NUR1172 Principles of Nutrition Exam 1 Quiz
Bank - Dietary Science & Clinical Nutrition
Assessment
Rasmussen College | 2026-2027 Academic Year
40 Applied-Clinical Items | Rated “A” Difficulty
Nursing-action stems • Evidence-based rationales • NCLEX-style cognitive load
DOMAIN 1. Macronutrients, Micronutrients & Digestion (Q 1-12)
Q1. A nurse is educating a client with iron-deficiency anemia. Which food pairing BEST
enhances non-heme iron absorption?
A. Spinach salad with a glass of milk
B. Black-bean soup with an orange slice
C. Grilled chicken breast with coffee
D. Whole-wheat toast with black tea
,Correct: B
Rationale: Vitamin C (orange) reduces ferric iron → ferrous & chelates luminal inhibitors
→ ↑ non-heme uptake by 3-4×.
Distractors: Milk Ca²⁺ & tea tannins (C,D) form insoluble complexes; chicken heme-iron
is already highly bio-available but pairing does not enhance further.
Q2. A post-op cholecystectomy client reports fatty-stool and weight loss. The nurse
recognizes which nutrient is MAL-absorbed until bile flow normalizes?
A. Vitamin B₁₂
B. Linoleic acid (18-carbon PUFA)
C. Thiamine
D. Folate
Correct: B
Rationale: Dietary long-chain fat requires bile micelle formation; without micelles
pancreatic lipase cannot reach lipid droplet → steatorrhea.
Distractors: B₁₂ needs intrinsic factor; thiamine & folate are water-soluble—absorbed
proximal gut independent of bile.
,Q3. The nurse caring for a celiac patient receiving first gluten-free meal should instruct
the patient to avoid which hidden source of GLUTEN?
A. Rice Krispies® cereal (malt flavoring)
B. Plain white rice
C. Corn tortillas
D. Quinoa flakes
Correct: A
Rationale: Barley malt (contains hordein) is a common puffed-rice coating—unsafe for
celiac.
Distractors: White rice, corn, quinoa are naturally gluten-free; teaching focus is on
malt-derived additives.
Q4. A client on isoniazid (INH) for latent TB is counseled to increase intake of which
vitamin to prevent peripheral neuropathy?
A. B₆ (pyridoxine)
, B. B₁₂ (cobalamin)
C. Niacin (B₃)
D. Folate (B₉)
Correct: A
Rationale: INH forms hydrazone with pyridoxal phosphate → functional B₆ deficiency →
neuropathy; 25-50 mg/day B₆ supplement standard.
Distractors: B₁₂ deficiency causes neuropathy but not INH-related; niacin & folate
unrelated to INH metabolism.
Q5. A nurse reviewing a vegan client’s food diary notes low intake of vitamin B₁₂. Which
early clinical finding should the nurse assess?
A. Angular cheilitis
B. Loss of ankle vibration sense
C. Petechiae on forearms
D. Bitot spots
Correct: B
Bank - Dietary Science & Clinical Nutrition
Assessment
Rasmussen College | 2026-2027 Academic Year
40 Applied-Clinical Items | Rated “A” Difficulty
Nursing-action stems • Evidence-based rationales • NCLEX-style cognitive load
DOMAIN 1. Macronutrients, Micronutrients & Digestion (Q 1-12)
Q1. A nurse is educating a client with iron-deficiency anemia. Which food pairing BEST
enhances non-heme iron absorption?
A. Spinach salad with a glass of milk
B. Black-bean soup with an orange slice
C. Grilled chicken breast with coffee
D. Whole-wheat toast with black tea
,Correct: B
Rationale: Vitamin C (orange) reduces ferric iron → ferrous & chelates luminal inhibitors
→ ↑ non-heme uptake by 3-4×.
Distractors: Milk Ca²⁺ & tea tannins (C,D) form insoluble complexes; chicken heme-iron
is already highly bio-available but pairing does not enhance further.
Q2. A post-op cholecystectomy client reports fatty-stool and weight loss. The nurse
recognizes which nutrient is MAL-absorbed until bile flow normalizes?
A. Vitamin B₁₂
B. Linoleic acid (18-carbon PUFA)
C. Thiamine
D. Folate
Correct: B
Rationale: Dietary long-chain fat requires bile micelle formation; without micelles
pancreatic lipase cannot reach lipid droplet → steatorrhea.
Distractors: B₁₂ needs intrinsic factor; thiamine & folate are water-soluble—absorbed
proximal gut independent of bile.
,Q3. The nurse caring for a celiac patient receiving first gluten-free meal should instruct
the patient to avoid which hidden source of GLUTEN?
A. Rice Krispies® cereal (malt flavoring)
B. Plain white rice
C. Corn tortillas
D. Quinoa flakes
Correct: A
Rationale: Barley malt (contains hordein) is a common puffed-rice coating—unsafe for
celiac.
Distractors: White rice, corn, quinoa are naturally gluten-free; teaching focus is on
malt-derived additives.
Q4. A client on isoniazid (INH) for latent TB is counseled to increase intake of which
vitamin to prevent peripheral neuropathy?
A. B₆ (pyridoxine)
, B. B₁₂ (cobalamin)
C. Niacin (B₃)
D. Folate (B₉)
Correct: A
Rationale: INH forms hydrazone with pyridoxal phosphate → functional B₆ deficiency →
neuropathy; 25-50 mg/day B₆ supplement standard.
Distractors: B₁₂ deficiency causes neuropathy but not INH-related; niacin & folate
unrelated to INH metabolism.
Q5. A nurse reviewing a vegan client’s food diary notes low intake of vitamin B₁₂. Which
early clinical finding should the nurse assess?
A. Angular cheilitis
B. Loss of ankle vibration sense
C. Petechiae on forearms
D. Bitot spots
Correct: B
