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HESI Nutrition Exam 2025 — Study Guide,
Practice Questions & Nursing Nutrition Prep
Prepare for the HESI Nutrition Exam 2025 with a complete study guide, practice questions,
and review materials. Master essential nutrition concepts, dietary guidelines, patient dietary
planning, clinical nutrition, and health promotion to excel in your HESI Nutrition exam and
strengthen your nursing knowledge.
• HESI Nutrition exam 2025
• Nursing nutrition study guide
• HESI Nutrition practice questions
• Clinical nutrition HESI exam prep
You are caring for a patient in a rehabilitation center who suffered a cerebrovascular accident 3 weeks
ago. To minimize the patient's risk for injury related eating, you
A. Remind him to chew his food well before attempting to swallow.
B. Transfer him to a chair for meals.
C. Keep the head of his bed elevated for at least 30 minutes after meals. - ANSWER-B. Transfer him to a
chair for meals.
Assuring that the patient is in a sitting (high Fowler's) position helps minimize the patient's risk for
aspiration.
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Which of the following is likely to be the most reliable indicator that the patient is at risk for poor
nutrition?
A. A bowel movement every 3 days
B. A serum albumin level of 3.2 g/dL
C. An unwillingness to eat meat - ANSWER-B. A serum albumin level of 3.2 g/dL
Which of the following points should you stress to a patient's family to minimize his risk for aspiration at
home?
A. Offering the patient frequent sips of water between feedings
B. Having the patient tilt his head slightly backward when swallowing
C. Checking the patient's cheeks for pocketed food - ANSWER-C. Checking the patient's cheeks for
pocketed food
"Pocketing" or storing food in the cheeks rather than swallowing it is common among patients with
dysphagia, and it increases the risk of aspiration.
Which of these findings do you suspect has had the most negative impact on a patient's nutritional
status?
A. Osteoarthritis in his wrists and hands
B. Allergy to wheat
C. History of GERD
D. Lactose intolerance - ANSWER-A. Osteoarthritis in his wrists and hands
Osteoarthritis results in painful and limited movement in the hands and fingers, impairing the patient's
ability both to prepare and to eat food. This could likely result in a diet that does not support a healthy
nutritional status.
Eliminating products that contain wheat and lactose still allows a wide variety of good nutritional choices
that support a healthy nutritional status. Proper planning and food shopping can eliminate any negative
effects an allergy may have on the patient's diet.
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Patients who have GERD learn adaptive behavior, such as remaining upright after meals, not eating too
soon before bedtime, and avoiding foods that cause the most distress. Medications that reduce the
symptoms of GERD also help. There is no need for impaired nutrition due to this condition.
After an older adult patient emphasizes his need to remain as independent as possible, you
appropriately suggest that he ensure maintenance of his nutritional status by
A. Cooking ample amounts of nutritious foods.
B. Using local resources for delivering meals to his home.
C. Asking neighbors to share their meals with him. - ANSWER-B. Using local resources for delivering
meals to his home.
When visiting a patient approximately 3 weeks after his discharge, the home health care nurse reports
her concerns about the patient's nutritional status to the provider based on which of the following
findings?
A. The patient has several open bags of cookies and soda cans about his living room.
B. The patient has a noticeable red rash on his hands, arms, and chest.
C. The patient states, "Tell me again why you are here." - ANSWER-C. The patient states, "Tell me again
why you are here."
Altered mental status, in this case confusion and poor short-term memory, is a possible indication of
poor nutrition. In addition, altered mental status can further impair the patient's ability to ingest
sufficient nutrients.
A nurse is monitoring the status of a client's fat emulsion (lipid) infusion and notes that the infusion is 2
hours delay. The nurse should do which of the following actions?
A. Adjust the infusion rate to catch up over the next hour.
B. Make sure the infusion rate is infusing at the ordered rate.
C. Increase the infusion rate to catch up over the next few hours.
D. Adjust the infusion rate to full blast until the solution is back on time. - ANSWER-B. Make sure the
infusion rate is infusing at the ordered rate.
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The nurse should maintain the prescribed rate of a fat emulsion even if the infusion's time consume is
behind. Options A, C, and D are incorrect since increasing the rate will potentially cause a fluid overload.
A nurse is preparing to hang the initial bag of the parenteral nutrition (PN) solution via the central line of
a malnourished client. The nurse ensure the availability of which medical equipment before hanging the
solution?
A. Glucometer.
B. Dressing tray.
C. Nebulizer.
D. Infusion pump - ANSWER-D. Infusion pump
The nurse should prepare an infusion pump prior hanging a parenteral solution. The use of an infusion
pump is important to make sure that the solution does not infuse too quickly or delayed since the
parenteral nutrition has a high glucose content. Option A: A glucometer is also needed since the client's
glucose level is monitored every 4 to 6 hours, but it is not an essential item needed. Options B and C are
not used before hanging a PN solution.
A nurse is conducting a follow-up home visit to a client who has been discharged with a parenteral
nutrition(PN). Which of the following should the nurse most closely monitor in this kind of therapy?
A. Blood pressure and temperature.
B. Blood pressure and pulse rate.
C. Height and weight.
D. Temperature and weight. - ANSWER-D. Temperature and weight.
The client's temperature is monitored to identify signs of infection which is one of the complications of
this therapy. While the weight is monitored to detect hypervolemia and to determine the effectiveness
of this nutritional therapy.
A nurse is preparing to hang a fat emulsion (lipids) and observes some visible fat globules at the top of
the solution. The nurse ensure to do which of the following actions?
