1. A client with dumping syndrome should be instructed to do which of
the following?
A. Eat three large meals per day
B. Drink fluids with meals
C. Increase simple sugars
D. Lie down after eating
Answer: D. Lie down after eating
Rationale: Lying down slows gastric emptying. Clients should also eat
small, frequent meals and avoid high-sugar foods and fluids with meals.
2. A nurse is reinforcing teaching to a client with a new colostomy.
Which food should the nurse recommend to decrease odor?
A. Broccoli
B. Garlic
C. Buttermilk
D. Fish
Answer: C. Buttermilk
Rationale: Buttermilk, yogurt, and parsley can help reduce colostomy
odor. Cruciferous vegetables and fish increase it.
3. Which is an appropriate snack for a client with diabetes mellitus?
A. Doughnut
B. Apple with peanut butter
C. Candy bar
D. White bread and jam
Answer: B. Apple with peanut butter
Rationale: This snack includes fiber and protein, helping stabilize blood
glucose levels.
4. Which of the following conditions requires a low-purine diet?
A. Hypertension
,B. Chronic kidney disease
C. Gout
D. Diabetes mellitus
Answer: C. Gout
Rationale: Gout is managed by limiting purine intake, which can reduce
uric acid levels and flare-ups.
5. 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.
6. Which food choice supports iron absorption in a client taking oral
iron supplements?
A. Milk
B. Coffee
C. Orange juice
D. Green tea
Answer: C. Orange juice
Rationale: Vitamin C enhances iron absorption. Milk and tannins in
coffee/tea inhibit absorption.
7. 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.
8. 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.
9. 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.
10. A client is receiving TPN. Which lab value should the nurse
monitor to assess glucose control?
A. BUN
B. Hemoglobin
C. Blood glucose
D. Sodium
Answer: C. Blood glucose
Rationale: TPN contains high glucose concentrations. Regular
monitoring of blood glucose is essential to avoid hyperglycemia.
11. What food should a nurse recommend for a client who needs
the following?
A. Eat three large meals per day
B. Drink fluids with meals
C. Increase simple sugars
D. Lie down after eating
Answer: D. Lie down after eating
Rationale: Lying down slows gastric emptying. Clients should also eat
small, frequent meals and avoid high-sugar foods and fluids with meals.
2. A nurse is reinforcing teaching to a client with a new colostomy.
Which food should the nurse recommend to decrease odor?
A. Broccoli
B. Garlic
C. Buttermilk
D. Fish
Answer: C. Buttermilk
Rationale: Buttermilk, yogurt, and parsley can help reduce colostomy
odor. Cruciferous vegetables and fish increase it.
3. Which is an appropriate snack for a client with diabetes mellitus?
A. Doughnut
B. Apple with peanut butter
C. Candy bar
D. White bread and jam
Answer: B. Apple with peanut butter
Rationale: This snack includes fiber and protein, helping stabilize blood
glucose levels.
4. Which of the following conditions requires a low-purine diet?
A. Hypertension
,B. Chronic kidney disease
C. Gout
D. Diabetes mellitus
Answer: C. Gout
Rationale: Gout is managed by limiting purine intake, which can reduce
uric acid levels and flare-ups.
5. 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.
6. Which food choice supports iron absorption in a client taking oral
iron supplements?
A. Milk
B. Coffee
C. Orange juice
D. Green tea
Answer: C. Orange juice
Rationale: Vitamin C enhances iron absorption. Milk and tannins in
coffee/tea inhibit absorption.
7. 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.
8. 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.
9. 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.
10. A client is receiving TPN. Which lab value should the nurse
monitor to assess glucose control?
A. BUN
B. Hemoglobin
C. Blood glucose
D. Sodium
Answer: C. Blood glucose
Rationale: TPN contains high glucose concentrations. Regular
monitoring of blood glucose is essential to avoid hyperglycemia.
11. What food should a nurse recommend for a client who needs
