Final Exam: NR228 / NR 228 (Latest Update 2024/2025) Nutrition, Health & Wellness |Review Questions and Verified Answers| 100% Correct| Grade A -Chamberlain
Final Exam: NR228 / NR 228 (Latest Update
2024/2025) Nutrition, Health & Wellness
|Review Questions and Verified Answers|
100% Correct| Grade A -Chamberlain
Q: A nurse is teaching a client about snacks that are appropriate on a low-fat, low-sodium, and
low-cholesterol diet. Which of the following foods choices by the client indicates the need for
further teaching?
Answer:
A slice of cheese
Q: A nurse is planning care for a client who has a complex surgical procedure earlier in the day.
Which action is most important to include in the plan of care?
Answer:
Provide protein rich foods
Avoid limiting foods high in carbohydrate when the client resumes eating
Q: A nurse is discussing the risk of dehydration with a client that needs
to increase daily fluid intake. Which of the following foods have the highest percentage of water
by weight?
Answer:
Watermelon
Q: A nurse is planning care for a client that has a prescribed low magnesium diet. Which of the
following foods should the nurse include in the instruction?-
Answer:
Chicken
Q: A nurse is providing instructions for a client requiring dietary modification to reduce fat.
The nurse should encourage the client to consume which of the following foods?
Answer:
Roast turkey
Q: A nurse is caring for a client that requires avoidance of fatty foods and lac- tose. Which food
choice will follow the recommended low lactose diet?
Answer:
Toast and jelly
Q: A nurse is assessing a client with medications. Which of the following findings should the
nurse expect?
Answer:
Poor concentration
Q: A nurse is providing instructions to a client that follows a vegan diet. The nurse includes that
which of the following foods is a reliable source of vitamin B12?
Answer:
Tofu
Q: A nurse is providing discharge instructions for a client with a prescription for a fat soluble
vitamin supplement. The nurse should instruct the client to take the supplement for which of the
following?
Answer:
Vitamin A
Q: A nurse is completing an admission assessment on an adolescent who is a vegetarian. He
eats milk products but does not like beans. Which of
the following items should the nurse suggest the client order for lunch to
provide the nutrients most likely to be lacking in his diet?
Answer:
Peanut butter and jelly sandwich
Q: A nurse is caring for a client who is on a 2,000 calorie American Diabetes Association
(ADA) diet and substitutes the whole milk on his breakfast tray for skim milk. Because of this
substitution, the nurse should know that the client can add what to his oatmeal on his breakfast
tray?
Answer:
One tablespoon of low-fat margarine
Q: A nurse is teaching information to a group of older adults about sources of complete and
incomplete proteins. Which of the following foods should the nurse include as a complete
protein?
Answer:
Yogurt
Q: A nurse is caring for a group of clients. The nurse should recognize that which of the
following clients is at risk for vitamin B6 deficiency?
Answer:
A client that reports drinking hard liquor everyday
Q: A nurse is discussing nutrition therapy for wound healing fat surgery to a small group of
adults clients to promote wound healing. Which of the following vitamins should the nurse
include in the instruction?
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A nurse in an outpatient clinic is assessing a middle adult client as part of routine physical examination. The client body mass index (BMI) is 31 and he is a current smoker, the nurse should identify that this client has more risk factors for which of the following disorders?
cardiovascular disease
A nurse is conducting screening at a local clinic to identify clients needing further instructions regarding weight management. Which client requires further action based on the body mass (BMI) level? Select all that apply.
- A client diagnosed with diabetes and has a BMI of 31.
- A client who has heart disease and has a BMI of 29.
- A client has a diagnosis of anorexia nervosa and has a BMI of 16.
- A client who has high blood pressure and a BMI of 32.
A nurse is caring for a client who is well-hydrated and who demonstrates no evidence of anemia. Which of the following laboratory values gives the nurse an assessment of the adequacy of the client’s protein uptake and synthesis?
A. Albumin
B. Calcium
C. Sodium
D. Potassium
A. Albumin
A nurse is teaching a client about the nutritional requirements necessary to promote wound healing. Which of the following nutrients should the nurse include in the teaching?
A. Protein
B. Calcium
C. Vitamin B1
D. Vitamin D
A. Protein
A nurse is instructing a group of clients regarding nutrition. Which of the following is a good source of omega-3 fatty acids that the nurse should include in the teaching?
