GRAND CANYON UNIVERSITY · COLLEGE OF NURSING
NSG 100 Exam #4
Practice Question Bank
NCLEX-Style Practice Questions with Rationales
Topics: Nutrition, Elimination, Pain & Sleep
Edition 1 · September 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales — NSG 100 Exam #4 2
NSG 100 · Grand Canyon University Page 1
,NSG 100 EXAM #4 PRACTICE GUIDE INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is.
Category: Nutrition, Elimination, Pain & Sleep
1 Which of the following is a necessary component of a nutritional assessment?
(Select all that apply)
A Anthropometrics
B A nutritional screen
C Medication history
D Recent BUN lab value
Why all are correct: A complete nutritional assessment includes anthropometrics,
nutritional screening, medication history, and laboratory values such as BUN.
All options are correct — Each component provides essential information for a
comprehensive nutritional assessment.
,2 Data that should be included in a patient's nutritional assessment includes which of
the following?
A Dietary and medical history only
B Socioeconomic and anthropometric data only
C Clinical and laboratory data only
D Dietary, medical, socioeconomic, anthropometric, clinical, and laboratory data
Why D is correct: A comprehensive nutritional assessment includes dietary, medical,
socioeconomic, anthropometric, clinical, and laboratory data.
A — This omits socioeconomic, anthropometric, clinical, and laboratory data.
B — This omits dietary, medical, clinical, and laboratory data.
C — This omits dietary, medical, socioeconomic, and anthropometric data.
3 Which of the following laboratory values, if decreased, is indicative of protein
malnutrition?
A Blood glucose
B Creatinine
C Albumin
D Hemoglobin levels
Why C is correct: Decreased albumin is indicative of protein malnutrition. Albumin is a
protein synthesized by the liver and reflects protein status.
A — Blood glucose reflects carbohydrate metabolism, not protein status.
B — Creatinine reflects renal function and muscle mass.
D — Hemoglobin reflects iron status and oxygen-carrying capacity, not specifically protein
malnutrition.
, 4 The nurse is assessing an undernourished client. Which integumentary
manifestations should the nurse consider expected findings? (Select all that apply)
A Muscle wasting
B Petechiae
C Dry brittle hair
D Poor wound healing
E Constipation
Why B, C, D are correct: Effects of undernutrition on the integumentary system include
petechiae, dry brittle hair and nails, poor wound healing, and spoon-shaped nails.
A — Muscle wasting is an effect on the musculoskeletal system.
E — Constipation is an effect on the gastrointestinal system.
5 The nurse is assessing a client for physical problems that affect food intake.
Which factors should the nurse consider? (Select all that apply)
A Lactose intolerance
B Financial resources
C Trouble swallowing
D Use of supplements
E Problems with dentition
Why C and E are correct: Physical problems that limit or affect food intake include
dentition problems and trouble swallowing.
A — Lactose intolerance is an absorption problem, not a physical problem affecting intake.
B — Financial resources help determine food security, not physical intake problems.
D — Use of supplements assists in determining current nutritional status.
NSG 100 Exam #4
Practice Question Bank
NCLEX-Style Practice Questions with Rationales
Topics: Nutrition, Elimination, Pain & Sleep
Edition 1 · September 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales — NSG 100 Exam #4 2
NSG 100 · Grand Canyon University Page 1
,NSG 100 EXAM #4 PRACTICE GUIDE INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is.
Category: Nutrition, Elimination, Pain & Sleep
1 Which of the following is a necessary component of a nutritional assessment?
(Select all that apply)
A Anthropometrics
B A nutritional screen
C Medication history
D Recent BUN lab value
Why all are correct: A complete nutritional assessment includes anthropometrics,
nutritional screening, medication history, and laboratory values such as BUN.
All options are correct — Each component provides essential information for a
comprehensive nutritional assessment.
,2 Data that should be included in a patient's nutritional assessment includes which of
the following?
A Dietary and medical history only
B Socioeconomic and anthropometric data only
C Clinical and laboratory data only
D Dietary, medical, socioeconomic, anthropometric, clinical, and laboratory data
Why D is correct: A comprehensive nutritional assessment includes dietary, medical,
socioeconomic, anthropometric, clinical, and laboratory data.
A — This omits socioeconomic, anthropometric, clinical, and laboratory data.
B — This omits dietary, medical, clinical, and laboratory data.
C — This omits dietary, medical, socioeconomic, and anthropometric data.
3 Which of the following laboratory values, if decreased, is indicative of protein
malnutrition?
A Blood glucose
B Creatinine
C Albumin
D Hemoglobin levels
Why C is correct: Decreased albumin is indicative of protein malnutrition. Albumin is a
protein synthesized by the liver and reflects protein status.
A — Blood glucose reflects carbohydrate metabolism, not protein status.
B — Creatinine reflects renal function and muscle mass.
D — Hemoglobin reflects iron status and oxygen-carrying capacity, not specifically protein
malnutrition.
, 4 The nurse is assessing an undernourished client. Which integumentary
manifestations should the nurse consider expected findings? (Select all that apply)
A Muscle wasting
B Petechiae
C Dry brittle hair
D Poor wound healing
E Constipation
Why B, C, D are correct: Effects of undernutrition on the integumentary system include
petechiae, dry brittle hair and nails, poor wound healing, and spoon-shaped nails.
A — Muscle wasting is an effect on the musculoskeletal system.
E — Constipation is an effect on the gastrointestinal system.
5 The nurse is assessing a client for physical problems that affect food intake.
Which factors should the nurse consider? (Select all that apply)
A Lactose intolerance
B Financial resources
C Trouble swallowing
D Use of supplements
E Problems with dentition
Why C and E are correct: Physical problems that limit or affect food intake include
dentition problems and trouble swallowing.
A — Lactose intolerance is an absorption problem, not a physical problem affecting intake.
B — Financial resources help determine food security, not physical intake problems.
D — Use of supplements assists in determining current nutritional status.
