenylketonuria (PKU) and
planning a pregnancy. Which of the following information should the nurse include in the
discussion?
Answer: • Allow protein diet should be followed for three months prior to conception.
295. A nurse is planning care for a client who practices Islam and is currently observing
dietary restrictions for the month of Ramadan. Which of the following interventions should
the nurse include in the plan of care?
Answer: • Facilitate fasting during daylight hours
296. A nurse is reviewing blood glucose values for a client who is at risk for Diabetes
Mellitus. Which of the following findings should the nurse report to the provider?
Answer: • 2 hr glucose tolerance test level 150 mg/dL
297. A nurse is planning care for a toddler who has burns over 50% total body surface area.
Which of the following actions should the nurse include in the plan of care?
Answer: • Administer enteral feedings
298. A nurse is discussing foods that are high in Vitamin D with a client who is unable to be
out in the sunlight. Which of the following should be included in the teaching?
Answer: • 2 large, poached eggs.
299. A nurse is educating a client who is taking iron supplements about food which aid in iron
absorption. Which of the following foods is the best choice for the client to make?
Answer: • 1/2 cup of orange juice
300. A nurse is caring for a client who is prescribed warfarin. The nurse should teach the
client that which of the following vitamins can interfere with this medication?
Answer: • Vitamin K
301. A nurse is conducting a nutritional class on minerals and electrolytes. The nurse should
include that 1/2 cup of which of the following foods is the best source of magnesium?
Answer: • Whole almonds

302. A nurse is discussing health problems associated with nutrient deficiencies with a group
of adolescents. The nurse should include that which of the following conditions is associated
with a deficiency of Vitamin C?
Answer: • Scurvy Bleeding gum
303. A nurse is caring for a client who has hypothyroidism. Which of the following is
associated with this disorder?
Answer: • Decreased metabolic demand.
304. A nurse is reviewing prescribed medications for a newly admitted client. Which of the
following medications decreases the body's rate of metabolism?
Answer: • Amitriptyline- a tricyclic antidepressant used for treating depression and decreases
the body's rate of metabolism
305. A charge nurse is conducting a nutritional class for a group of newly licensed nurses
regarding basal metabolic rate (BMR). The charge nurse should inform the class that which
of the following factors increases BMR?
Answer: • Lactation
• Prolonged stress
• Puberty
306. A school nurse is teaching a high school health class about a possible cause of a negative
nitrogen balance. Which of the following should the nurse include in the teaching? (Select all
that apply)
Answer: • Illness, malnutrition, trauma.
307. The client is interested in breastfeeding her infant but has to return to work once her
maternity leave is over. How long does the American Academy of Paediatrics (AAP)
recommend exclusive breastfeeding for an infant?
Answer: • The first 6 months of age
308. Nausea and vomiting are common complaints during pregnancy. What nutritional action
can be used to lessen nausea and vomiting?

Answer: • Limiting fat intake
309. The client is a healthy 19-year-old college student who is interested in maintaining a
healthy weight by following a 2000-calorie diet. How many servings of vegetables should he
eat on a daily basis?
Answer: • 2(1/2) cup
310. Nutrition therapy in the elderly has different goals than at other times across the
lifespan. What is a primary goal of diet intervention for the elderly?
Answer: • Maintain quality life
311. The client is a 65-year-old male. Approximately, how much longer can he expect to live?
Answer: • 19.2 years
312. The client is concerned that her milk may not be providing adequate nutrition for her
infant. The nurse recognizes that an inadequate maternal diet generally decreases what in the
breast milk of a lactating mother?
Answer: • Vitamin
313. The nurse is preparing the client to make the necessary dietary changes from what she
has been doing during her pregnancy to what she should do during lactation.
What should breastfeeding mothers be advised?
Answer: • Even if a mother has adequate fat stores, calorie intake should be increased
314. Because functional foods appear to enhance health or prevent disease, which natural
functional food may help to support normal heart function?
Answer: • Purple grape juice
315. Acculturation changes the eating habits of most people from cultures other than
American. What statements are true regarding acculturation? Select all that apply.
Answer: • American food undergoes change in response to the influx of groups from other
cultures.
• People with higher education tend to change their eating habits more quickly than people
with less education.

