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Questions & Answers | Grade A
Question 1: A client who is pregnant asks the nurse about preventing neural tube defects in her
baby. Which nutrient should the nurse recommend?
A) Calcium
B) Folate
C) Vitamin B12
D) Magnesium
Correct Answer: B) Folate
Explanation: Folate (folic acid) is essential for preventing neural tube defects during early
pregnancy. The recommendation is 400-800 mcg daily for women of childbearing age and during
pregnancy.
Question 2: A nurse is caring for a client who had a stroke and has dysphagia. Which intervention
should the nurse implement?
A) Tilt the client's head backward to facilitate swallowing
B) Use liquids to clear food from the client's mouth
C) Add a thickening agent to liquids
D) Place the client in semi-Fowler's position
Correct Answer: C) Add a thickening agent to liquids
Explanation: Thickening liquids helps prevent aspiration in clients with dysphagia by slowing the
flow of liquids and allowing better control during swallowing.
Question 3: An older adult client reports decreased sense of taste and smell. Which strategy
should the nurse recommend?
A) Maintain consistent food textures at mealtimes
,B) Use kosher salt in place of table salt
C) Label and date food in the refrigerator
D) Wait 1 hour after eating to consume fluids
Correct Answer: A) Maintain consistent food textures at mealtimes
Explanation: Consistent food textures help compensate for decreased taste and smell by providing
predictable sensory input and making eating more enjoyable.
Question 4: A client with a goiter asks about appropriate food choices. Which statement indicates
understanding?
A) "I will eat more tuna"
B) "I will eat more red meat"
C) "I will eat bananas for a snack"
D) "I will eat blueberries every morning"
Correct Answer: A) "I will eat more tuna"
Explanation: Tuna and other seafood are good sources of iodine, which is essential for thyroid
function and can help prevent goiter caused by iodine deficiency.
Question 5: What is the normal BMI range for adults?
A) 15.0-18.4
B) 18.5-24.9
C) 25.0-29.9
D) 30.0-34.9
Correct Answer: B) 18.5-24.9
Explanation: Normal BMI range is 18.5-24.9. Below 18.5 is underweight, 25-29.9 is overweight, and
30 or above is obese.
Question 6: A waist-hip ratio above what value indicates increased cardiovascular risk in women?
A) 0.6
B) 0.8
C) 1.0
, D) 1.2
Correct Answer: B) 0.8
Explanation: A waist-hip ratio ≥0.8 in women indicates central obesity and increased risk for
cardiovascular disease and diabetes.
Question 7: Which physical finding indicates vitamin A deficiency?
A) Dry, flaky skin
B) Bitot spots on the cornea
C) Petechiae
D) Edema
Correct Answer: B) Bitot spots on the cornea
Explanation: Bitot spots are foamy, white patches on the cornea that are pathognomonic for vitamin
A deficiency.
Question 8: What does petechiae suggest nutritionally?
A) Vitamin A deficiency
B) Vitamin C or K deficiency
C) Protein deficiency
D) Iron deficiency
Correct Answer: B) Vitamin C or K deficiency
Explanation: Petechiae (small hemorrhagic spots) can indicate vitamin C deficiency (scurvy) or
vitamin K deficiency, both of which affect blood clotting.
Question 9: Which anthropometric measurement best reflects muscle wasting?
A) BMI
B) Waist circumference
C) Skinfold thickness
D) Calf circumference
Correct Answer: D) Calf circumference