WGU D440 CHAPTER 3 Certification exam study guide
2026/2027 complete questions with verified correct answers |
already graded 100% scored
A nurse is caring for a patient experiencing hemorrhoids and provides dietary guidance.
Which of the following meals best addresses the need for high fiber and increased fluid
intake correct answer
Lentil soup, whole wheat bread, and a glass of water
A diabetic patient is preparing a meal. Which combination reflects the need for low
carbohydrates and low sugar, while appropriately managing carbohydrate intake
through counting correct answer
Baked salmon, sautéed spinach, and a small, sweet potato
A patient is reviewing their diet with the nurse to reduce intake of refined sugars and
carbohydrates. Which of the following items is the most appropriate for this patient to
include in their diet correct answer
Avocado, a whole food high in healthy fats and fiber, not considered a refined carb or
sugar
A patient with hyperthyroidism asks about dietary management. Which recommendation
should the nurse make to meet nutritional needs and avoid exacerbating symptoms
correct answer
Eat a high-calorie, high-protein diet that is low in fiber and low in iodine, such as egg
whites, non-iodized salt popcorn, and oats
A nurse is teaching a patient about low-iodine foods for managing hyperthyroidism.
Which of the following choices demonstrates appropriate food selection based on this
restriction correct answer
Non-iodized salt, unsalted nuts, egg whites, and fresh fruits
,A nurse is preparing a teaching plan for a patient with osteoporosis. Which dietary
approach should be emphasized to promote bone strength and reduce the risk of
fractures correct answer
Include foods high in calcium and vitamin D such as yogurt, milk, and fortified cereals
A patient undergoing chemotherapy is seeking advice on a cancer-preventive diet.
Which approach should the nurse recommend to support healing while minimizing
cancer-promoting factors correct answer
A high-protein, soft diet that avoids salt-preserved foods and limits processed, high-
sugar, low-fiber, and high-fat options
A nurse is caring for a patient with severe anorexia nervosa who is unable to maintain
adequate oral intake. Which method of nutrition would be most appropriate to deliver
nutrients via the GI tract correct answer
Enteral nutrition through a feeding tube or by mouth, as it utilizes the gastrointestinal
system
A nurse is reviewing a patient's history to determine the need for enteral nutrition. For
which of the following conditions would the nurse expect the provider to order enteral
feeding correct answer
Dysphagia caused by Parkinson's disease or upper GI obstruction, or in cases of
malnutrition or coma
A nurse is explaining types of feeding tubes to a patient's family. Which statement best
explains the appropriate use of a nasogastric (NG) tube correct answer
"An NG tube is intended for short-term feeding, typically inserted through the nose and
guided to the stomach."
The nurse is preparing to assist in the placement of a gastrostomy tube for a patient
who requires long-term enteral feeding. Which information should the nurse include
when teaching the family correct answer
The procedure used to place the tube is called a percutaneous endoscopic gastrostomy
(PEG), and it passes directly through the abdominal wall into the stomach
, A nurse is preparing to administer a tube feeding through a gastrostomy tube. Which
action should the nurse take prior to administering the feeding correct answer
Perform an abdominal assessment, confirm bowel sounds are present, and elevate the
head of the bed to 30-40º
The nurse is caring for a patient receiving enteral feedings who is at risk for aspiration.
Which nursing intervention is most appropriate to minimize this complication correct
answer
Maintain the head of the bed at 30-40º during feedings and for at least 1 hour after
feeding
The nurse is verifying placement of a newly inserted feeding tube. Which step must be
completed before initiating the first feeding correct answer
Confirm placement with a chest x-ray to ensure proper positioning of the tube
A nurse is preparing to administer a routine enteral feeding to a patient with an
established feeding tube. The initial placement was previously confirmed by abdominal
x-ray. What is the best method to verify ongoing tube placement before administering
the feeding correct answer
Aspirate gastric contents and check that the pH is between 1 and 5, confirming the tube
is still in the stomach
What is vitamin K needed for and what is seen in a deficiency correct answer
Essential for blood clotting.
Deficiency can present as bruising easily/bleeding
A nurse is caring for a patient receiving total parenteral nutrition (TPN). Through which
type of vascular access should the nurse expect this nutrition to be administered
correct answer
A central venous catheter, such as a peripherally inserted central catheter (PICC)
2026/2027 complete questions with verified correct answers |
already graded 100% scored
A nurse is caring for a patient experiencing hemorrhoids and provides dietary guidance.
