WGU D440
HESI Nutrition
Objective Assessment
Actual Questions with Verified Answers
Pass the Exam with Confidence
What You Will Get:
➢80+ OA Exam Questions w/ Answers
➢ (Victoria + Kareem + Stephanie Study Guides)
➢ 100+ OA Exam Practice Questions w/ Answers
➢ Expert Rationales included.
, Preview Pages Below
Get the Complete PDF After Purchase
STUDENT PREVIEW
If you require further clarification
or in need of any study resources,
feel free to Message me.
Preview the selected pages below before purchase.
,Table of Contents
D440 HESI Nutrition OA Exam .............................................. 2
D440 HESI OA Exam Practice QS ......................................... 60
D440 HESI OA Exam Study Guide ..................................... 101
D440 HESI Nutrition OA Exam
Case Study: Adolescent with Type 1 Diabetes
An adolescent male, approximately 14 years old, became unresponsive at soccer
practice. Coaches called an ambulance. The client has type 1 diabetes. Friends
said he was complaining of not feeling well earlier that day. He didn't seem to eat
much at lunch but had cheese and nuts before practice. The client is known to
self-administer insulin. There is no history of smoking or alcohol.
Vital Signs & Assessment:
• Height: 65 inches (165 cm)
• Weight: 110 lbs (50 kg)
• BMI: 18.3 kg/m²
• Temperature: 37°C (98.6°F)
• Blood Pressure: 130/83 mmHg
, • Pulse: 97 bpm
• O₂ Saturation: 98%
• Respirations: 18/min
• Blood Glucose: 50 mg/dL (2.8 mmol/L)
1. The nurse recognizes that this client's blood glucose level indicates which
condition?
A. Hyperglycemia
B. Hypoglycemia
C. Normal glucose tolerance
D. Diabetic ketoacidosis
Correct Answer: B
Rationale:
A blood glucose level below 70 mg/dL is indicative of hypoglycemia. The client
consumed noncarbohydrate foods (cheese and nuts) before practice, which would
not support normal blood glucose during physical activity. The elevated blood
pressure (130/83 mmHg) is a compensatory response to low blood glucose, not
hypotension. There is no evidence of hyperglycemia or diabetic ketoacidosis in
this scenario.
2. Which intervention is the priority for the nurse to implement for this client?
A. Administer insulin subcutaneously
B. Provide 15 grams of simple carbohydrates
C. Give 30 grams of fruit juice immediately
D. Monitor electrolytes and fluid balance
,Correct Answer: B
Rationale:
During hypoglycemic episodes, 15 grams of simple carbohydrates should be
consumed, such as sugar, honey, fruit juice, or glucose tablets. Wheat bread is not
a simple carbohydrate, and although it contains carbohydrates, the body responds
best to simple sugars. Administering insulin would further lower blood glucose
and is contraindicated. While 30 grams of fruit juice is a simple carbohydrate, it is
too much to administer at one time and may result in rebound hyperglycemia.
Monitoring electrolytes and fluids is important but secondary to blood glucose
regulation, which is the first priority.
3. Which statement by the nurse is most appropriate regarding ongoing care for
this client?
A. "It is important to monitor your insulin dosage after you regain consciousness."
B. "You should avoid fluids until your blood glucose stabilizes."
C. "We need to monitor your vitals and blood glucose to ensure you maintain
consciousness."
D. "Your blood pressure indicates you are experiencing hypotension."
Correct Answer: C
Rationale:
Individuals may experience loss of consciousness if blood glucose remains low for
too long. Therefore, it is important to monitor vital signs and blood glucose to
ensure the client maintains consciousness until glucose levels are normalized.
Insulin was not provided in this scenario, so there is no reason to monitor the
dosage. While hydration is important, blood glucose regulation is the first priority.
The client's blood pressure is elevated due to the body's natural response to low
blood glucose, not hypotensive.
,4. Which food selections by a client with celiac disease indicate the nurse's
dietary teaching was successful? Select all that apply.
