6/19/25, 12:01 AM Hesi NutritionEXAM2025| BRAND NEW ACTUAL EXAM WITH 100% VERIFIED QUESTIONS AND CORRECT SOLUTIONS| GU…
Hesi NutritionEXAM2025| BRAND NEW ACTUAL
EXAM WITH 100% VERIFIED QUESTIONS AND
CORRECT SOLUTIONS| GUARANTEED VALUE PACK
The nurse is caring for a 4Rationale: The client with cirrhosis needs to consume
client with cirrhosis of the foods high in thiamine. Thiamine is present in a variety
liver. To minimize the of foods of plant and animal origin. Legumes are
effects of the especially rich in this vitamin. Other good food sources
disorder, the nurse teaches include nuts, whole-grain cereals, and pork. Milk
the client about foods that contains vitamins A, D, and B2. Poultry contains niacin.
are high in thiamine. The Broccoli contains vitamins C, E, and K and folic acid.
nurse
determines that the client has
the best
understanding of the dietary
measures to follow if the
client states an intention to
increase the intake of which
food?
1. Milk
2. Chicken
3. Broccoli
4. Legumes
-… 1/54
,6/19/25, 12:01 AM Hesi NutritionEXAM2025| BRAND NEW ACTUAL EXAM WITH 100% VERIFIED QUESTIONS AND CORRECT SOLUTIONS| GU…
A client is being weaned 2Rationale: When a client begins eating a regular diet
from parenteral nutrition after a period of receiving PN, the PN is decreased
(PN) and is expected to gradually. PN that is discontinued abruptly can cause
begin taking solid food hypoglycemia. Clients often have anorexia after being
today. The ongoing without food for some time, and the digestive tract also
solution rate has been 100 is not used to producing the digestive enzymes that will
mL/hour. The nurse be needed. Gradually decreasing the infusion rate
anticipates that which allows the client to remain
prescription adequately nourished during the transition to a normal diet and
prevents the
regarding the PN solution occurrence of hypoglycemia. Even before clients are
will accompany the diet started on a solid diet, they are given clear liquids
prescription? followed by full liquids to further ease the transition. A
1. Discontinue the PN.
solution of normal saline does not provide the
2. Decrease PN rate to 50
mL/hour. glucose needed during the transition of
discontinuing the PN and could cause the client to experience
3. Start 0.9% normal saline at hypoglycemia.
25 mL/hour.
4. Continue current
infusion rate
prescriptions for
PN.
The nurse is preparing to 4Rationale: The client should be asked to perform the Valsalva
change the maneuver during
parenteral nutrition (PN) tubing changes. This helps avoid air embolism during
solution bag and tubing. The tubing changes. The nurse asks the client to take a deep
client's central venous line breath, hold it, and bear down. If the intravenous line is
is located in the right on the right, the client turns his or her head to the left.
subclavian vein. The This position increases
nurse asks the client to take intrathoracic pressure. Breathing normally and exhaling slowly
and evenly are
which essential action inappropriate and could enhance the potential for an air
during the tubing change? embolism during the tubing change.
1. Breathe normally.
2. Turn the head to the right.
3. Exhale slowly and evenly.
4. Take a deep breath,
hold it, and bear down.
-… 2/54
,6/19/25, 12:01 AM Hesi NutritionEXAM2025| BRAND NEW ACTUAL EXAM WITH 100% VERIFIED QUESTIONS AND CORRECT SOLUTIONS| GU…
A client with parenteral 1Rationale: Air embolism occurs when air enters the
nutrition (PN) catheter system, such as when the system is opened for
infusing has disconnected
intravenous (IV) tubing changes or when the IV tubing
the tubing from the central
disconnects. Air embolism is a critical situation; if it is
line catheter. The nurse
suspected, the client should be placed in a left side-
assesses the client and
lying position. The head should be lower than the
suspects an air embolism.
feet. This position is used to minimize the effect of the
The nurse should
air traveling as a bolus to the lungs by
immediately place the client
trapping it in the right side of the heart. The positions
in which position?
in the remaining options are inappropriate if an air
1. On the left side, with the
embolism is suspected.
head lower than the feet
2. On the left side, with the
head higher than the
feet
3. On the right side, with
the head lower than the
feet
4. On the right side, with
the head higher than the
feet
Which nursing action is 2Rationale: The client beginning infusions of fat
essential prior to emulsions must be first assessed for known allergies to
initiating a new prescription
eggs to prevent anaphylaxis. Egg yolk is a
for 500 mL of fat emulsion
component of the
(lipids) to infuse at 50
solution and provides emulsification. The remaining
mL/hour?
options are unnecessary and are not related specifically
1. Ensure that the client
to the administration of fat emulsion.
does not have diabetes.
