A nurse would instruct a patient on a low fat diet to limit intake of: A concerned parent tells the nurse

ls the nurse that the infant has not quite doubled its
birth weight at 6 months. Which of the following statements could the nurse
1. Potatoes make?
2. Fried porkchop
3. fresh fruits 1. A baby usually doubles its birth weight by 1 year of age.
4. yogurt 2. Your baby will die if it hasn't doubled its birth weight by 6 months
of age.
The nurse is aware that the client has been prescribed a 2 gram sodium- 3. Growth rates vary from child to child.
restricted diet, and it is necessary to provide the client with an example of a 4. A baby triples its birth weight by 6 months of age.
dinner that would satisfy the diet requirements. Which of the following
examples of a dinner would be appropriate for the nurse to give to a client The mother of an infant child asks the nurse what the right feeding schedule
on a sodium-restricted diet? Please is for an infant. Of the following responses, which would be the best
response for the nurse to make?
select the best answer.
1. Feed the infant every 2 hours.
1. 1 cup rice, vegetable salad with almonds with thousand island 2. Feed the infant every 4 hours
dressing, canned chicken, dried prunes, and a cup of tea. 3. Feed the infant every 3 hours
2. 1 cup rice, Chinese ham, frozen vegetables, canned fruit cocktail 4. Feed the infant when the infant is hungry.
and a glass of water.
3. Glass of water, camote tops salad with vinegar, tomatoes and The nurse suggests to the parents of an overweight child that engaging in
onions, steamed fish with lemon juice, and rice. activities as a family will help prevent the overweight child from becoming
4. Grilled fish with pickle relish, rice, with canned tomato soup with a obese. The parents ask the nurse to suggest some appropriate activities.
glass of orange juice. Which of the following activities would the nurse say is appropriate?

The client tells the nurse that the physician advised the client to restrict the 1. Watching TV after dinner.
amount of sodium consumed to help control the client's hypertension. The 2. Having a family board game night each week.
client thinks it would be best to simply consume no sodium or no sodium 3. Riding bicycles together.
containing foods. What would be the most appropriate way for the nurse to 4. All of the above
respond to the client's statement? Please choose the best answer.

1. Notify the client that no sodium is needed for survival.

2. Notify the client that in order to reduce the amount of sodium in A reasonable weight for a healthy 6 month old infant who weighed 7 pounds
the diet, the amount of potassium in the diet must be increased. at birth might be
3. Notify the client that it is impossible to have a diet totally free of
sodium.
4. Notify the client what foods would be appropriate for a sodium- 1. 10 pounds
free diet. 2. 14 pounds
3. 21 pounds
4. 7 pounds
Which of the following menus would best meet the nutritional requirements
of a patient who has major burns and who needs a high-protein high calorie
diet?? The nurse is teaching a breastfeeding mother about the need for the mother
to consume additional calories during lactation. How many additional
calories above the mother's usual caloric needs will the nurse say the
1. Cottage cheese, fruit salad, a roll and tea. breastfeeding mother should consume during lactation?
2. Spaghetti with meatless sauce, vegetable salad, bread and coffee
3. Roast beef, mashed potatoes with gravy, green beans, fruit salad
and milk 1. 300
4. Pork chops, French fries, applesauce and iced tea 2. 500
3. 640
4. 750
A solution of three-in-one refers to the combination in one container of
which of the following?
Elderly clients may engage in walking to improve appetite.
1. Lipids, dextrose, and amino acids
2. Lipids, heparin, and electrolytes 1. True
3. Lipids, vitamins, and trace elements 2. False
4. Lipids, electrolytes, and amino acids
The client asks the nurse why the need for iron is increased during
The patient asks the nurse what the right feeding schedule is for an infant. pregnancy. Which of the following responses would the nurse give in
Of the following responses, which would be the best response for the nurse response to this question?
to make
1. The need for iron is increased during pregnancy because
1. Feed the infant every 2 hours. adequate iron will prevent morning sickness of pregnancy.
2. Feed the infant every 4 hours 2. The need for iron is increased during pregnancy because of the
3. Feed the infant every 3 hours increased blood volume.
4. Feed the infant when the infant is hungry. 3. The need for iron is increased during pregnancy because it is
needed for development of bone.
4. There is no increased need for iron during pregnancy.
To maintain health and wellness during the middle-aged years and beyond,
it is important to consume nutrient-dense foods
Anorexia nervosa is an eating disorder characterized by frequent episodes
of binge eating, followed by frantic efforts to avoid gaining weight.
1. True
2. False
1. True
 2. Fals 4. Fluctuate so much that generalizations can't be made

