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WGU D440 Final Exam (Latest 2025/ 2026 Update) Health and Wellness Through Nutritional Science Review | Questions and Answers | Grade A| 100% Correct (Verified Solutions)

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2024/2025 Written for academic year
Institution Western Governors University
Course WGU D440 (WGUD440)
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WGU D440 Final Exam (Latest 2025/ 2026 Update) Health and Wellness Through Nutritional Science Review | Questions and Answers | Grade A| 100% Correct (Verified Solutions) Q: Which type of diet would the nurse expect the primary health care provider to prescribe for a client diagnosed with rheumatoid arthritis? Answer: Regular diet with vitamins and minerals. Q: After the nurse teaches a client, who is obese, measure to calculate the BMI which client statement indicates effective learning? Answer: I should lose at least half a pound to a pound each week. I'll make sure to eat foods meeting my daily nutritional requirement. I should stay away from unhealthy foods between meals and after dinner. Q: Which information would the nurse include in the teaching plan for a client who will receive TPN at home? Answer: Demonstrating how to test capillary glucose levels. Q: Which criteria for bariatric surgery would a nurse explain to an adolescent who expresses a desire to undergo the procedure? Answer: Adherence to nutritional guidelines after surgery. BMI of at least 40 with severe obesity. Ability to give informed consent to surgery. Q: Which information would the nurse include when teaching a group of parents about the developmental needs of adolescents? Answer: The adolescent has an increased need for calories. The adolescent needs to consume iron in the diet on a daily basis. The adolescent's need for nutrition is better by physiological age than chronological age. Q: Which action would the nurse take when a client is receiving TPN? Answer: Monitor for hydration. Monitor weight daily. Monitor vital signs every 4 hours. Discard any solution after 24 hours. Check the expiration date of the solution before administration. Q: Which action for nutritional needs would the nurse take for a depressed client who has been sitting alone in a chair most of the day and displays no interest in eating? Answer: Stay with the client during meals. Q: Which action would the nurse plan to ensure optimal nutrition during the pregnancy for the client who maintains a vegetarian diet? Answer: Refer the client to a dietician to help plan her daily menu. Q: The nurse is educating a group d mothers about the nutritional needs of toddlers. Which of these statements made by a mother indicate the need for further teaching? Answer: I need to give more than 24 oz of milk per day. I should provide more calories from fats than proteins. Q: A client with hyperemesis gravidarum is receiving rehydration infusion therapy at home. Which is the priority nursing activity for the home health nurse? Answer: Monitor the client for signs of electrolyte imbalance. Q: Which common characteristic would the nurse recognize when obtaining a health history and performing a physical assessment for an underweight adolescent girl with a diagnosis of anorexia nervosa? Answer: Fatigue Secondary amenorrhea Q: Which information will the nurse include when providing education to the family of an adolescent who was recently diagnosed with type 2 diabetes? Answer: The most important interventions are good nutrition and portion control. Q: Which initial approach would the nurse use for an adolescent with anorexia nervosa who has lost 20 lb in 6 weeks and is very thin but is excessively concerned about being overweight? Answer: Attempting to establish a trusting relationship with the adolescent. Q: Which action would the nurse take next when a 78 yo client comes to the health clinic presenting with fatigue, and laboratory results indicate a hematocrit of 32% and hemoglobin of 10.5 g/dL? Answer: Conduct a complete nutritional assessment of the client. Q: For which prescription would the nurse seek clarification when reviewing the plan of care for the geriatric client with less than adequate nutritional intake? Answer: Give one can of diet supplement at 8 am with breakfast and at 4 pm before evening meal. Q: For which age group would education regarding nutrition, healthy snacks, and food choices be most impactful?

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WGUlD440lFinallExaml(Latestl2025/l2026
lUpdate)lHealthlandlWellnesslThroughl
NutritionallSciencelReviewl|lQuestionsland
lAnswersl|lGradelA|l100%lCorrectl(Verifiedl
Solutions)

Q:lWhichltypelofldietlwouldlthelnurselexpectlthelprimarylhealthlcarelproviderltolprescribelfor
lalclientldiagnosedlwithlrheumatoidlarthritis?


Answer:
Regularldietlwithlvitaminslandlminerals.




Q:lAfterlthelnurselteacheslalclient,lwholislobese,lmeasureltolcalculatelthelBMIlwhichlclientlst
atementlindicatesleffectivellearning?


Answer:
Ilshouldlloselatlleastlhalflalpoundltolalpoundleachlweek.
I'lllmakelsureltoleatlfoodslmeetinglmyldailylnutritionallrequirement.
Ilshouldlstaylawaylfromlunhealthylfoodslbetweenlmealslandlafterldinner.




