Nutrition Practice Test 4
Nutrition NCLEX Practice Test
Nutrition is a key topic within the NCLEX test plan, located under Nursing Science → Clinical Foundations → Nutrition. This section applies nutrition science to assessment, counseling, and therapeutic meal planning for patient care. Each test contains 50 questions designed to mirror the difficulty and variety of the real exam.
This is the 4th part of the Nutrition series. To explore all practice tests under this topic, use the “Back to Main Topic” button at the end of the page.
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In the Nutrition Study Cards section, shared by real NCLEX candidates, you’ll find concise summaries and high-yield insights related to the most tested concepts. It’s a perfect space to reinforce challenging topics and sharpen your recall through quick, focused repetitions. Short, powerful, and repeatable!
Nutrition Practice Test 4
The most important natural antioxidant is?
- Vitamin D
- Vitamin E
- Vitamin B12
- Vitamin K
Explanation: Answer reason: Vitamin E (alpha-tocopherol) is the major natural lipid-soluble antioxidant protecting cell membranes from oxidative damage; vitamins D, K, and B12 are not primary antioxidants.
A fatty acid which is not synthesized in the body and has to be supplied in the diet is?
- Palmitic acid
- Lauric acid
- Linolenic acid
- Palmitoleic acid
Explanation: Answer reason: Essential fatty acids are not synthesized in the body and must be obtained from the diet; these include linoleic and linolenic acids. The other listed fatty acids can be synthesized endogenously.
A client following a vegan diet presents with fatigue, glossitis, and paresthesias in the hands and feet. Laboratory results reveal macrocytic anemia. Which nutrient deficiency is most likely responsible?
- Vitamin B12
- Iron
- Vitamin C
- Folate
Explanation: Answer reason: Strict vegan diets lack natural dietary sources of vitamin B12, leading to macrocytic anemia and neurologic symptoms such as paresthesias. Folate deficiency also causes macrocytosis but does not produce neurologic deficits.
A client recovering from extensive burns is placed on a high-calorie, high-protein nutritional regimen. Which physiological rationale best explains the increased protein requirement?
- Enhances glycogen storage
- Reduces renal workload
- Supports tissue repair and collagen synthesis
- Prevents hypoglycemia
Explanation: Answer reason: Burn injuries result in significant catabolism and require increased protein intake to support wound healing, immune function, and collagen formation.
Deficiency of Vitamin A causes?
- Xerophthalmia
- Hypoprothrombinemia
- Megaloblastic anemia
- Pernicious anemia
Explanation: Answer reason: Vitamin A deficiency leads to ocular changes such as xerophthalmia (dry conjunctiva/cornea), Bitot spots, keratomalacia, and night blindness. The other options are linked to other vitamins: hypoprothrombinemia (vitamin K), megaloblastic anemia (folate/B12), pernicious anemia (B12).
Which mineral should be taken by a child suffering from rickets?
- Potassium
- Calcium
- Sodium
- Iron
Explanation: Answer reason: Rickets involves defective bone mineralization due to vitamin D deficiency and inadequate calcium; treatment includes calcium supplementation. Therefore the needed mineral is calcium.
When fats develop an unpleasant smell and taste when allowed to stand at room temperature for a short period of time is called ______?
- Rancidity
- Saponification
- Hydrogenation
- Iodine number
Explanation: Answer reason: Unpleasant odor and taste developing in fats on standing is due to oxidation/hydrolysis of lipids, termed rancidity. Saponification forms soap, hydrogenation adds hydrogen to unsaturated fats, and iodine number measures unsaturation.
Burning feet syndrome is most commonly attributed to deficiency of which vitamin?
- Vitamin B12 (Cobalamin)
- Vitamin B7 (Biotin)
- Vitamin D
- Vitamin E
Explanation: Answer reason: Burning feet is a neuropathic symptom commonly associated with vitamin B12 deficiency due to peripheral neuropathy; among the given options, B12 best fits.
Carbohydrates are also known as?
- Proteins
- Sugars
- Fats
- Enzymes
Explanation: Answer reason: Carbohydrates are saccharides; simple carbohydrates are sugars, so carbohydrates are commonly referred to as sugars.
Vitamin H is also known as which vitamin?
