D440 Exam Review Questions with Verified
Correct Answers
A client with a normal BMI (21 kg/m²) wants to lose 10 pounds. What is the nurse's priority
intervention?
Explore the reasons the client wants to lose weight.
What is the recommended initial approach for a client with a BMI of 30 kg/m² beginning a
weight-loss plan?
Keep a daily record of food and drink intake.
A client recovering from hemorrhage is eating oatmeal. Which beverage should be
encouraged to increase iron intake?
Orange juice.
Which food should a woman planning pregnancy include to help prevent neural tube defects?
Asparagus.
An older adult is skipping meals to afford medications. What is the nurse's best action?
Consult with social services.
A client with kidney disease is prescribed a 2-gram sodium diet. What instruction is most
important?
Read food labels before purchasing products.
Which meal best demonstrates understanding of a low-sodium diet?
Lean beef patty, steamed broccoli, and fresh fruit salad.
What dietary instruction is appropriate for a client with metabolic syndrome?
Reduce intake of high-cholesterol foods.
A client with periodontitis is not consuming enough nutrients. What is the most likely cause?
Pain when eating. (Inflamed gums and oral pain make chewing uncomfortable, reducing food
intake.)
, How do high-protein, high-fat diets promote weight loss?
They eventually suppress appetite. (Protein increases satiety, helping people feel full longer and
eat fewer calories.)
What is the preferred method for measuring body fat percentage in large groups during
workplace wellness programs?
Bioelectrical impedance analysis (BIA).
A lacto-ovo vegetarian reports increasing fatigue. What dietary recommendation is most
appropriate?
Eat spinach three times a week. (Iron to avoid fatigue)
Which meal demonstrates understanding of complete proteins in a lacto-ovo vegetarian diet?
Whole wheat peanut butter sandwich, banana, and milk.
What are examples of complete protein foods?
Milk, eggs, cheese, meat, poultry, fish, soy products.
Which food should vegans be encouraged to combine with other foods to enhance nutritional
intake?
Soybean products. (They provide high-quality protein and all essential amino acids.)
A vegetarian eating brown rice should add what food to obtain all essential amino acids?
Pinto Beans (Combining plant proteins (such as grains and legumes) to provide all essential
amino acids.)
A client takes 1,500 mg of vitamin E daily. What finding should be reported?
Lower Extremity Bruising ( Excessive vitamin E intake = Increased bleeding risk and bruising.)
A client with hyperthyroidism increased protein and calorie intake. What should the nurse
do?
Encourage continuation of these dietary changes.
Which assessment finding indicates referral to a nutritionist is needed in a postmenopausal
client?
Less than 50-55 mg/dL. = Cardiovascular disease risk
A client with moderate hyponatremia should choose which food?
Correct Answers
A client with a normal BMI (21 kg/m²) wants to lose 10 pounds. What is the nurse's priority
intervention?
Explore the reasons the client wants to lose weight.
What is the recommended initial approach for a client with a BMI of 30 kg/m² beginning a
weight-loss plan?
Keep a daily record of food and drink intake.
A client recovering from hemorrhage is eating oatmeal. Which beverage should be
encouraged to increase iron intake?
Orange juice.
Which food should a woman planning pregnancy include to help prevent neural tube defects?
Asparagus.
An older adult is skipping meals to afford medications. What is the nurse's best action?
Consult with social services.
A client with kidney disease is prescribed a 2-gram sodium diet. What instruction is most
important?
Read food labels before purchasing products.
Which meal best demonstrates understanding of a low-sodium diet?
Lean beef patty, steamed broccoli, and fresh fruit salad.
What dietary instruction is appropriate for a client with metabolic syndrome?
Reduce intake of high-cholesterol foods.
A client with periodontitis is not consuming enough nutrients. What is the most likely cause?
Pain when eating. (Inflamed gums and oral pain make chewing uncomfortable, reducing food
intake.)
, How do high-protein, high-fat diets promote weight loss?
They eventually suppress appetite. (Protein increases satiety, helping people feel full longer and
eat fewer calories.)
What is the preferred method for measuring body fat percentage in large groups during
workplace wellness programs?
Bioelectrical impedance analysis (BIA).
A lacto-ovo vegetarian reports increasing fatigue. What dietary recommendation is most
appropriate?
Eat spinach three times a week. (Iron to avoid fatigue)
Which meal demonstrates understanding of complete proteins in a lacto-ovo vegetarian diet?
Whole wheat peanut butter sandwich, banana, and milk.
What are examples of complete protein foods?
Milk, eggs, cheese, meat, poultry, fish, soy products.
Which food should vegans be encouraged to combine with other foods to enhance nutritional
intake?
Soybean products. (They provide high-quality protein and all essential amino acids.)
A vegetarian eating brown rice should add what food to obtain all essential amino acids?
Pinto Beans (Combining plant proteins (such as grains and legumes) to provide all essential
amino acids.)
A client takes 1,500 mg of vitamin E daily. What finding should be reported?
Lower Extremity Bruising ( Excessive vitamin E intake = Increased bleeding risk and bruising.)
A client with hyperthyroidism increased protein and calorie intake. What should the nurse
do?
Encourage continuation of these dietary changes.
Which assessment finding indicates referral to a nutritionist is needed in a postmenopausal
client?
Less than 50-55 mg/dL. = Cardiovascular disease risk
A client with moderate hyponatremia should choose which food?
