1|Page
NCLEX EXIT EXAM LATEST 2026 ACTUAL EXAM
TEST BANK| COMPLETE 350 REAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS
WITH RATIONALES) GRADED A+ (MOST RECENT!!)
A client with a genitourinary tract infection has been prescribed
metronidazole and fluid therapy. The nurse concludes that the client
understands the dietary regimen to be followed when the client states to
eliminate what from the diet?
a. Alcohol
b. Diet cola
c. Bran flakes
d. Chicken livers - Correct Answer -Alcohol
A disulfiram-type reaction may result when someone taking
metronidazole ingests alcohol. This syndrome includes palpitations,
SOB, severe headache, flushing, and nausea.
Calcitriol is prescribed for a client with hypocalcemia. The nurse has
instructed the client in foods that may interfere with calcium absorption.
The nurse realizes the teaching is effective if the client verbalizes the
importance of limiting which items? SATA
a. Bran
b. Milk
c. Clams
d. Spinach - Correct Answer -Bran, Spinach
pg. 1
,2|Page
The client taking a medication to treat hypocalcemia should be
instructed to avoid excessive consumption of spinach, rhubarb, bran, and
whole-grain cereals, which all may limit calcium absorption. Good
dietary sources of calcium include milk, dark-green leafy veggies,
clams, oysters, sardines, and orange juice.
The nurse provides instructions to a client two is beginning therapy with
oral theophylline. The nurse recognizes that the client understands the
instructions when she states she should limit what in the diet?
a. Coffee, chocolate, cola
b. Oysters, lobster, shrimp
c. Apples, oranges, pineapple
d. Cottage cheese, cream cheese, dairy creamers - Correct Answer -
Coffee, cola, chocolate
Theophylline is a bronchodilator, and the nurse teaches the client to limit
intake of xanthine-containing foods while taking this medication.
A client with a UTI has been started on nitrofurantoin, a urinary
antiseptic. The client is taught about foods that will keep the urine
acidic. Which food should the nurse tell the client to eliminate?
a. Prunes
b. Oranges
c. Rhubarb
d. Cranberries - Correct Answer -Rhubarb
pg. 2
,3|Page
When a client is taking nitrofurantoin, the urinary pH must be acidic.
The client will be on an acid ash diet. Rhubarb reduces acidity of urine
and should be avoided.
For which vitamin deficiency should the nurse monitor the client who is
on a vegan diet?
a. Vitamin A
b. Vitamin B12
c. Vitamin C
d. Vitamin E - Correct Answer -Vitamin B12
The client on a vegan diet does not consume animal products and is
therefore at risk for B12 deficiency. Fruits and veggies, which are
acceptable to a vegan, contains vitamins A, C and E.
A client with cirrhosis has an increased ammonia level. Which diet does
the nurse anticipate will be of benefit to the client?
a. One low in protein
b. One high in fluids
c. One high in carbs
d. One with a moderate amount of fat - Correct Answer -Low protein
A low-protein diet would be prescribed for the client with cirrhosis who
has an increased ammonia level. Protein in the diet is transported to the
liver by the portal vein after digestion and absorption. The liver breaks
down protein, forming ammonia.
pg. 3
, 4|Page
A client is found to have ulcerative colitis, and the nurse provides
instructions to the client about the diet that should be followed while the
disease is in remission. Which option is best?
a. Milk
b. Cabbage
c. Boiled potatoes
d. Coffee with cream - Correct Answer -Boiled potatoes
During remission, the client must avoid intestinal stimulants such as
alcohol, caffeinated beverages, high-fat foods, gas-forming foods, milk
products, and raw fruits and veggies that are very high in fiber. Vitamins
and iron supplements may be prescribed.
A nurse is teaching a client with an ileostomy about foods that could
result in the production of liquid stools. Which food selected to eat
indicates need for further instruction?
a. Bran
b. Pasta
c. Boiled rice
d. Low-fat cheese - Correct Answer -Bran
Ileostomy output is liquid. The addition or elimination of various foods
can help thicken this liquid drainage. Bran is high in fiber and will
increase output of liquid stool. Foods that help thicken the stool of a
client with an ileostomy include pasta, boiled rice, and low-fat cheese.
pg. 4
NCLEX EXIT EXAM LATEST 2026 ACTUAL EXAM
TEST BANK| COMPLETE 350 REAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS
WITH RATIONALES) GRADED A+ (MOST RECENT!!)