- Riboflavin
- Thiamine
- Biotin
- Calciferol
Explanation: Answer reason: Vitamin H is the historical name for biotin (vitamin B7); riboflavin is B2, thiamine is B1, and calciferol is vitamin D.
Scurvy is a disease that occurs due to the deficiency of which vitamin?
- Vitamin A
- Vitamin B
- Vitamin C
- Vitamin D
Explanation: Answer reason: Scurvy results from vitamin C deficiency, which impairs collagen synthesis leading to bleeding gums, petechiae, and poor wound healing.
Which vitamin is essential for blood clotting?
- Vitamin A
- Vitamin C
- Vitamin K
- Vitamin D
Explanation: Answer reason: Vitamin K is required for hepatic gamma-carboxylation of clotting factors II, VII, IX, and X (and proteins C and S), making it essential for normal coagulation.
Which of the following vitamins is necessary for the wound healing process?
- Vitamin A
- Vitamin D
- Vitamin K
- Vitamin C
Explanation: Answer reason: Vitamin C is essential for collagen synthesis and fibroblast function; deficiency impairs wound healing. Vitamins A and D are more related to epithelial integrity and bone health, and vitamin K to coagulation.
Which vitamin is essential for blood clotting?
- Vitamin B
- Vitamin A
- Vitamin C
- Vitamin K
- Vitamin D
Explanation: Answer reason: Vitamin K is required for hepatic gamma-carboxylation of clotting factors II, VII, IX, and X, making it essential for normal blood coagulation.
Which of the following is the richest source of vitamin B-12?
- Meat and dairy products
- Grains
- Green leafy vegetables
- Mushrooms
Explanation: Answer reason: Vitamin B12 is found naturally in animal products such as meat, fish, eggs, and dairy; plant foods like grains, leafy vegetables, and mushrooms do not naturally provide significant B12.
Deficiency of which vitamin is a non-clotting cause of blood problems?
- Vitamin C
- Vitamin K
- Vitamin E
- Vitamin B12
Explanation: Answer reason: Vitamin C deficiency (scurvy) impairs collagen synthesis, causing fragile capillaries and bleeding due to vascular integrity issues— a non-coagulation cause. Vitamin K affects clotting factors, B12 causes anemia, and E is not a primary cause of bleeding disorders.
What is the reference protein?
- Rice
- Egg
- Fish
- Lemon
Explanation: Answer reason: Egg protein serves as the standard reference due to its complete amino acid profile and highest biological value.
What is the chemical name of vitamin A?
- Thiamine
- Calciferol
- Retinol
Explanation: Answer reason: Vitamin A is known chemically as retinol; thiamine is vitamin B1 and calciferol is vitamin D.
Common table salt is a source of which mineral?
- Potassium
- Calcium
- Sodium
- Iron
Explanation: Answer reason: Table salt is sodium chloride; therefore it provides the mineral sodium.
Which vitamin helps in preventing infections?
- Vitamin E
- Vitamin K
- Vitamin C
- Vitamin B2
Explanation: Answer reason: Vitamin C supports immune function and helps reduce risk and duration of infections. Vitamin K is for coagulation, B2 is riboflavin for energy metabolism, and E is an antioxidant with less direct infection prevention.
Bone deformities occur due to the excessive intake of which substance?
- Phosphorus
- Potassium
- Fatty acid
- Fluorine
Explanation: Answer reason: Chronic excessive fluoride intake causes skeletal fluorosis, leading to osteosclerosis and bone deformities. The other listed substances are not classic causes of bone deformities from overconsumption.
What is the most common vitamin deficiency seen in alcoholics?
- Thiamine
- Riboflavin
- Pyridoxine
- Pantothenic acid
Explanation: Answer reason: Chronic alcohol use commonly causes thiamine (vitamin B1) deficiency due to poor intake, impaired absorption, and reduced storage, leading to Wernicke-Korsakoff syndrome.
What is the best source of food helpful in reducing hair fall?
- Tomatoes
- Carrots
- Corn
- Milk
Explanation: Answer reason: Carrots are rich in beta-carotene (vitamin A), which supports healthy scalp and hair follicles; deficiency is linked to hair loss.
