1. A nurse is educating a client about potassium-rich foods. Which
statement indicates understanding?
A. “I will eat more canned soups.”
B. “I’ll snack on dried apricots.”
C. “I should eat white bread.”
D. “I’ll drink cranberry juice.”
Answer: B. “I’ll snack on dried apricots.”
Rationale: Dried apricots, bananas, and potatoes are excellent sources
of potassium.
2. 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.
3. 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.
4. 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.
5. A nurse is providing dietary instructions to a client with chronic
kidney disease. Which should be limited?
A. Potassium
B. Iron
C. Fiber
D. Vitamin D
Answer: A. Potassium
Rationale: Potassium can accumulate in CKD and cause dangerous
arrhythmias; intake must often be restricted.
6. What is the priority intervention when caring for a client who is
NPO and receiving enteral nutrition via a gastrostomy tube?
A. Measure weight weekly
B. Check gastric residual before feeding
C. Monitor intake and output
D. Flush the tube once daily
Answer: B. Check gastric residual before feeding
Rationale: Checking residual helps assess tolerance and prevent
aspiration or overfeeding.
7. A client on a low-residue diet should avoid which of the following
foods?
A. White rice
B. Canned peaches
C. Whole-grain bread
, D. Tender beef
Answer: C. Whole-grain bread
Rationale: A low-residue diet limits fiber to reduce stool bulk. Whole
grains are high in fiber and should be avoided.
8. 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.
9. 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.
10. Which food should a nurse recommend to a client who is trying to
increase their intake of monounsaturated fats?
A. Butter
B. Coconut oil
C. Avocado
D. Lard
Answer: C. Avocado
Rationale: Monounsaturated fats are heart-healthy and found in foods
statement indicates understanding?
A. “I will eat more canned soups.”
B. “I’ll snack on dried apricots.”
C. “I should eat white bread.”
D. “I’ll drink cranberry juice.”
Answer: B. “I’ll snack on dried apricots.”
Rationale: Dried apricots, bananas, and potatoes are excellent sources
of potassium.
2. 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.
3. 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.
4. 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.
5. A nurse is providing dietary instructions to a client with chronic
kidney disease. Which should be limited?
A. Potassium
B. Iron
C. Fiber
D. Vitamin D
Answer: A. Potassium
Rationale: Potassium can accumulate in CKD and cause dangerous
arrhythmias; intake must often be restricted.
6. What is the priority intervention when caring for a client who is
NPO and receiving enteral nutrition via a gastrostomy tube?
A. Measure weight weekly
B. Check gastric residual before feeding
C. Monitor intake and output
D. Flush the tube once daily
Answer: B. Check gastric residual before feeding
Rationale: Checking residual helps assess tolerance and prevent
aspiration or overfeeding.
7. A client on a low-residue diet should avoid which of the following
foods?
A. White rice
B. Canned peaches
C. Whole-grain bread
, D. Tender beef
Answer: C. Whole-grain bread
Rationale: A low-residue diet limits fiber to reduce stool bulk. Whole
grains are high in fiber and should be avoided.
8. 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.
9. 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.
10. Which food should a nurse recommend to a client who is trying to
increase their intake of monounsaturated fats?
A. Butter
B. Coconut oil
C. Avocado
D. Lard
Answer: C. Avocado
Rationale: Monounsaturated fats are heart-healthy and found in foods
