PN Nutrition HESI Practice Test Questions with Correct Solutions

The nurse is caring for a patient who is receiving intermittent tube feedings. The nurse is aware of the multiple reasons for complications. Which patient will the nurse identify as being at the greatest risk for a complication related to tube feeding/ 1) The patient with impaired swallowing after a stroke 2) The patient who experienced diarrhea prior to a formula change 3) The patient who's receiving multiple medications through the tube 4) The patient who doesn't tolerate feeding formula at a cool temperature - 1) The patient with impaired swallowing after a stroke The nurse is providing care for a patient with a NG tube. The nurse is preparing to administer medications through the NG tube. Which finding should the nurse report before medication administration? 1) Aspirated gastric contents indicate a pH level equal to the acidity of stomach juices 2) The radioscopic verification was obtained at the time of tube placement 3) The silk tape holding the tube in place has begun to peel away 4) The indelible ink mark on the tube is several inches from the nares - 4) The indelible ink mark on the tube is several inches from the nares The nurse is providing care for a patient who has a NG tube in place. Which nursing responsiblity is incorrect? 1) Reassess q2h for vomiting, cramping, or pain 2) Monitor for passage of rectal flatus indication the return of peristalsis 3) Clamp off the tube and auscultate bowel sounds every shift 4) Provide mouth care and apply lip moisturizer q2h - 3) Clamp off the tube and auscultate bowel sounds every shift The nurse is providing care to a patient who's ordered a NG tube placement for gastric decompression for gastric distention and vomiting. The nurse notes the patient's vomitus is a greenish-yellow liquid. Which conclusion will the nurse draw from the appearance of the vomitus? 1) The vomitus has the appearance of bright red blood 2) The vomitus is from the duodenum 3) The vomitus has a coffee-ground appearance 4) The vomitus appears to be darker red blood - 2) The vomitus is from the duodenum The nurse works in a clinic with patients diagnosed as having an eating disorder. Which sign of a bulimia nervosa will the nurse recognize? 1) Muscle wasting 2) Absence of dental decay 3) Increasing weight or obesity 4) Regurgitation of gastric juices - 4) Regurgitation of gastric juices The nurse is caring for a patient who's recovering from surgery. The health-care provider's diet order is to advance as tolerated. Which reassessment finding indicates to the nurse that the patient's diet should be advanced to full liquid? 1) Hypoactive bowel sounds with abdominal distention 2) Nausea and vomiting occurs throughout the shift 3) Flatus is passed and there's a report of hunger 4) Bowel movements have been frequent and watery - 3) Flatus is passed and there's a report of hunger The nurse is caring for multiple patients. When delivering meal trays, which patient does the nurse recognize as having a diet modified by preference? 1) The patient who had a heart attack 2) The patient who's diabetic 3) The patient who has renal failure 4) The patient who's vegetarian - 4) The patient who's vegetarian