1 :

Hint : Check med formulation first

Correct Answers:

  • Consult with the pharmacist about a liquid form of the medication


Rationale :

🔷 Enteric-coated medications are designed to resist stomach acid and dissolve in the intestine for proper absorption.

🔷 Crushing or altering them compromises this coating, which can lead to drug inactivation or gastric irritation.

🔷 Medications administered via feeding tube should be in a form that is safe, effective, and non-reactive with the tube or GI tract.

🔷 The nurse’s best course of action is to consult the pharmacist for a liquid equivalent or alternative route to maintain therapeutic safety.


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2 :

Hint : Encourage fiber-rich foods

Correct Answers:

  • Explain the benefits of a high fiber diet.


Rationale :

🔶 Clients with hemorrhoids benefit from a high-fiber diet that promotes soft, bulky stools and reduces straining during defecation.

🔶 Nuts and seeds are not necessarily harmful unless they cause mechanical irritation; the emphasis should be on overall fiber intake from safe sources.

🔶 Teaching should focus on understanding the cause, which is often chronic constipation or straining—not isolated food types.

🔶 Clarifying the benefits of fiber encourages evidence-based dietary choices rather than unnecessary restrictions.


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3 :

Hint : Pair grains with legumes

Correct Answers:

  • Whole wheat peanut butter sandwich, banana, and milk.


Rationale :

🟡 A lacto-ovo-vegetarian consumes dairy and eggs, but not meat or fish.

🟡 Combining whole grains (bread) and legumes (peanut butter) forms a complete protein, providing all essential amino acids.

🟡 Milk offers an additional source of complete protein and calcium, making this meal nutritionally balanced.

🟡 This choice shows the client understands how to combine plant-based and animal-derived sources to maintain adequate protein intake.


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4 :

Hint : High metabolism needs fuel

Correct Answers:

  • Encourage the client to continue these changes in a dietary plan.


Rationale :

🟣 Clients with hyperthyroidism experience increased metabolic rate, requiring more calories and protein to prevent weight loss and muscle wasting.

🟣 Increasing caloric and protein intake supports tissue repair, maintains lean body mass, and meets the high energy demand.

🟣 The client is appropriately managing the condition with nutritional therapy, and the nurse should reinforce these positive changes.

🟣 Nutritional support is a key part of managing symptoms like weight loss, weakness, and fatigue in hyperthyroidism.


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5 :

Hint : Use intake-output formula

Correct Answers:

  • 539


Rationale :

🔴 Intake:

6 oz apple juice = 180 mL

1 cup water = 240 mL

1 cup soup = 240 mL

6 oz tea = 180 mL

12 oz soda = 360 mL

Total Intake = 180 + 240 + 240 + 180 + 360 = 1,200 mL

🔴 Output:

Voided: 250 + 250 = 500 mL

Vomitus: 150 mL

Total Output = 650 mL

🔴 Balance: 1200 intake - 650 output = 539 mL net positive balance


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6 :

Hint : Diabetics need sugar-free

Correct Answers:

  • "Be sure to drink sugar-free cranberry juice."


Rationale :

🟢 Clients with diabetes mellitus must avoid sugary beverages, including regular fruit juices, which can spike blood glucose levels.

🟢 While cranberry juice may help acidify urine and reduce bacterial adhesion, it must be sugar-free to prevent hyperglycemia.

🟢 The nurse should encourage proper fluid intake with sugar-free options and monitor for signs of glycemic control.

🟢 This guidance promotes both infection prevention and diabetes management.


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7 :

Hint : Plant-based complete protein

Correct Answers:

  • Soybean products.


Rationale :

🔵 Vegans avoid all animal products, so plant-based protein sources are essential.

🔵 Soybeans are one of the few complete plant proteins, containing all essential amino acids.

🔵 Encouraging soy intake—via tofu, tempeh, or soy milk—helps meet protein and calcium needs in the vegan diet.

🔵 The nurse supports nutritional adequacy by highlighting high-quality vegan protein sources.


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8 :

Hint : Limit salt and fluids

Correct Answers:

  • Restrict sodium rich foods and excessive oral fluids.


Rationale :

🟠 Glomerulonephritis often leads to fluid retention, hypertension, and edema due to impaired kidney function.

🟠 Sodium restriction reduces fluid retention and helps control blood pressure and edema.

🟠 Limiting oral fluids helps prevent volume overload, which can worsen cardiovascular and renal symptoms.

🟠 Dietary counseling should also monitor protein and potassium intake based on individual renal function.


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9 :

Hint : Oral pain affects nutrition

Correct Answers:

  • Pain when eating.


Rationale :

🟤 Periodontitis leads to inflammation and damage to the gums and oral tissues, causing pain during chewing or swallowing.

🟤 Pain reduces oral intake, especially of harder or more textured foods, contributing to inadequate nutrition.

🟤 The nurse must address the underlying oral discomfort to restore normal eating behavior and meet nutritional needs.

🟤 Assessment and referral to dental care, along with diet modifications, may be necessary to manage this issue.


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10 :

Hint : Think eye health

Correct Answers:

  • "I can see at night when I wake up now."


Rationale :

⚪ Vitamin A is essential for the formation of rhodopsin, a pigment needed for night vision.

⚪ Deficiency commonly results in night blindness, where the individual struggles to see in low-light conditions.

⚪ The child's improvement in night vision reflects the restoration of proper Vitamin A levels.

⚪ This indicates that supplementation is adequate and effective, supporting ocular health and immune function.


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Total Questions: 10

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