Which of the following foods slows down aging? Select all that apply A female client tells the nurse that* 1 point she is trying to get pregnant and
asks if there are any nutrients she should be particularly considering during
1. Nuts the time she is trying to conceive. The nurse tells her that women of
2. Salmon childbearing age should consume at least 400 micrograms of folic acid each
3. Sardines day. Why will the nurse say this is important?
4. Wheat germ
5. Whole bran 1. Adequate intake of folic acid will help the client to conceive
6. Chicken legs 2. Consuming 400 micrograms of folic acid each day will guarantee
7. White bean a healthy baby.
3. Consuming at least 400 micrograms of folic acid each day helps
The iron intake of pregnant woman is 27 mg/day prevent major birth defects.
4. Research shows that consuming 400 micrograms of folic acid
each day helps prevent morning sickness in the first days of
1. True pregnancy.
2. False
An elderly client who has been hospitalized for 2 weeks keeps refusing her
An elderly client tells the visiting nurse that protein foods are not part of the meal trays because she says the hospital food is awful. What type of
client's diet because meat prices are too high to be affordable. What non- malnutrition should the nurse be concerned about in a client who is not
meat foods could the nurse recommend the client consume to boost protein eating?
intake
1. Energy malnutrition
1. Beans with rice 2. Malnutrition is not a concern in hospitalized clients
2. Tomato and Camote tops salad 3. Protein energy malnutrition
3. Corn with adobong Kangkong 4. Protein malnutrition
4. None of the abov
How many additional calories above the mother's usual caloric needs will
The nurse is teaching a group of pregnant clients about breastfeeding. the nurse say the mother should consume during pregnancy
Which of the following is NOT a benefit of breastfeeding?
1. 300
1. Breast fed babies are better socialized than babies that are not 2. 500
breastfed. 3. 640
2. Breast fed babies have a lower incidence of ear infections than 4. 750
babies that are not breastfed.
3. No babies are allergic to their mother's milk.
4. Sucking at the breast promotes good jaw development in the A client who has been diagnosed * 1 point with pancreatitis is now ready for
baby oral feedings, but must follow a low-fiber diet. The client asks the nurse to
provide an example of a low-fiber dinner. Which of the following examples
would be the most appropriate for the nurse to give this client
An infant should begin eating solid foods:
1. A ground beef patty with skinless mashed potatoes, canned pears
1. At 6 months of age and a glass of diet soda.
2. At 12 months of age 2. Baked fish with cooked, mashed cauliflower, chicken broth with
3. At 2 months of age noodles,and a glass of wine.
4. At 6 weeks of age 3. Chicken broth, a ground beef patty, a boiled potato with no skin,
baked squash, and a glass of beer.
Which of the following client comments indicate to the nurse that the 4. Whole wheat pasta with alfredo sauce and Italian sausage, fresh
pregnant client needs further understanding on weight gain and caloric pears, and a glass of beer.
intake during pregnancy? 5. A hospitalized client has been diagnosed with a hiatal hernia. At
discharge, the nurse teaches the client about what foods may
1. Overweight women should not gain less than 15 pounds during exacerbate the condition. Which of the following foods would the
the pregnancy. nurse say are irritants to the esophagus? Select all that apply.
2. During the first trimester, average weight gain is a total of 2-4 1. Alcohol
pounds. 2. Butter
3. During the second trimester of pregnancy, average weight gain is 3. Regular cola
2 pounds per week. 4. Citrus fruits
4. On average, a pregnant adult requires an additional 300 calories 5. Chocolate
a day above her usual requirement during the second and third 6. Coffee
trimesters of pregnancy
A client has recently been diagnosed with Type I diabetes and asks the
When introducing solid foods to infants, the parents should be instructed to nurse for help formulating a nutrition plan. Which of the following
recommendations would the nurse make to help the client increase calorie
consumption to offset absorption problems?
1. Introduce new food between regular meals.
2. Mix new food in with infant formula
3. Mix new food in with infant cereal 1. Eat small meals with two or three snacks throughout the day to
4. Introduce one new food every four to seven days keep blood glucose levels steady.
2. Increase consumption of simple carbohydrates.
3. Skip meals to help lose weight
During adolescence, energy and nutrient needs:
4. None of the above

