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HESI PN Nutrition Practice Exam Correct and Verified Answers Graded A
- The practical nurse (PN) is reviewing the dietary recommendations with the client
who had a partial gastrectomy and experienced dumping syndrome. Which statement by the client indicates that the recommendations were understood?
Correct Answer: Fluids should be limited to eight ounces with meals.
- The practical nurse (PN) is reviewing guidelines to manage stress incontinence with
a female client. Which dietary change should the PN emphasize that will benefit the client?
Correct Answer: Avoid alcohol and caffeine.
- A client who is lactose intolerant asks the practical nurse (PN) for suggestions about
different food sources that are enriched in calcium and vitamin D. Which foods should the PN suggest?
Correct Answer: Fortified soy products.
- The practical nurse (PN) is evaluating the client's knowledge of low-sodium menu
selections. Which food items listed by the client confirm appropriate choices? (Select all that apply)
Correct Answer:
- White rice with steamed vegetables.
- Cottage cheese with sliced tomatoes.
- The practical nurse (PN) is assisting an Orthodox Jewish client who has dementia
make weekly dinner choices in an assisted living community. Which main course selections should the PN suggest that are suitable for a kosher diet?
Correct Answer: Lamb chops with mint jelly.
- The practical nurse (PN) receives four new admissions in an assisted living
community. After reviewing the clients' medical histories, which client should the PN evaluate for a higher caloric diet?
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Correct Answer: A client with bacterial pneumonia.
- The home health practical nurse (PN) is caring for a client with a stage III pressure
ulcer. Which food group that contains zinc should be added to the client's diet to aide in wound healing?
Correct Answer: Meats and shellfish.
- The Practical nurse (PN) is evaluating a client for an increased need of B12 after
undergoing a subtotal gastrectomy. Which foods should the PN recommend that the client include in the diet?
Correct Answer: Cheese, eggs, and fish.
- The practical nurse (PN) suspects that a male client is altering his own diabetic
journals to please his healthcare provider. Which laboratory test should the PN review to evaluate the client's compliance with self management for type 1 diabetes mellitus (DM)?
Correct Answer: Hemoglobin A1c.
- The practical nurse (PN) is caring for a client who was recently diagnosed with type
- diabetes mellitus (DM). What information is most important for the PN to reinforce
with the client about life-style changes?
Correct Answer: Portion-controlled, heart healthy diet selections.
- The practical nurse (PN) is reviewing a list of foods with the family that are
recommended for an older client who recently had a total colectomy and colostomy.Which food item should the PN discuss about including in the client's postoperative diet?
Correct Answer: Chicken noodle soup.
- The practical nurse (PN) interviews a client who had a total colectomy 2 weeks ago.
The client claims to be confident in the management of the new colostomy, but is having problems managing the odor. What suggestions should the PN provide the client to help decrease odor in the colostomy bag? (Select all that apply)
Correct Answer:
- Eat foods containing yogurt.
- Drink a glass of buttermilk.
- Eat sprigs of parsley.
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- The practical nurse (PN) reviews self-care with a male client who is newly
diagnosed with cirrhosis. Which vitamin deficit due to liver damage should the PN discuss with the client that increases his susceptibility of bleeding?
Correct Answer: Vitamin K.
- The practical nurse (PN) is caring for a client with continuous feeding through a
nasogastric (NG) tube at a continuous care rehabilitation community. Which position should the PN place the client to prevent aspiration?
Correct Answer: Semi-Fowler's.
- A Chinese male client who moves into an assisted living community is concerned
that the community will not be able to meet his dietary preferences. What should the practical nurse include in the diet for this client based on his cultural group?
Correct Answer: Vegetables.
- An elderly client in an assisted living community is refusing to eat during meal
time. The practical nurse (PN) discovers that the client has several mouth ulcers. What types of food should the PN suggest to promote intake and healing of ulcers?
Correct Answer: Poached or scrambled eggs.
- A client is admitted with right upper quadrant (RUQ) pain after eating. What should
the practical nurse ask the client about the meal's content that precipitated the pain?
Correct Answer: Saturated fat content.
- The healthcare provider prescribes an oral glucose tolerance test (GTT) for a male
client with polyuria and polydipsia. The client is instructed to be NPO after midnight.What should the client be advised to drink with his morning medications?
Correct Answer: Water without flavorings.
- The practical nurse (PN) is reviewing the diet with a client with acute cholecystitis.
Which food selection demonstrates to the PN that the client understands dietary recommendations?
Correct Answer: Baked fish and tomatoes with lettuce.
- An older client receives a prescription for psyllium (Metamucil) for constipation.
What information should the practical nurse (PN) provide the client about taking this supplement?Correct Answer: Take supplement with 240 ml of liquid and follow with a second glass.
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- The practical nurse (PN) is caring for a client who is receiving total parenteral
nutrition (TPN). Which metabolic change should the PN monitor the client for during administration for TPN?
Correct Answer: Hyperglycemia.
- The practical nurse (PN) reviews the dietary treatment plan with a client who has
ascites secondary to cirrhosis of the liver. Which information should the PN include when reviewing the dietary plan?
Correct Answer: Restricted sodium intake.
- The practical nurse (PN) is reinforcing diet teaching for a client with a simple goiter.
Which foods should the PN recommend that the client eliminate from the diet?
Correct Answer: Turnips.
- A client develops a vitamin K deficiency due to intestinal malabsorption. What
intervention should the practical nurse implement in the plan of care?
Correct Answer: Monitor for signs of hematuria, melena, ecchymosis.
- During a nutrition consultation for elevated cholesterol, the dietitian recommends
- The healthcare provider prescribes a protein supplement for an older client who is
that the client replace saturated fats with monounsaturated or polyunsaturated fats.What explanation should the practical nurse reinforce with the client about this change in fat in the diet?Correct Answer: Lowers the amount of low density lipoprotein (LDL) in the blood.
recovering after surgery. What information should the practical nurse provide the family about the value of the supplement?
Correct Answer: Additional protein promotes tissue healing postoperatively.
- The practical nurse reviews the client's medical record that indicates the client
has pernicious anemia. Which vitamin deficit is associated with this type of anemia?
Correct Answer: Vitamin B12.
- A client who arrives at the urgent care clinic reporting diarrhea, fever, abdominal
pain and nausea and tells the practical nurse (PN) the symptoms began after eating a can of beans. What is the likely cause of this type of foodborne illness?
