HESI RN NUTRITION ACCURATE COMPREHENSIVE
PRACTICE EXAM WITH ALL POSSIBLE APPROVED
WELL ELABORATED PRACTICE QUESTIONS AND
100% CORRECT VERIFIED ANSWERS WITH
DETAILED RATIONALES PLUS EXPERT ANSWER
KEY (100% CORRECT VERIFIED SOLUTIONS) 2026-
2027 CURRENTLY UPDATED VERSION Q&A
GUARANTEED PASS A+ INSTANT DOWNLOAD PDF
1. A client with chronic kidney disease is prescribed
a renal diet. Which nutrient restriction is most
critical for this client?
A. Sodium
B. Potassium
C. Phosphorus
D. Protein
Correct Answer: B. Potassium
Rationale: In chronic kidney disease, potassium
,restriction is critical because impaired excretion
can lead to life-threatening hyperkalemia. Sodium
and phosphorus are also restricted, but potassium
poses the most acute risk. Protein restriction is
moderate, not the most critical.
2. A patient receiving total parenteral nutrition
(TPN) develops hyperglycemia. Which intervention is
most appropriate?
A. Increase the dextrose concentration
B. Add regular insulin to the TPN bag
C. Discontinue TPN immediately
D. Replace TPN with enteral feeding
Correct Answer: B. Add regular insulin to the TPN
bag
Rationale: Hyperglycemia in TPN is managed by
adding regular insulin to the infusion. Increasing
dextrose worsens the problem; discontinuing TPN
abruptly can cause hypoglycemia.
3. A nurse is teaching a client with celiac disease
about dietary choices. Which food is safe to
consume?
,A. Wheat bread
B. Barley soup
C. White rice
D. Rye crackers
Correct Answer: C. White rice
Rationale: Celiac disease requires a gluten-free
diet. Wheat, barley, and rye contain gluten. White
rice is naturally gluten-free.
4. A client with heart failure is on a 2-gram sodium
diet. Which meal selection is appropriate?
A. Canned tomato soup with saltine crackers
B. Grilled chicken breast with steamed broccoli
C. Ham and cheese sandwich with pickles
D. Frozen lasagna with garlic bread
Correct Answer: B. Grilled chicken breast with
steamed broccoli
Rationale: This meal is low in sodium. Canned
soups, processed meats, and frozen entrees are
high in sodium.
5. Which laboratory value indicates adequate
protein intake in a client receiving enteral nutrition?
, A. Serum albumin
B. Serum glucose
C. Serum potassium
D. Serum calcium
Correct Answer: A. Serum albumin
Rationale: Albumin is a protein marker. Low levels
suggest inadequate protein intake or malnutrition.
Glucose, potassium, and calcium are not specific to
protein status.
6. A client with liver cirrhosis has ascites. Which
dietary modification is most important?
A. High protein
B. Low sodium
C. High fat
D. Low carbohydrate
Correct Answer: B. Low sodium
Rationale: Ascites in cirrhosis is managed with
sodium restriction to reduce fluid retention.
Protein may be adjusted but is not the primary
intervention.
PRACTICE EXAM WITH ALL POSSIBLE APPROVED
WELL ELABORATED PRACTICE QUESTIONS AND
100% CORRECT VERIFIED ANSWERS WITH
DETAILED RATIONALES PLUS EXPERT ANSWER
KEY (100% CORRECT VERIFIED SOLUTIONS) 2026-
2027 CURRENTLY UPDATED VERSION Q&A
GUARANTEED PASS A+ INSTANT DOWNLOAD PDF
1. A client with chronic kidney disease is prescribed
a renal diet. Which nutrient restriction is most
critical for this client?
A. Sodium
B. Potassium
C. Phosphorus
D. Protein
Correct Answer: B. Potassium
Rationale: In chronic kidney disease, potassium
,restriction is critical because impaired excretion
can lead to life-threatening hyperkalemia. Sodium
and phosphorus are also restricted, but potassium
poses the most acute risk. Protein restriction is
moderate, not the most critical.
2. A patient receiving total parenteral nutrition
(TPN) develops hyperglycemia. Which intervention is
most appropriate?
A. Increase the dextrose concentration
B. Add regular insulin to the TPN bag
C. Discontinue TPN immediately
D. Replace TPN with enteral feeding
Correct Answer: B. Add regular insulin to the TPN
bag
Rationale: Hyperglycemia in TPN is managed by
adding regular insulin to the infusion. Increasing
dextrose worsens the problem; discontinuing TPN
abruptly can cause hypoglycemia.
3. A nurse is teaching a client with celiac disease
about dietary choices. Which food is safe to
consume?
,A. Wheat bread
B. Barley soup
C. White rice
D. Rye crackers
Correct Answer: C. White rice
Rationale: Celiac disease requires a gluten-free
diet. Wheat, barley, and rye contain gluten. White
rice is naturally gluten-free.
4. A client with heart failure is on a 2-gram sodium
diet. Which meal selection is appropriate?
A. Canned tomato soup with saltine crackers
B. Grilled chicken breast with steamed broccoli
C. Ham and cheese sandwich with pickles
D. Frozen lasagna with garlic bread
Correct Answer: B. Grilled chicken breast with
steamed broccoli
Rationale: This meal is low in sodium. Canned
soups, processed meats, and frozen entrees are
high in sodium.
5. Which laboratory value indicates adequate
protein intake in a client receiving enteral nutrition?
, A. Serum albumin
B. Serum glucose
C. Serum potassium
D. Serum calcium
Correct Answer: A. Serum albumin
Rationale: Albumin is a protein marker. Low levels
suggest inadequate protein intake or malnutrition.
Glucose, potassium, and calcium are not specific to
protein status.
6. A client with liver cirrhosis has ascites. Which
dietary modification is most important?
A. High protein
B. Low sodium
C. High fat
D. Low carbohydrate
Correct Answer: B. Low sodium
Rationale: Ascites in cirrhosis is managed with
sodium restriction to reduce fluid retention.
Protein may be adjusted but is not the primary
intervention.
