WONG EXAM PAPER 2026 TESTED
QUESTIONS AND PRACTICE SOLUTION
◉ A 1-year-old child is on a pure vegetarian (vegan) diet. This diet
requires supplementation with what?
a. Niacin
b. Folic acid
c. Vitamins D and B12
d. Vitamins C and E. Answer: ANS: C
Pure vegetarian (vegan) diets eliminate any food of animal origin,
including milk and eggs. These diets require supplementation with
many vitamins, especially vitamin B6, vitamin B12, riboflavin,
vitamin D, iron, and zinc. Niacin, folic acid, and vitamins C and E are
readily obtainable from foods of vegetable origin.
◉ Which describes marasmus?
,a. Deficiency of protein with an adequate supply of calories
b. Not confined to geographic areas where food supplies are
inadequate
c. Syndrome that results solely from vitamin deficiencies
d. Characterized by thin, wasted extremities and a prominent
abdomen resulting from edema (ascites). Answer: ANS: B
Marasmus is a syndrome of emotional and physical deprivation. It is
not confined to geographic areas were food supplies are inadequate.
Marasmus is a deficiency of both protein and calories. It is
characterized by gradual wasting and atrophy of body tissues,
especially of subcutaneous fat. The child appears very old, with
flabby and wrinkled skin.
◉ Although infants may be allergic to a variety of foods, the most
common allergens are:
a. fruit and eggs.
b. fruit, vegetables, and wheat.
c. cow's milk and green vegetables.
d. eggs, cow's milk, and wheat.. Answer: ANS: D
Milk products, eggs, and wheat are three of the most common food
allergens. Ingestion of these products can cause sensitization and,
,with subsequent exposure, an allergic reaction. Eggs are a common
allergen, but fruit is not. Wheat is a common allergen, but fruit and
vegetables are not. Cow's milk is a common allergen, but green
vegetables are not.
◉ At a well-child check-up, the nurse notes that an infant with a
previous diagnosis of failure to thrive (FTT) is now steadily gaining
weight. The nurse should recommend that fruit juice intake be
limited to no more than how much?
a. 4 oz/day
b. 6 oz/day
c. 8 oz/day
d. 12 oz/day. Answer: ANS: A
Restrict juice intake in children with FTT until adequate weight gain
has been achieved with appropriate milk sources; thereafter, give no
more than 4 oz/day of juice.
◉ Cow's milk allergy (CMA) is diagnosed in a 6-month-old infant.
Which should the nurse recommend as a substitute formula?
, a. Nutramigen
b. Goat's milk
c. Similac
d. Enfamil. Answer: ANS: A
Treatment of CMA is elimination of cow's milk-based formula and all
other dairy products. For infants fed cow's milk formula, this
primarily involves changing the formula to a casein hydrolysate milk
formula (Pregestimil, Nutramigen, or Alimentum). Goat's milk (raw)
is not an acceptable substitute because it cross-reacts with cow's
milk protein, is deficient in folic acid, has a high sodium and protein
content, and is unsuitable as the only source of calories
◉ An infant has been diagnosed with an allergy to milk. In teaching
the parent how to meet the infants nutritional needs, the nurse
states that
a. Most children will grow out of the allergy.
b. All dairy products must be eliminated from the childs diet.
c. It is important to have the entire family follow the special diet.
QUESTIONS AND PRACTICE SOLUTION
◉ A 1-year-old child is on a pure vegetarian (vegan) diet. This diet
requires supplementation with what?
a. Niacin
b. Folic acid
c. Vitamins D and B12
d. Vitamins C and E. Answer: ANS: C
Pure vegetarian (vegan) diets eliminate any food of animal origin,
including milk and eggs. These diets require supplementation with
many vitamins, especially vitamin B6, vitamin B12, riboflavin,
vitamin D, iron, and zinc. Niacin, folic acid, and vitamins C and E are
readily obtainable from foods of vegetable origin.
◉ Which describes marasmus?
,a. Deficiency of protein with an adequate supply of calories
b. Not confined to geographic areas where food supplies are
inadequate
c. Syndrome that results solely from vitamin deficiencies
d. Characterized by thin, wasted extremities and a prominent
abdomen resulting from edema (ascites). Answer: ANS: B
Marasmus is a syndrome of emotional and physical deprivation. It is
not confined to geographic areas were food supplies are inadequate.
Marasmus is a deficiency of both protein and calories. It is
characterized by gradual wasting and atrophy of body tissues,
especially of subcutaneous fat. The child appears very old, with
flabby and wrinkled skin.
◉ Although infants may be allergic to a variety of foods, the most
common allergens are:
a. fruit and eggs.
b. fruit, vegetables, and wheat.
c. cow's milk and green vegetables.
d. eggs, cow's milk, and wheat.. Answer: ANS: D
Milk products, eggs, and wheat are three of the most common food
allergens. Ingestion of these products can cause sensitization and,
,with subsequent exposure, an allergic reaction. Eggs are a common
allergen, but fruit is not. Wheat is a common allergen, but fruit and
vegetables are not. Cow's milk is a common allergen, but green
vegetables are not.
◉ At a well-child check-up, the nurse notes that an infant with a
previous diagnosis of failure to thrive (FTT) is now steadily gaining
weight. The nurse should recommend that fruit juice intake be
limited to no more than how much?
a. 4 oz/day
b. 6 oz/day
c. 8 oz/day
d. 12 oz/day. Answer: ANS: A
Restrict juice intake in children with FTT until adequate weight gain
has been achieved with appropriate milk sources; thereafter, give no
more than 4 oz/day of juice.
◉ Cow's milk allergy (CMA) is diagnosed in a 6-month-old infant.
Which should the nurse recommend as a substitute formula?
, a. Nutramigen
b. Goat's milk
c. Similac
d. Enfamil. Answer: ANS: A
Treatment of CMA is elimination of cow's milk-based formula and all
other dairy products. For infants fed cow's milk formula, this
primarily involves changing the formula to a casein hydrolysate milk
formula (Pregestimil, Nutramigen, or Alimentum). Goat's milk (raw)
is not an acceptable substitute because it cross-reacts with cow's
milk protein, is deficient in folic acid, has a high sodium and protein
content, and is unsuitable as the only source of calories
◉ An infant has been diagnosed with an allergy to milk. In teaching
the parent how to meet the infants nutritional needs, the nurse
states that
a. Most children will grow out of the allergy.
b. All dairy products must be eliminated from the childs diet.
c. It is important to have the entire family follow the special diet.
