Page 1 of 120
19 May 2026
WGU D440 HESI Nutrition Objective
Assessment TESTBANK EXAM –350 ACCURATE QUESTIONS
WITH CORRECT ANSWER 2026/2027 LATEST EXAM UPDATE
GUARANTEE HIGH PASS MARK COVERING MOST TESTED AND
RECENT QUESTIONS
A young mother of three children complains of increased anxiety during her annual physical exam.
What information should the nurse obtain first?
A. Sexual activity patterns
B. Nutritional history
C. leisure activities
D. financial stressors - CORRECT ANSWER-B. Nutritional history.
The nurse is using a genogram while conducting a client's health assessment and past medical
history. What information should the genogram provide?
A. genetic and familial health disorders.
B. chronic health problems
C. reason for seeking health care
D. undetected disorders - CORRECT ANSWER-A. genetic and familial health disorders
The nurse is preparing a male client who has an indwelling catheter and an IV infusion to ambulate
from the bed to a chair for the first time following abdominal surgery. What actions should the
nurse implement prior to assisting the client to the chair? (Select all that apply.)
A. Obtain and place a portable commode by the bed.
B. Ask the client to push the IV pole to the chair.
C. Assess the client's blood pressure.
D. Inform the client of the plan for moving to the chair.
E. Clamp the indwelling catheter.
F. Pre-medicate the client with an analgesic. - CORRECT ANSWER-B. Ask the client to push the IV
pole to the chair.
C. Assess the client's blood pressure.
D. Inform the client of the plan for moving to the chair.
F. Pre-medicate the client with an analgesic.
, Page 2 of 120
19 May 2026
Pre-medicating the client with an analgesic reduces the client's pain during mobilization and
maximizes compliance. To ensure the client's cooperation and promote independence, the nurse
should inform the client about the plan for moving to the chair and encourage the client to
participate by pushing the IV pole when walking to the chair. The nurse should assess the client's
blood pressure prior to mobilization, which can cause orthostatic hypotension.
The nurse is assessing a client prior to administering the prescribed dose of atenolol (Tenormin)
PO. The client's blood pressure is 120/68, and the telemetry monitor shows sinus bradycardia with
a rate of 58 beats/minute, and a P-R interval of 0.24. Based on this assessment, what intervention
should the nurse implement?
A. Give the medication as prescribed and continue to monitor the client.
B. Prepare to administer atropine sulfate IVP.
C. Hold the prescribed dose and contact the healthcare provider.
D. Lower the head of the bed and assess the client for orthostatic vital sign changes. - CORRECT
ANSWER-A. Give the medication as prescribed and continue to monitor the client.
Since the BP is within normal limits, and the pulse is above 50 with a first degree block, the
medication can be administered. Atenolol (Tenormin) is a beta-blocker that slows the heart rate and
lowers the blood pressure; this drug is generally held if the heart rate is less than 50 or the client
exhibits dizziness related to hypotension.
Which items should the nurse include when developing a daily meal plan for a client with
hypertension?
A. Two servings of whole grains.
B. Four servings of dairy.
C. Nine servings of fruit.
D. Five servings of vegetables. - CORRECT ANSWER-D. Five servings of vegetables.
When developing a daily meal plan for a client with hypertension, the nurse should include four to
five servings of vegetables in the client's meal plan as recommended by the National Institutes of
Health in the Dietary Approaches to Stop Hypertension (DASH) diet. The DASH diet is recommended
to prevent and control hypertension.
The nurse should explain to a 30-year-old primigravida client that alpha fetoprotein testing is
recommended for which purpose?
A. Monitor the placental functioning.
B. Detect cardiovascular disorders.
C. Screen for neural tube defects.
, Page 3 of 120
19 May 2026
D. Assess for maternal pre-eclampsia. - CORRECT ANSWER-C. Screen for neural tube defects.
Alpha-fetoprotein (AFP) is a screening test used in pregnancy to rule out neural tube defects.
Elevated AFP may indicate an increased rish of neural tube defects such as anencephaly and spinal
bifida.
The nurse is caring for a client who has pernicious anemia. Which vitamin deficiency is associated
with this type of anemia?
A. Vitamin B6.
B. Vitamin B12.
C. Vitamin D.
D. Vitamin C. - CORRECT ANSWER-B. Vitamin B12.
In pernicious anemia, a deficit of hydrochloric acid secretion by the stomach also results in a deficit
of intrinsic factor which is needed for the body to absorb vitamin B12 for utilization by the bone
marrow in erythropoiesis.
