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1. A nurse is teaching a client with hypertension about dietary changes. Which food choice
is most appropriate?
A. Bacon and fried eggs
B. Grilled salmon with steamed broccoli
C. Pepperoni pizza
D. Canned soup with crackers
Answer: B. Grilled salmon with steamed broccoli
Rationale: The DASH diet emphasizes fruits, vegetables, lean proteins, and low-fat dairy while
limiting sodium and saturated fats. Grilled salmon provides heart-healthy omega-3 fatty acids,
and steamed broccoli is low in sodium and rich in nutrients.
2. A client with chronic kidney disease is prescribed a low-potassium diet. Which food
should the nurse instruct the client to avoid?
A. Apples
B. White rice
C. Bananas
D. Cabbage
Answer: C. Bananas
Rationale: Bananas are high in potassium and should be limited in clients with impaired kidney
function to reduce the risk of hyperkalemia. Apples, cabbage, and white rice are lower in
potassium.
3. A client with diabetes asks which snack is most appropriate before bedtime. Which
response by the nurse is best?
A. Candy bar
B. Cheese and whole-grain crackers
C. Sweetened soda
D. Doughnut
, Answer: B. Cheese and whole-grain crackers
Rationale: A combination of protein and complex carbohydrates helps maintain stable blood
glucose levels overnight while reducing the risk of nocturnal hypoglycemia.
4. Which laboratory value is the best indicator of long-term blood glucose control?
A. Random glucose
B. Fasting glucose
C. Hemoglobin A1C
D. Urine glucose
Answer: C. Hemoglobin A1C
Rationale: Hemoglobin A1C reflects average blood glucose levels over approximately 2–3
months and is the preferred indicator of long-term glycemic control.
5. A nurse is caring for a client with iron-deficiency anemia. Which food should the nurse
recommend?
A. White bread
B. Spinach
C. Applesauce
D. Cottage cheese
Answer: B. Spinach
Rationale: Spinach contains iron and folate, making it an excellent dietary choice for clients
with iron-deficiency anemia. Pairing iron-rich foods with vitamin C enhances absorption.
6. Which vitamin enhances iron absorption?
A. Vitamin A
B. Vitamin C
C. Vitamin D
D. Vitamin K
Answer: B. Vitamin C
Rationale: Vitamin C converts iron into a more absorbable form, increasing gastrointestinal
absorption of non-heme iron found in plant foods.