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NR228 STUDY GUIDE 2026
COMPREHENSIVE ANSWER DIGEST
◉A nurse is caring for a client who is on a 2,000 calorie American Diabetes Association (ADA) diet and substitutes the whole milk on his breakfast tray for skim milk. Because of this substitution, the nurse should know that the client can add what to his oatmeal on his breakfast tray? Answer: One tablespoon of low-fat margarine ◉A nurse is teaching information to a group of older adults about sources of complete and incomplete proteins. Which of the following foods should the nurse include as a complete protein? Answer: Yogurt ◉A nurse is caring for a group of clients. The nurse should recognize that which of the following clients is at risk for vitamin B deficiency? Answer: A client that reports drinking hard liquor everyday ◉A nurse is discussing nutrition therapy for wound healing fat surgery to a small group of adults clients to promote wound healing. Which of the following vitamins should the nurse include in the instruction? Answer: Vitamin A, B12, C, and K
◉A nurse is instructing a client with a vitamin K deficiency about foods rich in vitamin K. Which of the following information should the nurse include? Answer: Green leafy vegetables ◉A nurse is providing information to a group of clients about high protein foods they should eat. Which of the following food choices should the nurse include in the instructions? Select all that apply. Answer: Cottage cheese Milk shake Tuna fish Egg and ham omelet ◉A nurse is providing dietary information to a client that requires increased calcium. Which of the following instructions should the nurse include? Answer: Increase your consumption of green, leafy vegetables ◉A nurse is caring for a client that requires a low glucose diet. Which of the following substances should the nurse instruct the client to use as a sweetener? Answer: Non-nutritive sugar substitute ◉A nurse is providing instructions on low sodium diets. Which of the following statements should the nurse make? Answer: You should decrease your daily intake of peanut butter
◉A nurse is assessing four female client's for obesity. Which of the following clients are manifestations of obestity? Answer: A client that weighs 28% about ideal body weight ◉A nurse at a health fair is assessing the weight of four clients. Which of the following clients are classified as overweight? Answer: A male client with a BMI over 29 ◉A nurse is developing a program about strategies to prevent food borne illness for a group of adult clients. The nurse should plan to include which of the following recommendations? Select all that apply. Answer: Avoid unpasteurized products Keep cold temperatures below 4.4C or 40F Heat left over food before eating Wash raw vegetables thoroughly in clean water ◉A nurse is instructing a client with constipation about high fiber diets. Which of the following foods should the nurse include as good sources of fiber? Select all that apply. Answer: Kidney beans Dry food Strawberries ◉A nurse is planning to teach a client about a low potassium diet. Which of the following foods should the nurse instruct the client to avoid? Select all that apply. Answer: Tofu
Milk Orange Juice ◉A nurse is developing an education program for the community group about dietary intake of vitamins and minerals. The nurse should include which of the following foods as good sources of vitamin C? Select all that apply. Answer: Green pepper Orange Cabbage Strawberries ◉A nurse is providing information to a client with elevated phosphorous levels. Which of the following low phosphorous foods should the nurse encourage the client to consume? Answer: Cream cheese ◉A nurse is discussing sources of dietary magnesium with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of sources of magnesium? Answer: Bean soup ◉Which of the following must be listed in the food label as regulated by the US Food and Drug Administration (FDA)? Answer: Dietary fiber
◉The nurse is instructing a group of clients about anticoagulants. Which statement regarding the interaction of Amiodarone and warfarin should the nurse include? Answer: Amiodarone taken with warfarin can increase the risk of bleeding ◉The nurse is carding for a client with diabetes who frequently drinks ginseng. What finding should the nurse suspect to observe when the client consumes ginseng while taking insulin? Answer: Hypoglycemia ◉The nurse educator is discussing Healthy People 2020 initiatives with a group of nursing students. Which of the following represents the overall goal of this initiative? Answer: Identify nationwide health improvement priorities and provide measurable objectives and goals ◉A nurse is teaching a client recovering from abdominal surgery about protein consumption to promote wound healing. Which plan food source represents the best complete protein? Answer: Soybean and tofu ◉A home bound older adult client living on a limited income is presented to the emergency room for scurvy. The nurse knows that scurvy is caused by deficiency of which vitamin? Answer: Primary deficiency of vitamin C
◉A client is seen in the emergency department for a medical diagnosis of dehydration. When assessing the client's health history, the nurse should expect the client to describe which clinical manifestation? Answer: Drowsiness and light-headedness ◉The nurse is caring for a client who is pregnant. What is the recommended total weight gain during pregnancy with a client of normal weight? Answer: 25 to 35 lbs ◉The nurse is caring for a client that requires a high protein diet but prefers vegetable-based proteins to meat. Which of the following foods should the nurse instruct the client to consume? Answer: Tofu ◉The nurse is caring for a client with nausea. The client on a clear liquid diet should take which of the following foods? Answer: Broth Coffee ◉The nurse is preparing to instruct the client about carbohydrate counting to manage type 1 diabetes mellitus. Which action will the nurse do first to ensure the client is successful in managing the dietary change? Answer: Assess the client's health literacy ◉Consuming aspartame puts which client at the highest risk for injury? Answer: A client that is 22 weeks pregnant
◉The nurse is planning instruction for a client with a family history of cardiovascular disease. Which of the following regarding exercise in cardiovascular health should be included in the instruction? Answer: Walk vigorously for at least 20 minutes, 3 days a week ◉The nurse is teaching a client with cancer about foods high in protein. Which of the following high protein foods should the nurse include in the instruction? Select all that apply. Answer: Salmon Milk shakes Egg and cheese omelets ◉The nurse is teaching a group of parents about how to prevent dental cavities in their children. Which of the following minerals should the nurse inform the parents to help strengthen tooth enamel? Answer: Fluoride ◉The nurse is planning instruction for a client with peptic ulcer disease (PUD) and requires a bland diet to prevent irritating the gastric lining of the stomach. Which of the following should the client be instructed to avoid? Select all that apply. Answer: Consuming chili pepper Whole wheat bread Coffee
◉The nurse is providing nutritional instructions to a client following a total gastric requiring a high protein complex carbohydrate diet. Which of the following should the nurse instruct the client to avoid? Answer: Fruit juice ◉The nurse is caring for a client receiving a potassium supplement for hypokalemia. Which clinical manifestations should the nurse expect to observe if the client develops potassium toxicity? Select all that apply. Answer: Vomiting Muscle weakness Irregular heart beat ◉The nurse is caring for a client with a low level of vitamin A. Which foods are good sources of vitamin A? Answer: Sweet potato