A. Fish
B. Corn oil
C. Dietary supplements
D. Leafy green vegetables
A. Fish
A nurse is instructing a group of clients regarding calcium-rich foods. Which of the following foods should the nurse include in the teaching as the best source of calcium?
A. ½ cup of ice cream
B. 1-ounce Swiss cheese
C. 1 cup milk
D. 1 cup cottage cheese
C. 1 cup milk
A nurse is instructing a group of clients regarding nutrition. The teaching should state that which of the following groups of food contains the highest level of carbohydrates?
A. Milk, eggs, and cheese
B. Butter, oils, and avocados
C. Rice, potatoes, and oranges
D. Chicken, green beans, and apples
C. Rice, Potatoes, and Oranges
A nurse is instructing a group of clients about nutrition. The nurse’s teaching plan should state that in order to limit saturated fat intake, the client should limit total fat intake to what percentage of total calories per day?
A. 20%
B. 25%
C. 30%
D. 33%
C. 30%
A nurse is instructing a group of clients about nutrition. The nurse should include which of the following foods is a good source of high-quality protein.
A. Soybeans
B. Grains
C. Legumes
D. Green vegetables
A. Soybeans
A nurse is instructing a group of clients about nutrition. The nurse should include which of the following is a trigger for the formation of vitamin D in the body.
A. Calcium
B. Vitamin A depletion
C. Exposure to sunlight
D. Weight-bearing exercise
C. Exposure to sunlight
A nurse is instructing a group of adult clients about nutrition. The nurse should include which of the following as the recommended amount of vegetables servings per day?
A. 1/2 cup
B. 1 cup
C. 2 cups
D. 2 1/2 cups
D. 2 1/2 cups
A nurse is educating a group of older adults in a community center on weight management using the BMI scale. Using the client’s height and weight to calculate BMI, which of the following clients has a healthy BMI?
A. A client with a weight of 128 lb and height of 70 inches
B. A client with a weight of 150 lb and height of 68 inches
C. A client with a weight of 200 lb and height of 72 inches
D. A client with a weight of 133 lb and a height of 60 inches
B. A client with a weight of 150 lb and height of 68 inches
A nurse is discussing good food choices with a client who is recovering from an exacerbation of inflammatory bowel disease and is to start a low-lactose diet. Which of the following foods is the best choice for the client?
A. Soy milk
B. Cheddar cheese
C. Low-fat yogurt
D. Cottage cheese
A. Soy milk
A nurse is teaching a client about snacks that are appropriate on a low-fat, low-sodium, and low cholesterol diet. Which of the following food choices by the client indicates the need for further teaching?
A. A slice of cheese
B. A jam sandwich
C. A cup of plain popcorn
D. A small container of applesauce
A. A slice of cheese
A nurse is planning care for a client who has a complex surgical procedure earlier in the day. Which action is most important to include in the plan of care.
Provide protein rich foods
Avoid limiting foods high in carbohydrates when the client resumes eating
A nurse is discussing the risk of dehydration with a client that needs to increase daily fluid intake. Which of the following food had the highest percentage of water by weight
watermelon
A nurse is planning care for a client that has prescribed a low magnesium diet. Which of the following food should the nurse include in the instruction
Chicken
A nurse is providing instructions for a client requiring dietary modification to reduce fat. The nurse should encourage the client to consume which of the following foods
roast turkey
A nurse is caring for a client that requires avoiding fatty foods and lactose. Which food choice will follow the recommended low lactose diet.
Toast and Jelly
Nurse is assessing a client with malnutrition.. Which of the following findings should the nurse expect?
Poor concentration
a nurse is providing instructions to a client that follows a vegan diet, the nurse includes that which of the following foods is a reliable source of vitamin B12.
Tofu
A nurse is providing discharge instructions for a client with a prescription for fat soluble vitamin supplement. The nurse should instruct the client to take the supplement for which of the following
Vitamin A
A nurse is completing an admission assessment on an adolescent client who is a vegetarian. He eats milk products but does not like beans. Which of the following items should the nurse suggest the client order for lunch to provide the nutrients most likely to be lacking in his diet?
A. Peanut butter and jelly sandwich
B. Baked potato topped with sour cream
C. Bagel with cream cheese
D. Fruit salad
peanut butter and jelly sandwich
A nurse is caring for a client who is on a 2,000-calorie American Diabetes Association (ADA) diet and substitutes the whole milk on his breakfast tray with skim milk. Because of this substitution, the nurse should know that the client can add what to his oatmeal on his breakfast tray?
