Clinical Applications
EXAM QUESTIONS AND ANSWERS 2025
Major Keywords: Nutrition nursing study guide, dietary guidelines for patients, enteral and parenteral nutrition, nutrition across the lifespan, therapeutic
diets, malnutrition signs, fluid and electrolyte balance, BMI and weight loss evaluation, nursing NCLEX nutrition questions, patient nutrition teaching, lab
values and nutritional status.
A home health nurse is providing dietary teaching to the parents of a 3-year-old child. Which of the
following statement by the parents should the nurse identify as understanding of the teaching?
A. "I will offer my child a cup of peanut butter to dip her celery in."
B. "I can leave her grapes whole so that she can practice getting them with her fork."
C. "I can giver her popcorn as a snack to provide a serving of whole grains."
D. "I will put low-fat milk in her cup for her to drink."
D. "I will put low-fat milk in her cup for her to drink."
A nurse is caring for a client who is receiving total parenteral nutrition (TPN) through a peripherally
inserted central catheter. The pharmacist informs the nurse that there will be a delay in delivering the
next bag of TPN solution. Which of the following actions should the nurse take?
A. Slow the rate of the current infusion
B. Infuse 0.9% sodium chloride when the current infusion ends
C. Infuse dextrose 10% in water when the current infusion ends
D. Remove the tubing and flush the access device when the current infusion ends
C. Infuse dextrose 10% in water when the current infusion ends
A nurse is teaching a female client about a healthy diet to control hypertension. Which of the following
client statements indicates an understanding of the teaching?
A. "I will drink two glasses of whole milk daily."
B. "I will decrease the potassium in my diet."
C. "I will eat four servings of unsalted nuts per week."
D. "I will limit alcohol consumption to two drinks per day."
C. "I will eat four servings of unsalted nuts per week."
*Magnesium can help in lowering high blood pressure. Green leafy vegetables, seeds and nuts (e.g. almonds,
cashew nuts, sunflower seeds and pumpkin seeds) are good sources of magnesium.
A nurse is caring for a client who is being treated for cancer using chemotherapy. Which of the following
interventions should the nurse suggest to aid in management of treatment-related changes in taste?
A. Use plastic utensils
B. Limit fluids with meals
C. Serve meals while they are hot
D. Eat bland, unseasoned foods
, A. Use plastic utensils
*Chemotherapy changes the taste buds so that using metal silverware suddenly causes a bitter metallic aftertaste
A nurse is leading a discussion at a prenatal education class with a group of expectant mothers who plan
to breastfeed. Which of the following instructions should the nurse include in the teaching?
A. Offer supplemental formula until the milk supply is established
B. Offer the newborn 30 mL (1 oz) of glucose water after the first breastfeeding session
C. Plan to breastfeed the newborn every 4 hr
D. Plan 5 min feedings on each breast on the first day after birth
D. Plan 5 min feedings on each breast on the first day after birth
Avoid using supplemental formula because this can confuse the newborn, do not give baby anything other than
breast milk, newborns feed about 8-12 times a day
A nurse is assisting a client who has dysphagia with an oral feeding. Which of the following actions
should the nurse take? (Select all that apply)
1. gently palpate the clients throat during swallowing
2. Position the client in a semi-Fowler's position at 45 degrees
3. Inspect for food pockets in the mouth before feeding
4. Allow the client to rest for 30 minutes before meals
5. Hyperextend the client's neck during swallowing
1, 3, 4
A nurse is assessing a client who is suspected of having lactose intolerance. Which of the following is an
expected finding?
A) Flatulence
B) Bloody stools
C) Hyperemesis
D) Steatorrhea
A. Flatulence (passing gas)
NOT CORRECT:
Hyperemesis = A severe type of nausea and vomiting during pregnancy.
Steatorrhea = Oily, smelly stools, which often float.
A nurse is providing dietary teaching for a client who has chronic skin ulcers of the lower extremities.
Which of the following foods should the nurse recommend as containing the highest amount of zinc?
A) I cup apple slices
B) 4 oz low-fat cottage cheese
C) 4 oz ground beef patty
D) 1 cup raw spinach
Answer: 4 oz ground beef patty Ground beef patty contains 5.49 mg of zinc, making it the best choice
**Oysters contain more zinc per serving than any other food, but red meat and poultry provide the majority of