HESI PN Nutrition Practice Exam

1. The practical nurse (PN) is caring for a client who was recently diagnosed with type 2 diabetes mellitus (DM). What information is most important for the PN to reinforce with the client about life-style changes 2. The practical nurse (PN) suspects that a male client is altering his own diabetic journals to please his healthcare provider. Which laboratory test should the PN review to evaluate the clients compliance with self management for type 1 diabetes mellitus (DM)? 3. The Practical nurse (PN) is evaluating a client for an increased need of B12 after undergoing a subtotal gastrectomy. Which foods should the PN recommend that the client include in the diet. 4. The home health practical nurse (PN) is caring a client with a stage III pressure ulcer. Which food group that contains zinc should be added to the client's dietto aide in wound healing? 5. The practical nurse (PN) receives four new admis- sions in an assisted living community. After reviewing the clients' medical histories, which client should the PN evaluate for a higher caloric diet? 6. The practical nurse (PN) is assisting and Orthodox Jewish client who has dementia make weekly dinner choices in an assisted living community. Which main course selections should the PN suggest that are suit- able for a kosher diet? 7. The practical nurse (PN) is evaluating the client's knowledge of low-sodium menu selections. Which food items listed by the client confirm appropriate choices? (select all that apply.) 8. Portion-con- trolled, heart healthy diet selections Hemoglobin A1c. Cheese, eggs, and fish. Meats and shell- fish A client with bacte- rial pneumonia. Lamb chops with mint jelly. A. White rice with steamed vegeta- bles. B. Cottage cheese with sliced toma- toes. 1 / 7 A client who is lactose intolerant asks the practi- cal nurse (PN) for suggestions about different food sources that are enriched in calcium and vitamin D. Which foods should the PN suggest? 9. The practical nurse (PN) is reviewing guidelines to manage stress incontinence with a female client. Which dietary change should the PN emphasize that will benefit the client? 10. The practical nurse (PN) is reviewing the dietary rec- ommendations with the client who had a partial gas- trectomy and experienced dumping syndrome. Which statement by the client indicates that the recommen- dations were understood? 11. The practical nurse (PN) is reviewing a list of foods with the family that are recommended for an older client who recently had a total colectomy and colosto- my. Which food item should the PN discuss about including in the client's postoperative diet? 12. The practical nurse (PN) interviews a client who had a total colectomy 2 weeks ago. The client claims to be confident in the management of the new colosto- my, but is having problems managing the odor. What suggestions should the PN provide the client to help decrease odor in the colostomy bag? (select all that apply) Fortified soy prod- ucts. Avoid alcohol and caffeine. Fluids should be limited to eight ounces with meals. Chicken noodle soup. A. Eat foods con- taining yogurt. C. Drink a glass of buttermilk. D. Eat sprigs of parsley. 13. The practical nurser (PN) reviews self-care with a male Vitamin K. client who is newly diagnosed with cirrhosis. Which vitamin deficit due to liver damage should the PN dis- cuss with the client that increases his susceptibility of bleeding? 14. The practical nurse (PN) is caring for a client with continuous feeding through a nasogastric (NG) tube at a continuous care rehabilitation community. Which Semi-Fowler's position should the PN place the client to prevent aspiration? 15. A Chinese male client who moves into an assisted living communityis concerned that the community will not be able to meet his dietary preferences. What should the practical nurse include in the diet for this client based on his cultural group. 16. An elderly client is an assisted living community is refusing to eat during meal time. The practical nurse (PN) discovers that the client has several mouth ul- cers. What types of food should the PN suggest to promote intake and healing of ulcers? 17. A client is admitted with right upper quadrant (RUQ) pain after eating. What should the practical nurse ask the client about the meal's content that precipitated the pain? 18. The healthcare provider prescribes an oral glucose tolerance test (GTT) for a male client with polyuria and polydypsia. The client is instructed to be NPO after midnight. What should the client be advised to drink with his morning medications? 19. The practical nurse (PN) is reviewing the diet with a client with acute cholecystitis. Which food selection demonstrates to the PN that the client understands dietary recommendations? 20. An older client receives a prescripton for psylium (Metamucil) for constipation. What information should the practical nurse (PN) provide the client about taking this supplement? 21. The practical nurse (PN) is caring for a client who is receiving total parnteral which meatbolic change should the PN monitor the client for during adminis- tration for TPN