Nutrition Hesi Questions And Answers
-tCORRECTttANSWER-
_____tistrestrictedtintpatientstwhotaretreceivingthemodialysistbecausetitthasthightlevelstoftp
hosphorus.t-tCORRECTttANSWER-milk
______taretmadetuptoftglyceroltandttriglyceridestortsterols.t-tCORRECTttANSWER-Lipids
______tprovidestthethighesttnumbertoftkilocalories:tAtt9tkcaltpertgramt-
tCORRECTttANSWER-Fat
_______tconsiststmostlytoftcarbohydratetthattcannottbetdigestedt-tCORRECTttANSWER-
dietarytfiber
_______tfatstaretassociatedtwithtlowerstLDLstwithtouttdecreasingtHDLst-
tCORRECTttANSWER-monosaturated
________tfoodstandtbeveragestrelaxtthetlowertesophagealtsphinctert(allowingtstomachtco
ntentsttotbacktup).t-tCORRECTttANSWER-High-Fat
________tusuallytoccurst1ttot4thourstafterteating;ttherefore,twaitingtattleastt4thourstafterteat
ingtbeforetgoingttotbedtwouldthelptpreventtheartburntattnight.t-tCORRECTttANSWER-
GERD
_________taretproducedtwhentinsufficienttcarbohydratetistavailabletandtthetbodythasttotm
etabolizetfattfortenergyt-tCORRECTttANSWER-Ketones
_________tistatnutrienttthatthastatprimarytpurposetfortstructuraltandtfunctionaltroles.t-
tCORRECTttANSWER-Protein
_________tistatprecursortoftbraintserotonin,tlevelstoftwhichtaretdeficienttintmanytpersonstwi
thtdepression.t-tCORRECTttANSWER-Tryptophan
_________tmaytbetcausedtbytreleasetoftcytokinestastparttoftthetcancertprocess;tthististoutsi
detthetpatient'stcontrol.t-tCORRECTttANSWER-hypermetabolism
,__________taretthetbesttsourcetoftfuelttotprovidetenergytfortthetbody.t-
tCORRECTttANSWER-carbohydrates
__________tinjectionstaretnecessarytfortpatientstwhotdotnottproducetintrinsictfactor.t-
tCORRECTttANSWER-
VitamintB12tinjectionstaretnecessarytfortpatientstwhotdotnottproducetintrinsictfactor,twhichti
stessentialtfortabsorptiontoftvitamintB12tfromtthetgut.
___________tistusedttotsetttargetstforthealthtpromotionttotimprovetthethealthtoftalltindividua
ls.tIttaddressestenvironmentaltandtsocialtissuestthattaffectthealthtoutcomes.t-
tCORRECTttANSWER-healthytpeople
___________ttabletstmaytbetaddedttotmilkt24thourstbeforetittistdrunkttotdigesttthetlactose;tt
histmakestthetmilktsuitabletfortpatientstwithtlactosetintolerance.t-tCORRECTttANSWER-
Lactasetenzyme
________increasetthetsurfacetareatoftthetsmalltintestine,twhichtmakestittpossibletfortitttotab
sorbtmoretnutrients.t-tCORRECTttANSWER-Villi
.tAtpatienttwithtdiabetestistrecoveringtatthometaftertfoottsurgery.tHettakestantidepressanttan
dtantihypertensivetmedications,tastwelltastantoralthypoglycemiatagent.tWhentthetnursetvisit
stattnoonttotchangethistdressing,thistorthertgreatesttconcerntwouldtbet
A)tthetopentbottletoftvodkatontthettabletnextttothistrecliner.t
B)tthetfacttthatthethastnottyetteatentlunch.t
C)thistreliancetmainlytontcannedtandtprepackagedtfoodtintthethouse.