One tablespoon low fat margarine
A nurse is teaching information to a group of older adults about sources of complete and incomplete proteins. Which of the following foods should the nurse include as a complete protein.
Yogurt
A nurse caring for a group of clients the nurse should recognize that which of the following client is at risk for vitamin b6 deficiency
A client that reports drinking hard liquor everyday
A nurse is discussing nutrition therapy for wound healing after surgery to a small group of adult client to promote wound healing. Which of the following vitamins should the nurse include in the instruction? Select all that apply
Vitamin A, B12, C, and K
A nurse is instructing a client a vitamin K deficiency about food rich in vitamin K. which of the following information should the nurse include?
Green leafy vegetables
A nurse is providing information to a group of clients about high protein foods they should eat. Which of the following food choices should the nurse include in the instruction. Select all that apply.
Cottage cheese
Milk shake
Tuna fish
Egg and ham omelet
A nurse is providing dietary information to a nurse who requires increase calcium. Which of the following instructions should the nurse include?
Increase your consumption of green leafy vegetables
A nurse is caring for a client that requires a low glucose diet. Which of the following substances should the nurse instruct the client to use as a sweetener?
non-nutritive sugar substitute
A nurse is providing instructions on low sodium diet. Which of the following statement should the nurse make.
You should decrease your daily intake of peanut butter
A nurse is planning care for a client with fluid overload. Which of the following action should the nurse include in the plan of care.
Client fluid intake
A nurse if providing information for a client with diabetes about which dietary source should provide the greatest percentage of calories. Which of the following statement indicate that client understand the instructions
I should eat more calories from complex carbohydrates than anything else
A nurse is instructing a client that is risk for iron deficiency anemia about optimizing dietary intake of iron. The nurse should explain which of the following sources of iron is easier for the body to absorb.
Chicken
A nurse at a health care provider office is providing instruction to a client that has been treated with chemotherapy and he is losing weight. Which of the following should the nurse recommend to increase calories and proteins intake. Select all that apply.
- Dip meat in eggs and bread crumbs before cooking
- Use milk instead of water in recipes
- Add cream to soups
- Top fruits with yogurt
A nurse is caring for a client who require to stay a low sodium diet the client family are required to bring in some of the favorite food. Which of the following food items should the nurse tell the family members to omit.
Frozen breaded fish
A nurse is assessing four female clients obesity. Which of the following clients are exhibiting manifestations of obesity.
A client that weighs 28% above ideal body weight
A nurse at a health fair is assessing the weight of 4 clients. Which of the following clients are classified as overweight.
A male client with a BMI of 29
A nurse is developing a program about strategies to prevent food borne illness for a group of adult clients. The nurse should plan to include which of the following recommendations. Select all that apply.
-Avoid unpasteurized products
-Keep cold temperature below 4.4C or 40F
-Heat left over before eating
-Wash raw vegetables thoroughly in a clean water
A nurse is instructing a client with constipation about high fiber diet. Which of the following food should the nurse include as source of fibers. Select all that apply.
Kidney beans
Dry fruit
strawberries
A nurse is planning to teach a client about low potassium diet. Which of the following food should the nurse instruct the client to avoid. Select all that apply.
Tofu
Milk
Orange juice
A nurse is developing an educational program for the community group about dietary intake of vitamins and minerals. The nurse should include which of the following food as source of vitamin C. Select all that apply.
Green pepper
Orange
Cabbage
Strawberries
A nurse is providing information to a client with elevated phosphorus level. Which of the following low phosphorus food should the nurse encourage the client to consume?
Cream Cheese
A nurse is discussing sources of dietary magnesium with a newly licensed nurse. Which of the following statement by the newly licensed nurse indicates an understanding of the sources of magnesium.
Bean Soup
Which of the following must be listed on the food label as regulated by the US food and drug administration (FDA).
Dietary fiber
A nurse is conducting a nutrition class a. It is important to include
half of the food in my plate visual should be fruits and vegetables
A nurse at a health fair is assessing the weight status of 4 clients. Which of the client should be considered underweight.
A client with a lower BMI of 17
A nurse has BMI of 31. What risk factor is associated with which BMI.
Type 2 diabetes mellitus
A nurse is caring for a group of client. Which client is most at risk for magnesium deficiency?