[ ] A. Green beans
[ ] B. Baked potato
[ ] C. Turkey sandwich on whole-wheat bread
[ ] D. Grilled fish
[ ] E. Whole-wheat cereal
[ ] F. Scrambled eggs
[ ] G. Noodles with marinara sauce
[ ] H. Low-fat milk
Correct Answers: A, B, D, F, H
Rationale:
Clients with celiac disease must follow a gluten-free diet. Green beans (fresh
vegetables), baked potatoes, grilled fish, scrambled eggs, and low-fat milk are all
naturally gluten-free and safe. Turkey sandwiches on whole-wheat bread, whole-
wheat cereal, and noodles contain gluten from wheat and must be avoided. Celiac
clients must avoid gluten found in wheat, oats, and barley.
5. Which nursing actions are appropriate when providing care to a hospitalized
infant diagnosed with failure to thrive (FTT) due to inadequate caloric intake?
Select all that apply.
[ ] A. Consult with social work to determine if the family is living in poverty
[ ] B. Assess the infant's juice consumption
[ ] C. Teach the parents how to properly prepare formula
[ ] D. Assess for sensitivity to cow's milk protein
[ ] E. Screen for cystic fibrosis and celiac disease
[ ] F. Monitor thyroid function studies for hyperthyroidism
,should also educate the client about fat-soluble vitamin supplementation (A, D, E,
K).
D440 HESI OA Exam Practice QS
A client comes to the clinic with a report of fever and a recent exposure to
someone who was diagnosed with meningitis. Which nursing assessment should
be completed during the initial examination of this client?
A. Gait characteristics.
B. Bladder control ability.
C. Presence of trauma.
D. Level of consciousness.
D. Level of consciousness.
Initial symptoms of meningitis include headache, fatigue, stiff neck, and changes in level
of consciousness. It is necessary to determine if the client is demonstrating signs of
meningitis before planning immediate care.
Which social detriment has shown to increase the rate of teen pregnancies in a
community?
A. Age
B. Ethnicity
C. Poverty
D. Culture
C. Poverty
A social detriment of health that influences the teen pregnancy rate is poverty. One-third
of pregnant teenagers come from a low socioeconomic background regardless of
ethnicity. Other risk factors for teen pregnancy rates include education, social support
systems, and living environment.
,The nurse knows that lab values sometimes vary for the older client. Which data
would the nurse expect to find when reviewing laboratory values of an 80-year-
old male?
A. Decreased serum sodium, an increased urine specific gravity.
B. Increased serum bilirubin, slightly increased liver enzymes.
C. Increased WBC, decreased RBC.
D. Increased protein in the urine, slightly increased serum glucose levels.
D. Increased protein in the urine, slightly increased serum glucose levels.
As older adults aged, the protein found in urine slightly rises as a result of kidney
changes and the serum glucose increases slightly, also due to changes in the kidney.
The specific gravity declines by age 80 from 1.032 to 1.024.
A client receives a new prescription for pentazocine (Talwin), a mixed opioid
agonist-antagonist, after an opioid agonist is discontinued. What is the advantage
for the client when the new prescription is implemented?
A. Tolerance does not occur.
B. Respiratory depression is less.
C. The analgesic ceiling is higher.
D. Less agitation is experienced.
B. Respiratory depression is less.
Mixed agonist-antagonists bind as an agonist at the Kappa receptor and as antagonists
or partial agonists on the mu receptor, which produces less respiratory depression than
opioid agonists that are pure mu agonists.
An 85-year-old male client comes to the clinic for his annual physical exam and
renewal of antihypertensive medication prescriptions. The client's radial pulse
rate is 104 beats/minute. Which additional assessment should the nurse
complete?
A. Palpate the pedal pulse volume.
B. Measure the blood pressure.
C. Assess for a carotid bruit.
D. Count the brachial pulse rate.
B. Measure the blood pressure.
Elderly clients who take antihypertensive medications often experience side effects,
,such as hypotension, which causes tachycardia, a compensatory mechanism to
maintain adequate cardiac output, so the client's blood pressure should be measured.
A deficiency of intrinsic factor should alert the nurse to assess a client's history
for which condition?