D)thistcomplaintstthatthistfamilytdoestnottcometandthelpthim.t-tCORRECTttANSWER-A)t
Fortatpatientttakingtseveraltmedications,tespeciallytincludingtonetfortdepression,tthetopentb
ottletoftvodkatmaytsignifytalcoholtdependencytandtmaytcausetserioustinteractionstwiththist
medications.tIttistnottuncommontfortpatientsttoteachtlunchtaftertnoon.tConveniencetfoodtisth
ighertintsodiumtthantfreshtfood,tbuttittistlesstoftatconcerntthantpotentiallythightalcoholtintake.t
Histcomplaintstaboutthistlacktofthelptmaytortnottbetatconcern,tdependingtontotherthelptthatti
stavailablettothim.
.tThetmaintpurposetoftnutritionttherapytfortpatientstwhothavetjusttexperiencedtatmyocardialti
nfarctiontisttotdecreaset
A)tbloodtpressure.t
B)tthetrisktoftbloodtclotting.t
C)tLDLtcholesteroltlevels.t
D).tthetworkloadtoftthetheart.t-tCORRECTttANSWER-D)
Immediatelytaftertatmyocardialtinfarction,tnutritionttherapytistdesignedttotdecreasetthetwork
loadtoftthetheart.tLong-
termtnutritionttherapytmaytfocustontdecreasingtLDLtcholesteroltlevelstandtbloodtpressure.t
Risktoftbloodtclottingtistcontrolledtwithtmedicationstrathertthantthroughtdiet.
,At_______tdiettistusedttottreattpainfultsymptomstassociatedtwithtcholelithiasistandtcholecys
titis.t-tCORRECTttANSWER-low-fat
At_______tdiettmaythelptstimulatetperistalsistduringttimestoftremissiontintpatientstwithtinfla
mmatorytboweltdisease.t-tCORRECTttANSWER-hightfiber
AtBMItlesstthant_____tistclassifiedtastunderweight.t
AtBMItbetweent____ttot_____tistconsideredtnormaltweight,t
AtBMIt____ttot____tistconsideredtoverweight,t
andt____tortgreatertistconsideredtobese.t-tCORRECTttANSWER-
AtBMItlesstthant18.5tistclassifiedtastunderweight.tAtBMItbetweent18.5tandt24.9tistconsidere
dtnormaltweight,t25ttot29.9tistconsideredtoverweight,tandt30tortgreatertistconsideredtobese.
Atdiettrichtintantioxidantstisthelpfultforteveryonetbuttespeciallytfortpatientstwitht__________.
t-tCORRECTttANSWER-schizophrenia
Atgoodtafter-workouttsnacktfortsomeonetwithttypet1tdiabetestist_____.t-
tCORRECTttANSWER-
atglasstoftmilktbecausetittprovidestcarbohydratestintthetformtoftlactose.
AthypertensivetcrisistmaytoccurtwhentpatientsttakingtantMAOItforttreatmenttoftdepressionte
attfoodstrichtint__________.t-tCORRECTttANSWER-
tyramine,tfoodstsuchtastagedtcheesestandtredtwine.
Atmajortfunctiontoftthe______tintestinetistabsorptiontoftwatert-tCORRECTttANSWER-large
atpaitenttwithtcongestivethearttfailuretwillthavetatdiettthattlookstliketwhat?t-
tCORRECTttANSWER-sodiumtrestrictedttot2g/daytandtfluidtrestrictedttot1500ml/day
Atpatienttexperiencedtatstroketandtatpercutaneoustendoscopictgastrostomyt(PEG)ttubetisti
nsertedttotbeginttubetfeedingstintothiststomach.tIftthetpatienttgainst8tlbtintthetfirsttweektofttub
etfeeding,tittistlikelytthat
A)thetistretainingtfluidtweight.t
B)tthettubetfeedingtistwellttolerated.t
C).thetistconstipated.t
D)tthetfeedingstaretreplenishingtmuscletandtfattstorest-tCORRECTttANSWER-A)t
Weighttgainstexceedingt1tpoundtintatdaytaretprobablytcausedtbytexcesstfluid.tThetbodytcan
nottaccumulatetleantbodytmasstortbodytfattthistquickly,tandtaccumulationtoftthistamounttoftf
ecestisthighlytunlikely.
