WGU D440
HEALTH AND WELLNESS THROUGH
NUTRITIONAL SCIENCE EXAM
ACTUAL QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
MEDICINE CERTIFICATION
2027 UPDATED
,A charge nurse is watching over a new nurse who is inserting an NG tube, I think asked
what is the first step... - Correct Answer✅-elevate head of bed.
A patient with coronary heart disease and doesn't want to make dietary changes... -
Correct Answer✅-re-emphasize the facts
A question about a child being pre-diabetic and wants to join a soccer team, what should
you do...
(I narrowed down the answer and it was either that or before the game or practice take
something along the lines of taking a shot of insulin) but since he was not diabetic, he
didn't need insulin. - Correct Answer✅-I put something about the child doing physical
activity
A Question about a diabetic patient... - Correct Answer✅-know that they need to drink
a sugar free cranberry juice.
An athlete/athletic patient complains about leg cramps due to LOW CALCIUM... -
Correct Answer✅-A nurse should offer them high calcium foods such as broccoli and
cheese.
The nurse identifies that a client receiving chemotherapy has lost weight. Which
intervention would the nurse take to improve the client's nutrition? Select all that apply.
One, some, or all responses may be correct.
Provide low-carbohydrate meals
Decrease fluid intake at mealtime
Encourage the intake of preferred foods
Promote the intake of small, frequent meals
Administer prescribed antiemetics before meals
Control intake of excessively sweet or spicy foods
Recommend eating with friends or family
Reinforce the need for a high protein diet - Correct Answer✅-- Encourage the intake of
preferred foods
- Promote the intake of small, frequent meals
- Administer prescribed antiemetics before meals
- Control intake of excessively sweet or spicy foods
- Recommend eating with friends or family
- Reinforce the need for a high protein diet
Rationale: Selecting preferred foods increases the likelihood of the client eating the
food. Small, frequent feedings are better tolerated than large meals. Antiemetics should
be administered prophylactically to decrease nausea and enhance appetite. Excessively
sweet, spicy, or fatty foods may trigger nausea and vomiting. Increasing the pleasure
associated with mealtime through sharing with others may increase intake. The diet
should provide maximum protein and carbohydrates to meet demands related to
restoration of body cells and energy. Decreasing fluid intake may have deleterious
effects.
,Which food selection by a client with celiac disease indicates the nurse's dietary
teaching was successful? SATA
Green beans
Baked potato
Egg noodles
Turkey sandwich
Baked salmon
Whole-wheat cereal
Fried eggs
Whole milk - Correct Answer✅-Green beans, baked potato, baked salmon, fried eggs,
whole milk
Rationale: Noodles, bread in the turkey sandwich, and whole-wheat cereal are high in
gluten, and clients on gluten-free diets should avoid these products. Celiac clients are to
avoid gluten found in wheat, oats, and barley.
Which food would a nurse suggest to the parent of a child who has recovered from
dehydration due to diarrhea?
Poached eggs
Fried fish
Bananas
Rice
Potatoes
Undiluted apple juice
Noodles
Animal crackers - Correct Answer✅-Poached eggs
Bananas
Rice
Potatoes
Noodles
Animal crackers
Rationale:
Poached eggs are nutritious and are easily digested. Bananas help replace the potassium
lost in diarrhea. Starches, such as rice, potatoes, and noodles, are recommended in the
dietary management of a pediatric client recovering from dehydration caused by
diarrhea. Animal crackers are not irritating to the gastrointestinal tract. High fat foods,
such as fried fish, should be avoided because they are not easily digested and contribute
to delayed gastric emptying. Undiluted apple juice is high in simple sugar, which can
have an osmotic effect and cause diarrhea to return.
Which intervention will the nurse implement for a client hospitalized with acute
pancreatisis? - Correct Answer✅-- Administer analgesics
- Teach relaxation exercises
- monitor cardiac rate & rhythm
- provide antiemetics
, Rationale:
Analgesics, histamine-receptor antagonists, and proton pump inhibitors may be
administered to decrease gastrointestinal activity and the secretion of pancreatic
enzymes. Relaxation will decrease the metabolic rate, which will decrease
gastrointestinal activity, including the secretion of pancreatic enzymes. Monitoring
cardiac rate and rhythm is necessary to assess for hypokalemia and fluid volume
changes. Antiemetics will be administered to help reduce nausea and vomiting. The
client would be kept nothing by mouth to decrease gastrointestinal activity and the
secretion of pancreatic enzymes and therefore would not have a high-fat diet order.
