1Question
A client with stage 4 chronic kidney disease who is not on dialysis has a serum potassium of 5.6 mEq/L and has been taught about the prescribed diet. Which meal choice shows that the client understands the teaching?
- Baked potato with the skin, a banana and orange juice
- Roasted chicken, white rice, green beans and an apple
- Canned vegetable soup and a ham sandwich with a dill pickle
- Bean chili with tomatoes and a glass of milk
Show the answer and explanation
Answer: B. Roasted chicken, white rice, green beans and an apple
Topic: renal diet
The diet in advanced chronic kidney disease limits potassium, phosphorus and sodium. Fresh poultry in a moderate portion, white rice, green beans and an apple are all low in these, while the other meals are high in at least one.
Why the others are wrong
- A – Potatoes, bananas and orange juice are among the foods highest in potassium.
- C – Canned soup, ham and pickles are very high in sodium.
- D – Beans, tomatoes and milk are high in potassium, and beans and milk are also high in phosphorus.
Written for the Medical Exam YouTube channel and answered blind by a second AI model before publication.
2Question
A client with heart failure takes lisinopril and spironolactone and follows a 2-gram sodium diet. Which statement by the client needs follow-up by the nurse?
- "I read the label for the sodium content before I buy packaged food."
- "I season my food with lemon juice, garlic and herbs."
- "I rinse canned vegetables before I heat them."
- "I have switched to a salt substitute and use it freely on my food."
Show the answer and explanation
Answer: D. "I have switched to a salt substitute and use it freely on my food."
Topic: cardiac diet and food-medication interaction
Most salt substitutes replace sodium chloride with potassium chloride. An ACE inhibitor and a potassium-sparing diuretic both raise serum potassium, so adding a potassium salt freely can cause dangerous hyperkalemia.
Why the others are wrong
- A – Reading labels is an effective way to stay within a sodium limit.
- B – Lemon, garlic and herbs add flavour without sodium or potassium salts.
- C – Rinsing canned vegetables removes part of the added sodium.
Written for the Medical Exam YouTube channel and answered blind by a second AI model before publication.
3Question
A resident recovering from a stroke coughs and develops a wet, gurgly voice after sips of water at lunch. What is the nurse's best action?
- Encourage the resident to tuck the chin and finish the meal
- Thicken the liquids using the nurse's own judgment
- Continue the meal and watch for more coughing
- Stop oral intake, keep the resident upright and request a swallowing evaluation
Show the answer and explanation
Answer: D. Stop oral intake, keep the resident upright and request a swallowing evaluation
Topic: Dysphagia and aspiration risk
Coughing and a wet voice after swallowing suggest possible aspiration. Oral intake should be stopped and the resident kept upright while a speech-language pathologist evaluates swallowing and the diet is ordered.
Why the others are wrong
- A – Strategies such as a chin tuck are chosen after evaluation, not used to continue unsafe eating.
- B – Diet changes need an assessment and an order, not a guess.
- C – Continuing the meal risks aspiration pneumonia.
Written for the Medical Exam YouTube channel and answered blind by a second AI model before publication.
4Question
A nurse makes a follow-up telephone call to the mother of a 6-day-old newborn who is exclusively breastfed. Which report by the mother needs further evaluation?
- "She nurses about 10 times in 24 hours."
- "Her stools are yellow and seedy, about four a day."
- "She seems content and sleeps for a while after most feedings."
- "She has had two wet diapers since this time yesterday, and the urine looks dark."
Show the answer and explanation
Answer: D. "She has had two wet diapers since this time yesterday, and the urine looks dark."
Topic: newborn feeding adequacy
By the end of the first week a newborn who is feeding well has at least six wet diapers a day with pale urine. Two wet diapers with dark urine indicates inadequate intake and possible dehydration, so the newborn needs a weight check and a feeding assessment.
Why the others are wrong
- A – Eight to twelve feedings in 24 hours is the expected pattern.