Atpatienttistdiscussingtrecenttissuestwiththeartburntduringtatprimarytcaretvisittwithtthetprovi
der.tThetpatienttreportstusingtpepperminttregularlyttotdealtwithtGItissuestandtabdominaltpai
n.tWhattwouldtbetthetbesttresponsetbytthetnursettotthistsituation?
, A)t"pepperminttistatgreattherbttotusetfortGItissues,tandtittwouldtbethelpfulttotcontinuetusingtit
"
B)t"overusetoftpepperminttcantcausetheartburn,tandtthetprimarytcaretprovidertmaytrecomm
endtyoutstoptusingtit"t
C)t"pepperminttdecreasestmuscletspasmstoftthetGIttract,tsotittseemstoddtthattyoutwouldtbet
havingthearttburn"t
D)t"youtmightttrytcombiningtthetpepperminttwithtantovertthetcountertantacidtortprotontpumpti
nhibitorttotaddressthearttburn"t-tCORRECTttANSWER-B)t
pepperminttcantcausethearttburntsotthistwouldtbetthetbesttresponse.
atpatienttreceivingtparenteraltnutritiontistbroughtttotthetemergencytdepartmenttappearingtdi
sorientedtwithtdifficultytbreathing.tThetfamilytmembertstatestthattthetpatientthastbeentcompl
ainingtoftmuscletpaintfortthetpasttweek.tWhattmetabolictcomplicationtfromtparenteraltnutriti
ontistthetpatienttmosttlikelytexperiencing?
A)tpneumothorax
B)thypocalcemiat
C)tseptictthrombosist
D)thypophosphatemiat-tCORRECTttANSWER-D)thypophosphatemiat
Thistpatienttwithtthesetsymptomstistmosttlikelytexperiencingthypophosphatemia.tPneumot
horaxtistattechnicaltcomplicationtthattcantoccurtwithtinsertiontoftthetcatheter.tThethallmarktsi
gntofthypocalcemiatisttetany,twhichtistcharacterizedtbytneuromusculartirritability.tseptictthro
mbosististatcomplicationtcharacterizedtbytmanytsignstincludingtpaintandtfever
Atpatienttwhotisttakingtisoniazidt(INH)tforttreatmenttoftTBtpresentsttotthetemergencytroomtw
ithtnausea,tjaundice,tandtdarktcoloredturine.tLabtresultstalsotindicatetlowtINHtlevels.tWhicht
assessmenttquestiontwouldtbetimportantttotasktthetpatientttothelptdeterminetthetreasontfortt
hetcurrenttsymptoms?
A)t"howtmuchtalcoholtdotyoutdrink?"
Bt)t"havetyoutrecentlyttraveledtabroad?"t
C)t"havetyoutbeentdrinkingtalottoftcoffeetlately?"
D)t"havetyoutbeenttakingtyourtmedicinetastprescribed?"t-tCORRECTttANSWER-At
alcoholtintaketwithtisoniazidtcantincreasetthetpossibilitytforthepatotoxicitytandtdecreasetthet
bloodtleveltoftisoniazidtsotaskingtthetpatienttabouttalcoholtintaketwouldtbetimportant,ttraveli
ngtabroadtistunlikelytthetcausetoftthesetsymptoms.tcoffeettypicallytdoestnottcausetthesetsy
mptoms.tLacktoftINHtitselftwilltnottcausetthesetsymptoms.
AtpatienttwithtacutetpancreatitististadmittedttotthetICU.tthetphysiciantorderstpancreatictresttf
ortthetpatient.twhatttypetoftnutritiontistmosttlikelyttotbetordered?
A)tFulltliquidtdiett
B)tNGttubetwithtnutritionaltsupplementst
C)tTPNt
D)tatsofttblandtdiett-tCORRECTttANSWER-C)t
-tCORRECTttANSWER-
_____tistrestrictedtintpatientstwhotaretreceivingthemodialysistbecausetitthasthightlevelstoftp
hosphorus.t-tCORRECTttANSWER-milk
______taretmadetuptoftglyceroltandttriglyceridestortsterols.t-tCORRECTttANSWER-Lipids
______tprovidestthethighesttnumbertoftkilocalories:tAtt9tkcaltpertgramt-
tCORRECTttANSWER-Fat
_______tconsiststmostlytoftcarbohydratetthattcannottbetdigestedt-tCORRECTttANSWER-
dietarytfiber
_______tfatstaretassociatedtwithtlowerstLDLstwithtouttdecreasingtHDLst-
tCORRECTttANSWER-monosaturated
________tfoodstandtbeveragestrelaxtthetlowertesophagealtsphinctert(allowingtstomachtco
ntentsttotbacktup).t-tCORRECTttANSWER-High-Fat
________tusuallytoccurst1ttot4thourstafterteating;ttherefore,twaitingtattleastt4thourstafterteat
ingtbeforetgoingttotbedtwouldthelptpreventtheartburntattnight.t-tCORRECTttANSWER-
GERD
_________taretproducedtwhentinsufficienttcarbohydratetistavailabletandtthetbodythasttotm
etabolizetfattfortenergyt-tCORRECTttANSWER-Ketones
_________tistatnutrienttthatthastatprimarytpurposetfortstructuraltandtfunctionaltroles.t-
tCORRECTttANSWER-Protein
_________tistatprecursortoftbraintserotonin,tlevelstoftwhichtaretdeficienttintmanytpersonstwi
thtdepression.t-tCORRECTttANSWER-Tryptophan
_________tmaytbetcausedtbytreleasetoftcytokinestastparttoftthetcancertprocess;tthististoutsi
detthetpatient'stcontrol.t-tCORRECTttANSWER-hypermetabolism
,__________taretthetbesttsourcetoftfuelttotprovidetenergytfortthetbody.t-
tCORRECTttANSWER-carbohydrates
__________tinjectionstaretnecessarytfortpatientstwhotdotnottproducetintrinsictfactor.t-
tCORRECTttANSWER-
VitamintB12tinjectionstaretnecessarytfortpatientstwhotdotnottproducetintrinsictfactor,twhichti
stessentialtfortabsorptiontoftvitamintB12tfromtthetgut.
___________tistusedttotsetttargetstforthealthtpromotionttotimprovetthethealthtoftalltindividua
ls.tIttaddressestenvironmentaltandtsocialtissuestthattaffectthealthtoutcomes.t-
tCORRECTttANSWER-healthytpeople
___________ttabletstmaytbetaddedttotmilkt24thourstbeforetittistdrunkttotdigesttthetlactose;tt
histmakestthetmilktsuitabletfortpatientstwithtlactosetintolerance.t-tCORRECTttANSWER-
Lactasetenzyme
________increasetthetsurfacetareatoftthetsmalltintestine,twhichtmakestittpossibletfortitttotab
sorbtmoretnutrients.t-tCORRECTttANSWER-Villi
.tAtpatienttwithtdiabetestistrecoveringtatthometaftertfoottsurgery.tHettakestantidepressanttan
dtantihypertensivetmedications,tastwelltastantoralthypoglycemiatagent.tWhentthetnursetvisit
stattnoonttotchangethistdressing,thistorthertgreatesttconcerntwouldtbet
A)tthetopentbottletoftvodkatontthettabletnextttothistrecliner.t
B)tthetfacttthatthethastnottyetteatentlunch.t
C)thistreliancetmainlytontcannedtandtprepackagedtfoodtintthethouse.
D)thistcomplaintstthatthistfamilytdoestnottcometandthelpthim.t-tCORRECTttANSWER-A)t
Fortatpatientttakingtseveraltmedications,tespeciallytincludingtonetfortdepression,tthetopentb
ottletoftvodkatmaytsignifytalcoholtdependencytandtmaytcausetserioustinteractionstwiththist
medications.tIttistnottuncommontfortpatientsttoteachtlunchtaftertnoon.tConveniencetfoodtisth
ighertintsodiumtthantfreshtfood,tbuttittistlesstoftatconcerntthantpotentiallythightalcoholtintake.t
Histcomplaintstaboutthistlacktofthelptmaytortnottbetatconcern,tdependingtontotherthelptthatti
stavailablettothim.
.tThetmaintpurposetoftnutritionttherapytfortpatientstwhothavetjusttexperiencedtatmyocardialti
nfarctiontisttotdecreaset
A)tbloodtpressure.t
B)tthetrisktoftbloodtclotting.t
C)tLDLtcholesteroltlevels.t
D).tthetworkloadtoftthetheart.t-tCORRECTttANSWER-D)
Immediatelytaftertatmyocardialtinfarction,tnutritionttherapytistdesignedttotdecreasetthetwork
loadtoftthetheart.tLong-
termtnutritionttherapytmaytfocustontdecreasingtLDLtcholesteroltlevelstandtbloodtpressure.t
Risktoftbloodtclottingtistcontrolledtwithtmedicationstrathertthantthroughtdiet.
,At_______tdiettistusedttottreattpainfultsymptomstassociatedtwithtcholelithiasistandtcholecys
titis.t-tCORRECTttANSWER-low-fat
At_______tdiettmaythelptstimulatetperistalsistduringttimestoftremissiontintpatientstwithtinfla
mmatorytboweltdisease.t-tCORRECTttANSWER-hightfiber
AtBMItlesstthant_____tistclassifiedtastunderweight.t
AtBMItbetweent____ttot_____tistconsideredtnormaltweight,t
AtBMIt____ttot____tistconsideredtoverweight,t
andt____tortgreatertistconsideredtobese.t-tCORRECTttANSWER-
AtBMItlesstthant18.5tistclassifiedtastunderweight.tAtBMItbetweent18.5tandt24.9tistconsidere
dtnormaltweight,t25ttot29.9tistconsideredtoverweight,tandt30tortgreatertistconsideredtobese.
Atdiettrichtintantioxidantstisthelpfultforteveryonetbuttespeciallytfortpatientstwitht__________.
t-tCORRECTttANSWER-schizophrenia
Atgoodtafter-workouttsnacktfortsomeonetwithttypet1tdiabetestist_____.t-
tCORRECTttANSWER-
atglasstoftmilktbecausetittprovidestcarbohydratestintthetformtoftlactose.
AthypertensivetcrisistmaytoccurtwhentpatientsttakingtantMAOItforttreatmenttoftdepressionte
attfoodstrichtint__________.t-tCORRECTttANSWER-
tyramine,tfoodstsuchtastagedtcheesestandtredtwine.
Atmajortfunctiontoftthe______tintestinetistabsorptiontoftwatert-tCORRECTttANSWER-large
atpaitenttwithtcongestivethearttfailuretwillthavetatdiettthattlookstliketwhat?t-
tCORRECTttANSWER-sodiumtrestrictedttot2g/daytandtfluidtrestrictedttot1500ml/day
Atpatienttexperiencedtatstroketandtatpercutaneoustendoscopictgastrostomyt(PEG)ttubetisti
nsertedttotbeginttubetfeedingstintothiststomach.tIftthetpatienttgainst8tlbtintthetfirsttweektofttub
etfeeding,tittistlikelytthat
A)thetistretainingtfluidtweight.t
B)tthettubetfeedingtistwellttolerated.t
C).thetistconstipated.t
D)tthetfeedingstaretreplenishingtmuscletandtfattstorest-tCORRECTttANSWER-A)t
Weighttgainstexceedingt1tpoundtintatdaytaretprobablytcausedtbytexcesstfluid.tThetbodytcan
nottaccumulatetleantbodytmasstortbodytfattthistquickly,tandtaccumulationtoftthistamounttoftf
ecestisthighlytunlikely.
Atpatienttistdiscussingtrecenttissuestwiththeartburntduringtatprimarytcaretvisittwithtthetprovi
der.tThetpatienttreportstusingtpepperminttregularlyttotdealtwithtGItissuestandtabdominaltpai
n.tWhattwouldtbetthetbesttresponsetbytthetnursettotthistsituation?
, A)t"pepperminttistatgreattherbttotusetfortGItissues,tandtittwouldtbethelpfulttotcontinuetusingtit
"
B)t"overusetoftpepperminttcantcausetheartburn,tandtthetprimarytcaretprovidertmaytrecomm
endtyoutstoptusingtit"t
C)t"pepperminttdecreasestmuscletspasmstoftthetGIttract,tsotittseemstoddtthattyoutwouldtbet
havingthearttburn"t
D)t"youtmightttrytcombiningtthetpepperminttwithtantovertthetcountertantacidtortprotontpumpti
nhibitorttotaddressthearttburn"t-tCORRECTttANSWER-B)t
pepperminttcantcausethearttburntsotthistwouldtbetthetbesttresponse.
atpatienttreceivingtparenteraltnutritiontistbroughtttotthetemergencytdepartmenttappearingtdi
sorientedtwithtdifficultytbreathing.tThetfamilytmembertstatestthattthetpatientthastbeentcompl
ainingtoftmuscletpaintfortthetpasttweek.tWhattmetabolictcomplicationtfromtparenteraltnutriti
ontistthetpatienttmosttlikelytexperiencing?
A)tpneumothorax
B)thypocalcemiat
C)tseptictthrombosist
D)thypophosphatemiat-tCORRECTttANSWER-D)thypophosphatemiat
Thistpatienttwithtthesetsymptomstistmosttlikelytexperiencingthypophosphatemia.tPneumot
horaxtistattechnicaltcomplicationtthattcantoccurtwithtinsertiontoftthetcatheter.tThethallmarktsi
gntofthypocalcemiatisttetany,twhichtistcharacterizedtbytneuromusculartirritability.tseptictthro
mbosististatcomplicationtcharacterizedtbytmanytsignstincludingtpaintandtfever
Atpatienttwhotisttakingtisoniazidt(INH)tforttreatmenttoftTBtpresentsttotthetemergencytroomtw
ithtnausea,tjaundice,tandtdarktcoloredturine.tLabtresultstalsotindicatetlowtINHtlevels.tWhicht
assessmenttquestiontwouldtbetimportantttotasktthetpatientttothelptdeterminetthetreasontfortt
hetcurrenttsymptoms?
A)t"howtmuchtalcoholtdotyoutdrink?"
Bt)t"havetyoutrecentlyttraveledtabroad?"t
C)t"havetyoutbeentdrinkingtalottoftcoffeetlately?"
D)t"havetyoutbeenttakingtyourtmedicinetastprescribed?"t-tCORRECTttANSWER-At
alcoholtintaketwithtisoniazidtcantincreasetthetpossibilitytforthepatotoxicitytandtdecreasetthet
bloodtleveltoftisoniazidtsotaskingtthetpatienttabouttalcoholtintaketwouldtbetimportant,ttraveli
ngtabroadtistunlikelytthetcausetoftthesetsymptoms.tcoffeettypicallytdoestnottcausetthesetsy
mptoms.tLacktoftINHtitselftwilltnottcausetthesetsymptoms.
AtpatienttwithtacutetpancreatitististadmittedttotthetICU.tthetphysiciantorderstpancreatictresttf
ortthetpatient.twhatttypetoftnutritiontistmosttlikelyttotbetordered?
A)tFulltliquidtdiett
B)tNGttubetwithtnutritionaltsupplementst
C)tTPNt
D)tatsofttblandtdiett-tCORRECTttANSWER-C)t