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HESI RN NUTRITION EXIT EXAM

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HESI RN NUTRITION EXIT EXAM

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13 oktober 2024
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Geschreven in
2024/2025
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HESI RN NUTRITION EXIT EXAM UPDATED 2022 QUESTIONS
AND 100% CORRECT ANSWERS A+ GUARANTEED
What type of food allergy reactions would the nurse assess prior to administering
epi? - ANSWER: -nausea
-vomiting
-dyspnea
-itching
-dizziness
-headache

also: gasping for air, clenching throat, severe swelling on the face, etc. -these all
indicate severe anaphylaxis

Diet Management for an older adult with heart failure will include teaching to: -
ANSWER: -limit sodium (Na) to 2000 mg/day or less
-monitor (possibly restrict to 1.5 L/day) fluid intake

-small meals to decrease effort of eating
-electrolytes may be messed up due to diuretics: potassium, sodium, zinc (except
spinrolactone=K sparing)

A person with heart failure should have a daily sodium intake of: - ANSWER: 2000 mg
or less

Foods high in potassium: - ANSWER: apricots
bananas
potatoes
tomatoes
avocado
fish
spinach
beans

Daily cholesterol intake should be less than: - ANSWER: 200 mg

DASH diet for HTN: - ANSWER: -low sodium
-high potassium
-high calcium

A client with diabetes that may be experiencing hypoglycemia should be instructed
to: - ANSWER: eat 15-20 g of carbs such as juice, soda, candies, honey, glucose
tablets, etc.

,General nutritional guidelines for a client with diabetes: - ANSWER: Carbs: 130 g/day
from grains, fruits, legumes, milk. No simple carbs.

Fats: sat fat less than 7% of total calories, trans fatty acid less than 1% of total daily
caloric intake, limit fried foods.

Cholesterol: 200-300 mg/day

Fiber: 14 g per 1000 calories from beans, oats, veggies, whole grains

Protein: 15-20% total caloric intake from meats, eggs, fish, nuts, beans, & soy
products

NO TOBACCO, LIMIT ALCOHOL

Hyperlipidemia? NO ALCOHOL

Artificial sweeteners okay, except preggo! sucrose (table sugar) can be included in
diabetic diet as long as adequate insulin is available

A nurse is reinforcing diet teaching to a client who has type 2 DM. Which of the
following should the nurse include in the teaching? Select all that apply.

A. Carbs should comprise 55% of daily caloric intake
B. Use hydrogenated oils for cooking
C. Table sugar may be added to cereals
D. Drink an alcoholic beverage w/meals
E. Protein foods can be substituted for carb foods - ANSWER: A, C, D

Not B-hydrogenated oils contain trans fatty acids & cause hyperlipidemia

Not E-carbs can be exchanged but not w/proteins

A nurse is reviewing dietary guidelines to include in the plan of care for a client who
has type 2 DM. Which of the following guidelines should the nurse include? Select all
that apply.

A. Weight management
B. Lipid profile
C. Cultural needs
D. Sleep patterns
E. Personal preferences - ANSWER: A, B, C, E

To avoid hypoglycemia, the client should consume alcohol... - ANSWER: with a meal
or immediately after a meal

,_______________can be included in a diabetic diet as long as adequate insulin or
other agents are provided to cover the sugar intake. - ANSWER: Sucrose (table sugar)

What food sources are high in protein? - ANSWER: meats
eggs
fish
nuts
beans
soy products

The nurse should instruct the diabetic client that their intake of carbohydrates
should be ___to___% of total daily caloric intake. - ANSWER: 45-60%

The nurse should instruct the diabetic client that they should limit their total daily
cholesterol intake to: - ANSWER: 200-300 mg/day

A diabetic client should be instructed that sat fats should account for less than __%
of total calories. - ANSWER: 7%

The USDA and HSS diet guidelines for fats: - ANSWER: -fats may average 30% of total
caloric intake
-less than 10% from sat fats

The USDA and HHS recommend to limit _______and _______foods to prevent
occurrence of dental caries. - ANSWER: sugar and starchy foods

The USDA & HHS recommends less than ________mg (about 1 tsp) of salt per day. -
ANSWER: 2300

USDA myplate recommended servings based on a 2000 calorie diet:

Grains=___oz
Veggies=______cups
Fruits=_______cups
Milk=____cups
Protein foods=_____oz
Oils=____tsp - ANSWER: grains=6 oz
veggies= 2 1/2 cups
fruits= 2 cups
milk= 3 cups
protein foods= 5 1/2 oz
oils= 6 tsp

The lacto-ovo vegetarian diet includes: - ANSWER: dairy products and eggs

Healthy heart diet:

, Limit saturated fat to __% of calories & cholesterol to ___mg/day

For elevated LDL, increase what?

What type of diet for HTN? - ANSWER: limit sat fat to 10% of calories & cholesterol
to 300 mg/day

For elevated LDL, increase monosaturated fats & soluble fiber.

HTN diet=DASH

Normal bowel functioning depends on adequate fluid intake and ____g/day fiber for
women and ___g/day fiber for men. - ANSWER: women=25 g/day
men=38 g/day

Diet teaching to prevent cancer:

Increase:
Limit: - ANSWER: Increase: high fiber plant based foods, monosaturated fat or omega
3 fatty acids (nuts & fish)

Limit: sodium, alcohol, saturated & polyunsaturated fat

A nurse is teaching a client measures for healthy bones. Which of the following
statements by the client requires additional teaching?

A. "I will eat foods high in calcium."
B. "I will increase my fluid intake."
C. "I should participate in weight bearing exercises."
D. "I should get my vitamin D from the sunlight." - ANSWER: B.
increasing fluid does not promote healthy bones

A nurse is conducting a nutritional class to a group of newly licensed nurses. Which
of the following should be included in the teaching?

A. Limit saturated fat to 10% of total caloric intake.
B. Good bowel function requires 35 g/day of fiber for women.
C. Limit cholesterol consumption to 400 mg/day
D. Normal functioning cardiac systems depends on B-complex vitamins - ANSWER: A

A nurse is discussing essential nutrients for normal functioning of the nervous
system. Which of the following should be included in the teaching? Select all that
apply.

A. Calcium
B. Thiamin
C. Vitamin B6
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