- B – Yellow, seedy stools several times a day show that milk intake is adequate.
- C – A newborn who is satisfied and settles after feeding is showing a sign of adequate intake.
Written for the Medical Exam YouTube channel and answered blind by a second AI model before publication.
5Question
A client with chronic kidney disease who receives hemodialysis three times a week has a serum potassium of 5.8 mEq/L and a raised phosphorus level before today's treatment. The nurse reviews the renal diet with the client. Which lunch choice shows that the client understands the teaching?
- Baked potato with melted cheese, and a glass of orange juice
- Grilled chicken, white rice, green beans and an apple
- Canned vegetable soup with a deli ham sandwich and pickles
- Bean and tomato chili with a banana and a glass of milk
Show the answer and explanation
Answer: B. Grilled chicken, white rice, green beans and an apple
Topic: renal diet on hemodialysis
Between dialysis treatments the kidneys cannot excrete potassium, phosphorus, sodium or water. The meal of chicken, white rice, green beans and an apple supplies good-quality protein while keeping potassium, phosphorus and sodium low. Potatoes, oranges, tomatoes, bananas and beans are high in potassium; dairy foods and beans are high in phosphorus; canned and cured foods are high in sodium.
Why the others are wrong
- A – Potato and orange juice are high in potassium, and cheese adds phosphorus and sodium.
- C – Canned soup, cured ham and pickles are very high in sodium, which drives thirst and fluid gain between treatments.
- D – Beans, tomato and banana are high in potassium, and beans and milk are high in phosphorus.
Written for the Medical Exam YouTube channel and answered blind by a second AI model before publication.
6Question
A client is recovering from an acute gout flare in the great toe and has been taking allopurinol for several months. Which statement by the client shows that more teaching is needed?
- 'I'll drink less for a few days so the swelling in my toe goes down faster.'
- 'I'll keep taking the allopurinol every day even when my toe feels fine.'
- 'I'll stay away from beer, liver and shellfish.'
- 'I'll keep the sheet off my toe and rest the foot until the pain settles.'
Show the answer and explanation
Answer: A. 'I'll drink less for a few days so the swelling in my toe goes down faster.'
Topic: gout diet and flare
A generous fluid intake dilutes the urine and helps the kidneys excrete uric acid, which lowers the risk of urate kidney stones; restricting fluids does the opposite. The swelling of gout is joint inflammation from urate crystals, not fluid overload.
Why the others are wrong
- B – Allopurinol prevents attacks only when taken continuously; this statement is correct.
- C – Beer, organ meats and shellfish are high-purine items that raise uric acid; avoiding them is correct.
- D – Resting the joint and keeping pressure, even of bedding, off it is appropriate comfort care in a flare.
Written for the Medical Exam YouTube channel and answered blind by a second AI model before publication.
7Question
The parent of a 2-year-old child with mild dehydration from viral gastroenteritis asks how to care for the child at home. The child has vomited twice today. Which instruction should the nurse give?
- "Give nothing by mouth for 24 hours to rest the stomach."
- "Offer as much undiluted fruit juice or soda as your child will drink."
- "Give only bananas, rice, applesauce and toast until the stools are formed."
- "Give small sips of an oral rehydration solution every few minutes, even if your child vomits now and then."
Show the answer and explanation
Answer: D. "Give small sips of an oral rehydration solution every few minutes, even if your child vomits now and then."
Topic: oral rehydration therapy
Oral rehydration solution in small, frequent amounts is the first treatment for mild to moderate dehydration and is usually tolerated even with vomiting. Its balance of glucose and sodium promotes absorption of water, and the child's usual diet is resumed early once rehydrated.
Why the others are wrong
- A – Withholding fluids worsens dehydration in a small child.
- B – Undiluted juice and soda are high in sugar and low in sodium, and pull water into the bowel, making diarrhea worse.
- C – A restricted diet of this kind is low in protein and energy; an age-appropriate regular diet is resumed early.