1. Reach a peak
2. Fall dramatically
3. Rise, but do not peak until adulthood
The nurse is instructing a patient and his watcher about a phenylalanine- A nurse instructs the parent of a two-year-old child who has phenylketonuria
free diet. Which of the following food choices should the nurse include in the (PKU) about acceptable foods to include in the child's diet. Which of the
teaching? Select all that apply. following foods, if selected by the parent, indicates a correct understanding
of the teaching?
1. Rice cereals
2. Soft-cooked vegetables 1. Chocolate milkshake
3. Scrambled eggs and meat 2. Scrambled eggs
4. Baked Turkey 3. Peanut butter sandwich
4. Animal-shaped crackers
The nurse is assisting the client with cystitis with diet selection of an acid
ash diet. The nurse discourages the client to select which of the following The nurse should teach a patient who has cirrhosis of the liver to avoid
foods? foods that are high in protein such as

1. Meat 1. Baked chicken

2. Roasted chicken 2. Apple pie
3. Eggs 3. Macaroni
4. Watermelon 4. Spinach

The nurse is educating the client about diet after the client was treated for When would the nurse anticipate the client with a gastric ulcer to have pain?
calcium oxalate renal stones. The nurse tells the client about foods that
should be avoided to reduce the risk of development of future renal stones. 1. Two to three hours after a meal
Which of the following foods could the nurse tell the client to avoid? Select 2. At night
all that apply. 3. Relieved by ingestion of food
4. One half to one hour after a meal
1. Cheese
2. Chocolate A hospitalized client has been diagnosed with a hiatal hernia. At discharge,
3. Milk the nurse teaching the client about what foods may exacerbate the
4. Spinach condition. Which of the following foods would the nurse say are irritants to
5. Strawberries the esophagus?
6. Tea
1. Alcohol
The result of a swallow study indicates that the client has dysphagia. Using 2. Butter
this diagnosis, what should the nurse remember to do while feeding this 3. Regular cola
client? 4. Chocolate

1. Allow the client to eat independently while watching for problems. Why would a nurse suggest a client with a hiatal hernia not eat or drink
2. Assure that the client is in an upright position while eating. anything prior to going to bed?
3. Massage the throat after each bite to facilitate swallowing.
4. Make sure the client is fed through an IV, as swallowing is
impossible in dysphagic clients. 1. The client is less likely to awaken during the night with heartburn
if the stomach is empty.
2. Early morning vomiting will be less of a problem if the stomach is
Which statement made by the family indicates a correct understanding of empty.
the appropriate diet for a child with celiac disease? 3. Drinking or eating prior to lying down causes decreased
respiration due to increase pressure on the lung.
1. My child's diet should include raw vegetables, fruits and crackers. 4. The client may develop fluid overload if fluids are taken just prior
2. My child's diet should include high carbohydrates, high calories, to going to bed.
and high proteins.
3. The only restriction in my child's diet should be bread and cereals. After a month of taking iron supplements, a client complains of constipation.
4. My child's diet should include high calories, high protein andThe nurse adapts a diet plan to include:
restrict foods containing rye, oats, wheat and barley.
1. Oatmeal, green beans, celery.
A client suffered a myocardial infarction 24 hours ago, but is now able to 2. Strawberries, rice, mushrooms.
consume a low- cholesterol-low-sodium diet. Which of the following dietary 3. Grits, orange juice, cheddar cheese.
modifications could the nurse suggest that would increase the client's 4. Pasta, buttermilk, banana
comfort after a
A patient is diagnosed to have nephrolithiasis and is advised to avoid
Myocardial infarction? Select all that apply. oxalate foods. This means he has to avoid eating all of the following, except

