NURS 225 Final Exam V2 | NURS 225
Nutrition Proctored Exam | Actual Q&A
with Rationale (NURS225 Final Exam) |
West Coast University
1. A nurse is teaching a client about the energy content of macronutrients. Which of the
following nutrients should the nurse include as providing 9 kcal/g?
A. Lipids (Fats)
B. Protein
C. Carbohydrates
D. Alcohol
Answer: A
Rationale: Fats are the most energy-dense macronutrient, providing 9 calories per gram
compared to 4 calories for carbs and protein. This high caloric density is why fat intake
must be monitored in weight management. Patients should understand that even small
portions of fat can significantly increase total daily calorie intake.
2. A nurse is caring for a client with a large pressure ulcer. Which of the following nutrients
should the nurse prioritize to promote tissue repair?
A. Fat-soluble vitamins
B. Protein
,C. Simple carbohydrates
D. Fluid intake
Answer: B
Rationale: Protein is essential for the synthesis of new tissue and the repair of damaged
cells in wound healing. Increased protein requirements are common for patients with stage
III or IV pressure ulcers to maintain a positive nitrogen balance. The nurse should
encourage foods like lean meats, beans, and dairy to support recovery.
3. A nurse is reviewing a client’s lab results and notes a low serum albumin level. Which of
the following conditions does this finding primarily indicate?
A. Acute dehydration
B. Long-term protein malnutrition
C. Iron deficiency anemia
D. Acute inflammatory response
Answer: B
Rationale: Serum albumin has a half-life of about 20 days, making it a marker for long-
term nutritional status rather than acute changes. Low levels are often associated with
chronic protein-energy malnutrition or liver disease. In contrast, prealbumin is used to
monitor more immediate changes in a patient’s nutritional state.
, 4. Which of the following instructions should the nurse give to a client who is taking a
prescription for Warfarin (Coumadin)?
A. Avoid all foods containing Vitamin K.
B. Take a Vitamin K supplement daily.
C. Increase intake of leafy green vegetables.
D. Maintain a consistent intake of Vitamin K.
Answer: D
Rationale: Vitamin K acts as an antagonist to Warfarin, which is an anticoagulant. Sudden
increases or decreases in Vitamin K intake can cause the medication to be less effective or
lead to bleeding complications. Consistency in the diet allows for stable dosing of the
medication by the healthcare provider.
5. A nurse is teaching a group of clients about soluble fiber. Which of the following benefits is
associated with soluble fiber intake?
A. Lowered blood cholesterol levels
B. Increased bulk in the stool
C. Rapid gastric emptying
D. Prevention of diverticulosis
Answer: A
Nutrition Proctored Exam | Actual Q&A
with Rationale (NURS225 Final Exam) |
West Coast University
1. A nurse is teaching a client about the energy content of macronutrients. Which of the
following nutrients should the nurse include as providing 9 kcal/g?
A. Lipids (Fats)
B. Protein
C. Carbohydrates
D. Alcohol
Answer: A
Rationale: Fats are the most energy-dense macronutrient, providing 9 calories per gram
compared to 4 calories for carbs and protein. This high caloric density is why fat intake
must be monitored in weight management. Patients should understand that even small
portions of fat can significantly increase total daily calorie intake.
2. A nurse is caring for a client with a large pressure ulcer. Which of the following nutrients
should the nurse prioritize to promote tissue repair?
A. Fat-soluble vitamins
B. Protein
,C. Simple carbohydrates
D. Fluid intake
Answer: B
Rationale: Protein is essential for the synthesis of new tissue and the repair of damaged
cells in wound healing. Increased protein requirements are common for patients with stage
III or IV pressure ulcers to maintain a positive nitrogen balance. The nurse should
encourage foods like lean meats, beans, and dairy to support recovery.
3. A nurse is reviewing a client’s lab results and notes a low serum albumin level. Which of
the following conditions does this finding primarily indicate?
A. Acute dehydration
B. Long-term protein malnutrition
C. Iron deficiency anemia
D. Acute inflammatory response
Answer: B
Rationale: Serum albumin has a half-life of about 20 days, making it a marker for long-
term nutritional status rather than acute changes. Low levels are often associated with
chronic protein-energy malnutrition or liver disease. In contrast, prealbumin is used to
monitor more immediate changes in a patient’s nutritional state.
, 4. Which of the following instructions should the nurse give to a client who is taking a
prescription for Warfarin (Coumadin)?
A. Avoid all foods containing Vitamin K.
B. Take a Vitamin K supplement daily.
C. Increase intake of leafy green vegetables.
D. Maintain a consistent intake of Vitamin K.
Answer: D
Rationale: Vitamin K acts as an antagonist to Warfarin, which is an anticoagulant. Sudden
increases or decreases in Vitamin K intake can cause the medication to be less effective or
lead to bleeding complications. Consistency in the diet allows for stable dosing of the
medication by the healthcare provider.
5. A nurse is teaching a group of clients about soluble fiber. Which of the following benefits is
associated with soluble fiber intake?
A. Lowered blood cholesterol levels
B. Increased bulk in the stool
C. Rapid gastric emptying
D. Prevention of diverticulosis
Answer: A
