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.
, D440 HESI Nutrition OA Exam
Preview Pages Below
Get the Complete PDF After Purchase
"If you require further clarification or in need of any
study resources, feel free to Message me."
Preview sample - complete PDF available after 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
,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
,[ ] F. Consume unsaturated fats instead of large amounts of saturated fat
[ ] G. Skip breakfast to reduce caloric intake
Correct Answers: A, B, C, F
Rationale:
Due to the client's elevated lipid labs and blood pressure, it is appropriate to
educate them on both the Mediterranean diet and the DASH diet, as they
complement each other. Physical activity recommendations include 150 minutes
of moderate-intensity exercise per week, or 30 minutes 5 days per week.
Encouraging 150 minutes of exercise 5 days per week (750 minutes total) exceeds
the normal recommendation. The client should avoid large amounts of saturated
fat and instead consume sources of unsaturated fat. Although the client may have
type 2 diabetes risk, carbohydrates such as fruits, vegetables, and whole grains
provide many nutrients and should be consumed in moderation spread
throughout the day. It would not be beneficial to skip breakfast because of the risk
of hypoglycemia.
10. For each food item, click to indicate whether it is generally associated with
the Mediterranean diet, the DASH diet, or both.
Table
Food Item Mediterranean DASH Both
Diet Diet
Fresh fruits and vegetables ✓
Unsalted nuts ✓
,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.
,- C. I should enjoy a candy bar if my sugar drops, as this provides enough carbs
- D. I should consume a complex carb and then recheck my blood sugar in 30 min
- B. I should eat 15g of simple carb immediately, followed by a complex carb
A client is admitted with right upper quadrant (RUQ) pain after eating. The nurse
collects and reviews the client's diet history and suspects which food is most
likely to have precipitated the pain?
- A. fried poultry
- B. gluten-free pasta
- C. raw vegetables
- D. blackened seafood
- A. fried poultry
The nurse is teaching a client how to prepare for a stool guaiac test. Which food
should the nurse instruct the client to avoid 3 days prior to collecting the
specimen for this test?
- A. shellfish
- B. pasta
- C. peanut butter
- D. raw broccoli
- D. raw broccoli
The nurse is teaching an obese adolescent client about weight management.
Which is an effective strategy for the nurse to recommend to this client?
- A. eat three regular meals a day
- B. count calories throughout the day
- C. reduce carb intake
- D. limit juice and soda drinks
- D. limit juice and soda drinks
The nurse is caring for a client who was recently diagnosed with cirrhosis of the
liver. The nurse should instruct the client to limit which foods from the diet?
- A. eggs
- B. wheat bread
, 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:
, Lacto-Ovo Diet:
Allows for dairy & eggs.
S\S of dehydration:
Tachycardia, tachypnea, hypotension, decreased urine output, decreased skin turgor, dry
mucous membrane
HESI TIP from Victoria
TIP:
HESI IS GOING TO PUT WEIRD FOODS ON THE EXAM. THEY WANT YOU THINK
CRITICALLY AND WHAT I PICK UP FROM READING RATIONALES ARE THEY WANT YOU TO
BE ABLE TO SAY THIS FOOD IS HIGH IN POTASSIUM AND THIS IS HIGH IRON SO IT CAN'T
BE THOSE TWO NOW 2 ANSWER CHOICES ARE LEFT. YOU HAVE CROSS OUT WHAT YOU
KNOW IS NOT THE ANSWER TO NARROW DOWN YOUR OPTIONS. IF THEY ASK YOU FOR
FOODS FOR B2, I WOULD HAVE NO CLUE OFF THE TOP OF MY HEAD BUT I KNOW
BANANAS ARE KNOWN FOR POTASSIUM SO ITS DEFENITLY NOT THAT ANSWER CHOICE.
KNOW THE MAIN VITAMINS AND MINERALS AND YOU WILL BE ABLE TO NARROW
DOWN. BREATHE AND REREAD AS MUCH AS YOU NEED. YOU GOT THIS!
A patient with coronary heart disease and doesn't want to make dietary changes...
re-emphasize the facts
Question asked about the LVN taking waist measurements...
the nurse can review the results obtained by lvn and provide teaching and referral
Patient on a paleo diet...
is deficient in calcium
Patient has hypertension what should the nurse provide...
utilize the dash diet and 4-6 servings of fruits and veggies
Question about what should the nurse do after aspirated green contents...
check pH.
I think a patient wants to go to a farmers market but asks the nurse about some type
of milk or milk product...
