n n n n
with rationales 2026\2027 update
n n n
1. nAnnursenisncaringnfornanclientnwhonexpressesnandesirentonlosenweight.
nWhichnofnthefollowingnactionsnshouldnthennursentakenfirst?
A. Recommendncheckingnweightnoncenweekly.
B. Obtainnan24-hrndietarynrecall.
C. Assistnwithncreatingnannexercisenplan
D. Initiatenanplannforndietnmodification.
Rationalen:nIdentifyneatingnbehaviorsnandnthennbenablentonrecommendn
dietaryn modificationsn basedn onnthen datan received.
2. Annursenisnteachingnaboutnnutritionalnrequirementsnfornanclientnwhonisnst
artingnanvegetarianndiet.nWhichnofnthenfollowingninformationnshouldnthenn
ursenincludeninntheteaching?
A. Consumenhigh-fatncheesentonreplacenmeatsnwhennonnanvegetarianndiet.
B. AnvegetarianndietnisnhighninnvitaminnB12.
C. Fewerncaloriesnarenrequirednwhennonnanvegetarianndiet.
D. Includentwonservingsnperndaynofnnutsnwhennonnanvegetarianndiet.
Rationalen:nAchievesnthendailynrequirementnofnomega-3nfattynacids.
3. Annursenisncaringnfornanclientnwhonhasnacuteninflammatorynbowelndisease.nWhi
chnofnthenfollowingnnutritionalnsupplementsnshouldnthennursenanticipatenprovi
dingntonthisnclient?A.nHydrolyzednformula
B.nPolymericnformula
C.nMilk-Basednsupplementnformula
D.nModularnproductnsupplementnformula
Rationalen:nProvidesnproteinnandnothernnutrientsninntheirnsimplestnform,nrequiringnlittleno
rnnodigestionnandndecreasingnstimulationnofnthenbowel
4. Annursenisnteachingnanclientnwhonisnnewlyndiagnosednwithntypen1ndiabetesnmellit
usnhowntoncountncarbohydrates.nWhichnofnthenfollowingnstatementsnmadenbynth
enclientnindicatesnanunderstandingnofnthenteaching?
A. "Inamnincludingnvegetablesnasnstarchnitemsninnmyncarbohydratencount."
B. "Inamnlimitingnthennumbernofncarbohydratesntonfourncarbohydratenchoicesnorn60n
gramsnperday."
C. "InknownthenservingnsizencannaffectnthennumbernofncarbohydratesnIneat."
D. "Inknownthencarbohydratencountnisndependentnonnthencaloriesninnthenfoodnitem."
,Rationalen:nThennursenshouldninstructnthenclientnthatnthenportionnsizenaffectsnthennumbernofncar
bohydrates.
5. Annursenisnprovidingndietarynteachingnfornanclientnwhonhasnosteoporosis.nT
hennursenshouldninstructnthenclientnthatnwhichnofnthenfollowingnfoodsnhasnt
henhighestnamountnofcalcium?
A. 1ncupnavocado
B. 2ntablespoonsnpeanutnbutter
C. 1/2ncupnroastednsunflowernseeds
D. 1/2ncupnroastednalmonds
Rationalen: 1/2ncupnroastednalmondsnHasn185mgnofncalcium
7. Annursenisndiscussingndietarynfactorsntonassistninnbloodnpressurenmanagementn
fornanclientnwhonhasnhypertension.nWhichnofnthenfollowingnclientnstatementsnindi
catesnannunderstandingofnthenteaching?
A. "Incanndrinknupntonthreenglassesnofnwineneachnday."
B. "Inshouldnchoosenwholengrainnpastasnwhennselectingnmynfoods."
C. "Inshouldndecreasenmynconsumptionnofnfoodsnhighninnpotassium."
D. "Incannusenlow-sodiumnsaltnsubstitutesnwhennIncooknmynfood."
Rationalen:n Containsningredientsnthatnlowernthenrisknofncardiovascularndiseasenandni
mprovenbloodpressure.
8. Annursenisncaringnfornanclientnwhonhasnannewnprescriptionnfornparenteralnnutriti
onn(PN)ncontainingnanmixturenofndextrose,naminonacids,nandnlipids.nPriorntonadmi
nistrationnofnthenPN,nthennursenshouldnreportnwhichnofnthenfollowingnfoodnallergi
esntonthenprovider?
A. Gelatin
B. Peanuts
C. Shellfish
D. Eggs
Rationalen:n Eggsnphospholipidnisnannemulsifiernandncanncausenannallergicnreaction.
9. Annursenisnteachingnanclientnwhonhasnchronicnkidneyndiseasenaboutnlimiti
ngndietarycalciumnintake.nWhichnofnthenfollowingnfoodnchoicesnshouldnthenn
ursenincludeninnthenteachingnasnhavingnthenhighestnamountnofncalcium?
A.n1ncupnlow-fatnyogurt
,B.n1nozncheddarncheese
C.n1negg
D.n1/2ncupnspinach
Rationalen:n 314nmgnofncalciumnperncup
10. Anhomenhealthnnursenisnprovidingndietarynteachingntonthenguardiansnofnan3-year-
oldnchild.Whichnofnthenfollowingnstatementsnbynthenguardiansnshouldnthennursenide
ntifynasnunderstandingnofnthenteaching?
