1|Page
School Sw Pel Exam 2026-2027 BANK QUESTIONS WITH
DETAILED VERIFIED ANSWERS EXAM QUESTIONS WILL
COME FROM HERE (100% CORRECT ANSWERS A+ GRADED
1. A nurse is discussing macronutrients with a client. Which of the
following is the primary function of carbohydrates in the body?
A. Tissue repair and growth
B. Main source of energy
C. Insulation and protection of organs
D. Regulation of fluid balance
Answer: B. Carbohydrates serve as the body's primary energy source,
providing approximately 4 kcal per gram. Proteins primarily handle
tissue repair, while lipids are key for insulation.
2. A client asks how many calories per gram are provided by fat. The
nurse correctly responds:
A. 4 kcal/g
B. 7 kcal/g
C. 9 kcal/g
D. 12 kcal/g
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Answer: C. Lipids provide 9 kcal per gram, making them the most
energy-dense macronutrient. Carbohydrates and proteins each provide
4 kcal/g, and alcohol provides 7 kcal/g.
3. A nurse is teaching about protein complementation. Which food
combination best demonstrates this principle?
A. Oatmeal with milk
B. Rice and beans
C. Pasta with cheese
D. Yogurt with granola
Answer: B. Rice and beans combine legumes and grains to provide all
essential amino acids, making a complete protein. The other pairings
already contain a complete animal protein.
4. Which of the following vitamins is water-soluble?
A. Vitamin A
B. Vitamin D
C. Vitamin C
D. Vitamin E
Answer: C. Vitamin C and the B-complex vitamins are water-soluble,
meaning they are not stored in large amounts and excess is excreted in
urine. Vitamins A, D, E, and K are fat-soluble.
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5. A nurse is teaching a pregnant client about folic acid. The nurse
explains that adequate intake prevents which condition in the fetus?
A. Rickets
B. Neural tube defects
C. Iron deficiency anemia
D. Hypoglycemia
Answer: B. Folic acid is critical during early pregnancy to prevent neural
tube defects like spina bifida. It is recommended that all women of
childbearing age consume 400 mcg daily.
6. During a nutrition screening, a nurse identifies that a client follows a
vegan diet. The client is most at risk for a deficiency in which nutrient?
A. Vitamin C
B. Calcium
C. Vitamin B12
D. Fiber
Answer: C. Vitamin B12 is naturally found only in animal products.
Vegans must obtain it through fortified foods or supplements to
prevent megaloblastic anemia and neurological issues.
7. A nurse is assessing a client with marasmus. Which finding is
expected?
A. Edema and distended abdomen
B. Muscle wasting and loss of subcutaneous fat
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C. Hepatomegaly and fatty liver
D. Dermatitis and flaky skin
Answer: B. Marasmus is a deficiency of all macronutrients, causing
severe muscle wasting and loss of fat stores. Edema and a fatty liver are
characteristic of kwashiorkor, a protein deficiency.
8. The nurse is educating a client with iron deficiency anemia. Which
food choice indicates the teaching has been effective?
A. Cheese omelet
B. Spinach salad with lemon vinaigrette
C. Yogurt with berries
D. Milk and cereal
Answer: B. Non-heme iron from spinach is better absorbed with vitamin
C from the lemon vinaigrette. Calcium in dairy products can inhibit iron
absorption.
9. A client asks the nurse about the purpose of probiotics. The nurse
explains that probiotics primarily promote:
A. Absorption of fat-soluble vitamins
B. A healthy balance of gut microflora
C. Increased gastric acid secretion
D. Breakdown of insoluble fiber
School Sw Pel Exam 2026-2027 BANK QUESTIONS WITH
DETAILED VERIFIED ANSWERS EXAM QUESTIONS WILL
COME FROM HERE (100% CORRECT ANSWERS A+ GRADED
1. A nurse is discussing macronutrients with a client. Which of the
following is the primary function of carbohydrates in the body?
A. Tissue repair and growth
B. Main source of energy
C. Insulation and protection of organs
D. Regulation of fluid balance
Answer: B. Carbohydrates serve as the body's primary energy source,
providing approximately 4 kcal per gram. Proteins primarily handle
tissue repair, while lipids are key for insulation.
2. A client asks how many calories per gram are provided by fat. The
nurse correctly responds:
A. 4 kcal/g
B. 7 kcal/g
C. 9 kcal/g
D. 12 kcal/g
,2|Page
Answer: C. Lipids provide 9 kcal per gram, making them the most
energy-dense macronutrient. Carbohydrates and proteins each provide
4 kcal/g, and alcohol provides 7 kcal/g.
3. A nurse is teaching about protein complementation. Which food
combination best demonstrates this principle?
A. Oatmeal with milk
B. Rice and beans
C. Pasta with cheese
D. Yogurt with granola
Answer: B. Rice and beans combine legumes and grains to provide all
essential amino acids, making a complete protein. The other pairings
already contain a complete animal protein.
4. Which of the following vitamins is water-soluble?
A. Vitamin A
B. Vitamin D
C. Vitamin C
D. Vitamin E
Answer: C. Vitamin C and the B-complex vitamins are water-soluble,
meaning they are not stored in large amounts and excess is excreted in
urine. Vitamins A, D, E, and K are fat-soluble.
,3|Page
5. A nurse is teaching a pregnant client about folic acid. The nurse
explains that adequate intake prevents which condition in the fetus?
A. Rickets
B. Neural tube defects
C. Iron deficiency anemia
D. Hypoglycemia
Answer: B. Folic acid is critical during early pregnancy to prevent neural
tube defects like spina bifida. It is recommended that all women of
childbearing age consume 400 mcg daily.
6. During a nutrition screening, a nurse identifies that a client follows a
vegan diet. The client is most at risk for a deficiency in which nutrient?
A. Vitamin C
B. Calcium
C. Vitamin B12
D. Fiber
Answer: C. Vitamin B12 is naturally found only in animal products.
Vegans must obtain it through fortified foods or supplements to
prevent megaloblastic anemia and neurological issues.
7. A nurse is assessing a client with marasmus. Which finding is
expected?
A. Edema and distended abdomen
B. Muscle wasting and loss of subcutaneous fat
, 4|Page
C. Hepatomegaly and fatty liver
D. Dermatitis and flaky skin
Answer: B. Marasmus is a deficiency of all macronutrients, causing
severe muscle wasting and loss of fat stores. Edema and a fatty liver are
characteristic of kwashiorkor, a protein deficiency.
8. The nurse is educating a client with iron deficiency anemia. Which
food choice indicates the teaching has been effective?
A. Cheese omelet
B. Spinach salad with lemon vinaigrette
C. Yogurt with berries
D. Milk and cereal
Answer: B. Non-heme iron from spinach is better absorbed with vitamin
C from the lemon vinaigrette. Calcium in dairy products can inhibit iron
absorption.
9. A client asks the nurse about the purpose of probiotics. The nurse
explains that probiotics primarily promote:
A. Absorption of fat-soluble vitamins
B. A healthy balance of gut microflora
C. Increased gastric acid secretion
D. Breakdown of insoluble fiber
