NURS 240 Exam 2 Practice Multiple
Choices Questions with Correct
Answers and Rationale Latest
2025/2026 Complete
A 23-year-old postpartum client is breastfeeding. The nurse has
completed teaching about dietary changes and is evaluating teaching
effectiveness. Which of the following statements by the client indicates
that additional teaching is needed?
A. "I need to increase my calorie intake."
B. "I need to decrease my consumption of protein-rich foods."
C. "I need to increase my awareness of potential gas-forming foods in the
diet."
D. "I should increase my fluid intake to help milk production and
compensate for nursing."
- ANS - The correct answer was: B
Rationale: The need for protein increases during lactation. Therefore, a
statement referring to a decrease in the consumption of protein is ill
advised. All of the other options reflect accurate statements by the client
that will support breastfeeding, such as increased caloric intake and
awareness of potential gas-forming foods in the diet.
A client is using a juice bottle to put her infant to bed each night. Which
of the following suggestions would the nurse make to educate the mother
about changing this nighttime behavior?
,A. Suggest that the client dip a pacifier in juice instead of providing a
bottle of juice.
B. Tell the client to stop giving the infant a bottle at bed.
C. Suggest that the client use plain water in a night bottle-feeding if the
infant is used to going to sleep with a bottle.
D. Tell the client that providing a bottle at bedtime is unnatural and she
should simply give a pacifier.
- ANS - The correct answer was: C
Rationale: It is very hard to stop a preexisting pattern of nighttime
behavior that the infant associates with going to sleep. However, the
incidence of nursing bottle syndrome is critical in that clients should be
educated to adverse outcomes related to putting an infant to sleep with a
juice bottle. Substituting a plain water bottle would be an effective
intervention to negate the possible effects of a juice bottle and minimize
dental damage. Option 1 is incorrect because dipping the pacifier in the
juice would merely substitute one dental contact for another. Option 2 is
incorrect as this might result in an increased anxiety state because the
infant is used to a ritual of nighttime behavior. Option 4 is incorrect
because giving a bottle to put an infant to bed can be considered to be
"normal" by many individuals. The important element here is to look at
the contents of the bottle and be aware of nursing bottle syndrome.
Which of the following factors does the nurse identify as providing the
highest risk for nutritional deficiencies in the older adult client?
A. A slight decrease in caloric consumption.
B. Polypharmacy
C. Dentures
,D. Being a vegetarian
- ANS - The correct answer was: B
Rationale: The incidence of polypharmacy provides the highest risk for
nutritional deficiencies in the elderly client due to increased likelihood of
drug-drug and drug-food interactions. Option 1 is incorrect because it is
normal to see a decreased caloric requirement in response to decreasing
activity levels of the elderly client. As long as caloric intake is not
drastically decreased, there should be no problem. Option 3 is incorrect
as merely having dentures does not preclude that a nutrient deficiency
would be likely. Concern would be warranted if the dentures were ill-
fitted or causing oral/mouth discomfort or lesions. Option 4 is incorrect
because a vegetarian diet does not by itself lead to nutritional deficiency.
Many people live on vegetarian diets with no adverse health outcomes.
The nurse is explaining to an adolescent client, who is competing in a
long distance running even, that which of the following would be an
appropriate meal to have before the competition?
A. Bacon and eggs, white toast and coffee.
B. Pancakes with fresh strawberries, orange juice, wheat toast, fresh
melon slices.
C. Sausage links with cheese on a plain bagel.
D. Steak, eggs, and fried potatoes.
- ANS - The correct answer was: B
Rationale: The diet before competition should be high in complex
carbohydrates (CHOs) and low in fat and protein. Option 2 reflects the
best selection to meet this dietary balance. All of the other options are
high in fat and or protein and would not be beneficial in terms of
supporting athletic performance.
, The nurse has completed a comprehensive health assessment on a
Hispanic client. Recognizing some cultural food practices place the client
at risk for cardiovascular disease, the nurse makes which of the following
suggestions?
A. Try to eliminate some of the complex carbohydrates.
B. Try to bake some foods instead of frying them.
C. Eliminate beans and nuts.
D. Try stewing foods in a saturated fat.
- ANS - The correct answer was: B
Rationale: One of the difficulties with Hispanic diets is the high-fat
preparation method used in cooking food items. Suggesting a new
preparation method with a familiar food item would be an easier
transition for the client. Option 1 is incorrect because complex
carbohydrates should not be eliminated as they are components of a
healthy diet. Option 3 is incorrect since the Hispanic client would
probably be unwilling to relinquish beans and nuts in the diet as these
are considered to be staple food products. Option 4 is incorrect because
stewing is considered a high-fat method of cooking.
Which of the following behaviors would indicate to the nurse that a
pregnant client is at greatest risk for anemia?
