Wgu Nutrition

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Sample questions from Wgu Nutrition

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.In a rehabilitation unit, a client recovering from a stroke coughs and develops a wet voice after taking a sip of water. Which action should the nurse take first?

   • A.Offer water through a straw to improve control
   • B.Place the client supine and allow time to rest
   • C.Continue the meal with smaller sips and observe
   • D.Stop oral intake and request a swallowing evaluation

   Rationale: Coughing and a wet voice during swallowing suggest aspiration risk, so oral intake should stop until swallowing safety is assessed. A straw may increase the flow of liquid and does not correct impaired swallowing. Supine positioning increases aspiration risk, and continuing the meal even with smaller sips is unsafe before evaluation. The exam takeaway is to protect the airway before addressing nutrition by mouth.

2. 2.Refer to the client's chart. Which actions should the nurse take to address the client's nutritional risk? Select all that apply.

   • A.Encourage the client to drink a large amount of fluid immediately before meals
   • B.Offer small, frequent, nutrient-dense meals as tolerated
   • C.Request a registered dietitian consultation
   • D.Begin an oral supplement without checking the client's preferences or care plan
   • E.Document meal intake and report the downward weight trend

   Rationale: A dietitian consultation is appropriate given the weight loss and poor intake, and small, frequent nutrient-dense meals may improve intake when large meals are difficult. Documenting intake and reporting the weight trend support timely interdisciplinary planning. Large volumes of fluid immediately before meals can increase fullness and further reduce food intake. Starting a supplement without considering preferences or the care plan bypasses individualized assessment and coordination.

3. 3.During a home visit, a client explains that religious practices affect which foods are acceptable. What is the nurse's best initial response?

   • A.Ask the client which foods and meal practices are important to include in the plan
   • B.Provide a standard meal plan and ask the client to follow it for one week
   • C.Ask a family member to choose substitutions on the client's behalf
   • D.Explain that the prescribed diet takes priority over personal food practices

   Rationale: Asking about the client's specific food practices supports individualized, culturally respectful planning and helps identify acceptable nutritious options. Telling the client that the prescribed diet overrides personal practices may undermine collaboration and adherence. A standard meal plan may include unacceptable foods, and family input should not replace the client's preferences when the client can express them. The exam takeaway is to assess the client's values before adapting nutrition teaching.

4. 4.A primigravida at 10 weeks of gestation asks why a prenatal vitamin contains folic acid. Which response should the nurse provide?

   • A.It prevents all forms of anemia during pregnancy
   • B.It replaces the need to eat folate-containing foods
   • C.It helps reduce the risk of neural tube defects in the developing fetus
   • D.It prevents gestational diabetes when taken throughout pregnancy

   Answer and rationale are in the full material.

5. 5.At change of shift, the nurse plans care for a client who needs assistance with meals. Which task is appropriate to delegate to experienced unlicensed assistive personnel?

   • A.Evaluate whether the client has met daily protein requirements
   • B.Assist the client with eating after the nurse confirms the prescribed diet and swallowing precautions
   • C.Teach the client how to follow a low-sodium meal plan
   • D.Assess whether the client can safely swallow thin liquids

   Answer and rationale are in the full material.