HESI PN NUTRITION PRACTICE
CERTIFICATION SCRIPT 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◍ The practical nurse (PN) is caring for a client with continuous feeding
through a nasogastric (NG) tube at a continuous care rehabilitation
community. Which position should the PN place the client to prevent
aspiration?.
Answer: Semi-Fowler's
◍ The practical nurse (PN) stresses to a female client the importance of
osteoporosis prevention. Which foods should the PN recommend the client
to include in her diet..
Answer: Canned tuna.
◍ A client who is lactose intolerant asks the practical nurse (PN) for
suggestions about different food sources that are enriched in calcium and
vitamin D. Which foods should the PN suggest?.
Answer: Fortified soy products.
◍ The home health practical nurse (PN) is caring a client with a stage III
pressure ulcer. Which food groupthat contains zinc should be added to the
client's dietto aide in wound healing?.
Answer: Meats and shellfish
◍ The practical nurse (PN) is caring for an older client with malnutirition.
What factor is most likely contributing to this older client's nutritional
status?.
Answer: Loss of teeth or poorly fitting dentures.
◍ What do you not feed a baby before 12 mo for fear of botulism.
Answer: honey
,◍ The practical nurse (PN) is caring for a client with heart failure (HF). What
outcome of the diet therapy should the PN evaluate as a theraputic response
for this client?.
Answer: Control fluid balance.
◍ The practical nurse (PN) is reinforcing the education of a client who
receives a new prescription. nifedipine (Procardia), for blood pressure
management. Which dietary beverage should the PN direct the client to
avoid while taking this medications?.
Answer: Grape fruit.
◍ What should the RN include in chinese woman's diet.
Answer: vegetables
◍ a weight loss of 5% or more in 30days, a weight loss of 10% in 6 months, or
a weight that is below ideal.
Answer: clinical description of malnutrition
◍ A client develops a vitamin K deficiency due to intestinal malabsorption.
What intervention should the practical nurse implement in the plan of care?.
Answer: Monitor for signs of hematuria, melena. ecchymosis.
◍ What is the normal prealbumin level?.
Answer: 23 - 43
◍ Vit k Deficiency nurse intervention.
Answer: monitor for signs of hematuria, melena, ecchymosis
◍ 160-200 mg/dL.
Answer: normal cholesterol levels
◍ During a nutrition consultation for elevated cholesterol, the dietitian
recommends that the client replace saturated fats with monounsaturated or
polyunsaturated fats. What explanation should the practical nurse reinforce
with the client about this change in fat in the diet?.
Answer: Lowers the amount of low density lipoprotein (LDL) in the blood.
◍ dietary instructions for children 1-3 yrs.
, Answer: Nutrition requirements:-1300kcal-16 grams of proteinServing size
guidelines:-1 tablespoon fruit or vegetable serving for each year of age-1/4
of an adult serving of bread and cereal-2 to 3 cups of milk per day-meat or
meat alternative offered twice a day
◍ A client who arrives at the urgent care clinic reporting diarrhea, fever,
abdominal pain and nausea and tells the practical nurse (PN) the symptoms
began after eating a can of beans. What is the likely cause of this type of
foodborne illness?.
Answer: Clostridium botulinum.
◍ What percentage of calories/day should be carbohydrates?.
Answer: 45-65%
◍ The practical nurse (PN) is assisting a client with meal selections while in
the hospital after a myocardial infarction (MI). Which client choices indicate
to the PN that the client understands a prescribed low-fat, high fiber diet?.
Answer: Vegetable soup, carrots, legumes, celery, toasted oat bread, and an
apple.
◍ 3.5-5 g/dL.
Answer: normal serum albumin level
◍ The practical nurse (PN) is discussing nutritional options with a female
client who has mild hypertension. Which information should the PN
recommend the client change in their daily diet?.
Answer: Decrease intake of canned foods.
◍ Hyperglycemia, Fluid imbalance including dehydration or hypovolemic
shock, if patient has cardiac or renal dysfunction patient may develop fluid
overload, congestive heart failure, and pulmonary edema,.
Answer: Complications of TPN
◍ vitamin deficiency increases the susceptibility of bleeding.