Once PO nutrition is resumed the diet would include high-carbohydrate and protein, but
low-fat. Walking increases the metabolic rate, which will increase gastrointestinal
activity, including the secretion of pancreatic enzymes. Hypocalcemia, not
hypercalcemia, occurs because of calcium and fatty acids combining during fat necrosis.
The client with acute pancreatitis is at risk for inadequate nutrition and will be weighed
daily.
Which nursing action is appropriate when providing care to a hospitalized infant who is
diagnosed with failure to thrive (FTT) due to inadequate caloric intake? SATA
Consulting with social work
Monitoring for sensitivity to cow's milk
Assessing juice consumption
Teaching the parents how to prepare formula
Evaluating for severe allergies
Examining the EHR for diagnosis of cystic fibrosis
Analyzing eating patterns and diet for signs of celiac disease
Reviewing laboratory data related to thyroid function - Correct Answer✅-- Consulting
with social work
- Assessing juice consumption
- Teaching the parents how to prepare formula
Rationale: Poor infant growth with a diagnosis of FTT due to inadequate caloric intake
requires the nurse to consult with social work to determine if the family is living in
poverty; assess the infant's juice consumption (too much juice and not enough formula
often causes inadequate caloric intake); and teach the parents how to properly prepare
formula (too much water decreases the amount of calories). A sensitivity to cow's milk
or other severe allergies would cause FTT due to inadequate absorption, not inadequate
caloric intake. Additional causes of FTT associated with inadequate absorption include
medical conditions such as celiac disease and cystic fibrosis. Some diseases can
contribute to FTT through an elevated metabolism including cystic fibrosis and
hyperthyroidism. If hyperthyroidism was suspected laboratory data would be
monitored.
Which of the client's risk factors are related to cardiovascular disease? Select all that
apply.
Family history
Smoking
Alcohol use
HEALTH AND WELLNESS THROUGH
NUTRITIONAL SCIENCE EXAM
ACTUAL QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
MEDICINE CERTIFICATION
2027 UPDATED
,A charge nurse is watching over a new nurse who is inserting an NG tube, I think asked
what is the first step... - Correct Answer✅-elevate head of bed.
A patient with coronary heart disease and doesn't want to make dietary changes... -
Correct Answer✅-re-emphasize the facts
A question about a child being pre-diabetic and wants to join a soccer team, what should
you do...
(I narrowed down the answer and it was either that or before the game or practice take
something along the lines of taking a shot of insulin) but since he was not diabetic, he
didn't need insulin. - Correct Answer✅-I put something about the child doing physical
activity
A Question about a diabetic patient... - Correct Answer✅-know that they need to drink
a sugar free cranberry juice.
An athlete/athletic patient complains about leg cramps due to LOW CALCIUM... -
Correct Answer✅-A nurse should offer them high calcium foods such as broccoli and
cheese.
The nurse identifies that a client receiving chemotherapy has lost weight. Which
intervention would the nurse take to improve the client's nutrition? Select all that apply.
One, some, or all responses may be correct.
Provide low-carbohydrate meals
Decrease fluid intake at mealtime
Encourage the intake of preferred foods
Promote the intake of small, frequent meals
Administer prescribed antiemetics before meals
Control intake of excessively sweet or spicy foods
Recommend eating with friends or family
Reinforce the need for a high protein diet - Correct Answer✅-- Encourage the intake of
preferred foods
- Promote the intake of small, frequent meals
- Administer prescribed antiemetics before meals
- Control intake of excessively sweet or spicy foods
- Recommend eating with friends or family
- Reinforce the need for a high protein diet
Rationale: Selecting preferred foods increases the likelihood of the client eating the
food. Small, frequent feedings are better tolerated than large meals. Antiemetics should
be administered prophylactically to decrease nausea and enhance appetite. Excessively
sweet, spicy, or fatty foods may trigger nausea and vomiting. Increasing the pleasure
associated with mealtime through sharing with others may increase intake. The diet
should provide maximum protein and carbohydrates to meet demands related to
restoration of body cells and energy. Decreasing fluid intake may have deleterious
effects.