Written for the Medical Exam YouTube channel and answered blind by a second AI model before publication.
8Question
A nurse at a community clinic assesses a 45-year-old client with a painless, diffusely enlarged neck. The client grew up in an inland mountain region, rarely eats seafood, and cooks only with non-iodized salt. The thyroid-stimulating hormone level is elevated. Which deficiency is most likely behind the enlarged gland?
- Calcium
- Iodine
- Iron
- Vitamin B12
Show the answer and explanation
Answer: B. Iodine
Topic: iodine deficiency and goiter
The thyroid gland builds thyroxine from iodine. When dietary iodine is scarce, hormone output falls, the pituitary raises thyroid-stimulating hormone, and the gland enlarges as it works harder, producing a goiter. Low intake of seafood and iodized salt in an inland area is the classic setting.
Why the others are wrong
- A – Calcium deficiency affects bone density and neuromuscular excitability, not thyroid size.
- C – Iron deficiency causes a microcytic anemia and does not enlarge the thyroid.
- D – Vitamin B12 deficiency causes a macrocytic anemia and neuropathy, not goiter.
Written for the Medical Exam YouTube channel and answered blind by a second AI model before publication.
9Question
A nurse teaches a client with rheumatoid arthritis about an eating pattern that helps limit inflammation. Which statement by the client indicates that further teaching is needed?
- I plan to eat salmon or sardines at least twice a week for the omega-3 fats.
- I will switch to olive oil in place of butter for most of my cooking.
- I will add berries and dark leafy greens to my meals every day.
- I will skip walnuts and flaxseed since they are high in fat.
Show the answer and explanation
Answer: D. I will skip walnuts and flaxseed since they are high in fat.
Topic: anti-inflammatory diet teaching in arthritis
The kind of fat matters more than the amount avoided. Walnuts and flaxseed supply unsaturated fats, including plant omega-3 fats, along with fiber and antioxidants that help dampen inflammatory activity, so the client should keep them in the plan. Fatty fish, olive oil, and colorful produce all fit an anti-inflammatory pattern.
Why the others are wrong
- A – Oily fish provide omega-3 fatty acids that reduce inflammatory activity, so this plan is correct.
- B – Replacing a saturated fat with olive oil is a sound change in this pattern, so no reteaching is needed.
- C – Berries and leafy greens supply antioxidants and anti-inflammatory micronutrients, so the client has understood.
Written for the Medical Exam YouTube channel and answered blind by a second AI model before publication.
10Question
A client newly diagnosed with iron-deficiency anemia must change several eating habits. Before any teaching begins, which action by the nurse best determines the client's readiness to learn?
- Ask what the client already knows, how the client prefers to learn, and what concerns the client has
- Hand the client a printed list of iron-rich foods and invite questions on the day of discharge
- Review the discharge date and plan to cover all diet instructions during the final afternoon
- Ask a family member to choose the diet changes that seem most important to teach first
Show the answer and explanation
Answer: A. Ask what the client already knows, how the client prefers to learn, and what concerns the client has
Topic: assessing readiness to learn about diet
Readiness to learn is assessed before teaching by exploring current knowledge, learning style, concerns, motivation, and physical or emotional barriers. Teaching built on that assessment is more likely to be understood and used than material handed over without it.
Why the others are wrong
- B – Giving written material with no assessment, at the last moment, leaves no time for questions or practice.
- C – A schedule built around the discharge date ignores the client's needs and crowds the teaching into one session.
- D – The client is the learner; a relative's priorities may not match the client's own needs or readiness.
Written for the Medical Exam YouTube channel and answered blind by a second AI model before publication.
11Question
A client with emphysema has lost weight. The client tells the nurse that by dinnertime breathing is hard and the effort of eating is exhausting, so most of the plate goes untouched. Which meal plan should the nurse recommend?
