Page 1 of 67
HESI NUTRITION EXAM NEWEST VERSION WITH
COMPLETE QUESTIONS AND CORRECT ANSWERS
LATEST UPDATE JUST RELEASED THIS YEAR
Question: The practical nurse (PN) is reinforcing dietary instructions to the parents of a 6-
month-old baby boy diagnosed with phenylketonuria (PKU). Which foods should the PN direct
the parents to eliminate in the infant's diet? A. Grapes and berries. B. Green vegetables. C.
Cereals and breads. D. Chicken and fish. - CORRECT ANSWER✔✔D. Chicken and fish. Correct
Phenylketonuria (PKU) is a genetic defect that does not metabolize the amino acid,
phenylalanine which becomes toxic to brain development in the baby. Foods that contain
phenylalanine, such as chicken and fish (D), and cow's milk protein or products with artificial
sweeteners, should not be offered when the baby's diet progresses. Grapes and berries (A),.
green vegetables (B), cereals and breads (C) are safer food that limits phenylalanine when
progressing the infant's diet as he grows.
Question: The practical nurse (PN) stresses to a female client the importance of osteoporosis
prevention. Which foods should the PN recommend the client to include in her diet? A. Apples.
B. Cheddar cheese. C. Lima beans. D. Canned tuna. - CORRECT ANSWER✔✔D. Canned tuna.
Correct Osteoporosis related to demineralization of the bone can be prevented or minimized
with diet and supplemental amounts of calcium and Vitamin D. A 4 ounce can of tuna fish (D)
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can provide some calcium but contains about150 international units (IU) of vitamin D and is an
inexpensive and safe way in increase Vitamin D. Cheddar cheese (B) provides protein and
calcium, but lacks vitamin D. Lima beans (C) are a source of potassium. Apples (A) are a good
source of fiber.
Question: 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? A. Chicken pot pie and buttered rolls. B. Sauted ground beef with mashed
potaoes. C. Fried round steak and macroni with cheese. D. Baked fish and tomatoes with
lettuce. - CORRECT ANSWER✔✔D. Baked fish and tomatoes with lettuce. Correct A client with
acute cholecystitis should decrease dietary fat in foods, so baked foods are the best choice (D).
(A, B, and C) are foods that are high in fat and could cause biliary colic.
Question: An older client receives a prescription for psylium (Metamucil) for constipation.
What information should the practical nurse (PN) provide the client about taking this
supplement? A. Take medication in the evening before bedtime to reduce fullness. B. Take
supplement with 240 ml of liquid and follow with a second glass. C. O Take supplement with hot
beverages to help dissolve the powder completely. D. Mix supplement with pudding or
applesauce to help hide the taste and texture. - CORRECT ANSWER✔✔B. Take supplement with
240 ml of liquid and follow with a second glass. Correct Psylium (Metamucil) is a bulk laxative
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and should be taken with full glass followed by another glass of fluids to be effective and
decrease chances of impaction (B). (A, C and D) increase risk for further constipation and
possible impaction of the client
Question: The practical nurse (PN) is evaluating the client's knowledge of low-sodium menu
selections. Which food items listed by the client confim appropriate choices? (Select all that
apply) A. White rice with steamed vegetables. B. Cottage cheese with sliced tomatoes. C.
Canned vegetable soup with crackers. D. OTurkey bacon with scrambled eggs. E. Chicken with
soy sauce and brown rice. - CORRECT ANSWER✔✔(A and B) are correct selections that are low
in sodium and indicate the client's knowledge about the prescribed diet. (C. D, and E) are low in
fat but high in sodium.
Question: The practical nurse (PN) is caring for a client who was recently diagnosed with
cirrhosis of the liver. Which foods should be limited in the client's diet? A. Peanut butter. B.
Collard greens. C. Eggs. D. Wheat bread. - CORRECT ANSWER✔✔Clients with cirrhosis have a
difficult time breaking fat down due to hepatic damage and synthesis of bile. Foods, like peanut
butter (A), are high in fat and protein and should be limited or avoided. Collard greens (B), eggs
(C), and wheat bread are low in fat, and are better choices for a client with liver disease.
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Question: 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 iterm should the PN discuss about including in the client's postoperative diet? A.
Carbonated beverages. В. Chicken noodle soup. C. Boiled cabbage. D. Bean burritos. - CORRECT
ANSWER✔✔В. Chicken noodle soup. Correct Chicken noodle soup (B) is the best selection for
the client because there is no residual gas production after eating and digesting. (A, C, and D)
create a large amount of gas after digestion, which can be embarrassing and uncomfortable for
the client.
Q:1. During a nutrition consultation for elevated cholesterol, the dietician recommends that the
client replace saturated fats with monounsaturated or polyunsaturated fats. What explanation
should the practical nurse reenforce with the client about this change in fat in the diet?
A. Lowers the amount of low density lipoprotein (LDL) in the blood.
B. Lowers the amount of high density lipoprotein (HDL) in the blood.
C. Contributes to raising cholesterol levels in the blood.
D. Contributes to raising triglycerides levels in the blood. - CORRECT ANSWER✔✔A. When
saturated fats are replaced with monosaturated or polyunsaturated fats, there is a reduced risk
of coronary artery disease. This change in diet helps to reduce serum lipids that contribute to
fatty plaque formation by lowering LDL levels in the blood (A), as long as there is a limited intake
HESI NUTRITION EXAM NEWEST VERSION WITH
COMPLETE QUESTIONS AND CORRECT ANSWERS
LATEST UPDATE JUST RELEASED THIS YEAR
Question: The practical nurse (PN) is reinforcing dietary instructions to the parents of a 6-
month-old baby boy diagnosed with phenylketonuria (PKU). Which foods should the PN direct
the parents to eliminate in the infant's diet? A. Grapes and berries. B. Green vegetables. C.
