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1. A nurse is caring for a client with chronic kidney disease who is not receiving
dialysis. Which nutrient should the nurse expect the provider to restrict?
A. Protein
B. Vitamin C
C. Fiber
D. Calcium
Answer: A. Protein
Rationale: Clients with chronic kidney disease who are not on dialysis often require protein
restriction to reduce the accumulation of nitrogenous waste products. Once dialysis
begins, protein needs increase because amino acids are lost during treatment. Vitamin C,
fiber, and calcium recommendations depend on the client's laboratory values and overall
condition.
2. A client with iron-deficiency anemia asks which food is the best dietary source of
heme iron. Which food should the nurse recommend?
A. Spinach
B. Fortified cereal
C. Beef liver
D. Lentils
Answer: C. Beef liver
Rationale: Heme iron, found in animal products such as liver, beef, poultry, and fish, is
absorbed much more efficiently than non-heme iron from plant sources. Beef liver provides
one of the richest dietary sources of highly absorbable iron.
, 3. Which laboratory value best reflects long-term blood glucose control in a client with
diabetes?
A. Random glucose
B. Fasting glucose
C. Hemoglobin A1C
D. Serum insulin
Answer: C. Hemoglobin A1C
Rationale: Hemoglobin A1C reflects average blood glucose levels over approximately 2 to 3
months. It is commonly used to evaluate long-term diabetes management and the
effectiveness of treatment.
4. A client with heart failure is prescribed a 2-gram sodium diet. Which lunch selection
demonstrates understanding of the diet?
A. Ham sandwich with potato chips
B. Grilled chicken salad with oil and vinegar dressing
C. Canned soup with crackers
D. Pepperoni pizza
Answer: B. Grilled chicken salad with oil and vinegar dressing
Rationale: Fresh grilled chicken and vegetables are naturally lower in sodium than
processed meats, canned soups, and pizza. Choosing fresh foods is essential when
following sodium-restricted diets.
5. Which vitamin deficiency is most likely to cause night blindness?
A. Vitamin A
B. Vitamin D
C. Vitamin K
D. Vitamin E
Answer: A. Vitamin A
Rationale: Vitamin A is essential for retinal function and adaptation to dim light. Deficiency
commonly leads to night blindness and may progress to xerophthalmia if untreated.
, 6. A client with celiac disease asks which food is safe to consume.
A. Wheat bread
B. Rye crackers
C. Barley soup
D. Rice
Answer: D. Rice
Rationale: Rice is naturally gluten-free and safe for individuals with celiac disease. Wheat,
rye, and barley all contain gluten and should be avoided.
7. Which assessment finding indicates adequate hydration in an adult client?
A. Dark amber urine
B. Dry mucous membranes
C. Urine specific gravity within normal range
D. Poor skin turgor
Answer: C. Urine specific gravity within normal range
Rationale: A urine specific gravity within the expected range suggests appropriate
hydration. Dark urine, dry mucous membranes, and decreased skin turgor are common
signs of dehydration.
8. A client receiving warfarin should maintain consistent intake of which nutrient?
A. Vitamin A
B. Vitamin C
C. Vitamin D
D. Vitamin K
Answer: D. Vitamin K
Rationale: Vitamin K directly influences blood clotting and can reduce the effectiveness of
warfarin if intake fluctuates significantly. Clients should maintain a consistent intake rather
than eliminate vitamin K-rich foods.
9. Which snack is most appropriate for a client with diabetes experiencing mild
hypoglycemia?