CMS NUTRITION WORKBOOK
INSTRUCTIONAL AID 2026 ALL
QUESTIONS WITH RESOLUTIONS
PREVIOUSLY PASSED PROFESSIONAL
REFERENCE
◍ A nurse is preparing to teach a group of clients about vitamins and
minerals. The nurse should include in the teaching that which of the
following minerals is necessary for the transmission of nerve
impulses?
a. Phosphorus
b. Calcium
c. Chloride
d. Zinc Answer: b. Calcium
◍ A nurse is caring for a client who has a body mass index (BMI) of
30. Four weeks after nutritional counseling, which of the following
evaluation findings indicates the plan of care was followed?
a. BMI of 25
b. Weight gain of 1.8 kg
c. BMI of 33
d. Weight loss of 2.7 kg Answer: d. Weight loss of 2.7 kg
,◍ A nurse is caring for a client who follows the dietary laws of
Orthodox Judaism. Which of the following meal choices should the
nurse request for the client?
a. Turkey and cheese sandwich
b. Spaghetti with tomato sauce
c. Pork chop and applesauce
d. Scrambled eggs and bacon Answer: b. Spaghetti with tomato sauce
◍ A nurse in a long-term care facility is developing strategies to
promote increased food intake for an older adult client. Which of the
following interventions should the nurse implement?
a. Offer sugar substitutes to increase the client's appetite
b. Provide opportunities to eat three large meals per day
c. Provide entertainment while the client is eating.
d. Offer finder foods at mealtime Answer: d. Offer finder foods at
mealtime
◍ A nurse is caring for four clients. The nurse should plan to
administer total parenteral nutrition for which of the following
clients?
a. A client who is postoperative following a laminectomy and is
receiving IV PCA
b. A client who has dysphagia and does not recognize his family
c. A client who has COPD and is going home with oxygen
,d. A client who has colon cancer and will undergo a hemicolectomy.
Answer: d. A client who has colon cancer and will undergo a
hemicolectomy.
◍ A nurse is performing a nutritional evaluation for a client who
reports paresthesia of the hands and feet. The nurse should identify
this manifestation as an indication of which of the following dietary
deficiencies?
a. Iron
b. Riboflavin
c. Vitamin C
d. Vitamin B12 Answer: d. Vitamin B12
◍ A nurse is caring for a client who reports she is having difficulty
losing weight. Which of the following responses by the nurse is
appropriate?
a. Eat small portions of the high-calorie foods first.
b. Set a goal and you will be able to attain it
c. It is helpful to self-monitor your eating
d. Taste food while cooking to help curb your appetite Answer: a. Eat
small portions of the high-calorie foods first.
◍ A nurse is providing discharge teaching about food choices to a
client who has hypokalemia. Which of the following foods should the
nurse identify as the best source of potassium?
a. 1 cup grapes
, b. 1 cup shredded lettuce
c. 1 cup cooked tomatoes
d. 1 cup apple slices Answer: c. 1 cup cooked tomatoes
◍ A nurse is providing teaching to an obese client who has
gestational diabetes and is at 25 weeks of gestation. Which of the
following statements made by the client indicates a need for further
teaching?
a. This does not mean that my baby will have this disease.
b. This means that I will have diabetes for the rest of my life. c. If I
feel dizzy, I should drink six ounces of a non-diet soda d. Being obese
might be one reason whyI developed diabetes Answer: b. This means
that I will have diabetes for the rest of my life.
