WGU D440 HESI NUTRITION QUESTIONS with
verified answers 2026\2027 A+ Grade
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 teaching a client with numerous allergies how to avoid allergens. Which instruction should
be included in this teaching plan?
A. avoid any types of sprays, powders, and perfumes
B. wearing a mask while cleaning will not help to avoid allergens.
C. purchase any type of clothing, but be sure it is washed before wearing it.
D. pollen count is related to hay fever, not to allergens
- correct answer A. Avoid any types of sprays, powders, and perfumes.
,The nurse is caring for a client who is receiving 24-hour total parenteral nutrition (TPN) via a central line
at 54 ml/hr. When initially assessing the client, the nurse notes that the TPN solution has run out and
the next TPN solution is not available. What immediate action should the nurse take?
A. infuse normal saline at a keep vein open rate
B. discontinue the IV and flush the port with heparin
C. infuse 10% dextrose and water at 54 ml/hr
D. obtain a stat blood glucose level and notify the healthcare provider
- correct answer C. Infuse 10% dextrose and water at 54 ml/hr.
The nurse observes an unlicensed assistive personnel (UAP) taking a client's blood pressure with a cuff
that is too small, but the blood pressure reading obtained is within the client's usual range. What action
is most important for the nurse to implement?
A. tell the UAP to use a larger cuff at the next scheduled assessment
B. reassess the client's blood pressure using a larger cuff
C. have the unit educator review this procedure with the UAPs
D. Teach the UAP the correct technique for assessing blood pressure.
- correct answer B. Reassess the client's blood pressure using a larger cuff
A client with acute hemorrhagic anemia is to receive four units of packed RBCs as rapidly as possible.
Which intervention is most important for the nurse to implement?
A. obtain the pre-transfusion hemoglobin level
B. prime tubing and prepare a blood pump set-up
C. monitor vital signs q15 minutes for the first hour
D. ensure the accuracy of the blood type match
- correct answer D. ensure the accuracy of the blood type match
An obese male client discusses with the nurse his plans to begin a longterm weight loss regimen. In
addition to dietary changes, he plans to begin an intensive aerobic exercise program 3 to 4 times a week
and to take stress management classes. After praising the client for his decision, which instruction is
most important for the nurse to provide?
A. "be sure to have a complete physical examination before beginning your planned exercise program"
B. "be careful that the exercise program doesn't simply add to your stress level, making you want to eat
more."
,C. "increased exercise helps to reduce stress, so you may not need to spend money on a stress
management class"
D. "make sure to monitor your weight loss regularly to provide a sense of accomplishment and
motivation"
- correct answer A. "Be sure to have a complete physical examination before beginning your planned
exercise program."
During the admission interview, which technique is most efficient for the nurse to use when obtaining
information about signs and symptoms of a client's primary health problem?
A. restatement of responses
B. open-ended questions
C. closed-ended questions
D. problem-seeking responses
- correct answer C. closed-ended questions
A client who is 5'5" tall and weighs 200 pounds is scheduled for surgery the next day. What question is
most important for the nurse to include during the preoperative assessment?
A. what is your daily calorie consumption?
B. what vitamin and mineral supplements do you take?
C. do you feel that you are overweight?
D. will a clear liquid diet be okay after surgery?
- correct answer B. "What vitamin and mineral supplements do you take?"
When assisting an 82-year-old client to ambulate, it is important for the nurse to realize that the center
of gravity for an elderly person is the
A. arms
B. upper torso
C. head
D. feet
- correct answer B. upper torso
The nurse is teaching a client proper use of an inhaler. When should the client administer the inhaler-
delivered medication to demonstrate correct use of the inhaler
, A. immediately after exhalation
B. during the inhalation
C. at the end of three inhalations
D. immediately after inhalation
- correct answer B. During the inhalation.
Which snack food is best for the nurse to provide a client with myasthenia graves who is at risk for
altered nutritional status?
A. chocolate pudding
B. graham crackers
C. sugar free gelatin
D. apple slices
- correct answer A. Chocolate pudding
The nurse notices that the Hispanic parent of a toddler who returns from surgery offer the child only the
broth that comes on the clear liquid tray. Other liquids, including gelatin, popsicles, and juices, remain
untouched. What explanation is most appropriate for this behavior?
A. the belief is held that the "evil eye" enters the child if anything cold is ingested
B. after surgery the child probably has refused all foods except broth
C. eating broth strengthens the child's innate energy called "chi"
D. "hot" remedies restore balance after surgery, which is considered a "cold" condition
- correct answer D. "Hot" remedies restore balance after surgery, which is considered a "cold" condition.
A Sub-Saharan African widowed immigrant woman lives with her deceased husband's brother and his
family, which includes the brother-in-law's children and the widow's adult children. Each family member
speaks fluent English. Surgery was recommended for the client. What is the best plan to obtain consent
for surgery for this client?
A. Obtain an interpreter to explain the procedure to the client
B. encourage the client to make her own decision regarding surgery
C. ask the family members to provide a clarification of the surgeon's explanation to the client
D. tell the surgeon that the brother-in-law will decide after explanation of the proposed surgery is
provided to him and the widow
verified answers 2026\2027 A+ Grade
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 teaching a client with numerous allergies how to avoid allergens. Which instruction should
be included in this teaching plan?
