PRACTICE EXAM 2 * 2026/2027
D440
Health & Wellness Through
Nutritional Science
Practice Exam 2 - 200 Questions
A second comprehensive set of original questions covering nutrition science, lifespan needs,
assessment, weight management, food safety, hydration, and clinical nutrition. Answer key and detailed
explanations are placed at the end.
200 A-D END
Practice Questions Multiple Choice Answer Key + Explanations
Original study and revision material * Clean print-ready format
, D440 Health & Wellness Through Nutritional Science
Practice Exam 2 - 200 original A-D questions; answer key and explanations at the end.
Instructions: Select the best answer for each question. Do not check the answer section until you complete the test. The
complete answer key and detailed explanations begin after Question 200. Questions are original and designed for comprehensive
D440 concept review.
Comprehensive Mixed Practice Questions
1 Which eating pattern can reduce symptoms of gastroesophageal reflux for many patients?
A Eat smaller meals and avoid lying down soon after eating
B Lie flat immediately after meals
C Eat a very large meal before bed
D Increase peppermint and alcohol regardless of triggers
2 A patient reports difficulty seeing at night and has a very restricted diet. Which vitamin deficiency
should be considered?
A Vitamin C
B Vitamin A
C Vitamin K
D Vitamin B12
3 Two snack packages list similar calories, but one package contains three servings. What label
information must be considered first?
A Only the ingredient logo
B Serving size and servings per container
C The product name font
D Only the package color
D440 * Practice Exam 2 * 200 Questions * QUESTIONS Page 2
, 4 A caregiver wants to sweeten cereal for a 6-month-old with honey. What is the main safety concern?
A Honey prevents tooth eruption
B Risk of infant botulism
C Honey causes iron overload
D Honey contains too much vitamin C
5 A clinician calculates weight in kilograms divided by height in meters squared. What screening
measure is being calculated?
A Daily protein requirement
B Weight status relative to height
C Hydration status
D Bone mineral density
6 A patient has nausea after chemotherapy and cannot tolerate normal meal sizes. Which approach is
most appropriate?
A No food or fluid for several days without medical direction
B Only spicy foods
C Small frequent bland or preferred foods with fluids as tolerated
D One very large high-fat meal
7 Why may sodium restriction be prescribed in heart failure?
A Sodium directly builds skeletal muscle
B Sodium restriction cures heart failure
C Lower sodium can reduce water retention and congestion
D Sodium prevents all arrhythmias
8 Which nutrients deserve particular attention during adolescence because of rapid skeletal growth?
A Vitamin K and alcohol
B Iron and fluoride only
C Calcium and vitamin D
D Vitamin C and sodium
D440 * Practice Exam 2 * 200 Questions * QUESTIONS Page 3
, 9 Which laboratory protein is strongly influenced by inflammation and therefore should not be used
alone to diagnose malnutrition?
A Albumin can fall with inflammation and must be interpreted in clinical context
B Albumin always proves inadequate protein intake
C Albumin is unaffected by illness
D Albumin measures body fat directly
10 Which recommendation is generally appropriate for uncomplicated constipation?
A Gradually increase fiber, fluids, and physical activity
B Severely restrict fluids
C Use only refined grains
D Eliminate fruits and vegetables
11 A patient asks which fat-soluble vitamin helps protect cell membranes from oxidative damage. Which
is correct?
A Vitamin E
B Folate
C Vitamin B12
D Vitamin C
12 Which type of fiber forms a viscous gel and can help lower LDL cholesterol?
A Animal fiber
B Trans fiber
C Soluble fiber
D Insoluble fiber only
13 How should fiber be managed during a severe inflammatory bowel disease flare?
A Temporarily individualize fiber and texture based on symptoms and clinical guidance
B Use only fried food
C Force a very high-fiber diet regardless of symptoms
D Eliminate all fluids
D440 * Practice Exam 2 * 200 Questions * QUESTIONS Page 4
D440
Health & Wellness Through
Nutritional Science
Practice Exam 2 - 200 Questions
A second comprehensive set of original questions covering nutrition science, lifespan needs,
assessment, weight management, food safety, hydration, and clinical nutrition. Answer key and detailed
explanations are placed at the end.
