NUR 1172 EXAM 2 ACTUAL 2026/2027 | Nutritional
Principles in Nursing | Complete Test Bank | 100%
Correct Answers | Rasmussen University | Pass
Guaranteed - A+ Graded
Section 1: Nutrition Across the Lifespan (Pregnancy, Infancy, Childhood,
Adolescence) (Q1-15)
Q1. A 28-year-old pregnant client has a pre-pregnancy BMI of 22 kg/m². What is the
recommended total gestational weight gain for this client?
A. 11–20 lb
B. 15–25 lb
C. 25–35 lb [CORRECT]
D. 28–40 lb
Rationale: For a normal pre-pregnancy BMI (18.5–24.9 kg/m²), the recommended
total weight gain is 25–35 lb. Underweight clients should gain 28–40 lb, overweight
clients 15–25 lb, and obese clients 11–20 lb.
Correct Answer: C
Q2. A pregnant client maintained her weight at 1,800 kcal/day before pregnancy.
What total daily caloric intake should the nurse recommend during the second
trimester?
A. 1,800 kcal/day
B. 1,900 kcal/day
C. 2,100–2,150 kcal/day [CORRECT]
D. 2,500 kcal/day
Rationale: During the second and third trimesters, pregnant women require an
additional 300–350 kcal/day above pre-pregnancy needs. Adding 300–350 kcal to
her baseline of 1,800 yields approximately 2,100–2,150 kcal/day.
Correct Answer: C
,2
Q3. A breastfeeding mother consumed 2,000 kcal/day pre-pregnancy. What total
daily caloric intake should the nurse recommend to support lactation?
A. 2,000 kcal/day
B. 2,100 kcal/day
C. 2,330–2,400 kcal/day [CORRECT]
D. 2,800 kcal/day
Rationale: Lactating women require an additional 330–400 kcal/day above pre-
pregnancy needs to support milk production. Adding 330–400 kcal to her baseline of
2,000 yields 2,330–2,400 kcal/day.
Correct Answer: C
Q4. A pregnant client at 6 weeks gestation asks when folic acid supplementation
should have begun to prevent neural tube defects. What is the nurse's best
response?
A. "Begin at your first prenatal visit next week"
B. "At least 1 month before conception and through the first trimester" [CORRECT]
C. "Only during the second and third trimesters"
D. "Starting at 24 weeks gestation is optimal"
Rationale: Folic acid supplementation of 400–800 mcg should begin at least 1 month
before conception and continue through the first trimester when neural tube closure
occurs. Starting after this window misses the critical preventive period.
Correct Answer: B
Q5. The nurse is educating a pregnant client about iron requirements. What is the
recommended daily iron intake during pregnancy, and what is its primary purpose?
A. 18 mg/day; to prevent maternal fatigue
B. 27 mg/day; to support fetal iron storage and maternal RBC mass expansion
,3
[CORRECT]
C. 15 mg/day; to enhance calcium absorption
D. 30 mg/day; to prevent gestational diabetes
Rationale: The RDA for iron during pregnancy is 27 mg/day to support expansion of
maternal red blood cell mass and establish fetal iron stores. Non-pregnant women
require only 18 mg/day.
Correct Answer: B
Q6. A pregnant client asks which foods she should avoid due to risk of listeriosis.
Which food should the nurse instruct her to avoid?
A. Pasteurized yogurt
B. Hard cheeses such as cheddar
C. Deli meats and soft cheeses unless heated until steaming [CORRECT]
D. Freshly cooked chicken breast
Rationale: Listeria monocytogenes can contaminate ready-to-eat deli meats and soft
cheeses made with unpasteurized milk. Pregnant women should avoid these foods
unless heated to steaming hot temperatures to kill potential bacteria.
Correct Answer: C
Q7. A mother is preparing formula for her 3-month-old infant who consumes 24 oz
of formula daily. The formula mixing instructions specify 1 scoop of powder per 2 oz
of water. How many scoops of powder are needed for 24 hours?
A. 8 scoops
B. 12 scoops [CORRECT]
C. 16 scoops
D. 24 scoops
Rationale: At 1 scoop per 2 oz, 24 oz requires 12 scoops (24 ÷ 2 = 12). Accurate
measurement is essential because overdilution can cause hyponatremia and
, 4
underdilution can cause renal solute overload.
Correct Answer: B
Q8. The nurse is counseling parents of a 6-month-old infant about introducing solid
foods. Which food should the nurse recommend as the first solid to best meet the
infant's nutritional needs?
A. Rice cereal prepared with water
B. Pureed sweet potatoes
C. Iron-fortified infant cereal or pureed meats [CORRECT]
D. Mashed bananas
Rationale: Iron-fortified cereals or pureed meats are recommended as first foods
because infants' iron stores begin to deplete around 6 months. The AAP emphasizes
iron-rich foods to prevent iron deficiency anemia.
Correct Answer: C
Q9. An infant requires 400 IU of vitamin D daily. The parents purchased a liquid
supplement labeled "400 IU per 1 mL." How many mL should the nurse instruct them
to administer?
A. 0.5 mL
B. 1.0 mL [CORRECT]
C. 1.5 mL
D. 2.0 mL
Rationale: The infant requires 400 IU/day. At a concentration of 400 IU per 1 mL, the
correct dose is 1.0 mL daily, typically measured with an oral syringe for precision.
Correct Answer: B