1. Which of the following clients has an increased protein requirement?
A. A 70-year-old with osteoporosis
B. A client with stage 4 chronic kidney disease
C. A pregnant woman in her second trimester
D. A client with hyperlipidemia
Answer: C. A pregnant woman in her second trimester
Rationale: Pregnancy increases protein needs to support fetal growth.
CKD patients may need protein restriction, and protein is not the
priority for osteoporosis or hyperlipidemia management.
2. Which of the following conditions requires a low-purine diet?
A. Hypertension
B. Chronic kidney disease
C. Gout
D. Diabetes mellitus
Answer: C. Gout
Rationale: Gout is managed by limiting purine intake, which can reduce
uric acid levels and flare-ups.
3. A nurse is reviewing lab values for a client on a diuretic. Which
electrolyte is most at risk for imbalance?
A. Sodium
B. Potassium
C. Calcium
D. Chloride
Answer: B. Potassium
Rationale: Many diuretics (like furosemide) cause potassium loss,
leading to hypokalemia.
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. A nurse is planning care for a client who is newly diagnosed with
type 2 diabetes. Which of the following should be included in the
teaching plan?
A. “Avoid all carbohydrates.”
B. “Use regular soda to treat low blood sugar.”
C. “Eat meals and snacks at regular times.”
D. “Choose foods with high glycemic index.”
Answer: C. “Eat meals and snacks at regular times.”
Rationale: Consistent meal timing helps manage blood glucose levels
effectively. Carbs should be balanced, not eliminated.
6. Which is an appropriate snack for a client with diabetes mellitus?
A. Doughnut
B. Apple with peanut butter
C. Candy bar
D. White bread and jam
Answer: B. Apple with peanut butter
Rationale: This snack includes fiber and protein, helping stabilize blood
glucose levels.
7. Which client statement indicates understanding of the gluten-free
diet for celiac disease?
A. “I can eat whole-wheat bread.”
B. “I’ll avoid rye crackers.”
C. “I should avoid rice.”
D. “I can eat barley soup.”
, Answer: B. “I’ll avoid rye crackers.”
Rationale: Gluten is found in wheat, rye, and barley. Rice is gluten-free
and allowed.
8. A nurse is reinforcing teaching to a client with a new colostomy.
Which food should the nurse recommend to decrease odor?
A. Broccoli
B. Garlic
C. Buttermilk
D. Fish
Answer: C. Buttermilk
Rationale: Buttermilk, yogurt, and parsley can help reduce colostomy
odor. Cruciferous vegetables and fish increase it.
9. 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.
10. 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.
A. A 70-year-old with osteoporosis
B. A client with stage 4 chronic kidney disease
C. A pregnant woman in her second trimester
D. A client with hyperlipidemia
Answer: C. A pregnant woman in her second trimester
Rationale: Pregnancy increases protein needs to support fetal growth.
CKD patients may need protein restriction, and protein is not the
priority for osteoporosis or hyperlipidemia management.
2. Which of the following conditions requires a low-purine diet?
A. Hypertension
B. Chronic kidney disease
C. Gout
D. Diabetes mellitus
Answer: C. Gout
Rationale: Gout is managed by limiting purine intake, which can reduce
uric acid levels and flare-ups.
3. A nurse is reviewing lab values for a client on a diuretic. Which
electrolyte is most at risk for imbalance?
A. Sodium
B. Potassium
C. Calcium
D. Chloride
Answer: B. Potassium
Rationale: Many diuretics (like furosemide) cause potassium loss,
leading to hypokalemia.
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. A nurse is planning care for a client who is newly diagnosed with
type 2 diabetes. Which of the following should be included in the
teaching plan?
A. “Avoid all carbohydrates.”
B. “Use regular soda to treat low blood sugar.”
C. “Eat meals and snacks at regular times.”
D. “Choose foods with high glycemic index.”
Answer: C. “Eat meals and snacks at regular times.”
Rationale: Consistent meal timing helps manage blood glucose levels
effectively. Carbs should be balanced, not eliminated.
6. Which is an appropriate snack for a client with diabetes mellitus?
A. Doughnut
B. Apple with peanut butter
C. Candy bar
D. White bread and jam
Answer: B. Apple with peanut butter
Rationale: This snack includes fiber and protein, helping stabilize blood
glucose levels.
7. Which client statement indicates understanding of the gluten-free
diet for celiac disease?
A. “I can eat whole-wheat bread.”
B. “I’ll avoid rye crackers.”
C. “I should avoid rice.”
D. “I can eat barley soup.”
, Answer: B. “I’ll avoid rye crackers.”
Rationale: Gluten is found in wheat, rye, and barley. Rice is gluten-free
and allowed.
8. A nurse is reinforcing teaching to a client with a new colostomy.
Which food should the nurse recommend to decrease odor?
A. Broccoli
B. Garlic
C. Buttermilk
D. Fish
Answer: C. Buttermilk
Rationale: Buttermilk, yogurt, and parsley can help reduce colostomy
odor. Cruciferous vegetables and fish increase it.
9. 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.
10. 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.
