NURS 225 Exam 3 V3 | NURS 225 Nutrition
Proctored Exam | Actual Q&A with
Rationale (NURS225 Exam 3) | West Coast
University
1. A nurse is providing education to a pregnant client with a pre-pregnancy BMI of 22. Which
of the following statements by the nurse is correct regarding total weight gain?
A. You should aim for a total weight gain of 11 to 20 pounds.
B. You should aim for a total weight gain of 25 to 35 pounds.
C. You should aim for a total weight gain of 15 to 25 pounds.
D. You should aim for a total weight gain of 28 to 40 pounds.
Answer: B
Rationale: A client with a normal pre-pregnancy BMI between 18.5 and 24.9 is
recommended to gain 25 to 35 pounds to support a healthy pregnancy. This weight gain
supports the growth of the fetus, placenta, and maternal tissue. Insufficient weight gain can
increase the risk of low birth weight and other developmental issues.
2. When educating a client about the prevention of neural tube defects, the nurse should
emphasize the intake of which nutrient during the first trimester?
A. Vitamin C
B. Folic acid
,C. Calcium
D. Iron
Answer: B
Rationale: Folic acid is essential for DNA synthesis and the proper development of the
neural tube during early pregnancy. Adequate intake prior to and during the first weeks of
gestation significantly reduces the incidence of spina bifida and anencephaly. The
recommended daily intake for most pregnant women is 600 mcg.
3. A nurse is teaching a parent about introducing solid foods to a 6-month-old infant. Which
food should the nurse recommend as the first choice?
A. Pureed carrots
B. Iron-fortified rice cereal
C. Mashed bananas
D. Strained chicken
Answer: B
Rationale: Iron-fortified infant cereal is typically the first solid food introduced because
infants’ natural iron stores begin to deplete around 6 months of age. Rice cereal is often
preferred initially due to its low allergenic potential and ease of digestion. It provides a
reliable source of supplemental iron necessary for continued neurological and
hematological development.
, 4. Which of the following dietary modifications is most appropriate for a client diagnosed
with Gastroesophageal Reflux Disease (GERD)?
A. Increasing intake of spicy foods to stimulate digestion
B. Drinking caffeinated beverages to improve gastric motility
C. Avoiding large meals and lying down shortly after eating
D. Consuming high-fat snacks before bedtime
Answer: C
Rationale: Managing GERD involves reducing pressure on the lower esophageal sphincter
and preventing gastric acid from backing up. Small, frequent meals are better tolerated
than large meals that distend the stomach. Clients should also remain upright for at least 2
to 3 hours after eating to allow gravity to assist in keeping gastric contents in the stomach.
5. A nurse is caring for a client with Chronic Kidney Disease (CKD) who is not on dialysis. The
nurse should instruct the client to limit the intake of which mineral?
A. Calcium
B. Vitamin D
C. Phosphorus
D. Zinc
Answer: C
Proctored Exam | Actual Q&A with
Rationale (NURS225 Exam 3) | West Coast
University
1. A nurse is providing education to a pregnant client with a pre-pregnancy BMI of 22. Which
of the following statements by the nurse is correct regarding total weight gain?
A. You should aim for a total weight gain of 11 to 20 pounds.
B. You should aim for a total weight gain of 25 to 35 pounds.
C. You should aim for a total weight gain of 15 to 25 pounds.
D. You should aim for a total weight gain of 28 to 40 pounds.
Answer: B
Rationale: A client with a normal pre-pregnancy BMI between 18.5 and 24.9 is
recommended to gain 25 to 35 pounds to support a healthy pregnancy. This weight gain
supports the growth of the fetus, placenta, and maternal tissue. Insufficient weight gain can
increase the risk of low birth weight and other developmental issues.
2. When educating a client about the prevention of neural tube defects, the nurse should
emphasize the intake of which nutrient during the first trimester?
A. Vitamin C
B. Folic acid
,C. Calcium
D. Iron
Answer: B
Rationale: Folic acid is essential for DNA synthesis and the proper development of the
neural tube during early pregnancy. Adequate intake prior to and during the first weeks of
gestation significantly reduces the incidence of spina bifida and anencephaly. The
recommended daily intake for most pregnant women is 600 mcg.
3. A nurse is teaching a parent about introducing solid foods to a 6-month-old infant. Which
food should the nurse recommend as the first choice?
A. Pureed carrots
B. Iron-fortified rice cereal
C. Mashed bananas
D. Strained chicken
Answer: B
Rationale: Iron-fortified infant cereal is typically the first solid food introduced because
infants’ natural iron stores begin to deplete around 6 months of age. Rice cereal is often
preferred initially due to its low allergenic potential and ease of digestion. It provides a
reliable source of supplemental iron necessary for continued neurological and
hematological development.
, 4. Which of the following dietary modifications is most appropriate for a client diagnosed
with Gastroesophageal Reflux Disease (GERD)?
A. Increasing intake of spicy foods to stimulate digestion
B. Drinking caffeinated beverages to improve gastric motility
C. Avoiding large meals and lying down shortly after eating
D. Consuming high-fat snacks before bedtime
Answer: C
Rationale: Managing GERD involves reducing pressure on the lower esophageal sphincter
and preventing gastric acid from backing up. Small, frequent meals are better tolerated
than large meals that distend the stomach. Clients should also remain upright for at least 2
to 3 hours after eating to allow gravity to assist in keeping gastric contents in the stomach.
5. A nurse is caring for a client with Chronic Kidney Disease (CKD) who is not on dialysis. The
nurse should instruct the client to limit the intake of which mineral?
A. Calcium
B. Vitamin D
C. Phosphorus
D. Zinc
Answer: C