◍ . A nurse is planning care for a client who has ascites secondary to
liver disease. Which of the following interventions should the nurse
include in the plan of care?
a. Reduce complex carbohydrates to 30% of total calories. b. Restrict
protein intake to less than 0.8g/kg/day.
c. Decrease daily caloric intake by 20%
d. Limit sodium to 2000 mg or less per day Answer: d. Limit sodium
to 2000 mg or less per day
◍ A nurse is planning eating strategies with a client who has nausea
from equilibrium imbalance. Which of the following strategies should
the nurse recommend?
a. Encourage the client to eat even if nauseated
INSTRUCTIONAL AID 2026 ALL
QUESTIONS WITH RESOLUTIONS
PREVIOUSLY PASSED PROFESSIONAL
REFERENCE
◍ A nurse is preparing to teach a group of clients about vitamins and
minerals. The nurse should include in the teaching that which of the
following minerals is necessary for the transmission of nerve
impulses?
a. Phosphorus
b. Calcium
c. Chloride
d. Zinc Answer: b. Calcium
◍ A nurse is caring for a client who has a body mass index (BMI) of
30. Four weeks after nutritional counseling, which of the following
evaluation findings indicates the plan of care was followed?
a. BMI of 25
b. Weight gain of 1.8 kg
c. BMI of 33
d. Weight loss of 2.7 kg Answer: d. Weight loss of 2.7 kg
,◍ A nurse is caring for a client who follows the dietary laws of
Orthodox Judaism. Which of the following meal choices should the
nurse request for the client?
a. Turkey and cheese sandwich
b. Spaghetti with tomato sauce
c. Pork chop and applesauce
d. Scrambled eggs and bacon Answer: b. Spaghetti with tomato sauce
◍ A nurse in a long-term care facility is developing strategies to
promote increased food intake for an older adult client. Which of the
following interventions should the nurse implement?
a. Offer sugar substitutes to increase the client's appetite
b. Provide opportunities to eat three large meals per day
c. Provide entertainment while the client is eating.
d. Offer finder foods at mealtime Answer: d. Offer finder foods at
mealtime
◍ A nurse is caring for four clients. The nurse should plan to
administer total parenteral nutrition for which of the following
clients?
a. A client who is postoperative following a laminectomy and is
receiving IV PCA
b. A client who has dysphagia and does not recognize his family
c. A client who has COPD and is going home with oxygen
,d. A client who has colon cancer and will undergo a hemicolectomy.
Answer: d. A client who has colon cancer and will undergo a
hemicolectomy.
◍ A nurse is performing a nutritional evaluation for a client who
reports paresthesia of the hands and feet. The nurse should identify
this manifestation as an indication of which of the following dietary
deficiencies?
a. Iron
b. Riboflavin
c. Vitamin C
d. Vitamin B12 Answer: d. Vitamin B12
◍ A nurse is caring for a client who reports she is having difficulty
losing weight. Which of the following responses by the nurse is
appropriate?
a. Eat small portions of the high-calorie foods first.
b. Set a goal and you will be able to attain it
c. It is helpful to self-monitor your eating
d. Taste food while cooking to help curb your appetite Answer: a. Eat
small portions of the high-calorie foods first.
◍ A nurse is providing discharge teaching about food choices to a
client who has hypokalemia. Which of the following foods should the
nurse identify as the best source of potassium?
a. 1 cup grapes
, b. 1 cup shredded lettuce
c. 1 cup cooked tomatoes
d. 1 cup apple slices Answer: c. 1 cup cooked tomatoes
◍ A nurse is providing teaching to an obese client who has
gestational diabetes and is at 25 weeks of gestation. Which of the
following statements made by the client indicates a need for further
teaching?
a. This does not mean that my baby will have this disease.
b. This means that I will have diabetes for the rest of my life. c. If I
feel dizzy, I should drink six ounces of a non-diet soda d. Being obese
might be one reason whyI developed diabetes Answer: b. This means
that I will have diabetes for the rest of my life.
◍ . A nurse is planning care for a client who has ascites secondary to
liver disease. Which of the following interventions should the nurse
include in the plan of care?
a. Reduce complex carbohydrates to 30% of total calories. b. Restrict
protein intake to less than 0.8g/kg/day.
c. Decrease daily caloric intake by 20%
d. Limit sodium to 2000 mg or less per day Answer: d. Limit sodium
to 2000 mg or less per day
◍ A nurse is planning eating strategies with a client who has nausea
from equilibrium imbalance. Which of the following strategies should
the nurse recommend?
a. Encourage the client to eat even if nauseated