- Three large meals, with the biggest one served at dinner
- Skipping breakfast and lunch so that appetite is saved for one large meal at dinner
- Five or six small meals through the day, with the bigger portions earlier
- A large glass of fluid with every meal to make swallowing easier
Show the answer and explanation
Answer: C. Five or six small meals through the day, with the bigger portions earlier
Topic: meal planning in COPD
A full stomach pushes on the diaphragm and chewing and swallowing add to the work of breathing, so a client with emphysema tolerates frequent small meals better than a few big ones. Energy is usually highest early in the day, so the heavier portions belong there. Fluids taken with meals can add to fullness and are better sipped between meals.
Why the others are wrong
- A – A large evening meal raises breathing effort at the time the client is most tired.
- B – Fasting through the day deepens the calorie deficit and leaves the client with one overwhelming meal.
- D – Large volumes of fluid with meals increase fullness and reduce food intake.
Written for the Medical Exam YouTube channel and answered blind by a second AI model before publication.
12Question
A toddler who weighs 12 kg has iron-deficiency anemia. The provider orders elemental iron 5 mg/kg/day by mouth in two equally divided doses. How many milligrams should the nurse give in each dose?
- 15 mg
- 30 mg
- 60 mg
- 120 mg
Show the answer and explanation
Answer: B. 30 mg
Topic: pediatric oral iron dose calculation
The weight-based total is 5 mg x 12 kg = 60 mg per day, which lies inside the usual 3 to 6 mg/kg/day range for treating iron deficiency in children. Splitting it into two equal doses gives 30 mg each. Dividing the daily amount also spreads out the iron and helps limit stomach upset and constipation.
Why the others are wrong
- A – 15 mg divides the daily amount by four, giving half of the correct dose.
- C – 60 mg is the total for the whole day, not the amount for a single dose.
- D – 120 mg doubles the daily amount instead of dividing it.
Written for the Medical Exam YouTube channel and answered blind by a second AI model before publication.
13Question
A 17-year-old with a long history of bulimia nervosa who purges by self-induced vomiting reports palpitations and muscle weakness. Which laboratory finding should the nurse anticipate?
- Low serum potassium
- High serum potassium
- High serum calcium
- High serum magnesium
Show the answer and explanation
Answer: A. Low serum potassium
Topic: electrolyte effects of purging
Repeated vomiting causes loss of potassium (and chloride and hydrogen ions), so low potassium is the expected finding. Hypokalemia produces weakness and cardiac rhythm problems, including a prolonged QT interval, which is the main danger of long-term purging.
Why the others are wrong
- B – Hyperkalemia comes from renal failure, acidosis, or excess intake, not from vomiting losses.
- C – Hypercalcemia is linked to hyperparathyroidism and some cancers, not to purging.
- D – Purging and poor intake tend to lower magnesium, so a high level is not expected.
Written for the Medical Exam YouTube channel and answered blind by a second AI model before publication.
14Question
A client at 22 weeks of gestation says that nausea has limited her to bread, rice, and fruit. The nurse wants her diet to better support growth of fetal tissue and expansion of her own blood volume. Which addition should the nurse suggest?
- Several extra glasses of fruit juice each day
- Butter or oil added to each meal
- More refined grain products
- Eggs, beans, lean meat, or dairy products
Show the answer and explanation
Answer: D. Eggs, beans, lean meat, or dairy products
Topic: protein needs in pregnancy
Pregnancy raises protein needs because protein builds fetal tissue, the placenta, and the mother's expanded blood volume. Eggs, legumes, lean meat, and dairy foods are good sources. Her current pattern is rich in carbohydrate and low in protein.
Why the others are wrong
- A – Juice adds sugar and calories but little protein.
- B – Added fat raises calories only, and it does not supply the nutrient needed for tissue growth.
- C – Refined grains add more carbohydrate to a diet that already has plenty.
Written for the Medical Exam YouTube channel and answered blind by a second AI model before publication.
15Question
A client at 30 weeks of gestation has an elevated total cholesterol level and a family history of heart disease. Her usual snacks are chips, pastries, and fried foods. Which teaching point should the nurse include to protect her heart health?
