WGU Nutrition D440 Exam 2025: |Nutritional
Guidelines | Essential Topics & Study Hacks
1. If a school nurse is planning a nutrition workshop for parents, which snack
option would best align with the recommendation of low fat cheese
for
children?
Potato chips and soda
Candy bars and fruit juice
Ice cream and cookies
Whole grain crackers with low fat cheese
2. Why is a BMI of at least 40 considered a critical criterion for bariatric
surgery in adolescents?
A BMI of at least 40 guarantees successful surgery outcomes.
A BMI of at least 40 ensures the patient can lose weight after
surgery.
A BMI of at least 40 is necessary for insurance coverage.
A BMI of at least 40 indicates severe obesity, which is
associated with higher health risks.
3. Which should the school nurse include in a teaching session with
elementary school students related to nutritional intake and activity?
Playing video games every day after school
Consuming foods that are nutrient-rich, such as fruits
Eating the same types of food each day
Choosing high-fat foods for an after school snack
4. Why is it important for older adults to consume protein regularly, despite
the client's belief that they do not need it every day?
, Older adults can rely on carbohydrates for energy instead.
Older adults should avoid protein to prevent kidney issues.
Protein is essential for maintaining muscle mass and overall
health in older adults.
Protein is only necessary for younger individuals.
5. A nurse is caring for several school-aged children with cystic fibrosis.
Why does the nurse anticipate that these children will probably be small
and underdeveloped for their age?
These children digest little food because pancreatic enzymes
are blocked.
There is muscle atrophy from lack of motor activity.
These children have anorexia with minimal amounts of nutritional
intake.
There is decreased secretion of pituitary growth hormone.
6. What is one recommended dietary intervention for patients undergoing
chemotherapy who have experienced weight loss?
Increase fluid intake only.
Administer prescribed antiemetics before meals.
Promote the intake of small, frequent meals.
Encourage the intake of preferred foods.
7. A nurse is providing patient education on the prevention of osteoporosis.
Which important fact should the nurse include in the teaching care plan?
Increase phosphorus metabolism may lead to bone fragility
Aerobic exercise is more advantages than weight-bearing
exercises in preventing osteoporosis
Daily dose of potassium helps to prevent osteoporosis
, Vitamin D is essential in helping the body absorb and
use calcium
8. What are the three types of simple sugars that carbohydrates are broken
down into?
Starch, fiber, and sugar
Sucrose, lactose, and maltose
Glucose, fructose, and galactose
Protein, fat, and carbohydrates
9. A mother, who has been exclusively breastfeeding her 6 month-
old, requests more information about meeting the nutritional needs of
her infant. What information will the nurse provide?
Cut back on the number of times a day the infant receives
breastmilk
Gradually begin adding pureed iron-rich meat and/or cereal as
the first foods
Begin a regular schedule of meals and snacks, offering a variety of
foods
Offer finger foods to encourage self-feeding during family meals
10. You are a nurse working in a school clinic. Jenna, a 15-year-old female
student, visits you complaining of fatigue. You notice she has lost
significant weight recently. As you talk with her, she mentions she often
feels cold and is very concerned about gaining weight. Jenna also
mentions she regularly goes to the restroom immediately after lunch.
Based on the information provided, which of the following is the most
appropriate nursing intervention?
Use the SCOFF tool to screen Jenna for possible eating
disorders.
, Tell Jenna to cut back on exercise if she's feeling
fatigued. Advise Jenna to eat a balanced diet and get
regular sleep.
Recommend Jenna join a sports team to improve her energy.
11. A client has had an adjustable gastric banding procedure to reduce
weight. At a follow-up visit, the client reports episodes of abdominal pain
and vomiting after eating. Which recommendation would the nurse
make?
Ingest food that has a high caloric
density. Eat larger amounts of food every
2 hours. Drink 8 ounces (240 mL) of fluid
with meals. Chew food thoroughly before
swallowing.
12. When counseling the parents of children with anemia related to
inadequate diets, the nurse explains that several different nutrients are
involved. These nutrients include proteins, iron, vitamin B12, and:
Riboflavin
Folic acid
Thiamine
Calcium
13. A client with cirrhosis is beginning to show signs of hepatic
encephalopathy. The nurse should plan a dietary consultation to limit the
amount of which ingredient in the client's diet?