Excess fat intake may cause all of the following except which condition?
- Obesity
- Peptic ulcer
- Coronary heart disease
- Colon and breast cancer
Explanation: Answer reason: High fat intake is linked to obesity, coronary heart disease, and increased risk of certain cancers (e.g., colon and breast), but peptic ulcers are primarily due to H. pylori infection and NSAID use, not dietary fat.
Night blindness is caused due to the deficiency of which vitamin?
- Vitamin C
- Vitamin A
- Vitamin E
- Vitamin B
Explanation: Answer reason: Night blindness (nyctalopia) results from impaired rhodopsin formation due to vitamin A deficiency.
Bitot's spot is a sign of deficiency of which vitamin?
- Vitamin B6 Deficiency
- Vitamin A Deficiency
- Vitamin D Deficiency
- Vitamin E Deficiency
Explanation: Answer reason: Bitot's spots are foamy, keratinized conjunctival plaques seen in xerophthalmia due to vitamin A deficiency.
Which of the following sugars is found in milk?
- Fructose
- Glucose
- Lactose
- Galactose
Explanation: Answer reason: Lactose is the disaccharide sugar naturally present in milk; fructose is fruit sugar, glucose is blood sugar, and galactose is a component of lactose but not the primary sugar in milk.
What is the other name of Vitamin B1?
- Riboflavin
- Ergocalciferol
- Tocopherol
- Thiamine
Explanation: Answer reason: Vitamin B1 is thiamine. Riboflavin is B2, ergocalciferol is vitamin D2, and tocopherol is vitamin E.
Delay in blood clotting is a deficiency of which vitamin?
- Vitamin A
- Vitamin C
- Vitamin E
- Vitamin K
Explanation: Answer reason: Vitamin K is required for hepatic synthesis of clotting factors II, VII, IX, and X; deficiency leads to impaired coagulation and delayed blood clotting.
Which vitamin is required for vision in dim light?
- Vitamin A
- Vitamin D
- Vitamin E
- Vitamin K
Explanation: Answer reason: Vitamin A (retinal) is needed to form rhodopsin in rod cells, enabling vision in dim light; deficiency causes night blindness.
Which of the following foods is considered a complete protein?
- Rice
- Beans
- Egg
- Corn
Explanation: Answer reason: Eggs provide all nine essential amino acids in adequate amounts, making them a complete, high-biological-value protein. Rice, beans, and corn are incomplete proteins individually.
Which vitamin is provided by sunlight to the human body?
- Vitamin A
- Vitamin B
- Vitamin C
- Vitamin D
Explanation: Answer reason: UVB sunlight enables skin synthesis of vitamin D3 from 7-dehydrocholesterol, making vitamin D the 'sunshine vitamin.
Which vitamin helps in blood clotting?
- Vitamin D
- Vitamin B
- Vitamin A
- Vitamin K
Explanation: Answer reason: Vitamin K is required for hepatic gamma-carboxylation of clotting factors II, VII, IX, and X (and proteins C and S), enabling normal blood coagulation.
Which disease is caused by a deficiency of Vitamin A?
- Night blindness
- Pellegra
- Rickets
- None of the above
Explanation: Answer reason: Vitamin A deficiency leads to night blindness (xerophthalmia spectrum). Pellagra is due to niacin (B3) deficiency and rickets is due to vitamin D deficiency.
What is the role of fluoride in dental health?
- Prevent tooth decay
- Strengthen enamel
- Whiten teeth
Explanation: Answer reason: Fluoride promotes enamel remineralization and inhibits bacterial acid production, reducing dental caries risk; whitening is not its primary role.
Which vitamin deficiency causes the described pathology?
- Vitamin A
- Vitamin B
- Vitamin C
Explanation: Answer reason: Vitamin A deficiency classically causes ocular epithelial changes and night blindness/xerophthalmia. Vitamin C deficiency causes scurvy and B-vitamin deficiencies cause neurologic/anemic syndromes, making Vitamin A the best match.
Which of the following is a provitamin A?
- Retinol
- Carotene
- Retinal
- Retinoic acid
Explanation: Answer reason: Beta-carotene is a provitamin A that the body converts to retinol; retinol, retinal, and retinoic acid are active retinoids, not provitamins.
