WGU HESI EXAM (Nutrition Exam answered)

1. One day following the delivery of her first child, an Asian American client refuses to eat the food on her dinner tray, reporting that the foods provided are ‘cold foods.’ Which intervention should the nurse implement first?

A. Teach the client the importance of a well balanced diet.

B. Ask the client about her nutritional preferences and beliefs. **(Correct)**

C. Place the client’s tray in the microwave and heat it to a hotter temperature.

D. Request the dietary unit bring a new tray and provide it prior to the food getting cold.

2. A client with elevated cholesterol levels should completely avoid which foods?

A. Shellfish.

B. Eggs.

C. Cheese. **(Correct)**

D. Nuts.

3. After hip pinning surgery, which food choices support healing? (Select all that apply)

A. Soda crackers.

B. Grilled salmon. **(Correct)**

C. Flavored gelatin.

D. Scrambled eggs. **(Correct)**

E. Baked chicken. **(Correct)**

4. Which statement indicates understanding of nutritional guidelines for older adults?

A. Socioeconomics should not be an issue in planning nutritional meals for older adults.

B. Age is not a factor in determining dietary needs for older adults.

C. Nutritional meal planning should only be planned by a dietitian.

D. Dietary needs for older adults over and under age 70 are different. **(Correct)**

5. A client taking antibiotics develops bruising. Which dietary change should the nurse recommend?

A. Increased proteins rich in iron.

B. Potassium rich fruits.

C. Foods rich in vitamin K. **(Correct)**

D. Reduced cholesterol and fats.

6. Which foods should a client with hypokalemia eat? (Select all that apply)

A. Eggs.

B. Cantaloupe. **(Correct)**

C. Yogurt. **(Correct)**

D. Orange juice. **(Correct)**

E. Whole grain bread.

7. After laparoscopic cholecystectomy, which diet instruction should be included?

A. Avoid complex sugars for 4 weeks.

B. Maintain a low residue diet for 6 weeks.

C. Maintain a low fat diet for 6 weeks. **(Correct)**

D. Avoid adding salt for 4 weeks.

8. Which diet should be recommended for a client with glomerulonephritis?

A. Avoid foods high in potassium.

B. Restrict sodium rich foods and excessive oral fluids. **(Correct)**

C. Follow a low carbohydrate diet.

D. Eat a high protein diet.

9. Which snack provides vitamin E?

A. Frozen yogurt.

B. Cheese and crackers.

C. Fresh orange slices.

D. Sunflower seeds. **(Correct)**

10. A cardiac diet client complains about bland hamburger. Which condiment is best?

A. Catsup based barbecue sauce.

B. Original mayonnaise.

C. Fresh horseradish.

D. Mild yellow mustard. **(Correct)**

11. Which food should a client with diabetes choose to avoid refined carbohydrates?

A. Potatoes.

B. Pretzels.

C. Grapes.

D. Avocado. **(Correct)**

12. Which statement indicates adequate vitamin A intake?

A. My feet don’t tingle anymore.

B. My bruises are gone.

C. My tummy is smaller.

D. I can see at night when I wake up now. **(Correct)**

13. A BMI of 29 client wants to lose weight. What should the nurse do first?

A. Instruct to eat three balanced meals daily.

B. Develop an exercise schedule.

C. Review dietary intake for the past week. **(Correct)**

D. Plan high protein low carbohydrate meals.

14. Which food should be avoided with celiac disease?

A. Pasta. **(Correct)**

B. Fruit.

C. Nuts.

D. Cheese.

15. A client on clear liquids requests ice cream. What should the nurse do?

A. Call HCP.

B. Offer popsicle or gelatin instead. **(Correct)**

C. Provide ice cream if bowel sounds present.

D. Offer liquid supplement.

16. If TPN is delayed after central line placement, what should the nurse do?

A. Redress central line.

B. Obtain hourly glucose levels.

C. Review chest x-ray.

D. Start 10% dextrose IV at the prescribed TPN rate. **(Correct)**

17. Which food high in tyramine should migraine clients avoid?

A. Chicken.

B. Hard salami. **(Correct)**

C. Whole wheat bread.

D. Cherries.

18. An older adult skipping meals to afford medications. Best action?

A. Provide budgeting strategies.

B. Consult social services. **(Correct)**

C. Alert adult protection.

D. Call nearest relative.

19. Hyperthyroidism client increases protein and calories. Nurse response?

A. Increase fiber.

B. Encourage continuation of diet. **(Correct)**

C. Reduce calories.

D. Increase aerobic exercise.

20. Celiac client selects rye toast. Nurse action?

A. Commend low fat milk.

B. Recommend decaf coffee.

C. Limit fruit.

D. Inform client rye contains gluten.

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