WGU D440 Health and Wellness Through Nutritional Science
Knowledge test Exam Toolkit Questions and Verified solution
2026/2027
A _____ (NG) tube is a special tube that carries food through the nose, down the throat
and directly into the stomach.
nasogastric
When a patient is utilizing a nasogastric (NG) tube, they are at a higher risk for
aspiration, therefore we must _____ the HOB (head of the bed) 30-45 degrees.
elevate
When utilizing a nasogastric (NG) tube, after you aspirate the contents into the syringe,
we must check the _____ _____.
pH balance
_____ _____ _____ (TPN) is administratyion of liquid nutrients intravenously to people
who cannot use their digestive systems at all.
Total Parental Nutrition
In TPN, _____ % of dextrose is utilized when waiting for the next bag.
10
During TPN, _____ is monitored.
glucose
A _____ _____ diet is for patients with gastrointestinal (GI) problems before
(preoperatively) and after (postoperatively) surgery and before some diagnostic tests.
clear liquid
A _____ _____ diet consists of limited nutrients, only used for a short period of time and
CLEAR juices that do NOT contain pulp
Examples are apple juice, cranberry juice, gelatin, popsicles and other clear broths.
,clear liquid
A _____ ______ diet is used to advance a patient with gastrointestinal (GI)
disturbances, after having dental work performed, and for those patients who cannot
tolerate solid food.
full liquid
A _____ ______ diet consists of juices (including those that contain pulp, milk or milk
products, yogurt, strained cream soups and liquid dietary supplements.
full liquid
A _____ diet is used for patients who cannot safely chew or swallow solid food.
pureed
A _____ diet consists of food that is placed into a blender and made into a pulp-like
mixture. The addition of raw eggs, nuts, and seeds should be avoided.
pureed
A _____ _____ diet is used for patients who have difficulty chewing effectively dentures
or no teeth.
mechanical soft
A _____ _____ diet consists of clear and full liquid and pureed, with addition of all
cream soups, grounded or finely diced meats, flaked fish, cottage cheese, rice,
potatoes, pancakes, light breads, cooked vegetables, cooked or canned fruits, bananas,
soups, peanut butter, and eggs (not fried).
mechanical soft
List the correct order of diets (ranging from a patient who does not have the ability to
chew at all to someone that can):
1. clear liquid
2. full liquid
,3. pureed
4. mechanical soft
A _____ diet EXCLUDES all animal products. However, SOYBEAN is a popular plant-
based protein in vegetarian and vegan communities.
vegan
A _____ vegetarian diet allows for dairy/dairy products. Meat CANNOT be consumed.
lacto
A _____ - _____ diet allows for dairy & eggs. Meat CANNOT be consumed.
lacto-ovo
S/s of _____ are tachycardia (rapid heartbeat), tachypnea (rapid breathing),
hypotension (low blood pressure), decreased urine output/urination, decreased skin
turgor (takes longer for skin to retract/less elastic) and a dry mucous membrane (when
the nose is dry, itchy and burns).
dehydration
A patient with coronary disease does not want to make dietary changes. The nurse
should _____ the facts.
reemphasize
A question asked about the LVN taking waist measurements. The nurse can _____ the
results obtained by the LVN and provide teaching and referral.
review
A patient on a paleo diet (includes fruits, vegetables, lean meats, fish, eggs, nuts and
seeds) is deficient in _____.
calcium
A patient has hypertension. The nurse should provide a D.A.S.H diet that contains ____
- _____ servings of fruits and vegetables.
4-6
, A patient wants to go to a farmer's market but asks the nurse about the type of milk/milk
product. The patient should avoid _____ milk because it is unsafe to drink.
unpasteurized
A patient with migraine headaches should decrease tyramine foods such as _____
_____.
hard salami
The parents of a child who is prediabetic reports to the nurse that the child wants to join
a soccer team. The nurse should implement/reassure the patients that physical activity
_____ the risk of diabetes.
reduces
A patient with celiac disease wants to eat foods that contain gluten. They should NOT
eat gluten foods like _____.
oatmeal
A patient with photosensitivity should consume Vitamin _____ food likes milk, eggs or
fatty fish.
D
_____ - fiber (low-residue) diets are used for inflammatory bowel disease, partial
obstructions of the intestinal tract, gastroenteritis, diarrhea or other gastrointestinal
disorders.
Low
_____ - fiber high-residue) diets are used for constipation/irritable bowel syndrome
(IBS) when the primary system is alternating constipation and diarrhea, and
asymptomatic diverticular disease.
High
_____ diets are indicated for atherosclerosis, diabetes mellitus, hyperlipidemia,
hypertension, myocardial infarction, nephrotic syndrome and renal failure.
