Eating Disorders NCLEX Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
Which behavior is most indicative of avoidant/restrictive food intake disorder (ARFID) in an
adolescent?
A) Frequent self-induced vomiting after meals
B) Extreme fear of gaining weight despite being underweight
C) Avoidance of certain foods due to sensory characteristics (texture, smell) without body image
concerns
✔✔D) Inability to meet nutritional needs due to lack of interest in eating or avoidance based on
food traits
A nurse is assessing a client with suspected bulimia nervosa. Which finding is most likely?
A) BMI below 17 kg/m²
B) ✔✔Dental enamel erosion and calloused knuckles
C) Absence of menstrual periods for 6 months
D) Preoccupation with cooking for others but refusing to eat
1
,A client with anorexia nervosa states, "I’m so fat, even though everyone says I’m thin." How
should the nurse interpret this statement?
A) The client is seeking attention
B) ✔✔The client has a distorted body image
C) The client is experiencing auditory hallucinations
D) The client is exaggerating for sympathy
Which intervention is most appropriate for a hospitalized client with severe anorexia nervosa
who refuses to eat?
A) Allow the client to skip meals until they feel ready
B) ✔✔Implement a structured meal plan with supervision and support
C) Offer high-calorie snacks as the sole nutrition source
D) Punish the client for not meeting meal goals
A nurse is teaching a family about binge-eating disorder. Which statement by a family member
indicates understanding?
A) "They just need more self-control to stop overeating."
B) "This disorder is the same as occasional overeating at holidays."
2
, C) ✔✔"Binge-eating involves eating large amounts quickly, with feelings of shame, even when
not hungry."
D) "People with this disorder always purge afterward."
Which lab result is the nurse most likely to find in a client with prolonged purging behavior?
A) Hyperkalemia
B) ✔✔Hypokalemia
C) Hypercalcemia
D) Hypoglycemia
A client recovering from an eating disorder says, "I feel guilty after eating a cookie." What is the
nurse’s best response?
A) "You shouldn’t feel guilty—it’s just a cookie."
B) ✔✔"It’s normal to have these feelings. Let’s talk about how to cope with them."
C) "Maybe you should avoid cookies altogether."
D) "Guilt means you’re not ready for recovery."
Which assessment finding is a priority in a client with bulimia nervosa?
3
Answers | Latest Version | 2025/2026 |
Correct & Verified
Which behavior is most indicative of avoidant/restrictive food intake disorder (ARFID) in an
adolescent?
A) Frequent self-induced vomiting after meals
B) Extreme fear of gaining weight despite being underweight
C) Avoidance of certain foods due to sensory characteristics (texture, smell) without body image
concerns
✔✔D) Inability to meet nutritional needs due to lack of interest in eating or avoidance based on
food traits
A nurse is assessing a client with suspected bulimia nervosa. Which finding is most likely?
A) BMI below 17 kg/m²
B) ✔✔Dental enamel erosion and calloused knuckles
C) Absence of menstrual periods for 6 months
D) Preoccupation with cooking for others but refusing to eat
1
,A client with anorexia nervosa states, "I’m so fat, even though everyone says I’m thin." How
should the nurse interpret this statement?
A) The client is seeking attention
B) ✔✔The client has a distorted body image
C) The client is experiencing auditory hallucinations
D) The client is exaggerating for sympathy
Which intervention is most appropriate for a hospitalized client with severe anorexia nervosa
who refuses to eat?
A) Allow the client to skip meals until they feel ready
B) ✔✔Implement a structured meal plan with supervision and support
C) Offer high-calorie snacks as the sole nutrition source
D) Punish the client for not meeting meal goals
A nurse is teaching a family about binge-eating disorder. Which statement by a family member
indicates understanding?
A) "They just need more self-control to stop overeating."
B) "This disorder is the same as occasional overeating at holidays."
2
, C) ✔✔"Binge-eating involves eating large amounts quickly, with feelings of shame, even when
not hungry."
D) "People with this disorder always purge afterward."
Which lab result is the nurse most likely to find in a client with prolonged purging behavior?
A) Hyperkalemia
B) ✔✔Hypokalemia
C) Hypercalcemia
D) Hypoglycemia
A client recovering from an eating disorder says, "I feel guilty after eating a cookie." What is the
nurse’s best response?
A) "You shouldn’t feel guilty—it’s just a cookie."
B) ✔✔"It’s normal to have these feelings. Let’s talk about how to cope with them."
C) "Maybe you should avoid cookies altogether."
D) "Guilt means you’re not ready for recovery."
Which assessment finding is a priority in a client with bulimia nervosa?
3