A client with vomiting and diarrhea from the stomach flu
A nurse is assessing the result of a client total blood cholesterol panel. Which component of the
cholesterol panel aids in reducing the risk of cardiovascular disease.
High-density lipoprotein (HDL)
The nurse educator is instructing a group of nursing students about the digestive process. What are the
consequences of decreased GI motility? Select all that apply.
Constipation
vomiting
Increase calcium absorption
The nurse is instructing a group of client about anticoagulants. Which statement regarding the interaction of amiodarone and warfarin should the nurse include?
Amiodarone taken with warfarin can increase the risk of bleeding
The nurse if caring for a client with diabetes who frequently drink ginseng what finding should the nurse suspect to observe when the client consumes ginseng while taking insulin?
Hypoglycemia
The nurse educator is discussing healthy people 2020 initiative with a group of nursing students. Which of the following represent the overall goal of this initiative
Identify nationwide health improvement priorities and provide measurable objectives and goals
A nurse is teaching a client recovering from abdominal surgery about protein consumption to promote wound healing. Which plant food source best represents of the best complete protein?
Soybean and tofu
A home bound older adult client living on a limited income is presented to the emergency despite
scurvy. The nurse knows that scurvy is caused by deficiency in which vitamin.
Primary deficiency of vitamin C
A client is seen in the emergency department for a medical diagnosis of dehydration. When assessing with client’s health history the nurse should expect the client to describe which clinical manifestation.
Drowsiness and lightheadedness
the nurse is caring for a client that is pregnant. What is the recommended total weight gain during pregnancy for a client of normal weight.
25 to 35lbs
the nurse is caring for a client that requires a high protein diet but prefers vegetable-based protein to meat. Which other food should the nurse instruct the client to consume?
tofu
The nurse is caring for a client with nausea. The client on a clear liquid diet should take. Which of the following food
Apple juice
Broth
coffee
The nurse if preparing to instruct the client about carbohydrate counting to manage type 1 Diabetes
mellitus which action will the nurse do 1st to ensure the client is successful in managing the dietary change.
Assess the client health literacy
Consuming aspartame put which client most at risk for injury.
A client that is 22 weeks pregnant
When instructing a client about lipids cannot be manufactured by the body the nurse understands that
which of the following is a necessary fatty acid.
Linoleic acid
a nurse is teaching a group of client about vitamins and minerals . the nurse knows which of the
following vitamins are fat soluble
Vitamin A, E, D, K
Which nutritional recommendations should be taught to the clients during pregnancy.
Iron supplementation is necessary to prevent anemia
The nurse is planning care for a client with cystic fibrosis. The dietary recommendations for this client
should include which of the followings.
High calorie diet with pancreatic enzyme therapy
During periods of hypermetabolic stress it is important to the client to receive adequate intake of which of
the following
Protein and vitamin C and zinc
The nurse is preparing to administer medications to a group of client. The nurse understands that unless the medication causes GI distress when taken on an empty stomach. It should be administered according to which practice
At least 1hr before or 2 hrs after a meal
The nurse is planning instruction for a client with a family history of cardiovascular disease. Which of the
following regarding exercise in cardiovascular health should be included in the instruction.
Walk vigorously for at least 20 min, 3days a week
The nurse is teaching a client with cancer about foods high in protein. Which of the following high protein foods should the nurse include in the instruction? Select all that apply
Salmon
Milk shakes
Egg and cheese omelets
The nurse is teaching a group of parents how to prevent dental cavities in their children which of the following minerals should the nurse inform the parents to help strengthen tooth enamel.
Fluoride
The nurse is planning instruction for a client with peptic ulcer disease (PUD) and requires bland diet to
prevent irritating the gastric lining of the stomach. Which of the following should the client be instructed
to avoid. Select all that apply.
Consuming chilly pepper
Whole wheat bread
Coffee
The nurse is providing nutritional instructions with to a client following a total gastric requiring a high
protein complex carbohydrate. Which of the following should the nurse instruct the client to avoid
Fruit juice
The nurse is caring for a client receiving a potassium supplement for hypokalemia which clinical
manifestation should the nurse expect to observe if the client develops potassium toxicity? Select all that
apply
Vomiting
Muscle weakness
Irregular heart beat
The nurse is caring for a client with a low level of vitamin A which foods are good sources of vitamin A.
Sweet Potato