HESI Nutrition Exam 2025 — Study Guide,
Practice Questions & Nursing Nutrition Prep
Prepare for the HESI Nutrition Exam 2025 with a complete study guide, practice questions,
and review materials. Master essential nutrition concepts, dietary guidelines, patient dietary
planning, clinical nutrition, and health promotion to excel in your HESI Nutrition exam and
strengthen your nursing knowledge.
• HESI Nutrition exam 2025
• Nursing nutrition study guide
• HESI Nutrition practice questions
• Clinical nutrition HESI exam prep
You are caring for a patient in a rehabilitation center who suffered a cerebrovascular accident 3 weeks
ago. To minimize the patient's risk for injury related eating, you
A. Remind him to chew his food well before attempting to swallow.
B. Transfer him to a chair for meals.
C. Keep the head of his bed elevated for at least 30 minutes after meals. - ANSWER-B. Transfer him to a
chair for meals.
Assuring that the patient is in a sitting (high Fowler's) position helps minimize the patient's risk for
aspiration.
,2|Page
Which of the following is likely to be the most reliable indicator that the patient is at risk for poor
nutrition?
A. A bowel movement every 3 days
B. A serum albumin level of 3.2 g/dL
C. An unwillingness to eat meat - ANSWER-B. A serum albumin level of 3.2 g/dL
Which of the following points should you stress to a patient's family to minimize his risk for aspiration at
home?
A. Offering the patient frequent sips of water between feedings
B. Having the patient tilt his head slightly backward when swallowing
C. Checking the patient's cheeks for pocketed food - ANSWER-C. Checking the patient's cheeks for
pocketed food
"Pocketing" or storing food in the cheeks rather than swallowing it is common among patients with
dysphagia, and it increases the risk of aspiration.
Which of these findings do you suspect has had the most negative impact on a patient's nutritional
status?
A. Osteoarthritis in his wrists and hands
B. Allergy to wheat
C. History of GERD
D. Lactose intolerance - ANSWER-A. Osteoarthritis in his wrists and hands
Osteoarthritis results in painful and limited movement in the hands and fingers, impairing the patient's
ability both to prepare and to eat food. This could likely result in a diet that does not support a healthy
nutritional status.
Eliminating products that contain wheat and lactose still allows a wide variety of good nutritional choices
that support a healthy nutritional status. Proper planning and food shopping can eliminate any negative
effects an allergy may have on the patient's diet.
,3|Page
Patients who have GERD learn adaptive behavior, such as remaining upright after meals, not eating too
soon before bedtime, and avoiding foods that cause the most distress. Medications that reduce the
symptoms of GERD also help. There is no need for impaired nutrition due to this condition.
After an older adult patient emphasizes his need to remain as independent as possible, you
appropriately suggest that he ensure maintenance of his nutritional status by
A. Cooking ample amounts of nutritious foods.
B. Using local resources for delivering meals to his home.
C. Asking neighbors to share their meals with him. - ANSWER-B. Using local resources for delivering
meals to his home.
When visiting a patient approximately 3 weeks after his discharge, the home health care nurse reports
her concerns about the patient's nutritional status to the provider based on which of the following
findings?
A. The patient has several open bags of cookies and soda cans about his living room.
B. The patient has a noticeable red rash on his hands, arms, and chest.
C. The patient states, "Tell me again why you are here." - ANSWER-C. The patient states, "Tell me again
why you are here."
Altered mental status, in this case confusion and poor short-term memory, is a possible indication of
poor nutrition. In addition, altered mental status can further impair the patient's ability to ingest
sufficient nutrients.
A nurse is monitoring the status of a client's fat emulsion (lipid) infusion and notes that the infusion is 2
hours delay. The nurse should do which of the following actions?
A. Adjust the infusion rate to catch up over the next hour.
B. Make sure the infusion rate is infusing at the ordered rate.
C. Increase the infusion rate to catch up over the next few hours.
D. Adjust the infusion rate to full blast until the solution is back on time. - ANSWER-B. Make sure the
infusion rate is infusing at the ordered rate.
, 4|Page
The nurse should maintain the prescribed rate of a fat emulsion even if the infusion's time consume is
behind. Options A, C, and D are incorrect since increasing the rate will potentially cause a fluid overload.
A nurse is preparing to hang the initial bag of the parenteral nutrition (PN) solution via the central line of
a malnourished client. The nurse ensure the availability of which medical equipment before hanging the
solution?
A. Glucometer.
B. Dressing tray.
C. Nebulizer.
D. Infusion pump - ANSWER-D. Infusion pump
The nurse should prepare an infusion pump prior hanging a parenteral solution. The use of an infusion
pump is important to make sure that the solution does not infuse too quickly or delayed since the
parenteral nutrition has a high glucose content. Option A: A glucometer is also needed since the client's
glucose level is monitored every 4 to 6 hours, but it is not an essential item needed. Options B and C are
not used before hanging a PN solution.
A nurse is conducting a follow-up home visit to a client who has been discharged with a parenteral
nutrition(PN). Which of the following should the nurse most closely monitor in this kind of therapy?
A. Blood pressure and temperature.
B. Blood pressure and pulse rate.
C. Height and weight.
D. Temperature and weight. - ANSWER-D. Temperature and weight.
The client's temperature is monitored to identify signs of infection which is one of the complications of
this therapy. While the weight is monitored to detect hypervolemia and to determine the effectiveness
of this nutritional therapy.
A nurse is preparing to hang a fat emulsion (lipids) and observes some visible fat globules at the top of
the solution. The nurse ensure to do which of the following actions?
