NURS 225 Exam 2 V2 | NURS 225 Nutrition
Proctored Exam | Actual Q&A with
Rationale (NURS225 Exam 2) | West Coast
University
1. A nurse is providing teaching to a client who is at 10 weeks of gestation and reports
frequent nausea. Which of the following instructions should the nurse include?
A. Eat dry crackers or toast before rising from bed in the morning.
B. Eat a high-fat snack before going to bed.
C. Drink 240 mL (8 oz) of water with each meal.
D. Increase intake of spicy foods to stimulate appetite.
Answer: A
Rationale: Consuming dry carbohydrates such as crackers or toast before getting out of
bed helps stabilize blood sugar and absorb stomach acid. This intervention is a primary
recommendation for managing morning sickness in the first trimester. Nurses should also
advise clients to avoid drinking fluids with meals to prevent over-distension of the
stomach.
2. A nurse is educating a client who has a new prescription for iron supplements. Which of
the following beverages should the nurse recommend to increase absorption?
A. Whole milk
,B. Orange juice
C. Black tea
D. Iced coffee
Answer: B
Rationale: Vitamin C, also known as ascorbic acid, significantly enhances the absorption of
non-heme iron when consumed together. Providing orange juice or other citrus-based
drinks is a standard nursing intervention for clients with iron-deficiency anemia.
Conversely, the nurse should warn the client that calcium in milk and tannins in tea can
inhibit iron absorption.
3. A nurse is reviewing the laboratory results of a client who has been taking a high-dose
Vitamin A supplement. Which of the following findings should the nurse identify as a
manifestation of toxicity?
A. Night blindness
B. Scurvy signs
C. Headache and increased intracranial pressure
D. Bleeding gums
Answer: C
Rationale: Hypervitaminosis A can lead to serious toxic effects because it is a fat-soluble
vitamin stored in the liver. Early signs of chronic toxicity include severe headaches, blurred
,vision, and potentially increased intracranial pressure. The nurse should assess for skin
peeling and hepatomegaly in clients suspected of excessive intake.
4. A nurse is teaching a group of parents about the introduction of solid foods to infants. At
what age should the nurse recommend starting solid foods?
A. 2 months
B. 6 months
C. 4 months
D. 9 months
Answer: B
Rationale: The American Academy of Pediatrics recommends exclusive breastfeeding or
formula feeding for the first six months of life. At this age, the infant’s digestive system is
mature enough to handle solids, and the extrusion reflex has typically disappeared.
Introducing solids too early can increase the risk of food allergies and excessive caloric
intake.
5. A nurse is assessing an older adult client for nutritional deficiencies. Which of the following
physiological changes associated with aging increases the risk for Vitamin B12 deficiency?
A. Increased gastric motility
B. Decreased production of intrinsic factor
C. Hyperchlorhydria
, D. Increased intestinal surface area
Answer: B
Rationale: Aging often leads to atrophic gastritis, which results in a decrease in the
secretion of intrinsic factor by the parietal cells of the stomach. Intrinsic factor is essential
for the absorption of Vitamin B12 in the terminal ileum. Nurses must monitor for
neurological changes and macrocytic anemia in elderly clients who may require B12
injections.
6. A nurse is providing discharge teaching to a client who has a new prescription for warfarin.
Which of the following food choices should the nurse advise the client to keep consistent in
their diet?
A. Apples
B. Beef
C. Spinach
D. White bread
Answer: C
Rationale: Warfarin works by inhibiting the action of Vitamin K, which is a necessary
factor in the blood clotting cascade. Sudden increases or decreases in Vitamin K intake,
primarily through green leafy vegetables like spinach, can alter the effectiveness of the
medication. The nurse should emphasize consistency in consumption rather than total
avoidance to maintain a stable INR.
Proctored Exam | Actual Q&A with
Rationale (NURS225 Exam 2) | West Coast
University
1. A nurse is providing teaching to a client who is at 10 weeks of gestation and reports
frequent nausea. Which of the following instructions should the nurse include?
A. Eat dry crackers or toast before rising from bed in the morning.
B. Eat a high-fat snack before going to bed.
C. Drink 240 mL (8 oz) of water with each meal.
D. Increase intake of spicy foods to stimulate appetite.
Answer: A
Rationale: Consuming dry carbohydrates such as crackers or toast before getting out of
bed helps stabilize blood sugar and absorb stomach acid. This intervention is a primary
recommendation for managing morning sickness in the first trimester. Nurses should also
advise clients to avoid drinking fluids with meals to prevent over-distension of the
stomach.
2. A nurse is educating a client who has a new prescription for iron supplements. Which of
the following beverages should the nurse recommend to increase absorption?
A. Whole milk
,B. Orange juice
C. Black tea
D. Iced coffee
Answer: B
Rationale: Vitamin C, also known as ascorbic acid, significantly enhances the absorption of
non-heme iron when consumed together. Providing orange juice or other citrus-based
drinks is a standard nursing intervention for clients with iron-deficiency anemia.
Conversely, the nurse should warn the client that calcium in milk and tannins in tea can
inhibit iron absorption.
3. A nurse is reviewing the laboratory results of a client who has been taking a high-dose
Vitamin A supplement. Which of the following findings should the nurse identify as a
manifestation of toxicity?
A. Night blindness
B. Scurvy signs
C. Headache and increased intracranial pressure
D. Bleeding gums
Answer: C
Rationale: Hypervitaminosis A can lead to serious toxic effects because it is a fat-soluble
vitamin stored in the liver. Early signs of chronic toxicity include severe headaches, blurred
,vision, and potentially increased intracranial pressure. The nurse should assess for skin
peeling and hepatomegaly in clients suspected of excessive intake.
4. A nurse is teaching a group of parents about the introduction of solid foods to infants. At
what age should the nurse recommend starting solid foods?
A. 2 months
B. 6 months
C. 4 months
D. 9 months
Answer: B
Rationale: The American Academy of Pediatrics recommends exclusive breastfeeding or
formula feeding for the first six months of life. At this age, the infant’s digestive system is
mature enough to handle solids, and the extrusion reflex has typically disappeared.
Introducing solids too early can increase the risk of food allergies and excessive caloric
intake.
5. A nurse is assessing an older adult client for nutritional deficiencies. Which of the following
physiological changes associated with aging increases the risk for Vitamin B12 deficiency?
A. Increased gastric motility
B. Decreased production of intrinsic factor
C. Hyperchlorhydria
, D. Increased intestinal surface area
Answer: B
Rationale: Aging often leads to atrophic gastritis, which results in a decrease in the
secretion of intrinsic factor by the parietal cells of the stomach. Intrinsic factor is essential
for the absorption of Vitamin B12 in the terminal ileum. Nurses must monitor for
neurological changes and macrocytic anemia in elderly clients who may require B12
injections.
6. A nurse is providing discharge teaching to a client who has a new prescription for warfarin.
Which of the following food choices should the nurse advise the client to keep consistent in
their diet?
A. Apples
B. Beef
C. Spinach
D. White bread
Answer: C
Rationale: Warfarin works by inhibiting the action of Vitamin K, which is a necessary
factor in the blood clotting cascade. Sudden increases or decreases in Vitamin K intake,
primarily through green leafy vegetables like spinach, can alter the effectiveness of the
medication. The nurse should emphasize consistency in consumption rather than total
avoidance to maintain a stable INR.
