, PASS WGU D440 NUTRITION OA EXAM (2026) – 300+
PRACTICE QUESTIONS & STUDY GUIDES |
GUARANTEE PASS
1. Which intervention will the nurse implement for a client hospitalized with acute
pancreatitis?
CORRECT ANSWERS:
• 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 secretion of pancreatic enzymes. Relaxation decreases the
metabolic rate, which decreases gastrointestinal activity and pancreatic enzyme secretion.
Cardiac monitoring is necessary to assess for hypokalemia and fluid-volume changes.
Antiemetics help reduce nausea and vomiting.
The client is generally kept NPO initially to decrease gastrointestinal activity and pancreatic
enzyme secretion. Once oral nutrition resumes, the diet is typically high in carbohydrates and
protein but low in fat. Walking increases metabolic activity and may increase gastrointestinal
activity. Hypocalcemia, rather than hypercalcemia, can occur because calcium combines with
fatty acids during fat necrosis. Daily weights are important because the client is at risk for
inadequate nutrition.
2. 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 ANSWERS:
Green beans
Baked potato
Baked salmon
Fried eggs
Whole milk
RATIONALE:
Clients with celiac disease require a gluten-free diet. Wheat-containing products such as
noodles, bread, and whole-wheat cereal should be avoided.
Remember: Gluten is primarily associated with wheat, barley, and rye.
3. 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 ANSWERS:
Consulting with social work
PRACTICE QUESTIONS & STUDY GUIDES |
GUARANTEE PASS
1. Which intervention will the nurse implement for a client hospitalized with acute
pancreatitis?
CORRECT ANSWERS:
• 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 secretion of pancreatic enzymes. Relaxation decreases the
metabolic rate, which decreases gastrointestinal activity and pancreatic enzyme secretion.
Cardiac monitoring is necessary to assess for hypokalemia and fluid-volume changes.
Antiemetics help reduce nausea and vomiting.
The client is generally kept NPO initially to decrease gastrointestinal activity and pancreatic
enzyme secretion. Once oral nutrition resumes, the diet is typically high in carbohydrates and
protein but low in fat. Walking increases metabolic activity and may increase gastrointestinal
activity. Hypocalcemia, rather than hypercalcemia, can occur because calcium combines with
fatty acids during fat necrosis. Daily weights are important because the client is at risk for
inadequate nutrition.
2. 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 ANSWERS:
Green beans
Baked potato
Baked salmon
Fried eggs
Whole milk
RATIONALE:
Clients with celiac disease require a gluten-free diet. Wheat-containing products such as
noodles, bread, and whole-wheat cereal should be avoided.
Remember: Gluten is primarily associated with wheat, barley, and rye.
3. 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 ANSWERS:
Consulting with social work