Which of the following meals best addresses the need for high fiber and increased fluid
intake correct answer
Lentil soup, whole wheat bread, and a glass of water
A diabetic patient is preparing a meal. Which combination reflects the need for low
carbohydrates and low sugar, while appropriately managing carbohydrate intake
through counting correct answer
Baked salmon, sautéed spinach, and a small, sweet potato
A patient is reviewing their diet with the nurse to reduce intake of refined sugars and
carbohydrates. Which of the following items is the most appropriate for this patient to
include in their diet correct answer
Avocado, a whole food high in healthy fats and fiber, not considered a refined carb or
sugar
A patient with hyperthyroidism asks about dietary management. Which recommendation
should the nurse make to meet nutritional needs and avoid exacerbating symptoms
correct answer
Eat a high-calorie, high-protein diet that is low in fiber and low in iodine, such as egg
whites, non-iodized salt popcorn, and oats
A nurse is teaching a patient about low-iodine foods for managing hyperthyroidism.
Which of the following choices demonstrates appropriate food selection based on this
restriction correct answer
Non-iodized salt, unsalted nuts, egg whites, and fresh fruits
,A nurse is preparing a teaching plan for a patient with osteoporosis. Which dietary
approach should be emphasized to promote bone strength and reduce the risk of
fractures correct answer
Include foods high in calcium and vitamin D such as yogurt, milk, and fortified cereals
A patient undergoing chemotherapy is seeking advice on a cancer-preventive diet.
Which approach should the nurse recommend to support healing while minimizing
cancer-promoting factors correct answer
A high-protein, soft diet that avoids salt-preserved foods and limits processed, high-
sugar, low-fiber, and high-fat options
A nurse is caring for a patient with severe anorexia nervosa who is unable to maintain
adequate oral intake. Which method of nutrition would be most appropriate to deliver
nutrients via the GI tract correct answer
Enteral nutrition through a feeding tube or by mouth, as it utilizes the gastrointestinal
system
A nurse is reviewing a patient's history to determine the need for enteral nutrition. For
which of the following conditions would the nurse expect the provider to order enteral
feeding correct answer
Dysphagia caused by Parkinson's disease or upper GI obstruction, or in cases of
malnutrition or coma
A nurse is explaining types of feeding tubes to a patient's family. Which statement best
explains the appropriate use of a nasogastric (NG) tube correct answer
"An NG tube is intended for short-term feeding, typically inserted through the nose and
guided to the stomach."
The nurse is preparing to assist in the placement of a gastrostomy tube for a patient
who requires long-term enteral feeding. Which information should the nurse include
when teaching the family correct answer
The procedure used to place the tube is called a percutaneous endoscopic gastrostomy
(PEG), and it passes directly through the abdominal wall into the stomach
, A nurse is preparing to administer a tube feeding through a gastrostomy tube. Which
action should the nurse take prior to administering the feeding correct answer
Perform an abdominal assessment, confirm bowel sounds are present, and elevate the
head of the bed to 30-40º
The nurse is caring for a patient receiving enteral feedings who is at risk for aspiration.
Which nursing intervention is most appropriate to minimize this complication correct
answer
Maintain the head of the bed at 30-40º during feedings and for at least 1 hour after
feeding
The nurse is verifying placement of a newly inserted feeding tube. Which step must be
completed before initiating the first feeding correct answer
Confirm placement with a chest x-ray to ensure proper positioning of the tube
A nurse is preparing to administer a routine enteral feeding to a patient with an
established feeding tube. The initial placement was previously confirmed by abdominal
x-ray. What is the best method to verify ongoing tube placement before administering
the feeding correct answer
Aspirate gastric contents and check that the pH is between 1 and 5, confirming the tube
is still in the stomach
What is vitamin K needed for and what is seen in a deficiency correct answer
Essential for blood clotting.
Deficiency can present as bruising easily/bleeding
A nurse is caring for a patient receiving total parenteral nutrition (TPN). Through which
type of vascular access should the nurse expect this nutrition to be administered
correct answer
A central venous catheter, such as a peripherally inserted central catheter (PICC)