2. Determine whether the
client has an allergy to
eggs.
3. Add regular insulin to the
fat emulsion, using
aseptic technique.
4. Contact the health care
provider (HCP) to have a
central line inserted for
-… 3/54
, 6/19/25, 12:01 AM Hesi NutritionEXAM2025| BRAND NEW ACTUAL EXAM WITH 100% VERIFIED QUESTIONS AND CORRECT SOLUTIONS| GU…
fat
emulsion infusion.
The nurse monitors the client 4Rationale: The high glucose concentration in PN places the
receiving client at risk for
parenteral nutrition (PN) for hyperglycemia. Signs of hyperglycemia include
complications of the therapy excessive thirst, fatigue, restlessness, confusion,
and should assess the client weakness, Kussmaul respirations, diuresis, and coma
for which manifestations of when hyperglycemia is severe. If the client has these
hyperglycemia? symptoms, the blood glucose level should be
1. Fever, weak pulse, and thirst
checked immediately. The remaining options do not
2. Nausea, vomiting, and
identify signs specific to
oliguria
hyperglycemia.
3. Sweating, chills, and
abdominal pain
4. Weakness, thirst, and
increased urine output
The nurse is changing the 1Rationale: Redness at the catheter insertion site is a possible
central line indication of infection.
dressing of a client The nurse would next assess for other signs of infection. Of the
receiving parenteral options given, the
temperature is the next item to assess. The tightness of
nutrition (PN) and notes that
tubing connections should be assessed each time the
the catheter insertion site
PN is checked; loose connections would result in
appears reddened. The nurse
leakage,
should next assess which
not skin redness. The expiration date on the bag is a viable
item? option, but this also
1. Client's temperature should be checked at the time the solution is hung and
2. Expiration date on the bag with each shift change. The time of the last dressing
3. Time of last dressing change
change should be checked with each shift change.
4. Tightness of tubing
connections
-… 4/54
Hesi NutritionEXAM2025| BRAND NEW ACTUAL
EXAM WITH 100% VERIFIED QUESTIONS AND
CORRECT SOLUTIONS| GUARANTEED VALUE PACK
The nurse is caring for a 4Rationale: The client with cirrhosis needs to consume
client with cirrhosis of the foods high in thiamine. Thiamine is present in a variety
liver. To minimize the of foods of plant and animal origin. Legumes are
effects of the especially rich in this vitamin. Other good food sources
disorder, the nurse teaches include nuts, whole-grain cereals, and pork. Milk
the client about foods that contains vitamins A, D, and B2. Poultry contains niacin.
are high in thiamine. The Broccoli contains vitamins C, E, and K and folic acid.
nurse
determines that the client has
the best
understanding of the dietary
measures to follow if the
client states an intention to
increase the intake of which
food?
1. Milk
2. Chicken
3. Broccoli
4. Legumes
-… 1/54
,6/19/25, 12:01 AM Hesi NutritionEXAM2025| BRAND NEW ACTUAL EXAM WITH 100% VERIFIED QUESTIONS AND CORRECT SOLUTIONS| GU…
A client is being weaned 2Rationale: When a client begins eating a regular diet
from parenteral nutrition after a period of receiving PN, the PN is decreased
(PN) and is expected to gradually. PN that is discontinued abruptly can cause
begin taking solid food hypoglycemia. Clients often have anorexia after being
today. The ongoing without food for some time, and the digestive tract also
solution rate has been 100 is not used to producing the digestive enzymes that will
mL/hour. The nurse be needed. Gradually decreasing the infusion rate
anticipates that which allows the client to remain
prescription adequately nourished during the transition to a normal diet and
prevents the
regarding the PN solution occurrence of hypoglycemia. Even before clients are
will accompany the diet started on a solid diet, they are given clear liquids
prescription? followed by full liquids to further ease the transition. A
1. Discontinue the PN.
solution of normal saline does not provide the
2. Decrease PN rate to 50
mL/hour. glucose needed during the transition of
discontinuing the PN and could cause the client to experience
3. Start 0.9% normal saline at hypoglycemia.
25 mL/hour.
