ANSWERS AND RATIONALE (70 QUESTIONS)
Question 1
A nurse is teaching a client with type 2 diabetes mellitus about dietary management. Which of the
following should the nurse include? (Select all that apply)
A. Carbohydrates should be 55% of daily caloric intake
B. Use hydrogenated oils for cooking
C. Table sugar can be added to cereals
D. Drink alcohol with or immediately after meals
E. Protein foods can substitute for carbohydrates
Answer: C, D
Rationale: For type 2 diabetes, table sugar (sucrose) can be included in moderation if covered by
insulin or other agents. Alcohol should be consumed with meals to prevent hypoglycemia.
Carbohydrates should comprise 45–60% of caloric intake, not a fixed 55%. Hydrogenated oils
contain trans fats, which worsen hyperlipidemia, and proteins cannot directly substitute for
carbohydrates in a diabetic diet.
Question 2
A nurse is reviewing dietary guidelines for a client with type 2 diabetes. Which guidelines should be
included? (Select all that apply)
,A. Weight management
B. Lipid profile monitoring
C. Cultural needs consideration
D. Sleep patterns
E. Personal preferences
Answer: A, B, C, E
Rationale: Managing type 2 diabetes involves weight control, monitoring lipid profiles to reduce
cardiovascular risk, and considering cultural and personal preferences to ensure dietary adherence.
Sleep patterns, while important for overall health, are not a primary dietary guideline for diabetes.
Question 3
A nurse is teaching a client about maintaining healthy bones. Which client statement indicates a
need for further teaching?
A. “I will eat foods high in calcium.”
B. “I will increase my fluid intake.”
C. “I should participate in weight-bearing exercises.”
,D. “I should get my vitamin D from sunlight.”
Answer: B
Rationale: Increasing fluid intake does not directly promote bone health. Calcium-rich foods,
weight-bearing exercises, and vitamin D from sunlight or supplements are essential for maintaining
bone density and preventing osteoporosis.
Question 4
A nurse is conducting a class for newly licensed nurses on nutrition. Which statement should the
nurse include?
A. Limit saturated fat to 10% of total caloric intake.
B. Good bowel function requires 35 g/day of fiber for women.
C. Limit cholesterol consumption to 400 mg/day.
D. Normal cardiac function depends on B-complex vitamins.
Answer: A
Rationale: Saturated fat should be limited to 10% of total caloric intake to reduce cardiovascular
risk. Women need 25 g/day of fiber (not 35 g), cholesterol should be limited to 300 mg/day, and
while B vitamins support general health, they are not specifically tied to cardiac function in this
context.
Question 5
, Which nutrients are essential for normal nervous system function? (Select all that apply)
A. Calcium
B. Thiamin
C. Vitamin B6
D. Sodium
E. Phosphorus
Answer: A, B, C, D
Rationale: Calcium and sodium regulate nerve responses, while thiamin (B1) and vitamin B6 are
critical B-complex vitamins for nervous system function. Phosphorus, while important for bones, is
not directly linked to nervous system health.
Question 6
A school nurse is teaching students how to read food labels. Which components should be
emphasized? (Select all that apply)
A. Total carbohydrates
B. Total fat
C. Calories