• First-generation Americans tend to adhere more closely to traditional eating patterns than
subsequent generations.
316. A group of nurses go out to eat lunch. Which of the following dinner choices is the
healthiest?
Answer: • fruit cup.
317. The client is learning to read the Nutrition Facts label when shopping for food.
Information that appears on the Nutrition Facts label is specific for what?
Answer: • Sized listed.
318. The nurse obtains a height and weight at each well-child visit to determine the risk for
obesity. All young clients who are not in a healthy weight range should be evaluated for
which of the following? Select all that apply.
Answer: • Behavior
• risk
• Medical risk
319. When safely introducing new foods into an infant’s diet, the parents should introduce
one food at a time in a simple form. What period of time should they wait between
introducing new foods so that allergic reactions can be easily identified?
Answer: • 5-7 days
320. To prevent birth defects, it is very important to correctly assess the woman’s nutritional
status. Studies have shown a correlation with impaired cognitive development and a
deficiency of which nutrient?
Answer: • Iodine
321. Most people eat less-than-healthful foods from time to time. What is one of the key
strategies to fitting less-than-healthful foods into a healthier lifestyle?
Answer: • Eating them by conscious decision
322. The nurse is discussing with a nutrition class the health risks to infants of women who
gain excessive weight during pregnancy. What risks should the nurse discuss with the class?

Answer: • Seizures.
323. What are the nutritional recommendations for calcium during a normal pregnancy?
Answer: • 1000mg/day
324. The Dietary Guidelines for Americans recommend a heart-healthy diet. What ages are
these recommendations for?
Answer: • 2 years to adult
325. A liberal diet approach is a holistic approach toward meeting client’s nutritional needs.
This approach takes into consideration which of the following? Select all that apply
Answer: • Risk/benefit ratio
• Overall prognosis
• Individual personal
326. The client is a 32-year-old female whose pre-pregnancy weight is considered “normal.”
She is carrying a single fetus. What is the recommended amount of total weight gain?
Answer: • 25 to 35 pounds
327. The nurse is discussing organic labeling with the nutrition class when one of the
participants asked about the criterion for labeling organic foods. What would be the best
response?
Answer: • categories.
328. To be awarded the USDA organic seal, a food must adhere to strict national standards.
What criterion must organic labeling meet?
Answer: • Criterion that define the four official organic categories
329. Most children do not follow the “ideal” of eating breakfast, dinner, and a snack at home
along with a healthy brown-bag lunch at school. How do many children eat today? Select all
that apply.
Answer: • Get one third of their calories from snacks

330. The nurse is doing nutritional screening on older adults at a health fair. What would be
an important question to ask while screening an older person for nutritional risk?
Answer: • medications.
331. The nurse is discussing anorexia with the nutrition class. What is the best strategy for
combating anorexia?
Answer: • Serve food attractively and season according to individual taste
332. Refeeding syndrome is a potentially fatal complication of overfeeding. Why is refeeding
syndrome so dangerous?
Answer: • There is an abrupt change from a catabolic state to an anabolic state
333. Parenteral nutrition (PN) can be infused into either a central or peripheral vein. What
type of parenteral solution is infused into a central vein?
Answer: • Hypertonic
334. The nurse is helping the client prepare for discharge after a severe case of food
poisoning. The client has been tolerating his feedings and the physician would like for him to
advance to a soft diet for the next week until his next office visit. Which of the following
would be a possible reason for this?
Answer: • Minimize intestinal activity for healing purposes
335. The nurse is assessing a client who presents with symptoms that are suspicious for type
2 diabetes. During the discussion of the past medical history, which past diagnosis should the
nurse recognize as a potential risk factor?
Answer: • Gestational diabetes 7 years ago
336. The nurse is caring for a client who has been on parenteral nutrition (PN) for 5 days.
The nurse is constantly monitoring the client’s status to ensure he is doing well. Which of the
following are possible side effects of PN that will require immediate attention? Select all that
apply
Answer: • Elevated temperature
• Shortness of breath