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.
, D440 HESI Nutrition OA Exam
Preview Pages Below
Get the Complete PDF After Purchase
"If you require further clarification or in need of any
study resources, feel free to Message me."
Preview sample - complete PDF available after 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
,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
,[ ] F. Consume unsaturated fats instead of large amounts of saturated fat
[ ] G. Skip breakfast to reduce caloric intake
Correct Answers: A, B, C, F
Rationale:
Due to the client's elevated lipid labs and blood pressure, it is appropriate to
educate them on both the Mediterranean diet and the DASH diet, as they
complement each other. Physical activity recommendations include 150 minutes
of moderate-intensity exercise per week, or 30 minutes 5 days per week.
Encouraging 150 minutes of exercise 5 days per week (750 minutes total) exceeds
the normal recommendation. The client should avoid large amounts of saturated
fat and instead consume sources of unsaturated fat. Although the client may have
type 2 diabetes risk, carbohydrates such as fruits, vegetables, and whole grains
provide many nutrients and should be consumed in moderation spread
throughout the day. It would not be beneficial to skip breakfast because of the risk
of hypoglycemia.
10. For each food item, click to indicate whether it is generally associated with
the Mediterranean diet, the DASH diet, or both.
Table
Food Item Mediterranean DASH Both
Diet Diet
Fresh fruits and vegetables ✓
Unsalted nuts ✓
,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.
,- C. I should enjoy a candy bar if my sugar drops, as this provides enough carbs
- D. I should consume a complex carb and then recheck my blood sugar in 30 min
- B. I should eat 15g of simple carb immediately, followed by a complex carb
A client is admitted with right upper quadrant (RUQ) pain after eating. The nurse
collects and reviews the client's diet history and suspects which food is most
likely to have precipitated the pain?
- A. fried poultry
- B. gluten-free pasta
- C. raw vegetables
- D. blackened seafood
- A. fried poultry
The nurse is teaching a client how to prepare for a stool guaiac test. Which food
should the nurse instruct the client to avoid 3 days prior to collecting the
specimen for this test?
- A. shellfish
- B. pasta
- C. peanut butter
- D. raw broccoli
- D. raw broccoli
The nurse is teaching an obese adolescent client about weight management.
Which is an effective strategy for the nurse to recommend to this client?
- A. eat three regular meals a day
- B. count calories throughout the day
- C. reduce carb intake
- D. limit juice and soda drinks
- D. limit juice and soda drinks
The nurse is caring for a client who was recently diagnosed with cirrhosis of the
liver. The nurse should instruct the client to limit which foods from the diet?
- A. eggs
- B. wheat bread
, 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:
, Lacto-Ovo Diet:
Allows for dairy & eggs.
S\S of dehydration:
Tachycardia, tachypnea, hypotension, decreased urine output, decreased skin turgor, dry
mucous membrane
HESI TIP from Victoria
TIP:
HESI IS GOING TO PUT WEIRD FOODS ON THE EXAM. THEY WANT YOU THINK
CRITICALLY AND WHAT I PICK UP FROM READING RATIONALES ARE THEY WANT YOU TO
BE ABLE TO SAY THIS FOOD IS HIGH IN POTASSIUM AND THIS IS HIGH IRON SO IT CAN'T
BE THOSE TWO NOW 2 ANSWER CHOICES ARE LEFT. YOU HAVE CROSS OUT WHAT YOU
KNOW IS NOT THE ANSWER TO NARROW DOWN YOUR OPTIONS. IF THEY ASK YOU FOR
FOODS FOR B2, I WOULD HAVE NO CLUE OFF THE TOP OF MY HEAD BUT I KNOW
BANANAS ARE KNOWN FOR POTASSIUM SO ITS DEFENITLY NOT THAT ANSWER CHOICE.
KNOW THE MAIN VITAMINS AND MINERALS AND YOU WILL BE ABLE TO NARROW
DOWN. BREATHE AND REREAD AS MUCH AS YOU NEED. YOU GOT THIS!
A patient with coronary heart disease and doesn't want to make dietary changes...
re-emphasize the facts
Question asked about the LVN taking waist measurements...
the nurse can review the results obtained by lvn and provide teaching and referral
Patient on a paleo diet...
is deficient in calcium
Patient has hypertension what should the nurse provide...
utilize the dash diet and 4-6 servings of fruits and veggies
Question about what should the nurse do after aspirated green contents...
check pH.
I think a patient wants to go to a farmers market but asks the nurse about some type
of milk or milk product...