Which of the following vitamin deficiencies causes neurologic disorders?
- Vitamin A
- Vitamin B6
- Vitamin C
- Vitamin D
- Vitamin E
Explanation: Answer reason: Pyridoxine (vitamin B6) deficiency impairs neurotransmitter synthesis, leading to neuropathy and seizures—neurologic manifestations. Other listed vitamins more commonly cause visual (A), scurvy (C), bone (D), or antioxidant-related issues (E).
Which vitamin is not stored in the human body?
- Vitamin A
- Vitamin C
- Vitamin D
- Vitamin K
- Vitamin B-complex
Explanation: Answer reason: Vitamins A, D, and K are fat-soluble and stored in body tissues; vitamin C is water‑soluble and not significantly stored, requiring regular intake. 'Vitamin B-complex' includes B12 which can be stored, so the best single answer is vitamin C.
Which of the following substances does the human body not produce?
- DNA
- Vitamins
- Hormones
- Enzymes
Explanation: Answer reason: The body synthesizes DNA, hormones, and enzymes, but vitamins are essential nutrients that the human body generally cannot produce in adequate amounts and must obtain primarily from the diet.
What is the recommended daily intake of vitamin B12 for an infant?
- 1 mcg
- 2 mcg
- 0.2 mcg
- 0.8 mcg
Explanation: Answer reason: Infants require only a very small amount of vitamin B12; recommendations for early infancy are about 0.2–0.5 mcg/day. Among the options, 0.2 mcg is the recognized infant RDA.
According to WHO classification, a BMI of 26.6 falls into which category?
- Normal
- Underweight
- Overweight
- Obese Class II 35-40
Explanation: Answer reason: WHO BMI categories: 25.0–29.9 is overweight; 26.6 lies in this range.
What is the vitamin B complex name for folic acid?
- Vitamin B1
- Vitamin B2
- Vitamin B6
- Vitamin B9
Explanation: Answer reason: Folic acid is classified as vitamin B9; B1 is thiamine, B2 is riboflavin, and B6 is pyridoxine.
What is the main function of iron in the body?
- Formation of haemoglobin
- Metabolism
- Transportation of Oxygen
- To prevent from infections
Explanation: Answer reason: Iron is an essential component of heme and is required for hemoglobin synthesis; hemoglobin then carries oxygen. Thus, the primary function of iron is the formation of hemoglobin.
Which mineral is present in a banana?
- Iron
- Potassium
- Calcium
- Sodium
Explanation: Answer reason: Bananas are well known for being rich sources of potassium.
How many kilocalories does one gram of fat provide?
- 4
- 7
- 9
- 12
Explanation: Answer reason: Fat yields 9 kilocalories per gram (carbohydrate and protein provide 4 kcal/g; alcohol 7 kcal/g).
Which of the following is not the most common form of malnutrition?
- PEM (Protein energy malnutrition)
- Kwashiorkor
- Marasmus
- Beri-Beri
Explanation: Answer reason: PEM, marasmus, and kwashiorkor are common protein-energy malnutrition types; beriberi is a thiamine (vitamin B1) deficiency disease and not among the most common forms.
The nurse is caring for a child with Cystic Fibrosis. The nurse would anticipate that the child would be deficient in which of the following vitamins?
- B, D, and K
- A, D, and K
- A, C, and D
- A, B, and C
Explanation: Answer reason: Cystic fibrosis causes pancreatic insufficiency and fat malabsorption, leading to deficiency of fat‑soluble vitamins. Among the options, A, D, and K best reflects these likely deficiencies.
Which of the following pulses has the highest content of iron?
- Bengal gram
- Red gram
- Black gram
- Soybean
Explanation: Answer reason: Among commonly consumed pulses, Bengal gram is recognized as the richest in iron compared with red gram and black gram; soybean is typically classified separately from pulses in this context.
Which fatty acid present in breast milk is important for growth?
- Docosahexaenoic acid
- Palmitic acid
- Linoleic acid
- Linolenic acid
Explanation: Answer reason: DHA (docosahexaenoic acid) in breast milk supports rapid infant growth, particularly neural and visual development, making it the key fatty acid emphasized for growth.
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