1. A nurse is reviewing lab values for a client on a diuretic. Which
electrolyte is most at risk for imbalance?
A. Sodium
B. Potassium
C. Calcium
D. Chloride
Answer: B. Potassium
Rationale: Many diuretics (like furosemide) cause potassium loss,
leading to hypokalemia.
2. 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.
3. 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.
4. 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.
5. A client with lactose intolerance should avoid which food?
A. Cottage cheese
B. Almond milk
C. Soy yogurt
D. Hard-boiled egg
Answer: A. Cottage cheese
Rationale: Cottage cheese contains lactose. Almond milk, soy yogurt,
and eggs are lactose-free.
6. 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.
7. Which client statement indicates understanding of the gluten-free
diet for celiac disease?
A. “I can eat whole-wheat bread.”
B. “I’ll avoid rye crackers.”
C. “I should avoid rice.”
D. “I can eat barley soup.”
Answer: B. “I’ll avoid rye crackers.”
, Rationale: Gluten is found in wheat, rye, and barley. Rice is gluten-free
and allowed.
8. Which food should a nurse recommend to a client who is trying to
increase their intake of monounsaturated fats?
A. Butter
B. Coconut oil
C. Avocado
D. Lard
Answer: C. Avocado
Rationale: Monounsaturated fats are heart-healthy and found in foods
like avocados, olive oil, and nuts.
9. Which of the following is the best source of folic acid for a client
planning to become pregnant?
A. Liver
B. Citrus fruits
C. Leafy green vegetables
D. Fortified cereals
Answer: D. Fortified cereals
Rationale: Fortified cereals are rich in folic acid and are recommended
for women of childbearing age to prevent neural tube defects.
10. 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.
electrolyte is most at risk for imbalance?
A. Sodium
B. Potassium
C. Calcium
D. Chloride
Answer: B. Potassium
Rationale: Many diuretics (like furosemide) cause potassium loss,
leading to hypokalemia.
2. 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.
3. 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.
4. 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.
5. A client with lactose intolerance should avoid which food?
A. Cottage cheese
B. Almond milk
C. Soy yogurt
D. Hard-boiled egg
Answer: A. Cottage cheese
Rationale: Cottage cheese contains lactose. Almond milk, soy yogurt,
and eggs are lactose-free.
6. 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.
7. Which client statement indicates understanding of the gluten-free
diet for celiac disease?
A. “I can eat whole-wheat bread.”
B. “I’ll avoid rye crackers.”
C. “I should avoid rice.”
D. “I can eat barley soup.”
Answer: B. “I’ll avoid rye crackers.”
, Rationale: Gluten is found in wheat, rye, and barley. Rice is gluten-free
and allowed.
8. Which food should a nurse recommend to a client who is trying to
increase their intake of monounsaturated fats?
A. Butter
B. Coconut oil
C. Avocado
D. Lard
Answer: C. Avocado
Rationale: Monounsaturated fats are heart-healthy and found in foods
like avocados, olive oil, and nuts.
9. Which of the following is the best source of folic acid for a client
planning to become pregnant?
A. Liver
B. Citrus fruits
C. Leafy green vegetables
D. Fortified cereals
Answer: D. Fortified cereals
Rationale: Fortified cereals are rich in folic acid and are recommended
for women of childbearing age to prevent neural tube defects.
10. 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.