1. Avoid foods that are hard to digest. 1. Tea

2. Avoid foods that are too hot 2. Chocolate
3. Consume high-fiber foods 3. Almonds
4. Consume foods that are difficult to chew 4. Pork
5. Option 5
Which foods would the nurse include in the diet for a client who has high
The nurse should instruct a patient who has a diagnosis of folic acid cholesterol and triglyceride levels?
deficiency anemia to increase intake of which of the following foods?
1. Avocados, processed meats
1. Dairy products 2. Red meat, eggs
2. Green, leafy vegetables 3. Whole grain cereals, pasta.
3. Citrus juices 4. Olives, shell fist, whole milk
4. Fish and poultry
One hour after receiving 7 units of regular insulin, the client presents with Is a term for foods that are questionable for consumption in Islam.
diaphoresis, pallor, and tachycardia. The priority nursing action would be:
1. Halal
1. Notify the physician 2. Haram
2. Call the lab for a blood glucose level. 3. Mashbooh
3. Offer the client milk and crackers.
4. Administer glucagons. Is a term for all permitted foods in Islam.

Which of the following food choices is contraindicated to patients with 1. Halal

Myocardial Infarction? 2. Haram
3. Mashbooh
1. Rice with steamed salmon toppings
2. Canned tuna and cheese omelet with steamed mixed vegetables Is a term for all prohibited foods in Islam
3. Tossed green salad and baked potatoes
4. Baked beans in tomato sauce
1. Halal
2. Haram
A 3 year old is admitted with nausea and vomiting. The nurse would offer 3. Mashbooh
which foods for initial PO intake?
What diet is followed by many Hindus?
1. Ice cream
2. Apple juice
3. Orange juice 1. Carnivorous diet
4. Pudding 2. Vegan diet
3. Lacto Vegetarian diet
Which dietary requirements must be considered for an 8 year old client with
cystic fibrosis What animal is considered sacred to the Hindus?

1. High protein, high fat, and high calories 1. Pig

2. High protein, low fat, and high calories 2. Camel
3. Low protein, low fat, and low carbohydrates 3. Cow
4. High protein, high fat, and low carbohydrates
When do Buddhist monks routinely avoid eating any solid Foods?
The client has been told to consume more omega-3 fatty acids. What food
could the nurse say is a good source of omega-3 fatty acids? 1. After sunset
2. After the noon hour
1. Avocado 3. Before sunrise
2. Fatty fish
3. Oatmeal What do Catholics not eat on on Ash Wednesday, Good Friday and all
4. Whole wheat bread Fridays in Lent?

A client with chronic renal failure who is not receiving dialysis is suffering 1. Fish
from uremia. What nutrient will the nurse tell this client to limit in an attempt 2. Meat
to control the uremia 3. Shellfish

1. Carbohydrates What religion has fewer or no food restrictions, but considers gluttony and
2. Magnesium drunkenness as sins that are to be controlled
3. Potassium
4. Protein 1. Buddhism
2. Sikhism
Lifestyle modification to help manage hypertension does not include which 3. Protestantism
of the following
What fish is prohibited in Rastafarianism?
1. Alcohol intake with each meal
2. Weight loss 1. Fish over 12 inches
3. Low salt low fat diet 2. Fish under 12 inches
4. Enough rest and regular exercise 3. Anchovies

term which refers to the methods* 1 point of processing foods according to What diet does the Seventh Day Adventist Church advocate?

the Jewish laws. 1. Lacto-ovo vegetarian diet

2. Full diet
1. Torah 3. Fasting
2. Kosher
3. Kashrut What fish is not allowed in the diet of Seventh Day Adventists? Select all
that apply.
In Judaism, what foods should not be eaten together, nor come in contact
with each other? 1. Fish without scales
2. Shellfish
1. Beef and fish 3. Fish with fins
2. Meat and dairy products 4. Fish with gills
3. Chicken and vegetables 5. Fish that swim
Is used extensively by Rastafarians for religious and medicinal purposes. 4. Clamp off the tube until the feedings begin.