While caring for a primipara immigrant client who delivered a full-term neonate yesterday, the
nurse obtained the assistance of an interpreter because the client speaks minimal English. When
educating the client on dietary plan of care, what should the nurse tell the interpreter to
encourage the client to include in her diet?
- A. potatoes
- B. red meats
- C. leafy green vegetables
- D. fresh fruits
- E. corn - CORRECT ANSWER-- B. red meats
- C. leafy green vegetables
- D. fresh fruits
The nurse is caring for a client with heart failure (HF) . What outcome of diet therapy should the
nurse evaluate as a therapeutic response for the client?
- A. manage blood pressure
- B. control fluid balance
- C. promote weight loss
- D. decrease cholesterol intake - CORRECT ANSWER-- B. control fluid balance
, Page 4 of 120
19 May 2026
The nurse is caring for a client with an infected would who follows a macrobiotic diet. Which type
of foods should the nurse recommend that the client select from the hospital menu?
- A. combination of plan proteins to provide amino acids
- B. low fat and low sodium foods
- C. limited complex carbohydrates and fiber
- D. increased amount of vitamin C and beta carotene rich foods - CORRECT ANSWER-- A.
combination of plant proteins to provide essential amino acids
A client with diabetes mellitus asks the nurse how many grams of carbohydrates can be consumed
each day if the healthcare provider prescribes a 2000 calorie diet. What answer should the nurse
provide?
- A. 250 grams
- B. 350 grams
- C. 300 grams
- D. 200 grams - CORRECT ANSWER-- A. 250 grams
A client receives a prescription for psyllium for constipation. What instruction should the nurse
provide the client about taking this supplement?
- A. take supplement with 240 ml of liquid and follow with a second glass
- B. take supplement with hot beverages to help dissolve the powder completely
- C. mix supplement with pudding or applesauce to help hide the taste and texture
- D. take medication in the evening before bedtime to reduce fullness - CORRECT ANSWER-- A. take
supplement with 240 ml of liquid and follow with a second glass
The nurse is carrying for an older client with malnutrition. Which factor is most likely contributing
to this older client's nutritional status?
- A. increased need for vitamins and minerals
- B. snacks eaten all day without a complete meal
- C. a decline in kidney function
- D. loss of teeth or poorly fitting dentures - CORRECT ANSWER-- D. loss of teeth or poorly fitting
dentures
19 May 2026
WGU D440 HESI Nutrition Objective
Assessment TESTBANK EXAM –350 ACCURATE QUESTIONS
WITH CORRECT ANSWER 2026/2027 LATEST EXAM UPDATE
GUARANTEE HIGH PASS MARK COVERING MOST TESTED AND
RECENT QUESTIONS
A young mother of three children complains of increased anxiety during her annual physical exam.
What information should the nurse obtain first?
A. Sexual activity patterns
B. Nutritional history
C. leisure activities
D. financial stressors - CORRECT ANSWER-B. Nutritional history.
The nurse is using a genogram while conducting a client's health assessment and past medical
history. What information should the genogram provide?
A. genetic and familial health disorders.
B. chronic health problems
C. reason for seeking health care
D. undetected disorders - CORRECT ANSWER-A. genetic and familial health disorders
The nurse is preparing a male client who has an indwelling catheter and an IV infusion to ambulate
from the bed to a chair for the first time following abdominal surgery. What actions should the
nurse implement prior to assisting the client to the chair? (Select all that apply.)
A. Obtain and place a portable commode by the bed.
B. Ask the client to push the IV pole to the chair.
C. Assess the client's blood pressure.
D. Inform the client of the plan for moving to the chair.
E. Clamp the indwelling catheter.
F. Pre-medicate the client with an analgesic. - CORRECT ANSWER-B. Ask the client to push the IV
pole to the chair.
C. Assess the client's blood pressure.
D. Inform the client of the plan for moving to the chair.
F. Pre-medicate the client with an analgesic.
, Page 2 of 120
19 May 2026
Pre-medicating the client with an analgesic reduces the client's pain during mobilization and
maximizes compliance. To ensure the client's cooperation and promote independence, the nurse
should inform the client about the plan for moving to the chair and encourage the client to
participate by pushing the IV pole when walking to the chair. The nurse should assess the client's
blood pressure prior to mobilization, which can cause orthostatic hypotension.
The nurse is assessing a client prior to administering the prescribed dose of atenolol (Tenormin)
PO. The client's blood pressure is 120/68, and the telemetry monitor shows sinus bradycardia with
a rate of 58 beats/minute, and a P-R interval of 0.24. Based on this assessment, what intervention
should the nurse implement?
