HESI NUTRITION ACTUAL EXAM PAPER
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ -diet should be high in carbohydrates and calories with moderate amounts of
fat and protein (limit fat if steatorrhea is present)-small frequent meals are
often preferable to three standard meals-2500-3000mL/day fluids-vitamins
and minerals include multivitamin including B complex (especially
thiamine, vitamin B12), vitamin K, Vitamin C, and zinc.
Answer: Hepatitis Nutritional therapy
◍ Which lab test should be run to assess a client's compliance with self
management for type 1 diabetes?.
Answer: Hemoglobin A1c-measures average blood glucose level over the
past 3 months
◍ thiamine deficiency.
Answer: confabulation, neuropathy, paresthesia, congestive heart failure,
cardiomegaly, tachycardia are manifestations of which nutrient deficiency?
◍ What foods should be avoided in patients with goiter?.
Answer: turnips-most vegetables
◍ intestinal obstruction nutritional therapy.
Answer: NPO, NGT is inserted to decompress bowel, IV fluid replacement,
TPN may be prescribed if patient has had chronic nutritional problem and
has been NPO for an extended period
◍ may indicate dehydration or hemoconcentration.
Answer: high hematocrit (>50%)
◍ What temperature should roasts and steaks be cooked to?.
, Answer: 145 degrees F
◍ Tuberculosis Nutritional therapy.
Answer: increase intake of protein, iron, and vitamin c
◍ What percentage of daily calories should be protein?.
Answer: 10%
◍ protein deficiency.
Answer: loss of hair, hepatomegaly, edema of the extremities, are
manifestations of which nutrient deficiency?
◍ -flush tube with 20 to 30mL water at least every 4 hours with continuous
tube feeding, before and after each intermittent tube feeding, before and
after drug administration, and after checking residual volume-if tube
becomes clogged, use 30mL of water for flushing, applying gentle pressure
with a 50mL piston syringe-avoid the use of carbonated beverage, except for
existing clogs when water is not effective. Do not use cranberry juice.
-whenever possible, use liquid medications instead of crushed tablets unless
liquid forms cause diarrhea.
Answer: interventions to maintain patent feeding tube with TEN
◍ abdominal distention, nausea, and vomiting during tube feedings are often
caused by overfeeding. to prevent overfeeding, check gastric residual
volumes every 4-6 hours. American Society of Parenteral and Enteral
Nutrition (ASPEN) recommends holding a feeding if the gastric residual
volumes are more than 200mL on two consecutive assessments.
Answer: interventions to prevent abdominal distention and nausea/vomiting
with TEN
◍ Refeeding syndromeq.
Answer: a life-threatening metabolic complication that can occur when
nutrition is restarted for a patient who is in a starvation state. The electrolyte
shift of potassium and phosphate into plasma can cause cardiovascular,
respiratory, and neurologic problems, primarily as a result of
hyophosphatemia.
, ◍ 1.
Answer: What is the priority nursing intervention in the planning of nursing
care for an adolescent client with anorexia nervosa?1 Rewarding weight
gain by increasing privileges2 Discussing the importance of eating a
balanced diet3 Encouraging the client to include high-calorie foods in the
diet4 Focusing family therapy on the influence of the client's behavior on
the family
◍ 4.
Answer: A nurse is assessing several clients. Which client will require
parenteral nutrition?1 A client with brain neoplasm2 A client with anorexia
nervosa3 A client with inflammatory bowel disease4 A client with severe
malabsorption disorder
◍ Marasmus.
Answer: generally a calorie malnutrition in which body fat and protein are
wasted. serum proteins are often preserved
◍ Which food can cause hyperkalemia?.
Answer: Licorice
◍ 13.0-17.0 g/dL.
Answer: normal range for hemoglobin
◍ the home health PN is caring for a client with a stage 3 pressure ulcer.
Which food group that contains zinc should be added to he clients diet to
aide in wound healing?.
Answer: meats and fish`
◍ Which foods contain vitamin B12?.
Answer: cheese, eggs, and fish
◍ diabetes mellitus dietary instructions.