1. Antibiotics After explaining to the client * that a fat-controlled diet is necessary to help
2. Marijuana alleviate the client's high cholesterol levels, the client asks the nurse to
3. Elixi provide an example of a breakfast that would satisfy all with the fat
restriction. Which of the following would be an appropriate example of a
What do Mormons consider as addictive and leads to poor physical and breakfast for the nurse to give the client?
emotional health?
1. Cereal, two slices of bread with one tablespoon of butter on each,
1. Gluten two slices of bacon, and orange juice.
2. Caffeine 2. Egg and cheese sandwich with a glass of full cream milk and 2
3. Protein fried bananas.
3. Boiled egg-white with tomatoes, a cup of brown rice, two slices of
papaya, and a cup of coffee with skimmed milk.
A General diet is also known as: 4. A cup of brown rice, 1 sunny side-up egg, 2 small slices of ham, 2
slices of pineapple, and a glass of fresh calamansi juice
1. Special diet
2. Irregular diet A soft diet includes all of the following, except:
3. Normal diet
4. Illness die
1. Ground meat and poultry.
2. Fresh and raw vegetable salad.
During the first 24 hours after total parenteral nutrition (TPN) therapy is 3. Soft raw fruits.
started, the nurse should: 4. Soft bread or biscuits.

1. Monitor vital signs every two hours. For a client receiving total parenteral nutrition. (TPN), the nurse reviews the
2. Determine urinalysis results. following lab values
3. Evaluate blood glucose levels.
4. Compare weight with previous weight record.
Glucose = 72 mg/dL
A male client undergoes total gastrectomy. Several hours after surgery, the
nurse notes that the client's nasogastric (NG) tube has stopped draining. Chloride =98 mEq/L
How should the nurse respond
Sodium=138 mEq/L
1. Notify the physician
2. Reposition the tube Potassium = 3.0 mEq/L.
3. Irrigate the tube
4. Increase the suction leve The nurse's initial action would be to:

What is the most common carbohydrate used for TPN? 1. Discontinue TPN administration
2. Notify the physician and obtain an order for potassium
1. Dextrose supplement.
2. Fructose 3. Administer IV glucose immediately
3. Invert sugar 4. Check client vital signs immediately.
4. Lactose
The nurse is teaching a client who follows a vegetarian diet how to combine
The school nurse is making a presentation to parents of teenage students. plant based foods to provide all of the essential amino acids. Which of the
One parent is concerned that their child is not getting adequate high quality following food combinations could the nurse say would NOT be
dietary protein because the child has stopped eating meat. The nurse tells complementary proteins?
the parent that certain diets that do not contain meat can still provide
adequate protein. Which of the following statements could the nurse make 1. Cereal and milk
about vegetarian diets and protein 2. Corn and brown rice
3. White bread and peanut butter
1. All vegetarian diets deliver adequate high quality dietary protein 4. White rice and pinto beans
2. Fruitarian diets deliver adequate high quality dietary protein
3. Lacto-ovo vegetarian diets deliver adequate high quality dietaryContinuous type of feedings is * 1 point administered over a ___ hour
protein period.
4. Vegan diets deliver adequate high quality dietary protein
1. 4
What is the source of protein used in TPN? 2. 12
3. 24
1. Alpha globulins 4. 36
2. Casein amino acids
3. Free amino acids A client has recently undergone intestinal surgery, and will be on a low-
4. Immunoglobulins residue diet during recovery. The client asks the nurse to provide an
example of a breakfast that would fit in a low residue diet. Which of the
The nurse is caring for a client who requires a nasogastric (NG) tube for following meals would the nurse say is most appropriate for this client?
feeding. What should the nurse do immediately after inserting an NG tube
for enteral feedings? 1. One fried egg and cheese on whole wheat toast, with hash
browns, a fresh fruit cocktail, and a glass of milk.
1. Aspirate for gastric secretions with a syringe. 2. Scrambled eggs seasoned with salt, a fresh fruit cocktail, and a
2. Begin feeding slowly to prevent cramping. glazed donut with a cup of coffee.
3. Get an X-ray of the tip of the tube within 24 hours.
 3. Scrambled eggs seasoned with salt, a fresh fruit cocktail, and 2. Irrigate the nasogastric tube with normal saline.
multigrain toast with margarine and a cup of coffee. 3. Anchor a new nasogastric tube.
4. Scrambled eggs seasoned with salt, a ripe banana, and white 4. Check the placement and patency of the nasogastric tube by
toast with margarine with a cup of coffee with sugar auscultation

