NURS 225 Exam 3 V1 | NURS 225 Nutrition
Proctored Exam | Actual Q&A with
Rationale (NURS225 Exam 3) | West Coast
University
1. A nurse is teaching a group of pregnant clients about folic acid. Which statement by a client
indicates an understanding of the teaching?
A. I need to take folic acid to help prevent neural tube defects in my baby.
B. I will need it mostly during the third trimester.
C. I should take folic acid to prevent gestational diabetes.
D. Folic acid is only found in animal-based protein sources.
Answer: A
Rationale: Adequate folic acid intake is crucial before and during early pregnancy to
prevent neural tube defects such as spina bifida. The recommended daily intake for
pregnant women is typically 600 mcg. This nutrient is essential for DNA synthesis and cell
division during rapid fetal development.
2. Which of the following interventions is appropriate for a patient experiencing ‘dumping
syndrome’ following gastric surgery?
A. Encourage the patient to drink 8 ounces of water with every meal.
B. Advise the patient to lie down for 30 minutes after eating.
,C. Increase the intake of simple carbohydrates and sugars.
D. Recommend three large meals per day to ensure satiety.
Answer: B
Rationale: Lying down after meals helps slow the transit of food from the stomach into the
small intestine. Patients should also avoid fluids with meals to prevent rapid gastric
emptying. Small, frequent meals low in simple sugars are recommended to manage
symptoms effectively.
3. A nurse is assessing an older adult client for nutritional risks. Which physiological change
associated with aging increases the risk for dehydration?
A. Increased metabolic rate.
B. Increased sensation of thirst.
C. Decreased sensation of thirst.
D. Improved kidney concentrating ability.
Answer: C
Rationale: The aging process leads to a diminished thirst mechanism, making older adults
less likely to recognize when they need fluids. Furthermore, the kidneys’ ability to
concentrate urine decreases with age, further exacerbating fluid loss. Nurses must
encourage scheduled fluid intake rather than waiting for the client to feel thirsty.
, 4. A client has a new diagnosis of Celiac disease. Which food choice indicates the client
understands the necessary dietary restrictions?
A. Whole wheat pasta with marinara sauce.
B. A bowl of barley soup with crackers.
C. Rye bread toast with butter.
D. Grilled chicken with a side of brown rice and steamed broccoli.
Answer: D
Rationale: Celiac disease requires a strict gluten-free diet to prevent damage to the small
intestine. Gluten is a protein found in wheat, barley, and rye. Rice, corn, and potatoes are
naturally gluten-free and safe for these patients.
5. What is the priority nursing action for a client receiving Total Parenteral Nutrition (TPN)?
A. Changing the TPN tubing every 72 hours.
B. Monitoring blood glucose levels every 6 hours.
C. Speeding up the infusion if the bag falls behind schedule.
D. Assessing for bowel sounds every shift.
Answer: B
Rationale: TPN solutions are highly concentrated in dextrose, putting the client at
significant risk for hyperglycemia. Routine glucose monitoring is essential to ensure
Proctored Exam | Actual Q&A with
Rationale (NURS225 Exam 3) | West Coast
University
1. A nurse is teaching a group of pregnant clients about folic acid. Which statement by a client
indicates an understanding of the teaching?
A. I need to take folic acid to help prevent neural tube defects in my baby.
B. I will need it mostly during the third trimester.
C. I should take folic acid to prevent gestational diabetes.
D. Folic acid is only found in animal-based protein sources.
Answer: A
Rationale: Adequate folic acid intake is crucial before and during early pregnancy to
prevent neural tube defects such as spina bifida. The recommended daily intake for
pregnant women is typically 600 mcg. This nutrient is essential for DNA synthesis and cell
division during rapid fetal development.
2. Which of the following interventions is appropriate for a patient experiencing ‘dumping
syndrome’ following gastric surgery?
A. Encourage the patient to drink 8 ounces of water with every meal.
B. Advise the patient to lie down for 30 minutes after eating.
,C. Increase the intake of simple carbohydrates and sugars.
D. Recommend three large meals per day to ensure satiety.
Answer: B
Rationale: Lying down after meals helps slow the transit of food from the stomach into the
small intestine. Patients should also avoid fluids with meals to prevent rapid gastric
emptying. Small, frequent meals low in simple sugars are recommended to manage
symptoms effectively.
3. A nurse is assessing an older adult client for nutritional risks. Which physiological change
associated with aging increases the risk for dehydration?
A. Increased metabolic rate.
B. Increased sensation of thirst.
C. Decreased sensation of thirst.
D. Improved kidney concentrating ability.
Answer: C
Rationale: The aging process leads to a diminished thirst mechanism, making older adults
less likely to recognize when they need fluids. Furthermore, the kidneys’ ability to
concentrate urine decreases with age, further exacerbating fluid loss. Nurses must
encourage scheduled fluid intake rather than waiting for the client to feel thirsty.
, 4. A client has a new diagnosis of Celiac disease. Which food choice indicates the client
understands the necessary dietary restrictions?
A. Whole wheat pasta with marinara sauce.
B. A bowl of barley soup with crackers.
C. Rye bread toast with butter.
D. Grilled chicken with a side of brown rice and steamed broccoli.
Answer: D
Rationale: Celiac disease requires a strict gluten-free diet to prevent damage to the small
intestine. Gluten is a protein found in wheat, barley, and rye. Rice, corn, and potatoes are
naturally gluten-free and safe for these patients.
5. What is the priority nursing action for a client receiving Total Parenteral Nutrition (TPN)?
A. Changing the TPN tubing every 72 hours.
B. Monitoring blood glucose levels every 6 hours.
C. Speeding up the infusion if the bag falls behind schedule.
D. Assessing for bowel sounds every shift.
Answer: B
Rationale: TPN solutions are highly concentrated in dextrose, putting the client at
significant risk for hyperglycemia. Routine glucose monitoring is essential to ensure
