WGU. HESI Nutrition

Question 1 of 60

WGU. HESI Nutrition. When educating a client with celiac disease, which food should the nurse instruct the client to avoid?

• A Nuts.
• B Cheese.
• C Pasta.
• D Fruit.

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Question 2 of 60

A client who is receiving antineoplastic chemotherapy has lost 25% of total body weight and is having difficulty eating because of stomatitis. In planning care for this client, which diet should the nurse recommend?

• A Low residue diet.
• B High protein soft diet.
• C Mechanical soft diet.
• D Pureed regular diet.

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Question 3 of 60

Which meal selection by a client who is lacto-ovo-vegetarian indicates to the nurse that the client understands the use of complete proteins in the diet?

• A Whole wheat peanut butter sandwich, banana, and milk.
• B Baked acorn squash, whole grain rolls, and lemonade.
• C Lentil soup with wild rice and orange-pineapple juice.
• D Sun dried tomatoes with wheat pasta and iced tea.

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Question 5 of 60

The nurse is caring for a client admitted with chronic kidney disease advancing to stage 4. The nurse should instruct the client to limit the ingestion of which type of foods?

• A Apples and blueberries.
• B Avocados and bananas.
• C Cherries and cranberries.
• D Carrots and green beans.

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Question 6 of 60

A client is discharged from the intensive care unit following a myocardial infarction, and the healthcare provider prescribes a low-sodium diet. Which lunch selection indicates to the nurse that this client understands the dietary restrictions?

• A Bacon, lettuce, and tomato sandwich.
• B Turkey salad sandwich.
• C Clam chowder.
• D Macaroni and cheese.

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Question 7 of 60

The nurse is conducting a nutritional class on foods that have been linked to help decrease the development of some forms of cancer. Which meal selection is the best choice to help reduce the risk of some cancers?

• A Scrambled eggs with roasted peppers and onions, lean ham, and toast.
• B Poached egg, bacon, biscuit and canned peaches in light syrup.
• C Oatmeal with raisins and nuts, with skim milk and 1/2 grapefruit.
• D Pancakes with blueberries and maple syrup, and a turkey sausage patty.

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Question 8 of 60

A client with glomerulonephritis is preparing for discharge and asks the nurse which kind of diet to follow upon returning home. Which dietary teaching should the nurse include in the discharge instructions?

• A Restrict sodium rich foods and excessive oral fluids.
• B Avoid foods high in potassium.
• C Follow low carbohydrate diet with low glycemic index foods. WGU. HESI Nutrition
• D Eat a high protein diet three times a day.

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Question 9 of 60

The nurse is caring for an older adult client who needs to limit sodium intake. Which food should the nurse encourage the client to avoid?

• A Bananas.
• B Cottage cheese.
• C Broccoli.
• D Ground sirloin.

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Question 10 of 60

A client wants to increase intake of vitamin E. Which snack should the nurse encourage?

• A Fresh orange slices.
• B Frozen yogurt.
• C Cheese and crackers.
• D Sunflower seeds.

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Question 11 of 60

The home health nurse is visiting an older adult client who was discharged from the hospital 3 days ago following hip pinning surgery. The client lives with her daughter, who prepares the family meals. In discussing nutrition for postoperative healing, which food choices should the nurse suggest for this client’s diet? Select all that apply.

• A Soda crackers.
• B Grilled salmon.
• C Baked chicken.
• D Scrambled eggs.
• E Flavored gelatin.

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Question 12 of 60

A client who has a body mass index (BMI) of 29 kg/m² expresses a desire to lose weight. Which action should the nurse implement?

Reference range: Body mass index (BMI) [normal 18.0 to 24.9 kg/m²]

• A Review the client’s dietary intake for the past week.
• B Provide assistance in planning high protein, low carbohydrate meals.
• C Discuss ideas in developing an exercise schedule.
• D Instruct the client to eat 3 well balanced meals daily.

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Question 13 of 60

A malnourished child is receiving several nutritional supplements. Which statement by the child indicates that an adequate amount of vitamin A is being provided?

• A “My feet don’t tingle like they used to.”
• B “I can see at night when I wake up now.”
• C “My tummy seems so much smaller now.”
• D “The bruises on my arms are all gone.”