Which of the following are common indicators for TPN therapy? Which of the following is not true about a soft diet?

1. Coma, citrate toxicity, and bowel surgery 1. It has reduced fiber content.
2. Renal failure, prolonged ileus, and gastrocutaneous fistulas 2. It is used immediately between the full diet and regular diet
3. Hepatic failure, hypermetabolic states, and malabsorption of following surgery.
enteral therapy 3. It is contraindicated in GI disturbances and acute infections.
4. Filtration, multiple trauma, and conditions requiring bowel rest 4. It has a soft consistency and bland flavor.

A client who is recovering from a surgery has been ordered a change from a What is the primary cause of TPN-related sepsis?
clear liquid diet to a full liquid diet. The nurse would offer which full liquid
item to the client? 1. Fibrin sheath formation
2. Intrinsic contamination of nutrient solution
1. Popsicle. 3. Migration of microorganisms along the catheter
2. Carbonated beverages. 4. Seeding from other infection source in the body
3. Gelatin.
4. Pudding During the initial assessment, a 42 year old client indicates that weight gain
is a problem despite the client's diet not having changed since the client
A geriatric client is admitted with left-sided paralysis. Which date would offer was 25. What reason would it be appropriate for the nurse to give this
the nurse the most useful information regarding dietary intake? client?

1. The clients favorite foods. 1. Actual caloric intake must be higher than the client estimates it is.
2. Ability to chew and swallow 2. After age 25 calorie needs begin to diminish, so fewer calories are
3. Normal bowel schedule now needed to meet the body's needs.
4. Routine meal times before admission 3. Calorie requirements start to diminish after the age of 40, so
fewer calories are now needed to meet the body's needs.
The nurse is educating a black client about how sodium in the diet may 4. The client is probably not including calories from alcoholic
affect blood pressure. Which of the following statements could the nurse beverage intake in the estimate of calories consumed
make to this client?
A clent with chronic renal failure who is not receiving dialysis is suffering
1. Consume less than 1 teaspoon of salt per day. from uremia. What nutrient will the nurse tell this client to limit in an attempt
2. Consume less than 2300 mg of sodium per day. to control the uremia?
3. Consume no more than 2000 mg of sodium per day.
4. There is no need to restrict sodium intake 1. Carbohydrates
2. Magnesium
A client who has been receiving enteral nutrition now has pneumonia. What 3. Potassium
nutrition related complications would the nurse say could be related to 4. Protein
development of pneumonia in this client?
Which of the following is not included in an alkaline ash diet?
1. Aspiration of formula from the feeding tube.
2. Fluid retention associated with high sodium intake. 1. Milk
3. There are no nutrition complications that could contribute to 2. Papaya
development of pneumonia. 3. Match box-sized salmon
4. Tube feeding being delivered at too low a rate. 4. Prunes