Minerals
Carbohydrates
Calories
Protein
Guidelines | Essential Topics & Study Hacks
1. If a school nurse is planning a nutrition workshop for parents, which snack
option would best align with the recommendation of low fat cheese
for
children?
Potato chips and soda
Candy bars and fruit juice
Ice cream and cookies
Whole grain crackers with low fat cheese
2. Why is a BMI of at least 40 considered a critical criterion for bariatric
surgery in adolescents?
A BMI of at least 40 guarantees successful surgery outcomes.
A BMI of at least 40 ensures the patient can lose weight after
surgery.
A BMI of at least 40 is necessary for insurance coverage.
A BMI of at least 40 indicates severe obesity, which is
associated with higher health risks.
3. Which should the school nurse include in a teaching session with
elementary school students related to nutritional intake and activity?
Playing video games every day after school
Consuming foods that are nutrient-rich, such as fruits
Eating the same types of food each day
Choosing high-fat foods for an after school snack
4. Why is it important for older adults to consume protein regularly, despite
the client's belief that they do not need it every day?
, Older adults can rely on carbohydrates for energy instead.
Older adults should avoid protein to prevent kidney issues.
Protein is essential for maintaining muscle mass and overall
health in older adults.
Protein is only necessary for younger individuals.
5. A nurse is caring for several school-aged children with cystic fibrosis.
Why does the nurse anticipate that these children will probably be small
and underdeveloped for their age?
These children digest little food because pancreatic enzymes
are blocked.
There is muscle atrophy from lack of motor activity.
These children have anorexia with minimal amounts of nutritional
intake.
There is decreased secretion of pituitary growth hormone.
6. What is one recommended dietary intervention for patients undergoing
chemotherapy who have experienced weight loss?
Increase fluid intake only.
Administer prescribed antiemetics before meals.
Promote the intake of small, frequent meals.
Encourage the intake of preferred foods.
7. A nurse is providing patient education on the prevention of osteoporosis.
Which important fact should the nurse include in the teaching care plan?
Increase phosphorus metabolism may lead to bone fragility
Aerobic exercise is more advantages than weight-bearing
exercises in preventing osteoporosis
Daily dose of potassium helps to prevent osteoporosis
, Vitamin D is essential in helping the body absorb and
use calcium
8. What are the three types of simple sugars that carbohydrates are broken
down into?
Starch, fiber, and sugar
Sucrose, lactose, and maltose
Glucose, fructose, and galactose
Protein, fat, and carbohydrates
9. A mother, who has been exclusively breastfeeding her 6 month-
old, requests more information about meeting the nutritional needs of
her infant. What information will the nurse provide?
Cut back on the number of times a day the infant receives
breastmilk
Gradually begin adding pureed iron-rich meat and/or cereal as
the first foods
Begin a regular schedule of meals and snacks, offering a variety of
foods
Offer finger foods to encourage self-feeding during family meals
10. You are a nurse working in a school clinic. Jenna, a 15-year-old female
student, visits you complaining of fatigue. You notice she has lost
significant weight recently. As you talk with her, she mentions she often
feels cold and is very concerned about gaining weight. Jenna also
mentions she regularly goes to the restroom immediately after lunch.
Based on the information provided, which of the following is the most
appropriate nursing intervention?
Use the SCOFF tool to screen Jenna for possible eating
disorders.
, Tell Jenna to cut back on exercise if she's feeling
fatigued. Advise Jenna to eat a balanced diet and get
regular sleep.
Recommend Jenna join a sports team to improve her energy.
11. A client has had an adjustable gastric banding procedure to reduce
weight. At a follow-up visit, the client reports episodes of abdominal pain
and vomiting after eating. Which recommendation would the nurse
make?
Ingest food that has a high caloric
density. Eat larger amounts of food every
2 hours. Drink 8 ounces (240 mL) of fluid
with meals. Chew food thoroughly before
swallowing.
12. When counseling the parents of children with anemia related to
inadequate diets, the nurse explains that several different nutrients are
involved. These nutrients include proteins, iron, vitamin B12, and:
Riboflavin
Folic acid
Thiamine
Calcium
13. A client with cirrhosis is beginning to show signs of hepatic
encephalopathy. The nurse should plan a dietary consultation to limit the
amount of which ingredient in the client's diet?
Minerals
Carbohydrates
Calories
Protein