200 A-D END
Practice Questions Multiple Choice Answer Key + Explanations
Original study and revision material * Clean print-ready format
, D440 Health & Wellness Through Nutritional Science
Practice Exam 2 - 200 original A-D questions; answer key and explanations at the end.
Instructions: Select the best answer for each question. Do not check the answer section until you complete the test. The
complete answer key and detailed explanations begin after Question 200. Questions are original and designed for comprehensive
D440 concept review.
Comprehensive Mixed Practice Questions
1 Which eating pattern can reduce symptoms of gastroesophageal reflux for many patients?
A Eat smaller meals and avoid lying down soon after eating
B Lie flat immediately after meals
C Eat a very large meal before bed
D Increase peppermint and alcohol regardless of triggers
2 A patient reports difficulty seeing at night and has a very restricted diet. Which vitamin deficiency
should be considered?
A Vitamin C
B Vitamin A
C Vitamin K
D Vitamin B12
3 Two snack packages list similar calories, but one package contains three servings. What label
information must be considered first?
A Only the ingredient logo
B Serving size and servings per container
C The product name font
D Only the package color
D440 * Practice Exam 2 * 200 Questions * QUESTIONS Page 2
, 4 A caregiver wants to sweeten cereal for a 6-month-old with honey. What is the main safety concern?
A Honey prevents tooth eruption
B Risk of infant botulism
C Honey causes iron overload
D Honey contains too much vitamin C
5 A clinician calculates weight in kilograms divided by height in meters squared. What screening
measure is being calculated?
A Daily protein requirement
B Weight status relative to height
C Hydration status
D Bone mineral density
6 A patient has nausea after chemotherapy and cannot tolerate normal meal sizes. Which approach is
most appropriate?
A No food or fluid for several days without medical direction
B Only spicy foods
C Small frequent bland or preferred foods with fluids as tolerated
D One very large high-fat meal
7 Why may sodium restriction be prescribed in heart failure?
A Sodium directly builds skeletal muscle
B Sodium restriction cures heart failure
C Lower sodium can reduce water retention and congestion
D Sodium prevents all arrhythmias
8 Which nutrients deserve particular attention during adolescence because of rapid skeletal growth?
A Vitamin K and alcohol
B Iron and fluoride only
C Calcium and vitamin D
D Vitamin C and sodium
D440 * Practice Exam 2 * 200 Questions * QUESTIONS Page 3
, 9 Which laboratory protein is strongly influenced by inflammation and therefore should not be used
alone to diagnose malnutrition?
A Albumin can fall with inflammation and must be interpreted in clinical context
B Albumin always proves inadequate protein intake
C Albumin is unaffected by illness
D Albumin measures body fat directly
10 Which recommendation is generally appropriate for uncomplicated constipation?
A Gradually increase fiber, fluids, and physical activity
B Severely restrict fluids
C Use only refined grains
D Eliminate fruits and vegetables
11 A patient asks which fat-soluble vitamin helps protect cell membranes from oxidative damage. Which
is correct?
A Vitamin E
B Folate
C Vitamin B12
D Vitamin C
12 Which type of fiber forms a viscous gel and can help lower LDL cholesterol?
A Animal fiber
B Trans fiber
C Soluble fiber
D Insoluble fiber only
13 How should fiber be managed during a severe inflammatory bowel disease flare?
A Temporarily individualize fiber and texture based on symptoms and clinical guidance
B Use only fried food
C Force a very high-fiber diet regardless of symptoms
D Eliminate all fluids
D440 * Practice Exam 2 * 200 Questions * QUESTIONS Page 4