A home health nurse reviews the dietary history of a patient with congestive A client has been diagnosed with Crohn's disease, and after being on a low-
heart failure. The nurse should instruct the patient to eliminate which of the residue diet for a while, the client is now ready to try a regular diet. The
following foods to comply with a sodium restricted diet? client is not sure what to expect in this new diet after becoming used to
liquid and low-residue diets, so the client asks the nurse what the diet will
1. Skim milk and breakfast cereals consist of each day. Which of the following responses would be
2. Salted fish with tomatoes appropriate?
3. Fresh fruits and vegetables
4. Baked chicken and fish dinners 1. Consume additional calories
2. Consume additional fats
Which of the following are the aims of diet therapy? Select all that apply. 3. Consume additional fiber
4. Consume 50 grams of protein
1. Maintains normal nutrition
2. Corrects nutritional deficiency Which foods would the nurse discourage the client from eating prior to a
3. Changes body weight parathyroidectomy?
4. Adjusts the body's ability not to use one or more nutrients
5. Prevents maximum rest to the body or an organ 1. Milk products
2. Green vegetables.
A client has a nasogastric tube in place after extensive abdominal surgery. 3. Seafood.
HE complains of nausea. His abdomen is distended, and there are no bowel 4. Poultry product
sounds, the first nursing action would be to:
Which food would the nurse encourage a low income client to eat to satisfy
1. Administer the PRN pain medication and antiemetic. essential protein needs?
 1. Legumes Which nursing action is most appropriate for a 2 month old infant with
2. Red meat reflux?
3. Seafoods
4. Chees 1. Hold the next feeding
2. Teach the mother CPR
A client has recently been diagnosed with celiac disease, so they have a 3. Maintain normal feeding schedule
high sensitivity to gluten. The client learns that the treatment is consumption 4. Elevate the head of the bed.
of a gluten-free diet, but is not exactly sure what kinds of foods are gluten-
free. The client asks the nurse to provide an example of a gluten-free A 12-year-old child who has cystic fibrosis plans to play baseball in the
dinner. Which of the following responses is appropriate? summer. A nurse would

1. Fish seasoned with salt and pepper, broccoli in a cheese sauce, recommend that during the game, the child must eat snacks that are high in
and oatmeal with a glass of light beer calorie and protein, such as
2. Fish seasoned with salt and pepper, fresh mixed vegetables, and
white rice with a glass of cold water.
3. Fish sticks, broccoli in a cheese sauce, and wheat bread with a 1. Cheese and crackers
glass of light beer. 2. Cookies and orange juice
4. Fish sticks, fresh mixed vegetables, and pretzels with a glass of 3. Carrots and celery sticks
water 4. Apples and melon slice

Which of the following would be the best plan for prevention of constipation A mother discusses with the nurse about her 14-month-old son's behavior.
during the first trimester of pregnancy? Which behavior, as stated by the mother, should the nurse discourage?

1. Take mineral oil every morning. 1. "My son loves to feed himself slices of peeled apple."
2. Increase bulk and fiber in the diet. 2. "My son takes his favorite blanket with him whenever he leaves
3. Take a milk laxative as needed. the house."
4. Decrease fluid intake. 3. "My son takes a bottle of juice to bed with him and sucks on it if
he wakes during the night."
A client is diagnosed to have acute renal failure. Which of the following is a
diet appropriate for this client? The parent of a 3 month old infant asks the nurse for advice about how to
tell when the child is hungry. Which of the following could the nurse say is
an indication that an infant is hungry?
1. High carbohydrate high protein diet.
2. High protein, low carbohydrate diet with restricted potassium
intake 1. Crying
3. A diet which is high in carbohydrates and restricted protein and 2. Playing with the nipple on a bottle or breast.
potassium. 3. Looking around quietly
4. Low carbohydrates, low protein diet. 4. Falling asleep while eating.