A. Emphysema.
B. Oxalic acid toxicity.
C. Pernicious anemia.
D. Hemophilia.
C. Pernicious anemia.
Pernicious anemia is a type of anemia due to failure of absorption of cobalamin (Vit
B12). The most common cause is lack of intrinsic factor, a glucoprotein produced by the
parietal cells of the gastric lining.
Which client has the greatest risk for developing community-acquired
pneumonia?
A. A 75-year-old retired secretary with exercise-induced wheezing.
B. A 35-year-old aerobics instructor who skips meals and eats only vegetables.
C. A 40-year-old first-grade teacher who works with underprivileged children.
D. A 60-year-old homeless person who is an alcoholic and smokes.
D. A 60-year-old homeless person who is an alcoholic and smokes.
Although age is a factor in the development of community-acquired pneumonia, other
lifestyle behaviors, such as smoking, alcoholism, and exposure factors related to
homelessness increase one's risk due to impaired nutrition and immune function.
A 4-year-old boy who is scheduled for a tonsillectomy and adenoidectomy asks
the nurse, "Will it hurt to have my tonsils and adenoids taken out?" Which
response is best for the nurse to provide?
A. "It won't hurt because you're such a big boy."
B. "It may hurt but we'll give you medicine to help you feel better."
C. "It may hurt a little because of the incision made in your throat."
D. "It won't hurt because we put you to sleep."
B. "It may hurt but we'll give you medicine to help you feel better."
Answering questions simply and directly provides comfort for the preschool-age child
and builds confidence in the healthcare team.
, D440 HESI OA Exam Study Guide
WGU HESI Nutrition - D440 (Victoria + Kareem + Stephanie Study Guides)
Know blood tests test nutritional status: ...
BMI and albumin
PT who has issues swallowing (dysphagia) will always be the most at risk for ...
nutrition deficiency.
Which patient would need more water?
(A. Breastfeeding)
know what diet for a pt who lost their dentures would be on
mechanical soft
Athletic patient complains with leg cramps due to low calcium, offer...
broccoli, cheese.
Know nutrient dense foods.
???
Folic acid Is found in ....
yogurt.
1 oz = ? mL
30 ml
1 cup = ? oz
8 oz
BMI Ranges:
HESI Nutrition
Objective Assessment
Actual Questions with Verified Answers
Pass the Exam with Confidence
What You Will Get:
➢80+ OA Exam Questions w/ Answers
➢ (Victoria + Kareem + Stephanie Study Guides)
➢ 100+ OA Exam Practice Questions w/ Answers
➢ Expert Rationales included.
, Preview Pages Below
Get the Complete PDF After Purchase
STUDENT PREVIEW
If you require further clarification
or in need of any study resources,
feel free to Message me.
Preview the selected pages below before purchase.
,Table of Contents
D440 HESI Nutrition OA Exam .............................................. 2
D440 HESI OA Exam Practice QS ......................................... 60
D440 HESI OA Exam Study Guide ..................................... 101
D440 HESI Nutrition OA Exam
Case Study: Adolescent with Type 1 Diabetes
An adolescent male, approximately 14 years old, became unresponsive at soccer
practice. Coaches called an ambulance. The client has type 1 diabetes. Friends
said he was complaining of not feeling well earlier that day. He didn't seem to eat
much at lunch but had cheese and nuts before practice. The client is known to
self-administer insulin. There is no history of smoking or alcohol.
Vital Signs & Assessment:
• Height: 65 inches (165 cm)
• Weight: 110 lbs (50 kg)
• BMI: 18.3 kg/m²
• Temperature: 37°C (98.6°F)
• Blood Pressure: 130/83 mmHg
, • Pulse: 97 bpm
• O₂ Saturation: 98%
• Respirations: 18/min
• Blood Glucose: 50 mg/dL (2.8 mmol/L)
1. The nurse recognizes that this client's blood glucose level indicates which
condition?
A. Hyperglycemia
B. Hypoglycemia
C. Normal glucose tolerance
D. Diabetic ketoacidosis
Correct Answer: B
Rationale:
A blood glucose level below 70 mg/dL is indicative of hypoglycemia. The client
consumed noncarbohydrate foods (cheese and nuts) before practice, which would
not support normal blood glucose during physical activity. The elevated blood
pressure (130/83 mmHg) is a compensatory response to low blood glucose, not
hypotension. There is no evidence of hyperglycemia or diabetic ketoacidosis in
this scenario.
