1. A nurse is reinforcing education about nutrition for a client with
COPD. Which of the following is appropriate?
A. High carbohydrate intake
B. Low protein diet
C. High-calorie, high-protein meals
D. Frequent, high-fiber meals
Answer: C. High-calorie, high-protein meals
Rationale: COPD increases energy expenditure; clients benefit from
nutrient-dense, high-calorie and high-protein meals.
2. Which of the following is an appropriate source of vitamin D?
A. Olive oil
B. Fortified milk
C. Egg whites
D. Spinach
Answer: B. Fortified milk
Rationale: Fortified dairy products are primary sources of vitamin D,
essential for calcium absorption.
3. A nurse is assessing a client who has dysphagia. Which of the
following interventions is appropriate?
A. Offer fluids through a straw
B. Provide thin liquids
C. Instruct the client to tuck their chin when swallowing
D. Encourage self-feeding
Answer: C. Instruct the client to tuck their chin when swallowing
Rationale: Chin-tuck helps reduce aspiration risk. Thickened liquids are
usually safer than thin ones; straws can increase aspiration risk.
4. A nurse is providing dietary instructions to a client with chronic
kidney disease. Which should be limited?
,A. Potassium
B. Iron
C. Fiber
D. Vitamin D
Answer: A. Potassium
Rationale: Potassium can accumulate in CKD and cause dangerous
arrhythmias; intake must often be restricted.
5. Which of the following clients has an increased protein requirement?
A. A 70-year-old with osteoporosis
B. A client with stage 4 chronic kidney disease
C. A pregnant woman in her second trimester
D. A client with hyperlipidemia
Answer: C. A pregnant woman in her second trimester
Rationale: Pregnancy increases protein needs to support fetal growth.
CKD patients may need protein restriction, and protein is not the
priority for osteoporosis or hyperlipidemia management.
6. Which food should a nurse suggest for a client needing increased
dietary fiber?
A. White rice
B. Apples with skin
C. Chicken breast
D. Eggs
Answer: B. Apples with skin
Rationale: Whole fruits, especially with skin, are high in fiber. White
rice and animal products have little to no fiber.
7. Which finding suggests dehydration?
A. Moist mucous membranes
B. Bounding pulse
C. Decreased skin turgor
D. Weight gain
, Answer: C. Decreased skin turgor
Rationale: Poor skin turgor is a classic sign of dehydration, especially
in older adults.
8. A nurse is reinforcing dietary teaching to a client who follows a
kosher diet. Which of the following food combinations is appropriate?
A. Cheeseburger with fries
B. Chicken with cream sauce
C. Fish with steamed vegetables
D. Ham and eggs
Answer: C. Fish with steamed vegetables
Rationale: Kosher diets prohibit mixing meat and dairy and exclude
pork. Fish with vegetables is typically acceptable.
9. A nurse is reinforcing teaching about a heart-healthy diet. Which
instruction is appropriate?
A. Increase saturated fat intake
B. Use trans fats for cooking
C. Consume fish twice per week
D. Avoid all carbohydrates
Answer: C. Consume fish twice per week
Rationale: Fatty fish like salmon provide omega-3s which reduce
cardiovascular risk. Saturated and trans fats should be limited.
10. What is a recommended source of omega-3 fatty acids?
A. Butter
B. Cod liver oil
C. Whole milk
D. Corn oil
Answer: B. Cod liver oil
Rationale: Omega-3s are found in fatty fish and fish oils like cod liver
oil, beneficial for heart health.
COPD. Which of the following is appropriate?
A. High carbohydrate intake
B. Low protein diet
C. High-calorie, high-protein meals
D. Frequent, high-fiber meals
Answer: C. High-calorie, high-protein meals
Rationale: COPD increases energy expenditure; clients benefit from
nutrient-dense, high-calorie and high-protein meals.
2. Which of the following is an appropriate source of vitamin D?
A. Olive oil
B. Fortified milk
C. Egg whites
D. Spinach
Answer: B. Fortified milk
Rationale: Fortified dairy products are primary sources of vitamin D,
essential for calcium absorption.
3. A nurse is assessing a client who has dysphagia. Which of the
following interventions is appropriate?
A. Offer fluids through a straw
B. Provide thin liquids
C. Instruct the client to tuck their chin when swallowing
D. Encourage self-feeding
Answer: C. Instruct the client to tuck their chin when swallowing
Rationale: Chin-tuck helps reduce aspiration risk. Thickened liquids are
usually safer than thin ones; straws can increase aspiration risk.
4. A nurse is providing dietary instructions to a client with chronic
kidney disease. Which should be limited?
,A. Potassium
B. Iron
C. Fiber
D. Vitamin D
Answer: A. Potassium
Rationale: Potassium can accumulate in CKD and cause dangerous
arrhythmias; intake must often be restricted.
5. Which of the following clients has an increased protein requirement?
A. A 70-year-old with osteoporosis
B. A client with stage 4 chronic kidney disease
C. A pregnant woman in her second trimester
D. A client with hyperlipidemia
Answer: C. A pregnant woman in her second trimester
Rationale: Pregnancy increases protein needs to support fetal growth.
CKD patients may need protein restriction, and protein is not the
priority for osteoporosis or hyperlipidemia management.
6. Which food should a nurse suggest for a client needing increased
dietary fiber?
A. White rice
B. Apples with skin
C. Chicken breast
D. Eggs
Answer: B. Apples with skin
Rationale: Whole fruits, especially with skin, are high in fiber. White
rice and animal products have little to no fiber.
7. Which finding suggests dehydration?
A. Moist mucous membranes
B. Bounding pulse
C. Decreased skin turgor
D. Weight gain
, Answer: C. Decreased skin turgor
Rationale: Poor skin turgor is a classic sign of dehydration, especially
in older adults.
8. A nurse is reinforcing dietary teaching to a client who follows a
kosher diet. Which of the following food combinations is appropriate?
A. Cheeseburger with fries
B. Chicken with cream sauce
C. Fish with steamed vegetables
D. Ham and eggs
Answer: C. Fish with steamed vegetables
Rationale: Kosher diets prohibit mixing meat and dairy and exclude
pork. Fish with vegetables is typically acceptable.
9. A nurse is reinforcing teaching about a heart-healthy diet. Which
instruction is appropriate?
A. Increase saturated fat intake
B. Use trans fats for cooking
C. Consume fish twice per week
D. Avoid all carbohydrates
Answer: C. Consume fish twice per week
Rationale: Fatty fish like salmon provide omega-3s which reduce
cardiovascular risk. Saturated and trans fats should be limited.
10. What is a recommended source of omega-3 fatty acids?
A. Butter
B. Cod liver oil
C. Whole milk
D. Corn oil
Answer: B. Cod liver oil
Rationale: Omega-3s are found in fatty fish and fish oils like cod liver
oil, beneficial for heart health.
