COMPLETE STUDY GUIDE 2026 | PRACTICE
QUESTIONS, RATIONALES & CHEAT SHEET
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Updated 2026 Questions and Answers
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Rationales Included
,A healthy, nonpregnant, nonlactating woman asks the c) 1,600 to 2,400 cal/day
nurse how many calories a day she should consume.
Which response from the nurse is accurate? Rationale:
a) 1,000 to 1,500 cal/day The number of calories a person needs depends on age, body size, physical
b) 2,000 to 3,000 cal/day condition, and physical activity. On average, healthy adult women require 1,600 to
c) 1,600 to 2,400 cal/day 2,400 cal/day and adult men require 2,000 to 3,000 cal/day; the lower end of the
d) 3,000 to 3,500 cal/day range is for sedentary individuals, whereas the higher end is for active individuals
(U.S. Department of Agriculture, 2010).
A nurse is working with a 46-year-old woman who is b) Drink juice for majority of fluid intake.
working to lose weight. Based on recommendations from
the USDA regarding diet modification, which is not Rationale:
appropriate advice for this client?
Water should comprise the majority of fluid intake. The remainder should come
a) Make fruits and vegetables at least half of total food from food sources such as fruit or 100% fruit juices.
intake.
b) Drink juice for majority of fluid intake.
c) Eat a variety of enjoyable foods, but less quantity.
d) Drink nonfat or 1% milk.
A nurse has documented that a client has anorexia. What d) Lack of appetite
does this term mean?
Rationale:
a) Fluid deficit
b) Eating more than daily requirements Anorexia is lack of appetite. It may be related to multiple factors, including
c) Vitamin C deficiency diseases, psychosocial causes, impaired ability to chew and taste, or inadequate
d) Lack of appetite income.
A 28-year-old woman client is in an outpatient clinic with d) a glass of orange juice
frequent reports of fatigue. Her physician has prescribed
her ferrous sulfate 325 mg to treat iron-deficiency
anemia. A nurse is teaching the client about medication Rationale:
administration. What food would be best consumed with
her ferrous sulfate?
Concurrent administration of vitamin C and iron helps with iron absorption.
a) a can of soda pop Orange juice is a common and inexpensive dietary source of vitamin C.
b) a piece of bread
c) a glass of milk
d) a glass of orange juice
, A nurse is teaching a client about diabetes and glucose c) Blood from the fingertips shows changes in glucose more quickly than other
monitoring. What should the nurse include in the testing sites.
teaching?
Rationale:
a) Glucose levels will decrease with illness and stress. With glucose monitoring, blood from the fingertips shows changes in blood
b) Calibrate the glucose meter every six months. glucose more quickly than other testing sites. With signs and symptoms of
c) Blood from the fingertips shows changes in glucose hypoglycemia, a fingertip site should be used. Calibrate the glucose monitors at
more quickly than other testing sites. least every month. Glucose levels increase with illness and stress to the body.
d) Use a forearm sample with signs and symptoms of
hypoglycemia.
A nurse is caring for a client who has a body mass index a) Overweight
(BMI) of 26.5. Which category should the nurse
understand this client would be placed in?
Rationale:
a) Overweight
b) Healthy weight A client with a BMI below 18.5 should be considered underweight. A client with a
c) Obese BMI of 18.5 to 24.9 is considered to be at a healthy weight. A client with a BMI of
d) Underweight 25 to 29.9 is considered overweight; a client with a BMI of 30 or greater indicates
obesity. A BMI greater than 40 is considered extreme obesity.
A nurse in a rural health center meets a new client, age 4. d) Vitamin D
The nurse notices as the client enters the clinic that his
legs appear to be bowed. When he smiles, the nurse also Rationale:
notes that his dentition is quite malformed for a child his
age. What vitamin deficiency would the nurse most Severe vitamin D deficiency manifests as rickets, osteomalacia, poor dentition,
suspect? and tetany.
a) Vitamin B
b) Vitamin A
c) Vitamin C
d) Vitamin D
A nurse calculates the BMI of a client during a general c) Overweight
survey as 26. Under which category would this client fall?
a) Normal Rationale:
b) Obesity Class I
c) Overweight A client with a BMI below 18.5 should be considered underweight. A client with a
d) Underweight BMI of 18.5 to 24.9 is considered to be at a healthy weight. A client with a BMI of
25 to 29.9 is considered overweight; a client with a BMI of 30 or greater indicates
obesity. A BMI greater than 40 is considered extreme obesity.
A nurse is caring for a client reporting frequent nausea. d) Fruit juices
Which food should the nurse recommend to the client
when the nausea is relieved? Rationale:
a) Carbonated beverages Once nausea is relieved, assisting the client to resume fluid intake and
b) Boiled vegetables nourishment becomes a priority. The nurse starts this process gradually, offering
c) Warm milk sips of clear fluids, such as fruit juices first. Bland foods, such as boiled vegetables,
d) Fruit juices can be given but later. Gelatin and carbonated beverages may not be appropriate
for the client in this case.