337. Full liquid diets have been traditionally used between clear liquid diets and soft diets as
diet therapy is advanced after surgery. What does the scientific evidence show about this
practice?
Answer: • There is little scientific evidence to support it.
338. The nurse is admitting to the unit a client who is a 42-year-old female with a diagnosis
of pancreatic cyst. Her orders include enteral nutrition. What kind of enteral formula would
you expect to be ordered by the physician?
Answer: • Hydrolysed
339. The nurse is counseling a group of clients who have recently been diagnosed with celiac
disease. One of the members in the group wants to know what is safe to use as a thickening
agent in cooking. Which of the following would be a safe substitute?
Answer: • Arrowroot starch
340. Ulcers in the stomach and duodenum are referred to as peptic ulcers. What is the leading
cause of peptic ulcers?
Answer: • H. pylori infection
341. The nurse is admitting to the unit a client who is a 42-year-old female with dysphagia
following a head trauma. What fluid would be the best choice for this client if she were on
the nectarlike stage of the National Dysphagia Diet?
Answer: • Vegetable juices
342. Primary and secondary prevention of diabetes is consistent with the recommendations
for the primary and secondary prevention of coronary heart disease. Which of the following
are people with diabetes urged to limit their intake of?
Answer: • Saturated fat
343. Clients with bulimia nervosa are not as undernourished as clients who have anorexia
nervosa. They are, however, a challenge for nutrition therapy. What eating strategy may be
appropriate for clients with bulimia nervosa?
Answer: • Record intake before eating

344. The nurse is counseling a clinic client with dumping syndrome who asks if there is
anything he can do to help control the symptoms. What would be the best response?
Answer: • Eat small, frequent meals.
345. Body mass index (BMI) is a ratio of weight to height and is used for assessing the
relative health status of the person. What is a disadvantage of assessing weight with BMI?
Answer: • BMI can be elevated for reasons other than excess fat.
346. People who have lactose intolerance suffer from bloating, gas, and diarrhoea. What type
of diarrhoea is caused by lactose intolerance?
Answer: • Osmotic diarrhoea
347. The client has come to the office with an exacerbation of his celiac disease. He says he
has been reading the labels and making sure he avoids wheat, barley, and rye. After reviewing
the labels with the client, the nurse recognizes which listed ingredient as a suspected culprit?
Answer: • Malt flavoring.
348. The nurse has been discussing parenteral nutrition (PN) with a group of student nurses.
After the discussion, the nurse realizes more discussion is necessary when she hears one say
which of the following?
Answer: • Parenteral nutrition is an emergency procedure.
349. The nurse is helping a client plan menu choices. The client is currently recovering from
dehydration from severe diarrhoea. The client laboratory results showed hyponatremia and
hypokalaemia on admission. The client is now eating but refusing to eat bananas. The nurse
suggests which of the following as a possible alternative?
Answer: • Cantaloupe
350. Potential complications of parenteral nutrition (PN) include which of the following?
Select all that apply
Answer: • Electrolyte disturbance
• Infectious

351. The nurse is admitting a new client to the unit who is complaining of diarrhoea. The
clients dehydrated and will be receiving hydration. Which of the components of the blood
will the nurse expect to see below normal limits? Select all that apply
Answer: • Sodium
352. The nurse is conducting discharge teaching with a client who is going home with an
ileostomy. What will the nurse teach the client to consume more of?
Answer: • Salt
353. The clinic nurse is caring for a diabetic client who has frequent episodes of
hypoglycemia. What would be the best intervention for this client?
Answer: • Counsel the client to encourage better compliance.
354. A newly diagnosed diabetic tells the nurse she is using the Exchange Lists for Meal
Planning but is having difficulty remembering when a food or beverage is considered to be
free. What would be the best response?
Answer: • A good guide is the “free food” list.
355. The nurse is talking with the client who was admitted for surgery due to duodenal ulcer
disease. The client asks what can be done to reduce the risk of getting more ulcer. What
would be the best response?
Answer: • To reduce the risk of future ulcers, it's important to avoid NSAIDs, limit alcohol
intake, and manage stress effectively. Additionally, following a balanced diet and avoiding
spicy foods can help promote healing.
356. Bovine spongiform encephalopathy (BSE) is a slowly progressive, degenerative, fatal
disease affecting the central nervous system of adult cattle. It can be transmitted to humans
when the infected flesh of cattle is ingested. What is BSE thought to be caused by?
Answer: • Prions.