1. A client with dumping syndrome should be instructed to do which of
the following?
A. Eat three large meals per day
B. Drink fluids with meals
C. Increase simple sugars
D. Lie down after eating
Answer: D. Lie down after eating
Rationale: Lying down slows gastric emptying. Clients should also eat
small, frequent meals and avoid high-sugar foods and fluids with meals.
2. A nurse is reinforcing dietary teaching to a client who follows a
kosher diet. Which of the following food combinations is appropriate?
A. Cheeseburger with fries
B. Chicken with cream sauce
C. Fish with steamed vegetables
D. Ham and eggs
Answer: C. Fish with steamed vegetables
Rationale: Kosher diets prohibit mixing meat and dairy and exclude
pork. Fish with vegetables is typically acceptable.
3. 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.
4. Which food item is appropriate for a client on a clear liquid diet?
A. Milkshake
,B. Gelatin
C. Yogurt
D. Ice cream
Answer: B. Gelatin
Rationale: Clear liquid diets include transparent liquids like broth,
gelatin, and clear juices.
5. What is a sign of vitamin A toxicity?
A. Night blindness
B. Dry skin
C. Nausea and liver damage
D. Rickets
Answer: C. Nausea and liver damage
Rationale: Excess vitamin A is toxic and can cause nausea, headaches,
and liver dysfunction.
6. 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.
7. A nurse is reviewing nutritional recommendations for older adults.
Which of the following changes is related to aging?
A. Increased calorie needs
B. Increased sense of thirst
C. Decreased absorption of vitamin B12
D. Increased taste sensitivity
Answer: C. Decreased absorption of vitamin B12
, Rationale: Older adults often have reduced intrinsic factor, leading to
lower B12 absorption.
8. Which of the following is the best source of folic acid for a client
planning to become pregnant?
A. Liver
B. Citrus fruits
C. Leafy green vegetables
D. Fortified cereals
Answer: D. Fortified cereals
Rationale: Fortified cereals are rich in folic acid and are recommended
for women of childbearing age to prevent neural tube defects.
9. Which intervention helps reduce the risk of aspiration during enteral
feedings?
A. Infuse feedings rapidly
B. Lower the head of bed
C. Keep client supine during feeding
D. Elevate the head of bed at least 30 degrees
Answer: D. Elevate the head of bed at least 30 degrees
Rationale: Keeping the head elevated during and after feeding reduces
aspiration risk.
10. Which is the best snack option for a toddler?
A. Raw carrots
B. Popcorn
C. Cheese cubes
D. Whole grapes
Answer: C. Cheese cubes
Rationale: Cheese is safe and nutritious. Carrots, popcorn, and whole
grapes are choking hazards for toddlers.
11. A nurse is teaching a client about nutrition during pregnancy.
the following?
A. Eat three large meals per day
B. Drink fluids with meals
C. Increase simple sugars
D. Lie down after eating
Answer: D. Lie down after eating
Rationale: Lying down slows gastric emptying. Clients should also eat
small, frequent meals and avoid high-sugar foods and fluids with meals.
2. A nurse is reinforcing dietary teaching to a client who follows a
kosher diet. Which of the following food combinations is appropriate?
A. Cheeseburger with fries
B. Chicken with cream sauce
C. Fish with steamed vegetables
D. Ham and eggs
Answer: C. Fish with steamed vegetables
Rationale: Kosher diets prohibit mixing meat and dairy and exclude
pork. Fish with vegetables is typically acceptable.
3. 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.
4. Which food item is appropriate for a client on a clear liquid diet?
A. Milkshake
,B. Gelatin
C. Yogurt
D. Ice cream
Answer: B. Gelatin
Rationale: Clear liquid diets include transparent liquids like broth,
gelatin, and clear juices.
5. What is a sign of vitamin A toxicity?
A. Night blindness
B. Dry skin
C. Nausea and liver damage
D. Rickets
Answer: C. Nausea and liver damage
Rationale: Excess vitamin A is toxic and can cause nausea, headaches,
and liver dysfunction.
6. 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.
7. A nurse is reviewing nutritional recommendations for older adults.
Which of the following changes is related to aging?
A. Increased calorie needs
B. Increased sense of thirst
C. Decreased absorption of vitamin B12
D. Increased taste sensitivity
Answer: C. Decreased absorption of vitamin B12
, Rationale: Older adults often have reduced intrinsic factor, leading to
lower B12 absorption.
8. Which of the following is the best source of folic acid for a client
planning to become pregnant?
A. Liver
B. Citrus fruits
C. Leafy green vegetables
D. Fortified cereals
Answer: D. Fortified cereals
Rationale: Fortified cereals are rich in folic acid and are recommended
for women of childbearing age to prevent neural tube defects.
9. Which intervention helps reduce the risk of aspiration during enteral
feedings?
A. Infuse feedings rapidly
B. Lower the head of bed
C. Keep client supine during feeding
D. Elevate the head of bed at least 30 degrees
Answer: D. Elevate the head of bed at least 30 degrees
Rationale: Keeping the head elevated during and after feeding reduces
aspiration risk.
10. Which is the best snack option for a toddler?
A. Raw carrots
B. Popcorn
C. Cheese cubes
D. Whole grapes
Answer: C. Cheese cubes
Rationale: Cheese is safe and nutritious. Carrots, popcorn, and whole
grapes are choking hazards for toddlers.
11. A nurse is teaching a client about nutrition during pregnancy.