Answer: Meal planning with the Glycemic index involves choosing foods
that have a low or medium GI. If eating a food with a high GI, you can
combine it with low GI foods to help balance the meal-low-glycemic index
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ -diet should be high in carbohydrates and calories with moderate amounts of
fat and protein (limit fat if steatorrhea is present)-small frequent meals are
often preferable to three standard meals-2500-3000mL/day fluids-vitamins
and minerals include multivitamin including B complex (especially
thiamine, vitamin B12), vitamin K, Vitamin C, and zinc.
Answer: Hepatitis Nutritional therapy
◍ Which lab test should be run to assess a client's compliance with self
management for type 1 diabetes?.
Answer: Hemoglobin A1c-measures average blood glucose level over the
past 3 months
◍ thiamine deficiency.
Answer: confabulation, neuropathy, paresthesia, congestive heart failure,
cardiomegaly, tachycardia are manifestations of which nutrient deficiency?
◍ What foods should be avoided in patients with goiter?.
Answer: turnips-most vegetables
◍ intestinal obstruction nutritional therapy.
Answer: NPO, NGT is inserted to decompress bowel, IV fluid replacement,
TPN may be prescribed if patient has had chronic nutritional problem and
has been NPO for an extended period
◍ may indicate dehydration or hemoconcentration.
Answer: high hematocrit (>50%)
◍ What temperature should roasts and steaks be cooked to?.
, Answer: 145 degrees F
◍ Tuberculosis Nutritional therapy.
Answer: increase intake of protein, iron, and vitamin c
◍ What percentage of daily calories should be protein?.
Answer: 10%
◍ protein deficiency.
Answer: loss of hair, hepatomegaly, edema of the extremities, are
manifestations of which nutrient deficiency?
◍ -flush tube with 20 to 30mL water at least every 4 hours with continuous
tube feeding, before and after each intermittent tube feeding, before and
after drug administration, and after checking residual volume-if tube
becomes clogged, use 30mL of water for flushing, applying gentle pressure
with a 50mL piston syringe-avoid the use of carbonated beverage, except for
existing clogs when water is not effective. Do not use cranberry juice.
-whenever possible, use liquid medications instead of crushed tablets unless
liquid forms cause diarrhea.
Answer: interventions to maintain patent feeding tube with TEN
◍ abdominal distention, nausea, and vomiting during tube feedings are often
caused by overfeeding. to prevent overfeeding, check gastric residual
volumes every 4-6 hours. American Society of Parenteral and Enteral
Nutrition (ASPEN) recommends holding a feeding if the gastric residual
volumes are more than 200mL on two consecutive assessments.
Answer: interventions to prevent abdominal distention and nausea/vomiting
with TEN
◍ Refeeding syndromeq.
Answer: a life-threatening metabolic complication that can occur when
nutrition is restarted for a patient who is in a starvation state. The electrolyte
shift of potassium and phosphate into plasma can cause cardiovascular,
respiratory, and neurologic problems, primarily as a result of
hyophosphatemia.
, ◍ 1.
Answer: What is the priority nursing intervention in the planning of nursing
care for an adolescent client with anorexia nervosa?1 Rewarding weight
gain by increasing privileges2 Discussing the importance of eating a
balanced diet3 Encouraging the client to include high-calorie foods in the
diet4 Focusing family therapy on the influence of the client's behavior on
the family
◍ 4.
Answer: A nurse is assessing several clients. Which client will require
parenteral nutrition?1 A client with brain neoplasm2 A client with anorexia
nervosa3 A client with inflammatory bowel disease4 A client with severe
malabsorption disorder
◍ Marasmus.
Answer: generally a calorie malnutrition in which body fat and protein are
wasted. serum proteins are often preserved
◍ Which food can cause hyperkalemia?.
Answer: Licorice
◍ 13.0-17.0 g/dL.
Answer: normal range for hemoglobin
◍ the home health PN is caring for a client with a stage 3 pressure ulcer.
Which food group that contains zinc should be added to he clients diet to
aide in wound healing?.
Answer: meats and fish`
◍ Which foods contain vitamin B12?.
Answer: cheese, eggs, and fish
◍ diabetes mellitus dietary instructions.
Answer: Meal planning with the Glycemic index involves choosing foods
that have a low or medium GI. If eating a food with a high GI, you can
combine it with low GI foods to help balance the meal-low-glycemic index