Q:lWhichlinformationlwouldlthelnurselincludelinlthelteachinglplanlforlalclientlwholwilllrecei
velTPNlatlhome?


Answer:
Demonstratinglhowltoltestlcapillarylglucosellevels.

,Q:lWhichlcriterialforlbariatriclsurgerylwouldlalnurselexplainltolanladolescentlwholexpressesla
ldesireltolundergolthelprocedure?


Answer:
Adherenceltolnutritionallguidelineslafterlsurgery.
BMIloflatlleastl40lwithlseverelobesity.
Abilityltolgivelinformedlconsentltolsurgery.




Q:lWhichlinformationlwouldlthelnurselincludelwhenlteachinglalgrouploflparentslaboutlthelde
velopmentallneedslofladolescents?


Answer:
Theladolescentlhaslanlincreasedlneedlforlcalories.
Theladolescentlneedsltolconsumelironlinltheldietlonlaldailylbasis.
Theladolescent'slneedlforlnutritionlislbetterlbylphysiologicallagelthanlchronologicallage.




Q:lWhichlactionlwouldlthelnurseltakelwhenlalclientlislreceivinglTPN?

Answer:
Monitorlforlhydration.
Monitorlweightldaily.
Monitorlvitallsignsleveryl4lhours.
Discardlanylsolutionlafterl24lhours.
Checklthelexpirationldateloflthelsolutionlbeforeladministration.




Q:lWhichlactionlforlnutritionallneedslwouldlthelnurseltakelforlaldepressedlclientlwholhaslbee
nlsittinglalonelinlalchairlmostlofltheldaylandldisplayslnolinterestlinleating?


Answer:

,Staylwithlthelclientlduringlmeals.




Q:lWhichlactionlwouldlthelnurselplanltolensureloptimallnutritionlduringlthelpregnancylforlthe
lclientlwholmaintainslalvegetarianldiet?


Answer:
Referlthelclientltolaldieticianltolhelplplanlherldailylmenu.




Q:lThelnurselisleducatinglalgroupldlmotherslaboutlthelnutritionallneedslofltoddlers.lWhichlofl
theselstatementslmadelbylalmotherlindicatelthelneedlforlfurtherlteaching?


Answer:
Ilneedltolgivelmorelthanl24lozloflmilklperlday.
Ilshouldlprovidelmorelcalorieslfromlfatslthanlproteins.




Q:lAlclientlwithlhyperemesislgravidarumlislreceivinglrehydrationlinfusionltherapylatlhome.l
Whichlislthelprioritylnursinglactivitylforlthelhomelhealthlnurse?


Answer:
Monitorlthelclientlforlsignsloflelectrolytelimbalance.




Q:lWhichlcommonlcharacteristiclwouldlthelnurselrecognizelwhenlobtaininglalhealthlhistoryla
ndlperforminglalphysicallassessmentlforlanlunderweightladolescentlgirllwithlaldiagnosisloflanor
exialnervosa?


Answer:
Fatigue
Secondarylamenorrhea

, Q:lWhichlinformationlwilllthelnurselincludelwhenlprovidingleducationltolthelfamilyloflanlado
lescentlwholwaslrecentlyldiagnosedlwithltypel2ldiabetes?


Answer:
Thelmostlimportantlinterventionslarelgoodlnutritionlandlportionlcontrol.




Q:lWhichlinitiallapproachlwouldlthelnurseluselforlanladolescentlwithlanorexialnervosalwholh
asllostl20llblinl6lweekslandlislverylthinlbutlislexcessivelylconcernedlaboutlbeingloverweight?


Answer:
Attemptingltolestablishlaltrustinglrelationshiplwithltheladolescent.




Q:lWhichlactionlwouldlthelnurseltakelnextlwhenlal78lyolclientlcomesltolthelhealthlcliniclpres
entinglwithlfatigue,landllaboratorylresultslindicatelalhematocritlofl32%landlhemoglobinlofl10.5l
g/dL?


Answer:
Conductlalcompletelnutritionallassessmentloflthelclient.




Q:lForlwhichlprescriptionlwouldlthelnurselseeklclarificationlwhenlreviewinglthelplanloflcarelf
orlthelgeriatriclclientlwithllesslthanladequatelnutritionallintake?


Answer:
Givelonelcanlofldietlsupplementlatl8lamlwithlbreakfastlandlatl4lpmlbeforeleveninglmeal.




Q:lForlwhichlagelgrouplwouldleducationlregardinglnutrition,lhealthylsnacks,landlfoodlchoices
lbelmostlimpactful?

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