Altered Nutrition Funds HESI Case
Study Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A client with altered nutrition is being discharged with home health services. Which instruction
by the nurse is most important to include?
A. “Weigh yourself once a month.”
B. “Avoid discussing your food intake with your provider.”
✔✔C. “Keep a daily record of your weight and food intake.”
D. “Reduce fluid intake to avoid feeling bloated.”
A patient is receiving enteral nutrition. Which assessment finding requires immediate
intervention?
A. Occasional mild bloating
B. Residual volume less than 50 mL
C. Soft, formed stools
✔✔D. Shortness of breath and coughing during feeding
The nurse is evaluating a patient who has been on total parenteral nutrition (TPN) for one week.
Which lab value is most important to monitor?
1
,A. Hemoglobin
B. Potassium
✔✔C. Blood glucose
D. Platelets
A client with altered nutrition has developed pressure injuries. What is the nurse’s priority
intervention?
A. Monitor hydration only
✔✔B. Increase protein intake for healing
C. Restrict fluids
D. Avoid repositioning to save energy
Which statement from a patient receiving TPN indicates the need for further teaching?
A. “I should not adjust the infusion rate myself.”
B. “I will notify the nurse if the bag is empty.”
✔✔C. “If the TPN runs out, I can just stop it until the next bag arrives.”
D. “Blood sugar checks are necessary even if I’m not diabetic.”
2
,A patient is at risk for aspiration while receiving enteral feedings. Which nursing action is most
appropriate?
A. Lower the head of the bed during feeding
✔✔B. Keep the head of the bed elevated at least 30 degrees
C. Delay oral care until feeding is complete
D. Clamp the tube after every 10 mL infusion
A patient with altered nutrition is at risk for refeeding syndrome. Which lab value should the
nurse monitor most closely?
✔✔A. Phosphate
B. Hematocrit
C. White blood cell count
D. Bilirubin
Which finding indicates improvement in a malnourished patient’s condition?
A. Decreased appetite
B. Increased edema
✔✔C. Steady weight gain and improved strength
3
, D. Worsening fatigue
Which patient is at greatest risk for altered nutrition?
A. Client recovering from an ankle sprain
✔✔B. Client with chronic alcoholism
C. Client with mild seasonal allergies
D. Client with a simple upper respiratory infection
A nurse is caring for a client on continuous enteral feeding. Which action prevents clogging of
the tube?
A. Flush with juice after medication administration
✔✔B. Flush with water before and after medication administration
C. Increase formula rate
D. Use only powdered medications
A patient with altered nutrition reports early satiety. Which nursing intervention is most
appropriate?
✔✔A. Offer small, frequent meals throughout the day
4
Study Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A client with altered nutrition is being discharged with home health services. Which instruction
by the nurse is most important to include?
A. “Weigh yourself once a month.”
B. “Avoid discussing your food intake with your provider.”
✔✔C. “Keep a daily record of your weight and food intake.”
D. “Reduce fluid intake to avoid feeling bloated.”
A patient is receiving enteral nutrition. Which assessment finding requires immediate
intervention?
A. Occasional mild bloating
B. Residual volume less than 50 mL
C. Soft, formed stools
✔✔D. Shortness of breath and coughing during feeding
The nurse is evaluating a patient who has been on total parenteral nutrition (TPN) for one week.
Which lab value is most important to monitor?
1
,A. Hemoglobin
B. Potassium
✔✔C. Blood glucose
D. Platelets
A client with altered nutrition has developed pressure injuries. What is the nurse’s priority
intervention?
A. Monitor hydration only
✔✔B. Increase protein intake for healing
C. Restrict fluids
D. Avoid repositioning to save energy
Which statement from a patient receiving TPN indicates the need for further teaching?
A. “I should not adjust the infusion rate myself.”
B. “I will notify the nurse if the bag is empty.”
✔✔C. “If the TPN runs out, I can just stop it until the next bag arrives.”
D. “Blood sugar checks are necessary even if I’m not diabetic.”
2
,A patient is at risk for aspiration while receiving enteral feedings. Which nursing action is most
appropriate?
A. Lower the head of the bed during feeding
✔✔B. Keep the head of the bed elevated at least 30 degrees
C. Delay oral care until feeding is complete
D. Clamp the tube after every 10 mL infusion
A patient with altered nutrition is at risk for refeeding syndrome. Which lab value should the
nurse monitor most closely?
✔✔A. Phosphate
B. Hematocrit
C. White blood cell count
D. Bilirubin
Which finding indicates improvement in a malnourished patient’s condition?
A. Decreased appetite
B. Increased edema
✔✔C. Steady weight gain and improved strength
3
, D. Worsening fatigue
Which patient is at greatest risk for altered nutrition?
A. Client recovering from an ankle sprain
✔✔B. Client with chronic alcoholism
C. Client with mild seasonal allergies
D. Client with a simple upper respiratory infection
A nurse is caring for a client on continuous enteral feeding. Which action prevents clogging of
the tube?
A. Flush with juice after medication administration
✔✔B. Flush with water before and after medication administration
C. Increase formula rate
D. Use only powdered medications
A patient with altered nutrition reports early satiety. Which nursing intervention is most
appropriate?
✔✔A. Offer small, frequent meals throughout the day
4
