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1. A nurse is teaching a client with hypertension about the DASH eating plan. Which
food selection demonstrates correct understanding?
A. Fried chicken, mashed potatoes with gravy, and soda
B. Grilled salmon, steamed broccoli, brown rice, and fresh berries
C. Pepperoni pizza and garlic bread
D. Bacon, eggs, biscuits, and sausage
Answer: B. Grilled salmon, steamed broccoli, brown rice, and fresh berries
Rationale: The DASH (Dietary Approaches to Stop Hypertension) eating plan emphasizes
fruits, vegetables, whole grains, lean proteins, and low-fat dairy while limiting saturated fat,
sodium, and added sugars. Grilled salmon provides heart-healthy omega-3 fatty acids,
while broccoli, brown rice, and berries are nutrient-dense choices that support blood
pressure control.
2. A client with chronic kidney disease is prescribed a low-potassium diet. Which food
should the nurse instruct the client to avoid?
A. Apples
B. Rice
C. Bananas
D. Green beans
Answer: C. Bananas
Rationale: Bananas contain a high amount of potassium and should generally be restricted
in clients with advanced kidney disease to reduce the risk of hyperkalemia. Apples, rice,
and green beans are relatively lower in potassium.
, 3. Which nutrient is most important for promoting wound healing?
A. Vitamin C
B. Vitamin D
C. Vitamin K
D. Fluoride
Answer: A. Vitamin C
Rationale: Vitamin C is essential for collagen synthesis, tissue repair, immune function, and
wound healing. Deficiency may delay healing and increase susceptibility to infection.
4. A client receiving warfarin therapy asks about dietary restrictions. Which instruction
is most appropriate?
A. Eliminate all green vegetables.
B. Maintain a consistent intake of foods containing vitamin K.
C. Increase vitamin K intake daily.
D. Avoid dairy products.
Answer: B. Maintain a consistent intake of foods containing vitamin K.
Rationale: Vitamin K affects warfarin therapy. Clients should not eliminate vitamin K-
containing foods but should consume consistent amounts to maintain stable
anticoagulation.
5. Which laboratory value best reflects long-term nutritional status?
A. Serum glucose
B. Serum sodium
C. Serum albumin
D. White blood cell count
Answer: C. Serum albumin
Rationale: Serum albumin reflects long-term protein nutritional status because of its
relatively long half-life. Low albumin levels may indicate malnutrition, although they may
also be influenced by inflammation or liver disease.
6. A client with lactose intolerance should avoid which food?
A. Yogurt