4. Continue current
infusion rate
prescriptions for
PN.
The nurse is preparing to 4Rationale: The client should be asked to perform the Valsalva
change the maneuver during
parenteral nutrition (PN) tubing changes. This helps avoid air embolism during
solution bag and tubing. The tubing changes. The nurse asks the client to take a deep
client's central venous line breath, hold it, and bear down. If the intravenous line is
is located in the right on the right, the client turns his or her head to the left.
subclavian vein. The This position increases
nurse asks the client to take intrathoracic pressure. Breathing normally and exhaling slowly
and evenly are
which essential action inappropriate and could enhance the potential for an air
during the tubing change? embolism during the tubing change.
1. Breathe normally.
2. Turn the head to the right.
3. Exhale slowly and evenly.
4. Take a deep breath,
hold it, and bear down.
-… 2/54
,6/19/25, 12:01 AM Hesi NutritionEXAM2025| BRAND NEW ACTUAL EXAM WITH 100% VERIFIED QUESTIONS AND CORRECT SOLUTIONS| GU…
A client with parenteral 1Rationale: Air embolism occurs when air enters the
nutrition (PN) catheter system, such as when the system is opened for
infusing has disconnected
intravenous (IV) tubing changes or when the IV tubing
the tubing from the central
disconnects. Air embolism is a critical situation; if it is
line catheter. The nurse
suspected, the client should be placed in a left side-
assesses the client and
lying position. The head should be lower than the
suspects an air embolism.
feet. This position is used to minimize the effect of the
The nurse should
air traveling as a bolus to the lungs by
immediately place the client
trapping it in the right side of the heart. The positions
in which position?
in the remaining options are inappropriate if an air
1. On the left side, with the
embolism is suspected.
head lower than the feet
2. On the left side, with the
head higher than the
feet
3. On the right side, with
the head lower than the
feet
4. On the right side, with
the head higher than the
feet
Which nursing action is 2Rationale: The client beginning infusions of fat
essential prior to emulsions must be first assessed for known allergies to
initiating a new prescription
eggs to prevent anaphylaxis. Egg yolk is a
for 500 mL of fat emulsion
component of the
(lipids) to infuse at 50
solution and provides emulsification. The remaining
mL/hour?
options are unnecessary and are not related specifically
1. Ensure that the client
to the administration of fat emulsion.
does not have diabetes.
2. Determine whether the
client has an allergy to
eggs.
3. Add regular insulin to the
fat emulsion, using
aseptic technique.
4. Contact the health care
provider (HCP) to have a
central line inserted for
-… 3/54
, 6/19/25, 12:01 AM Hesi NutritionEXAM2025| BRAND NEW ACTUAL EXAM WITH 100% VERIFIED QUESTIONS AND CORRECT SOLUTIONS| GU…
fat
emulsion infusion.
The nurse monitors the client 4Rationale: The high glucose concentration in PN places the
receiving client at risk for
parenteral nutrition (PN) for hyperglycemia. Signs of hyperglycemia include
complications of the therapy excessive thirst, fatigue, restlessness, confusion,
and should assess the client weakness, Kussmaul respirations, diuresis, and coma
for which manifestations of when hyperglycemia is severe. If the client has these
hyperglycemia? symptoms, the blood glucose level should be
1. Fever, weak pulse, and thirst
checked immediately. The remaining options do not
2. Nausea, vomiting, and
identify signs specific to
oliguria
hyperglycemia.
3. Sweating, chills, and
abdominal pain
4. Weakness, thirst, and
increased urine output
The nurse is changing the 1Rationale: Redness at the catheter insertion site is a possible
central line indication of infection.
dressing of a client The nurse would next assess for other signs of infection. Of the
receiving parenteral options given, the
temperature is the next item to assess. The tightness of
nutrition (PN) and notes that
tubing connections should be assessed each time the
the catheter insertion site
PN is checked; loose connections would result in
appears reddened. The nurse
leakage,
should next assess which
not skin redness. The expiration date on the bag is a viable
item? option, but this also
1. Client's temperature should be checked at the time the solution is hung and
2. Expiration date on the bag with each shift change. The time of the last dressing
3. Time of last dressing change
change should be checked with each shift change.
4. Tightness of tubing
connections
-… 4/54