Cereals and breads. D. Chicken and fish. - CORRECT ANSWER✔✔D. Chicken and fish. Correct
Phenylketonuria (PKU) is a genetic defect that does not metabolize the amino acid,
phenylalanine which becomes toxic to brain development in the baby. Foods that contain
phenylalanine, such as chicken and fish (D), and cow's milk protein or products with artificial
sweeteners, should not be offered when the baby's diet progresses. Grapes and berries (A),.
green vegetables (B), cereals and breads (C) are safer food that limits phenylalanine when
progressing the infant's diet as he grows.
Question: The practical nurse (PN) stresses to a female client the importance of osteoporosis
prevention. Which foods should the PN recommend the client to include in her diet? A. Apples.
B. Cheddar cheese. C. Lima beans. D. Canned tuna. - CORRECT ANSWER✔✔D. Canned tuna.
Correct Osteoporosis related to demineralization of the bone can be prevented or minimized
with diet and supplemental amounts of calcium and Vitamin D. A 4 ounce can of tuna fish (D)
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can provide some calcium but contains about150 international units (IU) of vitamin D and is an
inexpensive and safe way in increase Vitamin D. Cheddar cheese (B) provides protein and
calcium, but lacks vitamin D. Lima beans (C) are a source of potassium. Apples (A) are a good
source of fiber.
Question: 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? A. Chicken pot pie and buttered rolls. B. Sauted ground beef with mashed
potaoes. C. Fried round steak and macroni with cheese. D. Baked fish and tomatoes with
lettuce. - CORRECT ANSWER✔✔D. Baked fish and tomatoes with lettuce. Correct A client with
acute cholecystitis should decrease dietary fat in foods, so baked foods are the best choice (D).
(A, B, and C) are foods that are high in fat and could cause biliary colic.
Question: An older client receives a prescription for psylium (Metamucil) for constipation.
What information should the practical nurse (PN) provide the client about taking this
supplement? A. Take medication in the evening before bedtime to reduce fullness. B. Take
supplement with 240 ml of liquid and follow with a second glass. C. O Take supplement with hot
beverages to help dissolve the powder completely. D. Mix supplement with pudding or
applesauce to help hide the taste and texture. - CORRECT ANSWER✔✔B. Take supplement with
240 ml of liquid and follow with a second glass. Correct Psylium (Metamucil) is a bulk laxative
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and should be taken with full glass followed by another glass of fluids to be effective and
decrease chances of impaction (B). (A, C and D) increase risk for further constipation and
possible impaction of the client
Question: The practical nurse (PN) is evaluating the client's knowledge of low-sodium menu
selections. Which food items listed by the client confim appropriate choices? (Select all that
apply) A. White rice with steamed vegetables. B. Cottage cheese with sliced tomatoes. C.
Canned vegetable soup with crackers. D. OTurkey bacon with scrambled eggs. E. Chicken with
soy sauce and brown rice. - CORRECT ANSWER✔✔(A and B) are correct selections that are low
in sodium and indicate the client's knowledge about the prescribed diet. (C. D, and E) are low in
fat but high in sodium.
Question: The practical nurse (PN) is caring for a client who was recently diagnosed with
cirrhosis of the liver. Which foods should be limited in the client's diet? A. Peanut butter. B.
Collard greens. C. Eggs. D. Wheat bread. - CORRECT ANSWER✔✔Clients with cirrhosis have a
difficult time breaking fat down due to hepatic damage and synthesis of bile. Foods, like peanut
butter (A), are high in fat and protein and should be limited or avoided. Collard greens (B), eggs
(C), and wheat bread are low in fat, and are better choices for a client with liver disease.
, Page 4 of 67
Question: 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 iterm should the PN discuss about including in the client's postoperative diet? A.
Carbonated beverages. В. Chicken noodle soup. C. Boiled cabbage. D. Bean burritos. - CORRECT
ANSWER✔✔В. Chicken noodle soup. Correct Chicken noodle soup (B) is the best selection for
the client because there is no residual gas production after eating and digesting. (A, C, and D)
create a large amount of gas after digestion, which can be embarrassing and uncomfortable for
the client.
Q:1. During a nutrition consultation for elevated cholesterol, the dietician recommends that the
client replace saturated fats with monounsaturated or polyunsaturated fats. What explanation
should the practical nurse reenforce with the client about this change in fat in the diet?
A. Lowers the amount of low density lipoprotein (LDL) in the blood.
B. Lowers the amount of high density lipoprotein (HDL) in the blood.
C. Contributes to raising cholesterol levels in the blood.
D. Contributes to raising triglycerides levels in the blood. - CORRECT ANSWER✔✔A. When
saturated fats are replaced with monosaturated or polyunsaturated fats, there is a reduced risk
of coronary artery disease. This change in diet helps to reduce serum lipids that contribute to
fatty plaque formation by lowering LDL levels in the blood (A), as long as there is a limited intake