- Avoid all dietary fat so that the cholesterol level falls
- Replace pastries and fried snacks with fresh fruits and vegetables
- Use low-calorie sweeteners and keep the chips as a regular snack
- Eat one large meal a day to prevent weight gain
Show the answer and explanation
Answer: B. Replace pastries and fried snacks with fresh fruits and vegetables
Topic: heart-healthy diet teaching in pregnancy
Fresh fruits and vegetables supply fiber, vitamins, and potassium and displace saturated fat and refined sugar, which benefits the heart for both mother and fetus. Pregnancy is not a time to eliminate fat entirely, restrict meals, or keep processed snacks as staples.
Why the others are wrong
- A – Fat is needed for fetal brain development and absorption of fat-soluble vitamins; the type, not the whole amount, should change.
- C – Sweeteners do not fix the saturated fat and sodium in chips, so the heart risk stays.
- D – One large meal a day makes it harder to meet pregnancy nutrient needs and is not safe advice.
Written for the Medical Exam YouTube channel and answered blind by a second AI model before publication.
16Question
A 26-year-old client with polycystic ovary syndrome, irregular periods, and insulin resistance asks how to eat to help balance her hormones and blood glucose. Which plan is best?
- Skip breakfast and lunch, then eat one large meal late in the evening to keep insulin low
- Choose sweetened beverages between meals to maintain energy
- Build meals around vegetables, whole grains, and lean protein, and limit packaged snack foods
- Follow a fruit-only cleanse for two weeks each month
Show the answer and explanation
Answer: C. Build meals around vegetables, whole grains, and lean protein, and limit packaged snack foods
Topic: diet for polycystic ovary syndrome
Meals based on whole, minimally processed foods with fiber and lean protein slow glucose absorption and lower insulin spikes, which helps with the insulin resistance that drives hormonal imbalance in polycystic ovary syndrome. Highly processed snacks and sugary drinks work against that goal.
Why the others are wrong
- A – Prolonged fasting followed by one large meal produces a big glucose and insulin surge.
- B – Sweetened drinks cause rapid glucose rises and worsen insulin resistance.
- D – A fruit-only plan lacks protein and fat and gives a high sugar load without a balanced intake.
Written for the Medical Exam YouTube channel and answered blind by a second AI model before publication.
17Question
A 74-year-old client with advanced COPD lives alone and has lost 6 pounds in two months. The client says, 'By the time I have shopped and cooked, I am too tired to eat.' Which disease-related factor is most likely contributing to the weight loss?
- Cognitive decline caused by mild hypoxemia
- Fatigue from the work of breathing
- Lactose intolerance that comes with aging
- Loss of taste from inhaled corticosteroids
Show the answer and explanation
Answer: B. Fatigue from the work of breathing
Topic: fatigue and nutrition risk in COPD
Breathing takes a great deal of energy in advanced COPD, so persistent fatigue leaves the client without the stamina to shop, prepare, and finish meals. The result is a falling intake and weight loss. Nursing interventions include easy-to-prepare foods, small frequent meals, and referral for meal delivery.
Why the others are wrong
- A – Nothing in the stem describes confusion or memory loss; the client plans meals and describes the barrier clearly.
- C – No dairy intolerance or related symptoms are mentioned, and it is not a COPD complication.
- D – No taste change is reported, and inhaled steroids are not the reason the client is too tired to eat.
Written for the Medical Exam YouTube channel and answered blind by a second AI model before publication.
18Question
A client with stage 4 chronic kidney disease, whose serum potassium is 5.4 mEq/L, is planning lunch. Which menu shows that the client understood a potassium-restricted diet?
- A baked potato with tomato soup
- A banana and a glass of orange juice
- White rice with green beans and an apple
- An avocado and spinach salad
Show the answer and explanation
Answer: C. White rice with green beans and an apple
Topic: low-potassium food choices in chronic kidney disease
As kidney function falls, potassium is not cleared well and builds up, so foods high in potassium are limited. Rice, green beans, and apples are relatively low in potassium. Potatoes, tomato products, bananas, orange juice, avocado, and cooked or raw spinach are all high in potassium.