2. Which intervention is the priority for the nurse to implement for this client?
A. Administer insulin subcutaneously
B. Provide 15 grams of simple carbohydrates
C. Give 30 grams of fruit juice immediately
D. Monitor electrolytes and fluid balance
,Correct Answer: B
Rationale:
During hypoglycemic episodes, 15 grams of simple carbohydrates should be
consumed, such as sugar, honey, fruit juice, or glucose tablets. Wheat bread is not
a simple carbohydrate, and although it contains carbohydrates, the body responds
best to simple sugars. Administering insulin would further lower blood glucose
and is contraindicated. While 30 grams of fruit juice is a simple carbohydrate, it is
too much to administer at one time and may result in rebound hyperglycemia.
Monitoring electrolytes and fluids is important but secondary to blood glucose
regulation, which is the first priority.
3. Which statement by the nurse is most appropriate regarding ongoing care for
this client?
A. "It is important to monitor your insulin dosage after you regain consciousness."
B. "You should avoid fluids until your blood glucose stabilizes."
C. "We need to monitor your vitals and blood glucose to ensure you maintain
consciousness."
D. "Your blood pressure indicates you are experiencing hypotension."
Correct Answer: C
Rationale:
Individuals may experience loss of consciousness if blood glucose remains low for
too long. Therefore, it is important to monitor vital signs and blood glucose to
ensure the client maintains consciousness until glucose levels are normalized.
Insulin was not provided in this scenario, so there is no reason to monitor the
dosage. While hydration is important, blood glucose regulation is the first priority.
The client's blood pressure is elevated due to the body's natural response to low
blood glucose, not hypotensive.
,4. Which food selections by a client with celiac disease indicate the nurse's
dietary teaching was successful? Select all that apply.
[ ] A. Green beans
[ ] B. Baked potato
[ ] C. Turkey sandwich on whole-wheat bread
[ ] D. Grilled fish
[ ] E. Whole-wheat cereal
[ ] F. Scrambled eggs
[ ] G. Noodles with marinara sauce
[ ] H. Low-fat milk
Correct Answers: A, B, D, F, H
Rationale:
Clients with celiac disease must follow a gluten-free diet. Green beans (fresh
vegetables), baked potatoes, grilled fish, scrambled eggs, and low-fat milk are all
naturally gluten-free and safe. Turkey sandwiches on whole-wheat bread, whole-
wheat cereal, and noodles contain gluten from wheat and must be avoided. Celiac
clients must avoid gluten found in wheat, oats, and barley.
5. Which nursing actions are appropriate when providing care to a hospitalized
infant diagnosed with failure to thrive (FTT) due to inadequate caloric intake?
Select all that apply.
[ ] A. Consult with social work to determine if the family is living in poverty
[ ] B. Assess the infant's juice consumption
[ ] C. Teach the parents how to properly prepare formula
[ ] D. Assess for sensitivity to cow's milk protein
[ ] E. Screen for cystic fibrosis and celiac disease
[ ] F. Monitor thyroid function studies for hyperthyroidism
,should also educate the client about fat-soluble vitamin supplementation (A, D, E,
K).
D440 HESI OA Exam Practice QS
A client comes to the clinic with a report of fever and a recent exposure to
someone who was diagnosed with meningitis. Which nursing assessment should
be completed during the initial examination of this client?
A. Gait characteristics.
B. Bladder control ability.
C. Presence of trauma.
D. Level of consciousness.
D. Level of consciousness.
Initial symptoms of meningitis include headache, fatigue, stiff neck, and changes in level
of consciousness. It is necessary to determine if the client is demonstrating signs of
meningitis before planning immediate care.
Which social detriment has shown to increase the rate of teen pregnancies in a
community?
A. Age
B. Ethnicity
C. Poverty
D. Culture
C. Poverty
A social detriment of health that influences the teen pregnancy rate is poverty. One-third
of pregnant teenagers come from a low socioeconomic background regardless of
ethnicity. Other risk factors for teen pregnancy rates include education, social support
systems, and living environment.