A. The client takes her prenatal vitamins every other day.
B. The client has increased her fluid/water intake .
C. The client eats several glasses of ice chips throughout the day.
Choices Questions with Correct
Answers and Rationale Latest
2025/2026 Complete
A 23-year-old postpartum client is breastfeeding. The nurse has
completed teaching about dietary changes and is evaluating teaching
effectiveness. Which of the following statements by the client indicates
that additional teaching is needed?
A. "I need to increase my calorie intake."
B. "I need to decrease my consumption of protein-rich foods."
C. "I need to increase my awareness of potential gas-forming foods in the
diet."
D. "I should increase my fluid intake to help milk production and
compensate for nursing."
- ANS - The correct answer was: B
Rationale: The need for protein increases during lactation. Therefore, a
statement referring to a decrease in the consumption of protein is ill
advised. All of the other options reflect accurate statements by the client
that will support breastfeeding, such as increased caloric intake and
awareness of potential gas-forming foods in the diet.
A client is using a juice bottle to put her infant to bed each night. Which
of the following suggestions would the nurse make to educate the mother
about changing this nighttime behavior?
,A. Suggest that the client dip a pacifier in juice instead of providing a
bottle of juice.
B. Tell the client to stop giving the infant a bottle at bed.
C. Suggest that the client use plain water in a night bottle-feeding if the
infant is used to going to sleep with a bottle.
D. Tell the client that providing a bottle at bedtime is unnatural and she
should simply give a pacifier.
- ANS - The correct answer was: C
Rationale: It is very hard to stop a preexisting pattern of nighttime
behavior that the infant associates with going to sleep. However, the
incidence of nursing bottle syndrome is critical in that clients should be
educated to adverse outcomes related to putting an infant to sleep with a
juice bottle. Substituting a plain water bottle would be an effective
intervention to negate the possible effects of a juice bottle and minimize
dental damage. Option 1 is incorrect because dipping the pacifier in the
juice would merely substitute one dental contact for another. Option 2 is
incorrect as this might result in an increased anxiety state because the
infant is used to a ritual of nighttime behavior. Option 4 is incorrect
because giving a bottle to put an infant to bed can be considered to be
"normal" by many individuals. The important element here is to look at
the contents of the bottle and be aware of nursing bottle syndrome.
Which of the following factors does the nurse identify as providing the
highest risk for nutritional deficiencies in the older adult client?
A. A slight decrease in caloric consumption.
B. Polypharmacy
C. Dentures
,D. Being a vegetarian
- ANS - The correct answer was: B
Rationale: The incidence of polypharmacy provides the highest risk for
nutritional deficiencies in the elderly client due to increased likelihood of
drug-drug and drug-food interactions. Option 1 is incorrect because it is
normal to see a decreased caloric requirement in response to decreasing
activity levels of the elderly client. As long as caloric intake is not
drastically decreased, there should be no problem. Option 3 is incorrect
as merely having dentures does not preclude that a nutrient deficiency
would be likely. Concern would be warranted if the dentures were ill-
fitted or causing oral/mouth discomfort or lesions. Option 4 is incorrect
because a vegetarian diet does not by itself lead to nutritional deficiency.
Many people live on vegetarian diets with no adverse health outcomes.
The nurse is explaining to an adolescent client, who is competing in a
long distance running even, that which of the following would be an
appropriate meal to have before the competition?
A. Bacon and eggs, white toast and coffee.
B. Pancakes with fresh strawberries, orange juice, wheat toast, fresh
melon slices.
C. Sausage links with cheese on a plain bagel.
D. Steak, eggs, and fried potatoes.
- ANS - The correct answer was: B
Rationale: The diet before competition should be high in complex
carbohydrates (CHOs) and low in fat and protein. Option 2 reflects the
best selection to meet this dietary balance. All of the other options are
high in fat and or protein and would not be beneficial in terms of
supporting athletic performance.
, The nurse has completed a comprehensive health assessment on a
Hispanic client. Recognizing some cultural food practices place the client
at risk for cardiovascular disease, the nurse makes which of the following
suggestions?
A. Try to eliminate some of the complex carbohydrates.
B. Try to bake some foods instead of frying them.
C. Eliminate beans and nuts.
D. Try stewing foods in a saturated fat.
- ANS - The correct answer was: B
Rationale: One of the difficulties with Hispanic diets is the high-fat
preparation method used in cooking food items. Suggesting a new
preparation method with a familiar food item would be an easier
transition for the client. Option 1 is incorrect because complex
carbohydrates should not be eliminated as they are components of a
healthy diet. Option 3 is incorrect since the Hispanic client would
probably be unwilling to relinquish beans and nuts in the diet as these
are considered to be staple food products. Option 4 is incorrect because
stewing is considered a high-fat method of cooking.
Which of the following behaviors would indicate to the nurse that a
pregnant client is at greatest risk for anemia?
A. The client takes her prenatal vitamins every other day.
B. The client has increased her fluid/water intake .
C. The client eats several glasses of ice chips throughout the day.
