NR 228 Week 5: Clinical Nutrition & Therapeutic Diets 2026 | Chamberlain | Verified Q&A | Guaranteed - A+ Graded

NR 228: Clinical Nutrition & Therapeutic Diets
Time Allowed: 90 minutes | Total Questions: 75 | Passing Score: 80%



SECTION A: Multiple Choice (50 Questions)

Select the ONE best answer for each question.



Topic 1: Therapeutic Diet Fundamentals (Questions 1–5)

1. A therapeutic diet is best defined as:

 A) A diet designed solely for weight loss

 B) A quantitative or qualitative modification of a basic nutritious diet tailored to meet changing
nutritional needs of a patient with a specific disease condition

 C) A diet that eliminates all carbohydrates

 D) A diet prescribed only for hospitalized patients

2. The foundation upon which all therapeutic diet modifications are based is:

 A) The patient's food preferences

 B) Normal nutritional requirements

 C) The most restrictive diet possible

 D) The hospital's standard menu

3. Which of the following is NOT a common reason for modifying a normal diet for therapeutic
purposes?

 A) To provide rest for an affected organ

 B) To adjust to the body's ability to digest and absorb nutrients

 C) To eliminate all food choices the patient dislikes

 D) To increase or decrease body weight

4. When implementing a therapeutic diet, the nurse's primary role includes:

 A) Prescribing the specific diet order

,  B) Educating the patient and monitoring adherence

 C) Preparing all meals in the dietary department

 D) Determining caloric requirements without collaboration

5. A patient asks why their diet was changed after surgery. The best response by the nurse is:

 A) "The doctor ordered it, so you must follow it."

 B) "Your body needs different nutrients to heal, so we adjusted your diet to support recovery."

 C) "Hospital policy requires diet changes after surgery."

 D) "You don't need to know the reason."



Topic 2: Cardiovascular Disease & Hypertension (Questions 6–15)

6. Which diet is recommended as first-line therapy for hypertension?

 A) Low-carbohydrate diet

 B) DASH (Dietary Approaches to Stop Hypertension) diet

 C) Ketogenic diet

 D) High-protein diet

7. The sodium restriction levels for hypertension management include all of the following EXCEPT:

 A) Mild restriction (2,000–3,000 mg)

 B) Moderate restriction (1,000–2,000 mg)

 C) Severe restriction (500 mg)

 D) Complete elimination of all sodium (0 mg)

8. Lifestyle modifications to lower blood pressure include ALL of the following EXCEPT:

 A) Reduce weight

 B) Decrease alcohol intake

 C) Increase sodium intake

 D) Stop smoking

,9. A patient with Congestive Heart Failure (CHF) should follow which dietary modification?

 A) High-protein diet

 B) Low-sodium diet

 C) High-fat diet

 D) Low-carbohydrate diet

10. Which type of cholesterol increases the risk of Coronary Artery Disease (CAD) when elevated?

 A) HDL (High-Density Lipoprotein)

 B) LDL (Low-Density Lipoprotein)

 C) VLDL (Very Low-Density Lipoprotein)

 D) Chylomicrons

11. Modifiable risk factors for CAD include all of the following EXCEPT:

 A) Hypertension

 B) Smoking

 C) Type 2 diabetes

 D) Family history

12. For a patient with or at risk for CAD, the recommended nutrition therapy is:

 A) High-fat diet

 B) Low-fat diet

 C) High-carbohydrate diet

 D) High-protein diet

13. A patient with CHF is prescribed a 2g sodium diet. Which food should the nurse instruct the patient
to avoid?

 A) Fresh broccoli

 B) Grilled chicken breast

 C) Canned tomato soup

 D) Steamed brown rice

, 14. The DASH diet emphasizes all of the following EXCEPT:

 A) Increased fruits and vegetables

 B) Whole grains

 C) High sodium intake

 D) Lean proteins

15. A patient with hypertension asks about alcohol consumption. The nurse should recommend:

 A) Complete abstinence from all alcohol

 B) Moderate consumption (no more than 2 drinks/day for men, 1 for women)

 C) Unlimited alcohol as long as it is wine

 D) Alcohol only on weekends



Topic 3: Diabetes Mellitus & Endocrine Disorders (Questions 16–25)

16. The recommended dietary approach for diabetes management emphasizes:

 A) Complete elimination of carbohydrates

 B) Consistent carbohydrate intake with meal spacing, often using the exchange system

 C) Unlimited sugar consumption

 D) High-protein, low-fat only

17. The main source of energy for the brain and nerves is:

 A) Protein

 B) Fat

 C) Glucose

 D) Ketones

18. Gestational diabetes can lead to which complication in the newborn?

 A) Hyperglycemia

 B) Hypoglycemia