At a health screening clinic, an adult male client's total plasma cholesterol A 40 year old client asks the nurse how much more dietary protein is
level is reported to be 200 mg/dL. Based on this assessment, which nursing needed in the diet now that the client is entering middle adulthood.
action is most appropriate?
1. At age 40 the need for protein actually diminishes to 0.7 grams
1. Refer the client to a physician for appropriate medication. per kilogram of body weight.
2. Ask the client to lay down immediately. 2. At age 40 the need for protein increases to 1.5 grams per
3. Encourage the client to follow a low fat diet. kilogram of body weight.
4. Recheck the cholesterol level in two years. 3. Don't worry about a specific number, just be sure to have a big
steak every week.
4. No additional protein is needed after age 40
A burned patient must increase his intake of dietary protein to:
For elderly clients who experience difficulty in chewing, chop meat into
1. Facilitate tissue repair matchbox pieces
2. Promote thrombosis
3. Weaken immunity
4. Prevent bleeding 1. True
2. False
a nurse encourages a patient who has sustained a serious burn to adhere
to which of the following diets during the rehabilitative phase? A breastfeeding woman should drink plenty of water to

1. Low-sodium, high potassium 1. Produce more milk

2. Low-fat, low-carbohydrate 2. Suppress lactation
3. High-protein, high calorie 3. Prevent dehydration
4. High-fiber, low-purin 4. Dilute nutrient concentrations

A client is suffering from constipation. The nurse asks about the client's diet A nutritionally balanced diet for school aged children will enhance learning
and learns the diet is low in fiber containing foods. Which of the following capacity as well as prevent adult diseases.
foods would the nurse say are very good sources of fiber?
1. True
1. Orange juice 2. False
2. Sliced bread
3. Milk Weaning should take place when the baby is 3 to 4 months of age.
4. Whole grain cereals
1. True
2. False
The client tells the nurse she is going to begin giving a 3 month old infant Which nursing action is most * 1 point appropriate for a client receiving a
rice cereal at bedtime so the infant will sleep through the night. What will the tube feeding around the clock?
nurse tell the client?
1. Rinse the bag and change the formula every 4 hours.
1. Introducing solid food before 4 to 6 months will reduce the 2. Rinse the bag and change the formula every shift.
likelihood that the infant will develop allergies. 3. Change the bag and formula every shift.
2. Make sure the cereal is iron fortified. 4. Rinse the bag and change the formula every 2 hours.
3. That is a good way to get the baby to sleep through the night.
4. The introduction of solid foods before the age of 4 to 6 months is
not recommended.

A pregnant woman experiencing nausea and vomiting should:

1. Eat small, frequent meals (every 2 to 3 hours).

2. Drink a glass of water with a fat-free carbohydrate before getting
out of bed in the morning.
3. Increase her intake of high-fat foods to keep the stomach full and
coated.
4. Limit fluid intake throughout the day

Pregnant women whose gestational age is below 4 months old should NOT
take supplements of:

1. Iron
2. Folate
3. Vitamin A
4. Vitamin C

What substances are generally added to total parenteral nutrition solutions?

1. Electrolytes, trace elements, and vitamins

2. Antifungal agents, electrolytes, and vitamins
3. Electrolytes, antihistamine antagonists, and vitamins
4. Citrate preservative, electrolytes, and vitamin

Which of the following snacks * would be appropriate for a patient on a low-

fat diet?

1. A slice of baked apple pie

2. Cheddar cheese and crackers
3. Vanilla yogurt
4. Mixed nuts

Which foods would reflect appropriate selection for a client on a low residue
diet?

1. Milk, green beans, whole wheat bread.

2. Creamed chicken soup, broccoli, pudding.
3. Baked chicken,buttered rice, plain gelatin.
4. Cabbage salad, fried chicken, applesauce.

While managing a client's nutritional status during the weaning from total
parenteral nutrition (TPN), which nursing intervention should be most
appropriate?

1. Evaluate weight daily.

2. Monitor I & O
3. Encourage client to eat a variety of foods.
4. Maintain a calorie count.

A patient who is on a low-fat diet asks a nurse if dairy products can be

included in the meal plan. Which of these responses should the nurse
make?

1. "You can have dairy products just as long as you do not exceed
50 grams of fat per day."
2. "You will need to take calcium supplements of 1500 mg daily in
place of dairy products."
3. "You do not have to limit the amount of dairy products that you
eat."
4. "You can substitute goat's milk for the cow's milk in dairy
products."