1. A client with lactose intolerance should avoid which food?
A. Cottage cheese
B. Almond milk
C. Soy yogurt
D. Hard-boiled egg
Answer: A. Cottage cheese
Rationale: Cottage cheese contains lactose. Almond milk, soy yogurt,
and eggs are lactose-free.
2. Which lab result indicates malnutrition?
A. Elevated albumin
B. Decreased prealbumin
C. High cholesterol
D. Elevated creatinine
Answer: B. Decreased prealbumin
Rationale: Prealbumin is a sensitive marker of protein malnutrition and
responds quickly to changes in nutritional status.
3. Which of the following is an appropriate source of vitamin D?
A. Olive oil
B. Fortified milk
C. Egg whites
D. Spinach
Answer: B. Fortified milk
Rationale: Fortified dairy products are primary sources of vitamin D,
essential for calcium absorption.
4. Which finding suggests dehydration?
A. Moist mucous membranes
B. Bounding pulse
C. Decreased skin turgor
,D. Weight gain
Answer: C. Decreased skin turgor
Rationale: Poor skin turgor is a classic sign of dehydration, especially
in older adults.
5. Which mineral is important in preventing osteoporosis?
A. Sodium
B. Iron
C. Calcium
D. Potassium
Answer: C. Calcium
Rationale: Calcium, along with vitamin D, is crucial for bone health and
osteoporosis prevention.
6. Which food is highest in potassium?
A. Apple
B. Orange juice
C. White bread
D. Chicken breast
Answer: B. Orange juice
Rationale: Orange juice is rich in potassium. Other high-potassium
foods include bananas, potatoes, and spinach.
7. Which food should a nurse suggest for a client needing increased
dietary fiber?
A. White rice
B. Apples with skin
C. Chicken breast
D. Eggs
Answer: B. Apples with skin
Rationale: Whole fruits, especially with skin, are high in fiber. White
rice and animal products have little to no fiber.
, 8. A nurse is reinforcing education about nutrition for a client with
COPD. Which of the following is appropriate?
A. High carbohydrate intake
B. Low protein diet
C. High-calorie, high-protein meals
D. Frequent, high-fiber meals
Answer: C. High-calorie, high-protein meals
Rationale: COPD increases energy expenditure; clients benefit from
nutrient-dense, high-calorie and high-protein meals.
9. Which food should be avoided by a client on a tyramine-restricted
diet for MAOIs?
A. Cheddar cheese
B. Banana
C. Apple
D. White bread
Answer: A. Cheddar cheese
Rationale: Aged cheeses are high in tyramine and can trigger
hypertensive crisis when taken with MAOIs.
10. A nurse is teaching a client about the DASH diet. Which of the
following is emphasized?
A. Low sodium and high potassium
B. High fat and low carb
C. Increased protein
D. Gluten avoidance
Answer: A. Low sodium and high potassium
Rationale: The DASH diet lowers blood pressure by reducing sodium
and increasing potassium, calcium, and magnesium.
11. A nurse is reviewing nutritional recommendations for older adults.
Which of the following changes is related to aging?
A. Cottage cheese
B. Almond milk
C. Soy yogurt
D. Hard-boiled egg
Answer: A. Cottage cheese
Rationale: Cottage cheese contains lactose. Almond milk, soy yogurt,
and eggs are lactose-free.
2. Which lab result indicates malnutrition?
A. Elevated albumin
B. Decreased prealbumin
C. High cholesterol
D. Elevated creatinine
Answer: B. Decreased prealbumin
Rationale: Prealbumin is a sensitive marker of protein malnutrition and
responds quickly to changes in nutritional status.
3. Which of the following is an appropriate source of vitamin D?
A. Olive oil
B. Fortified milk
C. Egg whites
D. Spinach
Answer: B. Fortified milk
Rationale: Fortified dairy products are primary sources of vitamin D,
essential for calcium absorption.
4. Which finding suggests dehydration?
A. Moist mucous membranes
B. Bounding pulse
C. Decreased skin turgor
,D. Weight gain
Answer: C. Decreased skin turgor
Rationale: Poor skin turgor is a classic sign of dehydration, especially
in older adults.
5. Which mineral is important in preventing osteoporosis?
A. Sodium
B. Iron
C. Calcium
D. Potassium
Answer: C. Calcium
Rationale: Calcium, along with vitamin D, is crucial for bone health and
osteoporosis prevention.
6. Which food is highest in potassium?
A. Apple
B. Orange juice
C. White bread
D. Chicken breast
Answer: B. Orange juice
Rationale: Orange juice is rich in potassium. Other high-potassium
foods include bananas, potatoes, and spinach.
7. Which food should a nurse suggest for a client needing increased
dietary fiber?
A. White rice
B. Apples with skin
C. Chicken breast
D. Eggs
Answer: B. Apples with skin
Rationale: Whole fruits, especially with skin, are high in fiber. White
rice and animal products have little to no fiber.
, 8. A nurse is reinforcing education about nutrition for a client with
COPD. Which of the following is appropriate?
A. High carbohydrate intake
B. Low protein diet
C. High-calorie, high-protein meals
D. Frequent, high-fiber meals
Answer: C. High-calorie, high-protein meals
Rationale: COPD increases energy expenditure; clients benefit from
nutrient-dense, high-calorie and high-protein meals.
9. Which food should be avoided by a client on a tyramine-restricted
diet for MAOIs?
A. Cheddar cheese
B. Banana
C. Apple
D. White bread
Answer: A. Cheddar cheese
Rationale: Aged cheeses are high in tyramine and can trigger
hypertensive crisis when taken with MAOIs.
10. A nurse is teaching a client about the DASH diet. Which of the
following is emphasized?
A. Low sodium and high potassium
B. High fat and low carb
C. Increased protein
D. Gluten avoidance
Answer: A. Low sodium and high potassium
Rationale: The DASH diet lowers blood pressure by reducing sodium
and increasing potassium, calcium, and magnesium.
11. A nurse is reviewing nutritional recommendations for older adults.
Which of the following changes is related to aging?