Why the others are wrong
- A – Both a baked potato and tomato soup are high in potassium.
- B – Bananas and orange juice are two of the best-known potassium-rich foods.
- D – Avocado and spinach are each rich in potassium.
Written for the Medical Exam YouTube channel and answered blind by a second AI model before publication.
19Question
A 16-year-old basketball player with exercise-induced asthma is learning to eat well on game days. About an hour before the game, the player wants a snack that gives steady energy without a heavy stomach. Which choice shows good understanding of healthy eating?
- Whole-grain crackers with a slice of low-fat cheese
- A fruit-flavored sports drink and a granola bar with candy pieces
- A double cheeseburger and a small order of fries
- A plain lettuce salad with lemon juice
Show the answer and explanation
Answer: A. Whole-grain crackers with a slice of low-fat cheese
Topic: snack choice for athletic energy
A small snack that pairs complex carbohydrate with some protein releases energy steadily and sits comfortably in the stomach. The crackers and cheese do both. A heavy, fatty meal digests slowly, mostly sugar leads to a spike and crash, and a plain salad provides almost no energy.
Why the others are wrong
- B – Mostly simple sugar causes a rapid rise and later drop in energy, and the candy adds nothing useful.
- C – A large fatty meal digests slowly and may cause discomfort during exertion.
- D – A salad of lettuce alone has too few calories to fuel exercise.
Written for the Medical Exam YouTube channel and answered blind by a second AI model before publication.
20Question
A client who follows a strict vegan diet for religious reasons is admitted for a hip repair. Which protein item on the hospital menu can the nurse tell the client fits this diet?
- Scrambled eggs with toast
- Chicken noodle soup
- Cottage cheese with peaches
- Lentil and chickpea stew
Show the answer and explanation
Answer: D. Lentil and chickpea stew
Topic: meal choices for a vegan client
A strict vegan diet excludes meat, fish, eggs, and dairy. Legumes such as lentils and chickpeas are plant-based protein sources, so the stew fits. Respecting dietary customs is part of culturally sensitive care and supports adequate intake during recovery.
Why the others are wrong
- A – Eggs are an animal product and are excluded from a vegan diet.
- B – Chicken noodle soup contains poultry and usually chicken broth.
- C – Cottage cheese is a dairy product, which a vegan diet excludes.
Written for the Medical Exam YouTube channel and answered blind by a second AI model before publication.
21Question
The father of an 8-year-old with borderline high blood pressure and a weight above the healthy range says he will keep the following snacks at home. Which plan shows that he understands heart-healthy snacking?
- Cheese-flavored crackers and juice boxes
- Fresh fruit such as bananas or pears
- Salted potato chips and sweetened yogurt
- Packaged cookies and whole milk
Show the answer and explanation
Answer: B. Fresh fruit such as bananas or pears
Topic: heart-healthy snacks for children
Whole fruit is naturally low in fat and sodium, has fiber, and its sugar comes packaged with nutrients, so it supports healthy weight and blood pressure in a child. Salty, sweet, or fatty packaged snacks and juice add sodium, sugar, and calories with little nutritional value.
Why the others are wrong
- A – Flavored crackers are high in sodium, and juice boxes add concentrated sugar.
- C – Salted chips add sodium, which raises blood pressure, and sweetened yogurt adds sugar.
- D – Packaged cookies add sugar and saturated fat, and whole milk adds saturated fat.
Written for the Medical Exam YouTube channel and answered blind by a second AI model before publication.
22Question
A client who eats no meat or fish follows a diet of mainly grains, vegetables, and fruit. Laboratory results show a macrocytic anemia caused by vitamin B12 deficiency. The client will add one animal-derived food group but still refuses meat and fish. Which food should the nurse suggest?
