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Exam (elaborations)

HESI PN Alteration in Nutrition 2025/2026 – 40+ Real Clinical Scenario Questions with Verified Answers on Dysphagia, PEG Feeding, Nutritional Assessment & Prioritization

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This specialized exam resource for the HESI PN Alteration in Nutrition 2025/2026 includes 40+ clinically-relevant, scenario-based multiple-choice questions with 100% correct answers, reflecting the complexity and depth of the actual HESI Practical Nursing (PN) exam. The guide centers around a comprehensive case study of a patient with dysphagia and nutritional challenges, making it highly applicable to real-world nursing practice and care planning. Core topics include: Aspiration risk and priority setting in nutritional care Dysphagia management and thickened liquids Interdisciplinary collaboration with speech and occupational therapy Monitoring nutritional status via BMI, calorie counts, and serum proteins PEG tube feeding protocols and caregiver education Client and caregiver readiness, medication timing, and safety planning Emotional support and ethical considerations in patient and family communication Accurate documentation and feeding tolerance assessments Ideal for the following learners: Practical Nursing (PN) students preparing for HESI Students in LPN/LVN certification programs Healthcare assistant and vocational nursing trainees Nursing educators using patient-centered scenarios Learners studying for NCLEX-PN or coursework involving nutrition and enteral feeding Each question mirrors NCLEX-style reasoning, with an emphasis on critical thinking, clinical judgment, and real-time decision-making in nutritional care. The content is especially helpful for mastering nursing care plans involving altered nutrition, safe feeding practices, and discharge education for home-based nutrition support. Keywords: HESI PN nutrition, dysphagia care, PEG tube feeding, nutrition prioritization, calorie count evaluation, BMI calculation, aspiration precautions, thickened liquids, caregiver education, protein deficiency, enteral feeding nursing, practical nursing exam, PN alteration in nutrition, HESI scenario questions

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Uploaded on
August 1, 2025
Number of pages
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Written in
2025/2026
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HESI PN ALTERATION IN NUTRITION
2025/2026 Exam Questions and Answers
| 100% Solved



In reviewing the previously established nursing plan of care, the PN determines

that which problem has the highest priority? - 🧠ANSWER ✔✔Aspiration.


After reviewing priorities, what is the next action the PN should take when adding

to Mr. Ivy's plan of care? - 🧠ANSWER ✔✔Reconsider goals.


With which member of the interprofessional team should the PN coordinate

concerning Mr. Ivy's dysphagia? - 🧠ANSWER ✔✔Speech therapist.


With which member of the interprofessional team should the PN coordinate

regarding this problem? - 🧠ANSWER ✔✔Occupational therapists.


What instruction should the PN provide to the UAP? - 🧠ANSWER ✔✔Bathe the

client first, and then place him in a high Fowler's position during and after the

meal.

, Considering the need for dysphagia precautions, how should the PN intervene? -

🧠ANSWER ✔✔Instruct the UAP to add a thickening agent to all liquids.


Which data indicates the need for the PN to evaluate Mr. Ivy further for altered

nutrition? - 🧠ANSWER ✔✔The conjunctival sac is pale in appearance when

exposed.

How should the PN monitor the client's functional ability related to nutrition? -

🧠ANSWER ✔✔The client's ability to feed himself with his left hand.


When adding to the plan of care, which intervention should be included to provide

the PN with the most accurate information regarding Mr. Ivy's ongoing, overall

nutritional status? - 🧠ANSWER ✔✔Instruct the home health aide to weigh the

client once a week.

How should the PN explain the results of the calorie count to Mr. and Mrs. Ivy? -

🧠ANSWER ✔✔Mr. Ivy's calorie consumption is insufficient and will result in

weight loss.

Before notifying the healthcare provider of the data reported by the dietician, what

information is most important for the PN to obtain? - 🧠ANSWER ✔✔The client's

calculated body mass index.

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