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NCLEX-RN Exam - Topic 1 Question 11 Discussion

Actual exam question for NCLEX's NCLEX-RN exam
Question #: 11
Topic #: 1
[All NCLEX-RN Questions]

After several days, an IDDM client's serum glucose stabilizes, and the registered nurse continues client teaching in preparation for his discharge. The nurse helps him plan an American Diabetes Association diet and explains how foods can be substituted on the exchange list. He can substitute 1 oz of poultry for:

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Suggested Answer: D

(A) A frankfurter is a high-fat meat on the diabetic exchange list. (B) Ham is a medium-fat meat on the diabetic exchange list, unless it is a center-cut slice. (C) One strip of bacon equals onefatexchange rather than ameatexchange. Dietary substitutions should occur within exchange lists and not between exchange lists. (D) Diabetic meat-exchange lists are categorized into leanmeat foods, medium-fat meats, and high-fat meats. Cottage cheese (dry, 2% butterfat), one-fourth cup, can substitute for one lean-meat exchange.


by Jacqueline at Nov 23, 2025, 02:30 PM

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Mable
2 months ago
I’d go with D) One-fourth cup dry cottage cheese. Healthier option!
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Floyd
2 months ago
I remember learning it’s B) One ounce of ham. Makes sense for the exchange.
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Emmett
2 months ago
C) Two slices of bacon sounds right. Both are fatty meats.
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Valentin
2 months ago
I’m leaning towards D) One-fourth cup dry cottage cheese. Good protein source.
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Ona
2 months ago
I feel like it's A) One frankfurter. They’re both processed meats.
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Tesha
2 months ago
Totally agree, it's all about those exchanges!
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Eveline
3 months ago
Wait, dry cottage cheese? That seems off.
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Earleen
3 months ago
Definitely two slices of bacon! That's a lot of fat.
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Leonida
3 months ago
I thought it was ham, but I guess it's frankfurter.
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Merrilee
4 months ago
One ounce of poultry can substitute for one frankfurter!
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Zena
4 months ago
Cottage cheese, huh? I guess that's a good way to get some extra protein.
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Jonelle
4 months ago
D. One-fourth cup of dry cottage cheese is a healthier option than the other choices.
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Selma
4 months ago
C. Two slices of bacon sounds like a tasty substitution to me!
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Sueann
4 months ago
I recall that one ounce of poultry is often compared to processed meats, so I’m leaning towards the frankfurter or ham, but I can't remember which one exactly.
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Dino
4 months ago
I’m a bit confused about the exchange list. I thought cottage cheese was a dairy product, so it might not be a direct substitute for poultry.
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Shelia
5 months ago
I practiced a similar question about food exchanges, and I feel like ham might be a good option since it's also a meat.
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Adelle
5 months ago
Okay, I remember learning about the poultry exchange. I believe 1 oz of poultry can substitute for 1 oz of ham, so the answer is B.
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Shaquana
5 months ago
I'm a bit confused about the substitutions here. Let me think through the exchange list carefully to determine the correct answer.
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Evangelina
5 months ago
I think the answer is B. One ounce of ham seems like a fair substitution for 1 oz of poultry.
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Sage
5 months ago
I think it's B) One ounce of ham. Seems similar.
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Nieves
5 months ago
I've got this! The exchange list says 1 oz of poultry is equivalent to 1 oz of ham, so the answer is B.
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Roselle
6 months ago
A. One frankfurter? Really? That's not a very good exchange in my opinion.
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Brianne
6 months ago
I think I remember that poultry can be substituted for other protein sources, but I'm not sure which one fits best here.
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Tarra
6 months ago
Hmm, I'm a little unsure about the exchange list for poultry. I'll need to review that before answering.
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King
6 months ago
Okay, this seems straightforward. I'll need to know the exchange list for poultry and how it compares to the other options.
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Jolanda
20 days ago
I guess we need to check the exchange list for confirmation!
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Frederica
25 days ago
D) One-fourth cup dry cottage cheese could work as well.
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Gennie
1 month ago
C) Two slices of bacon sounds like a good option too.
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Lelia
1 month ago
I’m leaning towards B) One ounce of ham.
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Joana
1 month ago
I think it's A) One frankfurter.
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