A. avoid any types of sprays, powders, and perfumes
B. wearing a mask while cleaning will not help to avoid allergens.
C. purchase any type of clothing, but be sure it is washed before wearing it.
D. pollen count is related to hay fever, not to allergens
- correct answer A. Avoid any types of sprays, powders, and perfumes.
,The nurse is caring for a client who is receiving 24-hour total parenteral nutrition (TPN) via a central line
at 54 ml/hr. When initially assessing the client, the nurse notes that the TPN solution has run out and
the next TPN solution is not available. What immediate action should the nurse take?
A. infuse normal saline at a keep vein open rate
B. discontinue the IV and flush the port with heparin
C. infuse 10% dextrose and water at 54 ml/hr
D. obtain a stat blood glucose level and notify the healthcare provider
- correct answer C. Infuse 10% dextrose and water at 54 ml/hr.
The nurse observes an unlicensed assistive personnel (UAP) taking a client's blood pressure with a cuff
that is too small, but the blood pressure reading obtained is within the client's usual range. What action
is most important for the nurse to implement?
A. tell the UAP to use a larger cuff at the next scheduled assessment
B. reassess the client's blood pressure using a larger cuff
C. have the unit educator review this procedure with the UAPs
D. Teach the UAP the correct technique for assessing blood pressure.
- correct answer B. Reassess the client's blood pressure using a larger cuff
A client with acute hemorrhagic anemia is to receive four units of packed RBCs as rapidly as possible.
Which intervention is most important for the nurse to implement?
A. obtain the pre-transfusion hemoglobin level
B. prime tubing and prepare a blood pump set-up
C. monitor vital signs q15 minutes for the first hour
D. ensure the accuracy of the blood type match
- correct answer D. ensure the accuracy of the blood type match
An obese male client discusses with the nurse his plans to begin a longterm weight loss regimen. In
addition to dietary changes, he plans to begin an intensive aerobic exercise program 3 to 4 times a week
and to take stress management classes. After praising the client for his decision, which instruction is
most important for the nurse to provide?
A. "be sure to have a complete physical examination before beginning your planned exercise program"
B. "be careful that the exercise program doesn't simply add to your stress level, making you want to eat
more."
,C. "increased exercise helps to reduce stress, so you may not need to spend money on a stress
management class"
D. "make sure to monitor your weight loss regularly to provide a sense of accomplishment and
motivation"
- correct answer A. "Be sure to have a complete physical examination before beginning your planned
exercise program."
During the admission interview, which technique is most efficient for the nurse to use when obtaining
information about signs and symptoms of a client's primary health problem?
A. restatement of responses
B. open-ended questions
C. closed-ended questions
D. problem-seeking responses
- correct answer C. closed-ended questions
A client who is 5'5" tall and weighs 200 pounds is scheduled for surgery the next day. What question is
most important for the nurse to include during the preoperative assessment?
A. what is your daily calorie consumption?
B. what vitamin and mineral supplements do you take?
C. do you feel that you are overweight?
D. will a clear liquid diet be okay after surgery?
- correct answer B. "What vitamin and mineral supplements do you take?"
When assisting an 82-year-old client to ambulate, it is important for the nurse to realize that the center
of gravity for an elderly person is the
A. arms
B. upper torso
C. head
D. feet
- correct answer B. upper torso
The nurse is teaching a client proper use of an inhaler. When should the client administer the inhaler-
delivered medication to demonstrate correct use of the inhaler
, A. immediately after exhalation
B. during the inhalation
C. at the end of three inhalations
D. immediately after inhalation
- correct answer B. During the inhalation.
Which snack food is best for the nurse to provide a client with myasthenia graves who is at risk for
altered nutritional status?
A. chocolate pudding
B. graham crackers
C. sugar free gelatin
D. apple slices
- correct answer A. Chocolate pudding
The nurse notices that the Hispanic parent of a toddler who returns from surgery offer the child only the
broth that comes on the clear liquid tray. Other liquids, including gelatin, popsicles, and juices, remain
untouched. What explanation is most appropriate for this behavior?
A. the belief is held that the "evil eye" enters the child if anything cold is ingested
B. after surgery the child probably has refused all foods except broth
C. eating broth strengthens the child's innate energy called "chi"
D. "hot" remedies restore balance after surgery, which is considered a "cold" condition
- correct answer D. "Hot" remedies restore balance after surgery, which is considered a "cold" condition.
A Sub-Saharan African widowed immigrant woman lives with her deceased husband's brother and his
family, which includes the brother-in-law's children and the widow's adult children. Each family member
speaks fluent English. Surgery was recommended for the client. What is the best plan to obtain consent
for surgery for this client?
A. Obtain an interpreter to explain the procedure to the client
B. encourage the client to make her own decision regarding surgery
C. ask the family members to provide a clarification of the surgeon's explanation to the client
D. tell the surgeon that the brother-in-law will decide after explanation of the proposed surgery is
provided to him and the widow
