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TI RN Nutrition Proctored Exam 2025/2026 –
A
Actual Questions with Verified Answers &
Clinical Rationales | Graded A+
tudent Name:_________________________
S
Date:_______________
Time Limit:90 minutes
Total Questions:70
Instructions
● his exam contains 70 multiple-choice questions focused on clinical nutrition.
T
● Select the best answer for each question.
● Read each question carefully and consider the clinical context.
● Time limit: 90 minutes.
● No external resources are permitted during the exam.
Diabetes Nutrition
1. A patient with type 2 diabetes asks about carbohydrate intake. What should the nurse teach?
A. Avoid all carbohydrates
B.🟨C hoose complex carbohydrates and monitor portions🟨
C. Increase simple sugar intake
D. Restrict fiber-rich foods
Rationale: Complex carbohydrates stabilize bloodglucose; portion control prevents spikes, per
ADA guidelines.
2. A patient with type 1 diabetes has a blood glucose of 50 mg/dL. What is the nurse’s priority?
A. Administer insulin
B.🟨G ive 15 g of fast-acting carbohydrate🟨
C. Restrict fluids
D. Monitor for 30 minutes
, ationale: Hypoglycemia (<70 mg/dL) requires fast-acting carbohydrates to raise glucose, per
R
diabetes management protocols.
3. Which food should a patient with diabetes avoid to prevent blood glucose spikes?
A. Whole-grain bread
B.🟨S ugary soda🟨
C. Broccoli
D. Brown rice
Rationale: Sugary soda has a high glycemic index,causing rapid glucose spikes, per diabetes
education.
4. A patient with gestational diabetes asks about snacks. What should the nurse recommend?
A. Candy bars
B.🟨A pple slices with peanut butter🟨
C. White bread with jelly
D. Ice cream
Rationale: Apple slices with peanut butter providefiber and protein, stabilizing glucose, per
gestational diabetes guidelines.
5. Diet Modification: A patient with type 2 diabetesis prescribed a 1,800-calorie diet. What should
the nurse include in the meal plan?
A. Unlimited sugary desserts
B.🟨4 5–60 g oAf carbohydrates per meal🟨
C. High-fat meats only
D. No vegetables
Rationale: 45–60 g of carbohydrates per meal alignswith ADA recommendations for balanced
glucose control in a 1,800-calorie diet.
6. Priority Education: A patient with diabetes reportsfrequent hypoglycemia. What should the
nurse teach first?
A. Increase insulin doses
B.🟨C arry a fast-acting carbohydrate source🟨
C. Avoid all exercise
D. Restrict all meals
Rationale: Carrying a fast-acting carbohydrate sourcetreats hypoglycemia promptly, per
diabetes education priorities.
7. A patient with diabetes is prescribed metformin. What dietary advice should the nurse provide?
A. Take on an empty stomach
B.🟨T ake with meals to reduce GI upset🟨
C. Avoid all carbohydrates
D. Increase alcohol intake
Rationale: Taking metformin with meals minimizesgastrointestinal side effects, per
pharmacology education.
Heart Disease Nutrition
8. A
patient with heart failure asks about dietary restrictions. What should the nurse teach?
A. Increase sodium intake
TI RN Nutrition Proctored Exam 2025/2026 –
A
Actual Questions with Verified Answers &
Clinical Rationales | Graded A+
tudent Name:_________________________
S
Date:_______________
Time Limit:90 minutes
Total Questions:70
Instructions
● his exam contains 70 multiple-choice questions focused on clinical nutrition.
T
● Select the best answer for each question.
● Read each question carefully and consider the clinical context.
● Time limit: 90 minutes.
● No external resources are permitted during the exam.
Diabetes Nutrition
1. A patient with type 2 diabetes asks about carbohydrate intake. What should the nurse teach?
A. Avoid all carbohydrates
B.🟨C hoose complex carbohydrates and monitor portions🟨
C. Increase simple sugar intake
D. Restrict fiber-rich foods
Rationale: Complex carbohydrates stabilize bloodglucose; portion control prevents spikes, per
ADA guidelines.
2. A patient with type 1 diabetes has a blood glucose of 50 mg/dL. What is the nurse’s priority?
A. Administer insulin
B.🟨G ive 15 g of fast-acting carbohydrate🟨
C. Restrict fluids
D. Monitor for 30 minutes
, ationale: Hypoglycemia (<70 mg/dL) requires fast-acting carbohydrates to raise glucose, per
R
diabetes management protocols.
3. Which food should a patient with diabetes avoid to prevent blood glucose spikes?
A. Whole-grain bread
B.🟨S ugary soda🟨
C. Broccoli
D. Brown rice
Rationale: Sugary soda has a high glycemic index,causing rapid glucose spikes, per diabetes
education.
4. A patient with gestational diabetes asks about snacks. What should the nurse recommend?
A. Candy bars
B.🟨A pple slices with peanut butter🟨
C. White bread with jelly
D. Ice cream
Rationale: Apple slices with peanut butter providefiber and protein, stabilizing glucose, per
gestational diabetes guidelines.
5. Diet Modification: A patient with type 2 diabetesis prescribed a 1,800-calorie diet. What should
the nurse include in the meal plan?
A. Unlimited sugary desserts
B.🟨4 5–60 g oAf carbohydrates per meal🟨
C. High-fat meats only
D. No vegetables
Rationale: 45–60 g of carbohydrates per meal alignswith ADA recommendations for balanced
glucose control in a 1,800-calorie diet.
6. Priority Education: A patient with diabetes reportsfrequent hypoglycemia. What should the
nurse teach first?
A. Increase insulin doses
B.🟨C arry a fast-acting carbohydrate source🟨
C. Avoid all exercise
D. Restrict all meals
Rationale: Carrying a fast-acting carbohydrate sourcetreats hypoglycemia promptly, per
diabetes education priorities.
7. A patient with diabetes is prescribed metformin. What dietary advice should the nurse provide?
A. Take on an empty stomach
B.🟨T ake with meals to reduce GI upset🟨
C. Avoid all carbohydrates
D. Increase alcohol intake
Rationale: Taking metformin with meals minimizesgastrointestinal side effects, per
pharmacology education.
Heart Disease Nutrition
8. A
patient with heart failure asks about dietary restrictions. What should the nurse teach?
A. Increase sodium intake