A client with a genitourinary tract infection has been prescribed
metronidazole and fluid therapy. The nurse concludes that the client
understands the dietary regimen to be followed when the client states to
eliminate what from the diet?
a. Alcohol
b. Diet cola
c. Bran flakes
d. Chicken livers - Correct Answer -Alcohol
A disulfiram-type reaction may result when someone taking
metronidazole ingests alcohol. This syndrome includes palpitations,
SOB, severe headache, flushing, and nausea.
Calcitriol is prescribed for a client with hypocalcemia. The nurse has
instructed the client in foods that may interfere with calcium absorption.
The nurse realizes the teaching is effective if the client verbalizes the
importance of limiting which items? SATA
a. Bran
b. Milk
c. Clams
d. Spinach - Correct Answer -Bran, Spinach
pg. 1
,2|Page
The client taking a medication to treat hypocalcemia should be
instructed to avoid excessive consumption of spinach, rhubarb, bran, and
whole-grain cereals, which all may limit calcium absorption. Good
dietary sources of calcium include milk, dark-green leafy veggies,
clams, oysters, sardines, and orange juice.
The nurse provides instructions to a client two is beginning therapy with
oral theophylline. The nurse recognizes that the client understands the
instructions when she states she should limit what in the diet?
a. Coffee, chocolate, cola
b. Oysters, lobster, shrimp
c. Apples, oranges, pineapple
d. Cottage cheese, cream cheese, dairy creamers - Correct Answer -
Coffee, cola, chocolate
Theophylline is a bronchodilator, and the nurse teaches the client to limit
intake of xanthine-containing foods while taking this medication.
A client with a UTI has been started on nitrofurantoin, a urinary
antiseptic. The client is taught about foods that will keep the urine
acidic. Which food should the nurse tell the client to eliminate?
a. Prunes
b. Oranges
c. Rhubarb
d. Cranberries - Correct Answer -Rhubarb
pg. 2
,3|Page
When a client is taking nitrofurantoin, the urinary pH must be acidic.
The client will be on an acid ash diet. Rhubarb reduces acidity of urine
and should be avoided.
For which vitamin deficiency should the nurse monitor the client who is
on a vegan diet?
a. Vitamin A
b. Vitamin B12
c. Vitamin C
d. Vitamin E - Correct Answer -Vitamin B12
The client on a vegan diet does not consume animal products and is
therefore at risk for B12 deficiency. Fruits and veggies, which are
acceptable to a vegan, contains vitamins A, C and E.
A client with cirrhosis has an increased ammonia level. Which diet does
the nurse anticipate will be of benefit to the client?
a. One low in protein
b. One high in fluids
c. One high in carbs
d. One with a moderate amount of fat - Correct Answer -Low protein
A low-protein diet would be prescribed for the client with cirrhosis who
has an increased ammonia level. Protein in the diet is transported to the
liver by the portal vein after digestion and absorption. The liver breaks
down protein, forming ammonia.
pg. 3
, 4|Page
A client is found to have ulcerative colitis, and the nurse provides
instructions to the client about the diet that should be followed while the
disease is in remission. Which option is best?
a. Milk
b. Cabbage
c. Boiled potatoes
d. Coffee with cream - Correct Answer -Boiled potatoes
During remission, the client must avoid intestinal stimulants such as
alcohol, caffeinated beverages, high-fat foods, gas-forming foods, milk
products, and raw fruits and veggies that are very high in fiber. Vitamins
and iron supplements may be prescribed.
A nurse is teaching a client with an ileostomy about foods that could
result in the production of liquid stools. Which food selected to eat
indicates need for further instruction?
a. Bran
b. Pasta
c. Boiled rice
d. Low-fat cheese - Correct Answer -Bran
Ileostomy output is liquid. The addition or elimination of various foods
can help thicken this liquid drainage. Bran is high in fiber and will
increase output of liquid stool. Foods that help thicken the stool of a
client with an ileostomy include pasta, boiled rice, and low-fat cheese.
pg. 4
