Certified Nursing Assistant (CNA) Prometric Practice Exam

When serving a gluten-free diet, which item must be removed from a resident's tray if found?

1. A piece of rice bread

2. A piece of wheat bread

3. A sandwich on rye

4. A biscuit made from cornmeal

The correct answer is: A piece of wheat bread

A gluten-free diet is essential for individuals with celiac disease or gluten intolerance, as gluten is a protein found in wheat, barley, and rye that can trigger adverse health effects. In the context of the question, the item that must be removed for a resident following a gluten-free diet is wheat bread. Wheat bread contains gluten, which makes it unsuitable for anyone who is avoiding gluten. It's vital to ensure that any item served to a resident on a gluten-free diet aligns with their dietary needs to prevent potential health complications. Other choices, like rice bread and cornmeal biscuits, can be gluten-free depending on their ingredients. A sandwich on rye also contains gluten due to rye flour, but not all dietary guidelines consider it as strictly problematic for all individuals as wheat does. However, wheat has a broader impact and is specifically recognized as an ingredient to be avoided in gluten-free plans, leading to the conclusion that wheat bread must be removed from the tray.