Knowledge test Exam Toolkit Questions and Verified solution
2026/2027
A _____ (NG) tube is a special tube that carries food through the nose, down the throat
and directly into the stomach.
nasogastric
When a patient is utilizing a nasogastric (NG) tube, they are at a higher risk for
aspiration, therefore we must _____ the HOB (head of the bed) 30-45 degrees.
elevate
When utilizing a nasogastric (NG) tube, after you aspirate the contents into the syringe,
we must check the _____ _____.
pH balance
_____ _____ _____ (TPN) is administratyion of liquid nutrients intravenously to people
who cannot use their digestive systems at all.
Total Parental Nutrition
In TPN, _____ % of dextrose is utilized when waiting for the next bag.
10
During TPN, _____ is monitored.
glucose
A _____ _____ diet is for patients with gastrointestinal (GI) problems before
(preoperatively) and after (postoperatively) surgery and before some diagnostic tests.
clear liquid
A _____ _____ diet consists of limited nutrients, only used for a short period of time and
CLEAR juices that do NOT contain pulp
Examples are apple juice, cranberry juice, gelatin, popsicles and other clear broths.
,clear liquid
A _____ ______ diet is used to advance a patient with gastrointestinal (GI)
disturbances, after having dental work performed, and for those patients who cannot
tolerate solid food.
full liquid
A _____ ______ diet consists of juices (including those that contain pulp, milk or milk
products, yogurt, strained cream soups and liquid dietary supplements.
full liquid
A _____ diet is used for patients who cannot safely chew or swallow solid food.
pureed
A _____ diet consists of food that is placed into a blender and made into a pulp-like
mixture. The addition of raw eggs, nuts, and seeds should be avoided.
pureed
A _____ _____ diet is used for patients who have difficulty chewing effectively dentures
or no teeth.
mechanical soft
A _____ _____ diet consists of clear and full liquid and pureed, with addition of all
cream soups, grounded or finely diced meats, flaked fish, cottage cheese, rice,
potatoes, pancakes, light breads, cooked vegetables, cooked or canned fruits, bananas,
soups, peanut butter, and eggs (not fried).
mechanical soft
List the correct order of diets (ranging from a patient who does not have the ability to
chew at all to someone that can):
1. clear liquid
2. full liquid
,3. pureed
4. mechanical soft
A _____ diet EXCLUDES all animal products. However, SOYBEAN is a popular plant-
based protein in vegetarian and vegan communities.
vegan
A _____ vegetarian diet allows for dairy/dairy products. Meat CANNOT be consumed.
lacto
A _____ - _____ diet allows for dairy & eggs. Meat CANNOT be consumed.
lacto-ovo
S/s of _____ are tachycardia (rapid heartbeat), tachypnea (rapid breathing),
hypotension (low blood pressure), decreased urine output/urination, decreased skin
turgor (takes longer for skin to retract/less elastic) and a dry mucous membrane (when
the nose is dry, itchy and burns).
dehydration
A patient with coronary disease does not want to make dietary changes. The nurse
should _____ the facts.
reemphasize
A question asked about the LVN taking waist measurements. The nurse can _____ the
results obtained by the LVN and provide teaching and referral.
review
A patient on a paleo diet (includes fruits, vegetables, lean meats, fish, eggs, nuts and
seeds) is deficient in _____.
calcium
A patient has hypertension. The nurse should provide a D.A.S.H diet that contains ____
- _____ servings of fruits and vegetables.
4-6
, A patient wants to go to a farmer's market but asks the nurse about the type of milk/milk
product. The patient should avoid _____ milk because it is unsafe to drink.
unpasteurized
A patient with migraine headaches should decrease tyramine foods such as _____
_____.
hard salami
The parents of a child who is prediabetic reports to the nurse that the child wants to join
a soccer team. The nurse should implement/reassure the patients that physical activity
_____ the risk of diabetes.
reduces
A patient with celiac disease wants to eat foods that contain gluten. They should NOT
eat gluten foods like _____.
oatmeal
A patient with photosensitivity should consume Vitamin _____ food likes milk, eggs or
fatty fish.
D
_____ - fiber (low-residue) diets are used for inflammatory bowel disease, partial
obstructions of the intestinal tract, gastroenteritis, diarrhea or other gastrointestinal
disorders.
Low
_____ - fiber high-residue) diets are used for constipation/irritable bowel syndrome
(IBS) when the primary system is alternating constipation and diarrhea, and
asymptomatic diverticular disease.
High
_____ diets are indicated for atherosclerosis, diabetes mellitus, hyperlipidemia,
hypertension, myocardial infarction, nephrotic syndrome and renal failure.
