Page 1 of 61
HESI NUTRITION EXAM NEWEST 2026 ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALL
ANSWERED {140 Q & A} ALREADY GRADED A+ |
BRAND NEW! | 100% GUARANTEED PASS
The nurse is making initial rounds at the beginning of the shift
and notes that the parenteral nutrition (PN) bag of an assigned
client is empty. Which solution should the nurse hang until
another PN solution is mixed and delivered to the nursing unit?
1. 5% dextrose in water
2. 10% dextrose in water
3. 5% dextrose in Ringer's lactate
4. 5% dextrose in 0.9% sodium chloride - ✔✔✔ Correct Answer > 2
Rationale: The client is at risk for hypoglycemia; therefore, the
solution containing the highest amount of glucose should be
hung until the new PN solution becomes available. Because PN
solutions contain high glucose concentrations, the 10% dextrose
in water solution is the best of the choices presented. The
solution selected should be one that minimizes the risk of
hypoglycemia. The remaining options will not be as effective in
minimizing the risk of hypoglycemia.
,Page 2 of 61
A client receiving parenteral nutrition (PN) complains of a
headache. The nurse notes that the client has an increased blood
pressure, bounding pulse, jugular vein distention, and crackles
bilaterally. The nurse determines that the client is experiencing
which complication of PN therapy?
1. Sepsis
2. Air embolism
3. Hypervolemia
4. Hyperglycemia - ✔✔✔ Correct Answer > 3 Rationale: Hypervolemia is
a critical situation and occurs from excessive fluid administration
or administration of fluid too rapidly. Clients with cardiac, renal,
or hepatic dysfunction are also at increased risk. The client's
signs and symptoms presented in the question are consistent
with hypervolemia. The increased intravascular volume
increases the blood pressure, whereas the pulse rate increases
as the heart tries to pump the extra fluid volume. The increased
volume also causes neck vein distention and shifting of fluid into
the alveoli, resulting in lung crackles. The signs and symptoms
presented in the question do not indicate sepsis, air embolism, or
hyperglycemia.
The nurse is monitoring the status of a client's fat emulsion
(lipid) infusion and notes that the infusion is 1 hour behind. Which
action should the nurse take?
1. Adjust the infusion rate to catch up over the next hour.
2. Increase the infusion rate to catch up over the next 2 hours.
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3. Ensure that the fat emulsion infusion rate is infusing at the
prescribed rate.
4. Adjust the infusion rate to run wide open until the solution is
back on time. - ✔✔✔ Correct Answer > 3 Rationale: The nurse should
not increase the rate of a fat emulsion to make up the difference
if the infusion timing falls behind. Doing so could place the client
at risk for fat overload. In addition, increasing the rate suddenly
can cause fluid overload. The same principle (not increasing the
rate) applies to parenteral nutrition or any intravenous infusion.
Therefore, the remaining options are incorrect.
A client receiving parenteral nutrition (PN) in the home setting
has a weight gain of 5 lb in 1 week. The nurse should next assess
the client for the presence of which condition?
1. Thirst
2. Polyuria
3. Decreased blood pressure
4. Crackles on auscultation of the lungs - ✔✔✔ Correct Answer > 4
Rationale: Optimal weight gain when the client is receiving PN is 1
to 2 lb/week. The client who has a weight gain of 5 lb/week while
receiving PN is likely to have fluid retention. This can result in
hypervolemia. Signs of hypervolemia include increased blood
pressure, crackles on lung auscultation, a bounding pulse,
jugular vein distention, headache, peripheral edema, and weight
gain more than desired. Thirst and polyuria are associated with
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hyperglycemia. A decreased blood pressure is likely to be noted
in deficient fluid volume.
The nurse is caring for a restless client who is beginning
nutritional therapy with parenteral nutrition (PN). The nurse
should plan to ensure that which action is taken to prevent the
client from sustaining injury?
1. Calculate daily intake and output.
2. Monitor the temperature once daily.
3. Secure all connections in the PN system.
4. Monitor blood glucose levels every 12 hours. - ✔✔✔ Correct Answer
> 3 Rationale: The nurse should plan to secure all connections in
the tubing (connections are used per agency protocol). This helps
to prevent the restless client from pulling the connections apart
accidentally. The nurse should also monitor intake and output,
but this does not relate specifically to a risk for injury as
presented in the question. Also, monitoring the temperature and
blood glucose levels does not relate to a risk for injury as
presented in the question. In addition, the client's temperature
and blood glucose levels are monitored more frequently than the
time frames identified in the options to detect signs of infection
and hyperglycemia, respectively.
