HESI Nutrition Practice Exam with
Answers
The PN findings include right-sided weakness, slurred speech and dysphagia. The PN recognizes
that Mr.Ivy is at high risk for several problems. In reviewing the previously established nursing
plan of care, the PN determines that which problem has the highest priority? - ✔✔Aspiration
Aspiration or the entry of foreign substances such as food or fluids into the lungs, may cause
hypoxia or respiratory distress; this the highest
After reviewing priorities, what is the next action the PN should take when adding to Mr. Ivy's
plan of care? - ✔✔Reconsider Goals
The PN should first complete the subjective and objective physical findingd, interpret the data
to identify problems, and then reevaluate goals. After the goals and expected outcomes are
verified, the PN implements interventions, which are then evaluated to determine if the
expected outcomes and goals were accomplished
An interprofessional team meeting is scheduled in the afternoon to discuss interventions
addressing Mr. Ivy's dysphagia. With which member of the interprofessional team should the
PN coordinate concerning Mr. Ivy's dysphagia? - ✔✔Speech Therapist
Speech therapist have expertise in the evaluation and management of clients with dysphagia.
The PN recognizes that Mr. Ivy's right-sided weakness is also a factor that contributes to his risk
for altered nutrition. With which member of the interprofessional team should coordinate
regarding this problem? - ✔✔Occupational Therapists
OT have expertise in helping clients adapt fine motor movements for the provision of self care.
They can help with placement and manipulation of objects such as eating utensils.
, The speech therapist schedules a home visit to reevaluate Mr.Ivy. The therapist determines
that dysphagia precautions are still needed. The PN and unlicensed assistive personnel (UAP)
arrive at the home shortly after the therapist's evaluation is completed. The UAP prepares to
assist Mr.Ivy with his noon meal and to attend to his personal hygiene by giving him a bed bath.
What instruction should the PN provide the UAP? - ✔✔Bather the client first and then place
him in high Fowler's position during and after the meal.
The head of the bed should be elevated to a high Fowler's position while the client with
dysphagia is eating and should be kept elevated for at least 1 hour following the meal to reduce
the risk of aspiration.
Considering the need for dysphagia precautions , how should the PN intervene? - ✔✔Instruct
the UAP to add a thickening agent to all liquids.
because clients with dysphagia typically have swallowing liquids, a thickening agent is added
that changes the consistency and makes swallowing easier
Which data indicates the need for the PN to evaluate Mr,. Ivy further for altered nutrition? -
✔✔The conjunctival sac is pale in appearance when exposed.
the conjunctival sac should be dark pink. Pallor of any mucous membranes may indicate
anemia.
The PN notes a change in Mr.Ivy's weight. The PN coordinates with the dietitian, who helps a
24hr calorie count. The dietitian reports to the PN that Mr.Ivy, who weighs 125lbs and is
67inches tall, consumes 800 calories per day. How should the PN monitor the client's functional
ability related to nutrition? - ✔✔The clients ability to feed himself with his left hand.
this evaluation provides information about the client;s functional ability
Answers
The PN findings include right-sided weakness, slurred speech and dysphagia. The PN recognizes
that Mr.Ivy is at high risk for several problems. In reviewing the previously established nursing
plan of care, the PN determines that which problem has the highest priority? - ✔✔Aspiration
Aspiration or the entry of foreign substances such as food or fluids into the lungs, may cause
hypoxia or respiratory distress; this the highest
After reviewing priorities, what is the next action the PN should take when adding to Mr. Ivy's
plan of care? - ✔✔Reconsider Goals
The PN should first complete the subjective and objective physical findingd, interpret the data
to identify problems, and then reevaluate goals. After the goals and expected outcomes are
verified, the PN implements interventions, which are then evaluated to determine if the
expected outcomes and goals were accomplished
An interprofessional team meeting is scheduled in the afternoon to discuss interventions
addressing Mr. Ivy's dysphagia. With which member of the interprofessional team should the
PN coordinate concerning Mr. Ivy's dysphagia? - ✔✔Speech Therapist
Speech therapist have expertise in the evaluation and management of clients with dysphagia.
The PN recognizes that Mr. Ivy's right-sided weakness is also a factor that contributes to his risk
for altered nutrition. With which member of the interprofessional team should coordinate
regarding this problem? - ✔✔Occupational Therapists
OT have expertise in helping clients adapt fine motor movements for the provision of self care.
They can help with placement and manipulation of objects such as eating utensils.
, The speech therapist schedules a home visit to reevaluate Mr.Ivy. The therapist determines
that dysphagia precautions are still needed. The PN and unlicensed assistive personnel (UAP)
arrive at the home shortly after the therapist's evaluation is completed. The UAP prepares to
assist Mr.Ivy with his noon meal and to attend to his personal hygiene by giving him a bed bath.
What instruction should the PN provide the UAP? - ✔✔Bather the client first and then place
him in high Fowler's position during and after the meal.
The head of the bed should be elevated to a high Fowler's position while the client with
dysphagia is eating and should be kept elevated for at least 1 hour following the meal to reduce
the risk of aspiration.
Considering the need for dysphagia precautions , how should the PN intervene? - ✔✔Instruct
the UAP to add a thickening agent to all liquids.
because clients with dysphagia typically have swallowing liquids, a thickening agent is added
that changes the consistency and makes swallowing easier
Which data indicates the need for the PN to evaluate Mr,. Ivy further for altered nutrition? -
✔✔The conjunctival sac is pale in appearance when exposed.
the conjunctival sac should be dark pink. Pallor of any mucous membranes may indicate
anemia.
The PN notes a change in Mr.Ivy's weight. The PN coordinates with the dietitian, who helps a
24hr calorie count. The dietitian reports to the PN that Mr.Ivy, who weighs 125lbs and is
67inches tall, consumes 800 calories per day. How should the PN monitor the client's functional
ability related to nutrition? - ✔✔The clients ability to feed himself with his left hand.
this evaluation provides information about the client;s functional ability