A. "Inwillnoffernmynchildnancupnofnpeanutnbutterntondipnherncelerynin."
B. "Incannleavenherngrapesnwhole,nsonshencannpracticengettingnthemnwithnhernfork."
C. "Incanngivenhernpopcornnasnansnackntonprovidenanservingnofnwholengrains."
D. "Inwillnputnlow-fatnmilkninnherncupnfornherntondrink."
Rationalen:nNecessarynfatnfornneurologicalndevelopmentnfornchildrennupnton2nyearsnofnage.
11. Annursenisncaringnfornannadolescentnwhonhasntypen1ndiabetesnmellitus.nWh
ichnofnthefollowingnactionsnshouldnthennursentakentonassessnfornSomogyinphe
nomenon?
A. Monitornbloodnglucosenlevelsnduringnthennight.
B. Checknfornurinarynketonesnatnthensamentimeneachndaynforn1nweek.
C. Performnannoralnglucosentolerancentestnafternadministeringnandosenofninsulin.
D. Comparencurrentnglycosylatednhemoglobinnlevelnwithnthenlevelnatntimenofndiagnosis.
Rationalen:nFastingnhyperglycemianthatnoccursninnthenmorningninnresponsentonhypoglyce
mianduringnthennighttime.nThennursenshouldnassessnfornthisnphenomenonnbynmonitoringnbloodngluc
osenlevelsnduringnthennight.
13. Annursenisnreviewingnthenintroductionnofnsolidnfoodsnwithnthenguardiannofnan4-
monthnoldinfant.nWhichnofnthenfollowingnstatementsnbynthenguardiannindicatesnann
understandingnofnthenteaching?
A. "Mynbabynshouldnconsumen2ntablespoonsnofnsolidnfoodnatneachnfeeding."
B. "Thenmajoritynofnmynbaby'sncaloriesnshouldncomenfromnsolidnfood."
C. "Inwillngivenmynbabynonenbottlenofnfruitnjuiceneachnday."
D. "Inwillnintroducenannewnsolidnfoodneveryn5ndays."
Rationalen:nGivesntimentonwatchnfornannallergicnreaction.
14. Annurseninnanlong-
termncarenfacilitynisnmonitoringnanclientnduringnmealtimenwhonhasParkinson'sn
disease.nWhichnofnthenfollowingnfindingsnshouldnthennursenidentifynasnthenpri
ority?
A. Thenclientneatsnallnofntheirncakenandnanfewnbitesnofnbread.
, B. Thenclientndroolsnwhileneating.
C. Thenclient'snhandntremblesnwhenntheynholdntheirnspoon.
D. Thenclientnchoosesntonsitnalonenduringntheirnmeal.
Rationalen:nAtnrisknfornaspirationnofnfoodnfromndysphagia.
15. Anhomenhealthnnursenisnreviewingnthenmedicalnrecordnofnanclientnwhonhadnann
opennreductionninternalnfixationnofnthentibia.nWhichnofnthenfollowingnfindingsnsh
ouldnthennurseidentifynasnanrisknfactornfornimpairednwoundnhealing?
A. Anclient'snhemoglobinnisn15g/dL
B. Thenclient'snperipheralnpulsesnaren+3ndistalntonthenaffectednextremity.
C. Thenclientnconsumesn1,000nkcalndaily.
D. Thenclientntakesnzincnsupplements.
Rationalen:n Adultsnneednatnleastn1,500nkcalndailyntonmeetnenergynneedsnandnbuildnproteinnforti
ssuenhealing.
16. Annursenisnprovidingnteachingntonanclientnwhonhasndiabetesnmellitusnandnann
HbA1cnofn8.7%.nWhichnofnthenfollowingnstatementsnbynthenclientnindicatesnannu
nderstandingnofnthislaboratorynvalue?
A. "Inshouldnhavengonentonmynexercisenclassnyesterday."
B. "Thisnshowsnthatnmynresultnisnfinallynwithinnannormalnrange."
C. "ThisnshowsnthatnInhavennotnbeennfollowingnmyndiet."
D. "Inshouldnhavenmynbloodnworkndonenfirstnthingninnthenmorning."
Rationalen:nNormalnrangenisn6.5%nandn7%.
17. Annursenisnteachingnanclientnaboutnstressnmanagement.nWhichnofnthenfollowingn
statementsbynthenclientnindicatesnannunderstandingnofnthenteaching?
A. "Inwillntakenanlongnwalkneverynday."
B. "Inwillnkeepnandailyndietnandnactivitynlog."
C. "Inwillnavoidneatingn1nhournbeforenbedtime."
D. "Inwillndrinknanfullnglassnofnwaternwithneachnmeal."
Rationalen:nBenefitsnofnexercisenarenreductionnofntension,npromotionnofnrelaxation,nandnimprovednsens
enofnwell-being.
18. Annursenisncaringnfora.nclientnwhonisnreceivingntotalnparenteralnnutritionn(TPN)n
andnisnprescribednannoralndiet.nThenclientnasksnthennursenwhynthenTPNnisnbeingnc
ontinuednsincenheisnnowneating.nWhichnofnthenfollowingnresponsesnshouldnthenn
ursenmake?
A. "Yournbloodnglucosenlevelsnneedntonbenwithinnannormalnrangenbeforenthenparenteralnn
utritioncannbenstopped."