- Eggs and dairy products
- Raw spinach and kale
- Dried apricots and raisins
- Whole-wheat bread and brown rice
Show the answer and explanation
Answer: A. Eggs and dairy products
Topic: dietary sources of vitamin B12
Vitamin B12 occurs naturally almost only in animal foods. A client who avoids meat and fish can still obtain it from eggs and dairy products. Greens, dried fruit, and grains are good sources of folate, iron, and fiber, but they do not supply B12.
Why the others are wrong
- B – Spinach and kale supply folate and some iron, not vitamin B12.
- C – Dried apricots and raisins are sources of iron and potassium, but not B12.
- D – Whole grains give fiber and B vitamins, but unfortified ones do not contain B12.
Written for the Medical Exam YouTube channel and answered blind by a second AI model before publication.
23Question
A client with type 2 diabetes and a high C-reactive protein level wants to add a side dish that supplies vitamins and antioxidants to help lower inflammation. Which choice is best?
- Creamed corn
- French fries
- Sauteed spinach or Swiss chard
- A buttered white dinner roll
Show the answer and explanation
Answer: C. Sauteed spinach or Swiss chard
Topic: anti-inflammatory foods
Dark leafy greens supply vitamins, minerals, and antioxidant compounds that help reduce inflammation, and they are low in calories and carbohydrate, which suits diabetes. The other sides add refined starch, fat, or both, and these tend to raise glucose and promote inflammation.
Why the others are wrong
- A – Creamed corn is starchy and high in fat and offers few anti-inflammatory nutrients.
- B – French fries add refined starch and fat from frying, which worsen glucose control.
- D – A white roll with butter supplies refined carbohydrate and saturated fat.
Written for the Medical Exam YouTube channel and answered blind by a second AI model before publication.
24Question
A client newly diagnosed with hypothyroidism takes levothyroxine each morning and submits a three-day food diary. Which entry shows that the client needs more teaching about foods that can reduce the medicine's absorption?
- Grilled salmon for dinner twice during the week
- Iodized salt used in home cooking
- A soy protein shake taken together with the levothyroxine every morning
- A turkey sandwich and an apple for lunch
Show the answer and explanation
Answer: C. A soy protein shake taken together with the levothyroxine every morning
Topic: foods that reduce levothyroxine absorption
Levothyroxine labeling lists soybean flour, cottonseed meal, walnuts and dietary fiber as foods that can bind the drug in the gut and lower its absorption. The tablet is taken on an empty stomach with water, 30 to 60 minutes before breakfast, and interfering foods are kept apart from the dose. Salmon at dinner, iodized salt and an ordinary lunch do not affect the morning dose.
Why the others are wrong
- A – Salmon eaten at dinner is far from the morning dose and does not interfere with absorption.
- B – Iodized salt does not bind levothyroxine and does not need to be avoided.
- D – A lunch eaten hours after the morning dose does not affect its absorption.
Written for the Medical Exam YouTube channel and answered blind by a second AI model before publication.
25Question
A client with diabetes follows an 1,800-calorie meal plan that keeps saturated fat below 10% of total calories. Fat provides 9 calories per gram. What is the greatest amount of saturated fat, in grams, that the client may eat each day?
- 10 g
- 20 g
- 45 g
- 180 g
Show the answer and explanation
Answer: B. 20 g
Topic: saturated fat limit in diabetes
Ten percent of 1,800 calories is 180 calories. Dividing by 9 calories per gram gives 20 g of saturated fat as the daily ceiling. Keeping saturated fat under 10% of calories is a standard dietary guideline and helps lower cardiovascular risk in diabetes.
Why the others are wrong
- A – 10 g would be about 5% of calories, half the allowed amount.
- C – 45 g comes from using 4 calories per gram, which is the value for carbohydrate and protein, not fat.
- D – 180 is the calorie limit and was never converted to grams.
Written for the Medical Exam YouTube channel and answered blind by a second AI model before publication.
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