Answer: Vit K
◍ The practical nurse (PN) is caring for a client with continuous feeding
CERTIFICATION SCRIPT 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◍ The practical nurse (PN) is caring for a client with continuous feeding
through a nasogastric (NG) tube at a continuous care rehabilitation
community. Which position should the PN place the client to prevent
aspiration?.
Answer: Semi-Fowler's
◍ The practical nurse (PN) stresses to a female client the importance of
osteoporosis prevention. Which foods should the PN recommend the client
to include in her diet..
Answer: Canned tuna.
◍ A client who is lactose intolerant asks the practical nurse (PN) for
suggestions about different food sources that are enriched in calcium and
vitamin D. Which foods should the PN suggest?.
Answer: Fortified soy products.
◍ The home health practical nurse (PN) is caring a client with a stage III
pressure ulcer. Which food groupthat contains zinc should be added to the
client's dietto aide in wound healing?.
Answer: Meats and shellfish
◍ The practical nurse (PN) is caring for an older client with malnutirition.
What factor is most likely contributing to this older client's nutritional
status?.
Answer: Loss of teeth or poorly fitting dentures.
◍ What do you not feed a baby before 12 mo for fear of botulism.
Answer: honey
,◍ The practical nurse (PN) is caring for a client with heart failure (HF). What
outcome of the diet therapy should the PN evaluate as a theraputic response
for this client?.
Answer: Control fluid balance.
◍ The practical nurse (PN) is reinforcing the education of a client who
receives a new prescription. nifedipine (Procardia), for blood pressure
management. Which dietary beverage should the PN direct the client to
avoid while taking this medications?.
Answer: Grape fruit.
◍ What should the RN include in chinese woman's diet.
Answer: vegetables
◍ a weight loss of 5% or more in 30days, a weight loss of 10% in 6 months, or
a weight that is below ideal.
Answer: clinical description of malnutrition
◍ A client develops a vitamin K deficiency due to intestinal malabsorption.
What intervention should the practical nurse implement in the plan of care?.
Answer: Monitor for signs of hematuria, melena. ecchymosis.
◍ What is the normal prealbumin level?.
Answer: 23 - 43
◍ Vit k Deficiency nurse intervention.
Answer: monitor for signs of hematuria, melena, ecchymosis
◍ 160-200 mg/dL.
Answer: normal cholesterol levels
◍ During a nutrition consultation for elevated cholesterol, the dietitian
recommends that the client replace saturated fats with monounsaturated or
polyunsaturated fats. What explanation should the practical nurse reinforce
with the client about this change in fat in the diet?.
Answer: Lowers the amount of low density lipoprotein (LDL) in the blood.
◍ dietary instructions for children 1-3 yrs.
, Answer: Nutrition requirements:-1300kcal-16 grams of proteinServing size
guidelines:-1 tablespoon fruit or vegetable serving for each year of age-1/4
of an adult serving of bread and cereal-2 to 3 cups of milk per day-meat or
meat alternative offered twice a day
◍ A client who arrives at the urgent care clinic reporting diarrhea, fever,
abdominal pain and nausea and tells the practical nurse (PN) the symptoms
began after eating a can of beans. What is the likely cause of this type of
foodborne illness?.
Answer: Clostridium botulinum.
◍ What percentage of calories/day should be carbohydrates?.
Answer: 45-65%
◍ The practical nurse (PN) is assisting a client with meal selections while in
the hospital after a myocardial infarction (MI). Which client choices indicate
to the PN that the client understands a prescribed low-fat, high fiber diet?.
Answer: Vegetable soup, carrots, legumes, celery, toasted oat bread, and an
apple.
◍ 3.5-5 g/dL.
Answer: normal serum albumin level
◍ The practical nurse (PN) is discussing nutritional options with a female
client who has mild hypertension. Which information should the PN
recommend the client change in their daily diet?.
Answer: Decrease intake of canned foods.
◍ Hyperglycemia, Fluid imbalance including dehydration or hypovolemic
shock, if patient has cardiac or renal dysfunction patient may develop fluid
overload, congestive heart failure, and pulmonary edema,.
Answer: Complications of TPN
◍ vitamin deficiency increases the susceptibility of bleeding.
Answer: Vit K
◍ The practical nurse (PN) is caring for a client with continuous feeding