The nurse is teaching a client who has iron deficiency anemia
about foods she should include in the diet. The nurse determines
HESI NUTRITION EXAM NEWEST 2026 ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALL
ANSWERED {140 Q & A} ALREADY GRADED A+ |
BRAND NEW! | 100% GUARANTEED PASS
The nurse is making initial rounds at the beginning of the shift
and notes that the parenteral nutrition (PN) bag of an assigned
client is empty. Which solution should the nurse hang until
another PN solution is mixed and delivered to the nursing unit?
1. 5% dextrose in water
2. 10% dextrose in water
3. 5% dextrose in Ringer's lactate
4. 5% dextrose in 0.9% sodium chloride - ✔✔✔ Correct Answer > 2
Rationale: The client is at risk for hypoglycemia; therefore, the
solution containing the highest amount of glucose should be
hung until the new PN solution becomes available. Because PN
solutions contain high glucose concentrations, the 10% dextrose
in water solution is the best of the choices presented. The
solution selected should be one that minimizes the risk of
hypoglycemia. The remaining options will not be as effective in
minimizing the risk of hypoglycemia.
,Page 2 of 61
A client receiving parenteral nutrition (PN) complains of a
headache. The nurse notes that the client has an increased blood
pressure, bounding pulse, jugular vein distention, and crackles
bilaterally. The nurse determines that the client is experiencing
which complication of PN therapy?
1. Sepsis
2. Air embolism
3. Hypervolemia
4. Hyperglycemia - ✔✔✔ Correct Answer > 3 Rationale: Hypervolemia is
a critical situation and occurs from excessive fluid administration
or administration of fluid too rapidly. Clients with cardiac, renal,
or hepatic dysfunction are also at increased risk. The client's
signs and symptoms presented in the question are consistent
with hypervolemia. The increased intravascular volume
increases the blood pressure, whereas the pulse rate increases
as the heart tries to pump the extra fluid volume. The increased
volume also causes neck vein distention and shifting of fluid into
the alveoli, resulting in lung crackles. The signs and symptoms
presented in the question do not indicate sepsis, air embolism, or
hyperglycemia.
The nurse is monitoring the status of a client's fat emulsion
(lipid) infusion and notes that the infusion is 1 hour behind. Which
action should the nurse take?
1. Adjust the infusion rate to catch up over the next hour.
2. Increase the infusion rate to catch up over the next 2 hours.
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3. Ensure that the fat emulsion infusion rate is infusing at the
prescribed rate.
4. Adjust the infusion rate to run wide open until the solution is
back on time. - ✔✔✔ Correct Answer > 3 Rationale: The nurse should
not increase the rate of a fat emulsion to make up the difference
if the infusion timing falls behind. Doing so could place the client
at risk for fat overload. In addition, increasing the rate suddenly
can cause fluid overload. The same principle (not increasing the
rate) applies to parenteral nutrition or any intravenous infusion.
Therefore, the remaining options are incorrect.
A client receiving parenteral nutrition (PN) in the home setting
has a weight gain of 5 lb in 1 week. The nurse should next assess
the client for the presence of which condition?
1. Thirst
2. Polyuria
3. Decreased blood pressure
4. Crackles on auscultation of the lungs - ✔✔✔ Correct Answer > 4
Rationale: Optimal weight gain when the client is receiving PN is 1
to 2 lb/week. The client who has a weight gain of 5 lb/week while
receiving PN is likely to have fluid retention. This can result in
hypervolemia. Signs of hypervolemia include increased blood
pressure, crackles on lung auscultation, a bounding pulse,
jugular vein distention, headache, peripheral edema, and weight
gain more than desired. Thirst and polyuria are associated with
, Page 4 of 61
hyperglycemia. A decreased blood pressure is likely to be noted
in deficient fluid volume.
The nurse is caring for a restless client who is beginning
nutritional therapy with parenteral nutrition (PN). The nurse
should plan to ensure that which action is taken to prevent the
client from sustaining injury?
1. Calculate daily intake and output.
2. Monitor the temperature once daily.
3. Secure all connections in the PN system.
4. Monitor blood glucose levels every 12 hours. - ✔✔✔ Correct Answer
> 3 Rationale: The nurse should plan to secure all connections in
the tubing (connections are used per agency protocol). This helps
to prevent the restless client from pulling the connections apart
accidentally. The nurse should also monitor intake and output,
but this does not relate specifically to a risk for injury as
presented in the question. Also, monitoring the temperature and
blood glucose levels does not relate to a risk for injury as
presented in the question. In addition, the client's temperature
and blood glucose levels are monitored more frequently than the
time frames identified in the options to detect signs of infection
and hyperglycemia, respectively.
The nurse is teaching a client who has iron deficiency anemia
about foods she should include in the diet. The nurse determines