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Question 14 of 60

The nurse is assessing an older female adult’s nutritional status. Which finding indicates that the client has a nutritional deficiency? WGU. HESI Nutrition

Reference Range: Hemoglobin [12 to 16 g/dL (120 to 160 g/L)] Hematocrit [37% to 47% (0.37 to 0.47 volume fraction)] Albumin [3.5 to 5 g/dL (35 to 50 g/L)] Serum transferrin [250 to 380 mg/dL (2.5 to 3.8 g/L)]

• A Low weight as determined from a height/weight comparison chart.
• B Decreased lean body mass compared to results of 10 years ago.
• C Serum albumin of 3 g/dL (30 g/L) and serum transferrin of 180 mg/dL (1.8 g/L).
• D A hemoglobin (Hgb) of 11.8 g/dL (118 g/L) and hematocrit (Hct) of 34% (0.34 volume fraction).

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Question 15 of 60

A client with hemorrhoids tells the nurse they understand the need to avoid eating nuts and seeds to prevent inflammation. How should the nurse respond?

• A Confirm that these foods should be avoided.
• B Explain the benefits of a high fiber diet.
• C Suggest that the client also avoid fruit skins.
• D Encourage soft foods such as yogurt.

Question 17

A clear liquid breakfast is prescribed for a client who is scheduled for surgery later today. The client asks the nurse for a small cup of chocolate ice cream. Which action should the nurse take?

• A. Offer to prepare a chocolate flavored liquid nutritional supplement poured over ice.
• B. Explain that a popsicle or a cup of gelatin can be provided rather than ice cream.
• C. Provide the chocolate ice cream after determining the presence of bowel sounds.
• D. Call the healthcare provider (HCP) to clarify if the client may have ice cream as requested.

Question 18

Which breakfast selection should the nurse encourage a client to eat who is hospitalized with partial-thickness and full-thickness burns to both legs? WGU. HESI Nutrition

• A. Scrambled eggs, sausage, toast, and orange juice.
• B. Pancakes, bacon, fruit, and milk.
• C. Whole wheat cereal with milk, bacon, and coffee.
• D. Bowl of hot oatmeal with milk, fruit, and lemon tea.

Question 19

A client who is training for a first marathon arrives at the clinic reporting an increase in the frequency of leg cramps. Which recommendation should the nurse provide to help decrease the frequency of leg cramps?

• A. Drink a liter of water during and after running.
• B. Avoid drinking alcohol forty-eight hours before training.
• C. Consume a sports drink before and during training.
• D. Eat a high carbohydrate meal after running.

Question 35

A client who is taking an antibiotic develops diarrhea. As the client resumes a regular diet, the nurse offers yogurt and buttermilk, but also observes that the client has several small bruises. Which additional dietary change should the nurse offer?

• A. Potassium‑rich fruits
• B. Increased proteins rich in iron
• C. Foods rich in vitamin K
• D. Reduced cholesterol and fats

Question 36

A client with diabetes mellitus tells the nurse of using cranberry juice to help prevent urinary tract infections. Which instruction should the nurse provide?

• A. “Be sure to drink sugar‑free cranberry juice.”
• B. “Drinking cranberry juice does not prevent infection.”
• C. “Cranberries may increase the effect of insulin.”
• D. “Excess cranberry juice can be constipating.”

Question 37

An older adult client with a history of alcohol abuse is admitted to the hospital due to dehydration. The client is 20 lb (9.1 kg) under ideal weight and assessment findings include nystagmus, ataxia, and tremors. The nurse knows that these symptoms were most likely caused by which nutritional deficiency?

• A. Vitamin B12
• B. Protein starvation
• C. Iron deficiency anemia
• D. Lack of dietary vitamin A

Question 39

A high‑protein diet is prescribed for an adolescent client who is anemic. Which lunch is best for this client?

• A. A cheese sandwich, an apple, and a soda
• B. A hot dog, potato chips, and a glass of milk
• C. An egg salad sandwich, soda, and chocolate cake
• D. A tuna sandwich, french fries, and a glass of milk

Question 41

A high protein diet is prescribed for an adolescent client who is anemic. Which lunch is best for this client?

• A. A cheese sandwich, an apple, and a soda
• B. A hot dog, potato chips, and a glass of milk WGU. HESI Nutrition
• C. An egg salad sandwich, soda, and chocolate cake
• D. A tuna sandwich, french fries, and a glass of milk

Question 42

The nurse is admitting an older adult client with possible malnutrition. Which parameters are most indicative of the client’s nutritional status?

• A. Body mass index (BMI) and serum albumin level
• B. Weight loss history and body surface area (BSA)
• C. Triceps skin fold and mid‑arm circumference
• D. 24‑hour food recall, food preferences, and allergies

Question 43

When conducting diet teaching for a client with hypokalemia, which breakfast items should the nurse encourage the client to eat? (Select all that apply.)

• A. Orange juice
• B. Whole grain bread
• C. Cantaloupe
• D. Yogurt
• E. Eggs