,Which food selection by a client with celiac disease indicates the nurse's dietary
teaching was successful? SATA
Green beans
Baked potato
Egg noodles
Turkey sandwich
Baked salmon
Whole-wheat cereal
Fried eggs
Whole milk - Correct Answer✅-Green beans, baked potato, baked salmon, fried eggs,
whole milk
Rationale: Noodles, bread in the turkey sandwich, and whole-wheat cereal are high in
gluten, and clients on gluten-free diets should avoid these products. Celiac clients are to
avoid gluten found in wheat, oats, and barley.
Which food would a nurse suggest to the parent of a child who has recovered from
dehydration due to diarrhea?
Poached eggs
Fried fish
Bananas
Rice
Potatoes
Undiluted apple juice
Noodles
Animal crackers - Correct Answer✅-Poached eggs
Bananas
Rice
Potatoes
Noodles
Animal crackers
Rationale:
Poached eggs are nutritious and are easily digested. Bananas help replace the potassium
lost in diarrhea. Starches, such as rice, potatoes, and noodles, are recommended in the
dietary management of a pediatric client recovering from dehydration caused by
diarrhea. Animal crackers are not irritating to the gastrointestinal tract. High fat foods,
such as fried fish, should be avoided because they are not easily digested and contribute
to delayed gastric emptying. Undiluted apple juice is high in simple sugar, which can
have an osmotic effect and cause diarrhea to return.
Which intervention will the nurse implement for a client hospitalized with acute
pancreatisis? - Correct Answer✅-- Administer analgesics
- Teach relaxation exercises
- monitor cardiac rate & rhythm
- provide antiemetics
, Rationale:
Analgesics, histamine-receptor antagonists, and proton pump inhibitors may be
administered to decrease gastrointestinal activity and the secretion of pancreatic
enzymes. Relaxation will decrease the metabolic rate, which will decrease
gastrointestinal activity, including the secretion of pancreatic enzymes. Monitoring
cardiac rate and rhythm is necessary to assess for hypokalemia and fluid volume
changes. Antiemetics will be administered to help reduce nausea and vomiting. The
client would be kept nothing by mouth to decrease gastrointestinal activity and the
secretion of pancreatic enzymes and therefore would not have a high-fat diet order.
Once PO nutrition is resumed the diet would include high-carbohydrate and protein, but
low-fat. Walking increases the metabolic rate, which will increase gastrointestinal
activity, including the secretion of pancreatic enzymes. Hypocalcemia, not
hypercalcemia, occurs because of calcium and fatty acids combining during fat necrosis.
The client with acute pancreatitis is at risk for inadequate nutrition and will be weighed
daily.
Which nursing action is appropriate when providing care to a hospitalized infant who is
diagnosed with failure to thrive (FTT) due to inadequate caloric intake? SATA
Consulting with social work
Monitoring for sensitivity to cow's milk
Assessing juice consumption
Teaching the parents how to prepare formula
Evaluating for severe allergies
Examining the EHR for diagnosis of cystic fibrosis
Analyzing eating patterns and diet for signs of celiac disease
Reviewing laboratory data related to thyroid function - Correct Answer✅-- Consulting
with social work
- Assessing juice consumption
- Teaching the parents how to prepare formula
Rationale: Poor infant growth with a diagnosis of FTT due to inadequate caloric intake
requires the nurse to consult with social work to determine if the family is living in
poverty; assess the infant's juice consumption (too much juice and not enough formula
often causes inadequate caloric intake); and teach the parents how to properly prepare
formula (too much water decreases the amount of calories). A sensitivity to cow's milk
or other severe allergies would cause FTT due to inadequate absorption, not inadequate
caloric intake. Additional causes of FTT associated with inadequate absorption include
medical conditions such as celiac disease and cystic fibrosis. Some diseases can
contribute to FTT through an elevated metabolism including cystic fibrosis and
hyperthyroidism. If hyperthyroidism was suspected laboratory data would be
monitored.
Which of the client's risk factors are related to cardiovascular disease? Select all that
apply.
Family history
Smoking
Alcohol use