,The nurse knows that lab values sometimes vary for the older client. Which data
would the nurse expect to find when reviewing laboratory values of an 80-year-
old male?
A. Decreased serum sodium, an increased urine specific gravity.
B. Increased serum bilirubin, slightly increased liver enzymes.
C. Increased WBC, decreased RBC.
D. Increased protein in the urine, slightly increased serum glucose levels.
D. Increased protein in the urine, slightly increased serum glucose levels.
As older adults aged, the protein found in urine slightly rises as a result of kidney
changes and the serum glucose increases slightly, also due to changes in the kidney.
The specific gravity declines by age 80 from 1.032 to 1.024.
A client receives a new prescription for pentazocine (Talwin), a mixed opioid
agonist-antagonist, after an opioid agonist is discontinued. What is the advantage
for the client when the new prescription is implemented?
A. Tolerance does not occur.
B. Respiratory depression is less.
C. The analgesic ceiling is higher.
D. Less agitation is experienced.
B. Respiratory depression is less.
Mixed agonist-antagonists bind as an agonist at the Kappa receptor and as antagonists
or partial agonists on the mu receptor, which produces less respiratory depression than
opioid agonists that are pure mu agonists.
An 85-year-old male client comes to the clinic for his annual physical exam and
renewal of antihypertensive medication prescriptions. The client's radial pulse
rate is 104 beats/minute. Which additional assessment should the nurse
complete?
A. Palpate the pedal pulse volume.
B. Measure the blood pressure.
C. Assess for a carotid bruit.
D. Count the brachial pulse rate.
B. Measure the blood pressure.
Elderly clients who take antihypertensive medications often experience side effects,
,such as hypotension, which causes tachycardia, a compensatory mechanism to
maintain adequate cardiac output, so the client's blood pressure should be measured.
A deficiency of intrinsic factor should alert the nurse to assess a client's history
for which condition?
A. Emphysema.
B. Oxalic acid toxicity.
C. Pernicious anemia.
D. Hemophilia.
C. Pernicious anemia.
Pernicious anemia is a type of anemia due to failure of absorption of cobalamin (Vit
B12). The most common cause is lack of intrinsic factor, a glucoprotein produced by the
parietal cells of the gastric lining.
Which client has the greatest risk for developing community-acquired
pneumonia?
A. A 75-year-old retired secretary with exercise-induced wheezing.
B. A 35-year-old aerobics instructor who skips meals and eats only vegetables.
C. A 40-year-old first-grade teacher who works with underprivileged children.
D. A 60-year-old homeless person who is an alcoholic and smokes.
D. A 60-year-old homeless person who is an alcoholic and smokes.
Although age is a factor in the development of community-acquired pneumonia, other
lifestyle behaviors, such as smoking, alcoholism, and exposure factors related to
homelessness increase one's risk due to impaired nutrition and immune function.
A 4-year-old boy who is scheduled for a tonsillectomy and adenoidectomy asks
the nurse, "Will it hurt to have my tonsils and adenoids taken out?" Which
response is best for the nurse to provide?
A. "It won't hurt because you're such a big boy."
B. "It may hurt but we'll give you medicine to help you feel better."
C. "It may hurt a little because of the incision made in your throat."
D. "It won't hurt because we put you to sleep."
B. "It may hurt but we'll give you medicine to help you feel better."
Answering questions simply and directly provides comfort for the preschool-age child
and builds confidence in the healthcare team.
, D440 HESI OA Exam Study Guide
WGU HESI Nutrition - D440 (Victoria + Kareem + Stephanie Study Guides)
Know blood tests test nutritional status: ...
BMI and albumin
PT who has issues swallowing (dysphagia) will always be the most at risk for ...
nutrition deficiency.
Which patient would need more water?
(A. Breastfeeding)
know what diet for a pt who lost their dentures would be on
mechanical soft
Athletic patient complains with leg cramps due to low calcium, offer...
broccoli, cheese.
Know nutrient dense foods.
???
Folic acid Is found in ....
yogurt.
1 oz = ? mL
30 ml
1 cup = ? oz
8 oz
BMI Ranges:
