HESI NURTITION NEWEST UPDATED REAL EXAM 2025 WITH
COMPLETE QUESTIONS AND ANSWERS WITH RATIONALES
ALREADY GRADED A+
The parents of a 6-year-old child with celiac disease tell
the school nurse that their child becomes dejected
because she is not able to eat snack foods like the rest of
her class and friends. What snack can the nurse
recommend that is safe for the child to eat
ANSWER-tortilla chips
Products composed of corn, rice, and millet do not
contain gluten and are permitted on a low-gluten diet;
tortilla chips are made from corn flour. Pretzels contain
wheat flour, which is not permitted on a low-gluten diet;
products containing rye, oats, and barley are also
restricted. Oatmeal cookies contain oats, which are not
permitted on a low-gluten diet. Peanut butter crackers
contain wheat flour, which is not permitted on a low-
gluten diet.
,A pathology report states that a client's urinary calculus
is composed of uric acid. Which food item should the
nurse instruct the client to avoid?
ANSWER-liver
Uric acid stones are controlled by a low-purine diet.
Foods high in purine, such as organ meats and extracts,
should be avoided. Milk should be avoided with calcium,
not uric acid, stones. Cheese or animal protein should be
avoided with cystine, not uric acid, stones. Vegetables do
not have to be avoided.
We have an expert-written solution to this problem!
The nurse is teaching a class about nutrition to a group of
adolescents. Taking into consideration the prevalence of
overweight teenagers, what is the best recommendation
the nurse can make?
ANSWER-decrease fast food
,Eating a variety of healthful foods instead of a fast-food
diet that is high in fat and carbohydrates helps decrease
excess weight and increase energy with which to engage
in physical activities. Joining a gym is expensive and
unnecessary. Physical activity can be achieved in the
schoolyard or at home. A multivitamin will not promote
weight loss. Vitamins and minerals are best obtained in a
balanced diet. Diet soft drinks do not contribute to
obesity.
We have an expert-written solution to this problem!
A client describes abdominal discomfort following
ingestion of milk. Which enzyme, as a result of a genetic
deficiency, should the nurse consider to be the cause of
the client's discomfort?
ANSWER-lactase
Milk and milk products are not tolerated well because
they contain lactose, a sugar that is converted to
galactose by lactase. Sucrase assists in the digestion of
sucrose, which is not a milk sugar. Maltase assists in the
, digestion of maltose, which is not a milk sugar. Amylase
assists in the digestion of starch, which is not a milk sugar
We have an expert-written solution to this problem!
A client presents to the emergency department with
weakness and dizziness. The blood pressure is 90/60 mm
Hg, pulse is 92 and weak, and body weight reflects a 3-
pound (1.4 kilogram) loss in two days. The weather has
been hot. Which condition should the nurse conclude is
the priority for this client?
ANSWER-deficient fluid volume
The low blood pressure indicates hypovolemia, the
increased pulse is an attempt to maintain adequate
oxygenation of tissues, and the rapid weight loss reflects
loss of body fluid. Although impaired skin integrity is a
concern with dehydration, it is not the priority. The rapid
weight loss reflects a loss of fluid, not a loss of body
tissue. Although the client may need assistance with
activities, an inadequate intake of fluid has caused the
client's dehydration, which is a serious medical problem
that needs to be treated immediately.
COMPLETE QUESTIONS AND ANSWERS WITH RATIONALES
ALREADY GRADED A+
The parents of a 6-year-old child with celiac disease tell
the school nurse that their child becomes dejected
because she is not able to eat snack foods like the rest of
her class and friends. What snack can the nurse
recommend that is safe for the child to eat
ANSWER-tortilla chips
Products composed of corn, rice, and millet do not
contain gluten and are permitted on a low-gluten diet;
tortilla chips are made from corn flour. Pretzels contain
wheat flour, which is not permitted on a low-gluten diet;
products containing rye, oats, and barley are also
restricted. Oatmeal cookies contain oats, which are not
permitted on a low-gluten diet. Peanut butter crackers
contain wheat flour, which is not permitted on a low-
gluten diet.
,A pathology report states that a client's urinary calculus
is composed of uric acid. Which food item should the
nurse instruct the client to avoid?
ANSWER-liver
Uric acid stones are controlled by a low-purine diet.
Foods high in purine, such as organ meats and extracts,
should be avoided. Milk should be avoided with calcium,
not uric acid, stones. Cheese or animal protein should be
avoided with cystine, not uric acid, stones. Vegetables do
not have to be avoided.
We have an expert-written solution to this problem!
The nurse is teaching a class about nutrition to a group of
adolescents. Taking into consideration the prevalence of
overweight teenagers, what is the best recommendation
the nurse can make?
ANSWER-decrease fast food
,Eating a variety of healthful foods instead of a fast-food
diet that is high in fat and carbohydrates helps decrease
excess weight and increase energy with which to engage
in physical activities. Joining a gym is expensive and
unnecessary. Physical activity can be achieved in the
schoolyard or at home. A multivitamin will not promote
weight loss. Vitamins and minerals are best obtained in a
balanced diet. Diet soft drinks do not contribute to
obesity.
We have an expert-written solution to this problem!
A client describes abdominal discomfort following
ingestion of milk. Which enzyme, as a result of a genetic
deficiency, should the nurse consider to be the cause of
the client's discomfort?
ANSWER-lactase
Milk and milk products are not tolerated well because
they contain lactose, a sugar that is converted to
galactose by lactase. Sucrase assists in the digestion of
sucrose, which is not a milk sugar. Maltase assists in the
, digestion of maltose, which is not a milk sugar. Amylase
assists in the digestion of starch, which is not a milk sugar
We have an expert-written solution to this problem!
A client presents to the emergency department with
weakness and dizziness. The blood pressure is 90/60 mm
Hg, pulse is 92 and weak, and body weight reflects a 3-
pound (1.4 kilogram) loss in two days. The weather has
been hot. Which condition should the nurse conclude is
the priority for this client?
ANSWER-deficient fluid volume
The low blood pressure indicates hypovolemia, the
increased pulse is an attempt to maintain adequate
oxygenation of tissues, and the rapid weight loss reflects
loss of body fluid. Although impaired skin integrity is a
concern with dehydration, it is not the priority. The rapid
weight loss reflects a loss of fluid, not a loss of body
tissue. Although the client may need assistance with
activities, an inadequate intake of fluid has caused the
client's dehydration, which is a serious medical problem
that needs to be treated immediately.
