Exam 2026 | NGN Questions &
Answers with Complete
Rationales | 250 Practice
Questions | Pass Guaranteed – A+
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1. A nurse is teaching a community class on macronutrients. Which
statement by a participant indicates a correct understanding of the primary
function of carbohydrates in the body?
A. Carbohydrates are the body's preferred and most efficient source of
energy, supplying 4 kcal/g for cellular metabolism, particularly for the brain
and nervous system.
B. Carbohydrates function primarily to build and repair muscle tissue,
providing 9 kcal per gram through gluconeogenesis pathways.
C. Carbohydrates are essential for the absorption of fat-soluble vitamins A, D,
E, and K through the lymphatic system.
D. Carbohydrates serve as the major structural component of cell
membranes and serve as long-term energy reserves.
,Answer: A. Carbohydrates are the body's preferred and most efficient source
of energy, supplying 4 kcal/g for cellular metabolism, particularly for the
brain and nervous system.
2. A nurse is counseling a patient following a vegan diet. Which food
combination should the nurse recommend to provide all nine essential amino
acids through complementary proteins?
A. Whole wheat bread with lean turkey breast
B. Brown rice and black beans with corn
C. Greek yogurt mixed with fresh strawberries
D. Egg white omelet with cheddar cheese
Answer: B. Brown rice and black beans with corn
3. A patient is 5 feet 6 inches (66 inches) tall and weighs 165 pounds. What
is the patient's BMI, and how should the nurse classify this measurement
according to the Centers for Disease Control and Prevention (CDC)
guidelines?
A. 24.2 kg/m² - Healthy weight
B. 26.6 kg/m² - Overweight
C. 30.1 kg/m² - Obese Class I
D. 22.5 kg/m² - Healthy weight
Answer: B. 26.6 kg/m² - Overweight
4. A nurse is completing a comprehensive nutritional assessment using the
ABCD method. Which component corresponds to the 'B' in this framework,
and what laboratory value is most reflective of this domain?
,A. Behavioral assessment; evaluated through 24-hour dietary recall and food
frequency questionnaires
B. Biochemical assessment; evaluated through serum albumin, prealbumin,
transferrin, and total lymphocyte count
C. Body composition assessment; evaluated through triceps skinfold and
mid-arm muscle circumference
D. Bowel function assessment; evaluated through stool frequency and
consistency documentation
Answer: B. Biochemical assessment; evaluated through serum albumin,
prealbumin, transferrin, and total lymphocyte count
5. A nurse in a long-term care facility is using the Mini Nutritional Assessment
(MNA) to screen an 82-year-old resident. Which finding should the nurse
identify as the strongest predictor of malnutrition risk on this validated
geriatric screening tool?
A. Resident reports eating fewer than 3 meals per day due to decreased
appetite
B. Resident has lost 2 pounds over the past month during a recheck weigh-in
C. Resident's BMI is calculated at 23.5 kg/m², which falls within healthy range
D. Resident lives alone and prepares meals using a microwave and frozen
foods
Answer: A. Resident reports eating fewer than 3 meals per day due to
decreased appetite
6. A hospital nurse is assessing a newly admitted patient using the
Malnutrition Universal Screening Tool (MUST). Which three components does
, this validated screening tool evaluate to determine the patient's overall
malnutrition risk score?
A. Current BMI score, unplanned weight loss score, and acute disease effect
score
B. Appetite score, recent illness score, and mobility impairment score
C. Triceps skinfold score, mid-arm circumference score, and grip strength
score
D. Albumin level score, lymphocyte count score, and nitrogen balance score
Answer: A. Current BMI score, unplanned weight loss score, and acute
disease effect score
7. A nurse is providing education to a patient with chronic kidney disease
who is prescribed a phosphorus-restricted diet. Which food should the nurse
instruct the patient to avoid?
A. White rice
B. Dark cola beverages
C. Fresh apples
D. Green beans
Answer: B. Dark cola beverages
8. A patient with heart failure is prescribed a 2-gram sodium diet. Which
statement by the patient indicates a need for further teaching?
A. "I will read food labels for sodium content."
B. "I can use salt substitutes freely since they are sodium-free."