A. Give the medication as prescribed and continue to monitor the client.
B. Prepare to administer atropine sulfate IVP.
C. Hold the prescribed dose and contact the healthcare provider.
D. Lower the head of the bed and assess the client for orthostatic vital sign changes. - CORRECT
ANSWER-A. Give the medication as prescribed and continue to monitor the client.
Since the BP is within normal limits, and the pulse is above 50 with a first degree block, the
medication can be administered. Atenolol (Tenormin) is a beta-blocker that slows the heart rate and
lowers the blood pressure; this drug is generally held if the heart rate is less than 50 or the client
exhibits dizziness related to hypotension.
Which items should the nurse include when developing a daily meal plan for a client with
hypertension?
A. Two servings of whole grains.
B. Four servings of dairy.
C. Nine servings of fruit.
D. Five servings of vegetables. - CORRECT ANSWER-D. Five servings of vegetables.
When developing a daily meal plan for a client with hypertension, the nurse should include four to
five servings of vegetables in the client's meal plan as recommended by the National Institutes of
Health in the Dietary Approaches to Stop Hypertension (DASH) diet. The DASH diet is recommended
to prevent and control hypertension.
The nurse should explain to a 30-year-old primigravida client that alpha fetoprotein testing is
recommended for which purpose?
A. Monitor the placental functioning.
B. Detect cardiovascular disorders.
C. Screen for neural tube defects.
, Page 3 of 120
19 May 2026
D. Assess for maternal pre-eclampsia. - CORRECT ANSWER-C. Screen for neural tube defects.
Alpha-fetoprotein (AFP) is a screening test used in pregnancy to rule out neural tube defects.
Elevated AFP may indicate an increased rish of neural tube defects such as anencephaly and spinal
bifida.
The nurse is caring for a client who has pernicious anemia. Which vitamin deficiency is associated
with this type of anemia?
A. Vitamin B6.
B. Vitamin B12.
C. Vitamin D.
D. Vitamin C. - CORRECT ANSWER-B. Vitamin B12.
In pernicious anemia, a deficit of hydrochloric acid secretion by the stomach also results in a deficit
of intrinsic factor which is needed for the body to absorb vitamin B12 for utilization by the bone
marrow in erythropoiesis.
While caring for a primipara immigrant client who delivered a full-term neonate yesterday, the
nurse obtained the assistance of an interpreter because the client speaks minimal English. When
educating the client on dietary plan of care, what should the nurse tell the interpreter to
encourage the client to include in her diet?
- A. potatoes
- B. red meats
- C. leafy green vegetables
- D. fresh fruits
- E. corn - CORRECT ANSWER-- B. red meats
- C. leafy green vegetables
- D. fresh fruits
The nurse is caring for a client with heart failure (HF) . What outcome of diet therapy should the
nurse evaluate as a therapeutic response for the client?
- A. manage blood pressure
- B. control fluid balance
- C. promote weight loss
- D. decrease cholesterol intake - CORRECT ANSWER-- B. control fluid balance
, Page 4 of 120
19 May 2026
The nurse is caring for a client with an infected would who follows a macrobiotic diet. Which type
of foods should the nurse recommend that the client select from the hospital menu?
- A. combination of plan proteins to provide amino acids
- B. low fat and low sodium foods
- C. limited complex carbohydrates and fiber
- D. increased amount of vitamin C and beta carotene rich foods - CORRECT ANSWER-- A.
combination of plant proteins to provide essential amino acids
A client with diabetes mellitus asks the nurse how many grams of carbohydrates can be consumed
each day if the healthcare provider prescribes a 2000 calorie diet. What answer should the nurse
provide?
- A. 250 grams
- B. 350 grams
- C. 300 grams
- D. 200 grams - CORRECT ANSWER-- A. 250 grams
A client receives a prescription for psyllium for constipation. What instruction should the nurse
provide the client about taking this supplement?
- A. take supplement with 240 ml of liquid and follow with a second glass
- B. take supplement with hot beverages to help dissolve the powder completely
- C. mix supplement with pudding or applesauce to help hide the taste and texture
- D. take medication in the evening before bedtime to reduce fullness - CORRECT ANSWER-- A. take
supplement with 240 ml of liquid and follow with a second glass
The nurse is carrying for an older client with malnutrition. Which factor is most likely contributing
to this older client's nutritional status?
- A. increased need for vitamins and minerals
- B. snacks eaten all day without a complete meal
- C. a decline in kidney function
- D. loss of teeth or poorly fitting dentures - CORRECT ANSWER-- D. loss of teeth or poorly fitting
dentures
