HESI Nutrition Practice Exam | Nursing Process I
Questions & Answers, Rationales & Study Guide
|Frequently Most Tested Questions |Graded A+
,Reviewed and Updated | High Yield Questions
and Answers | Latest Exam and Newest Version!!!
The nurse is caring for a patient who is receiving intermittent tube feedings. The
nurse is aware of the multiple reasons for complications. Which patient will the
nurse identify as being at the greatest risk for a complication related to tube
feeding/
1) The patient with impaired swallowing after a stroke
2) The patient who experienced diarrhea prior to a formula change
3) The patient who's receiving multiple medications through the tube
4) The patient who doesn't tolerate feeding formula at a cool temperature
ANS:<< 1) The patient with impaired swallowing after a stroke
The nurse is caring for a patient who's recovering from surgery. The health-care
provider's diet order is to advance as tolerated. Which reassessment finding
indicates to the nurse that the patient's diet should be advanced to full liquid?
1) Hypoactive bowel sounds with abdominal distention
2) Nausea and vomiting occurs throughout the shift
3) Flatus is passed and there's a report of hunger
4) Bowel movements have been frequent and watery
ANS:<< 3) Flatus is passed and there's a report of hunger
The nurse is providing care for a patient with a NG tube. The nurse is preparing
to administer medications through the NG tube. Which finding should the nurse
report before medication administration?
1) Aspirated gastric contents indicate a pH level equal to the acidity of stomach
juices
2) The radioscopic verification was obtained at the time of tube placement
,3) The silk tape holding the tube in place has begun to peel away
4) The indelible ink mark on the tube is several inches from the nares
ANS:<< 4) The indelible ink mark on the tube is several inches from the nares
The nurse is providing care for a patient who has a NG tube in place. Which
nursing responsiblity is incorrect?
1) Reassess q2h for vomiting, cramping, or pain
2) Monitor for passage of rectal flatus indication the return of peristalsis
3) Clamp off the tube and auscultate bowel sounds every shift
4) Provide mouth care and apply lip moisturizer q2h
ANS:<< 3) Clamp off the tube and auscultate bowel sounds every shift
The nurse is providing care to a patient who's ordered a NG tube placement for
gastric decompression for gastric distention and vomiting. The nurse notes the
patient's vomitus is a greenish-yellow liquid. Which conclusion will the nurse
draw from the appearance of the vomitus?
1) The vomitus has the appearance of bright red blood
2) The vomitus is from the duodenum
3) The vomitus has a coffee-ground appearance
4) The vomitus appears to be darker red blood
ANS:<< 2) The vomitus is from the duodenum
The nurse works in a clinic with patients diagnosed as having an eating
disorder. Which sign of a bulimia nervosa will the nurse recognize?
1) Muscle wasting
2) Absence of dental decay
3) Increasing weight or obesity
4) Regurgitation of gastric juices
ANS:<< 4) Regurgitation of gastric juices
The nurse is caring for multiple patients. When delivering meal trays, which
patient does the nurse recognize as having a diet modified by preference?
1) The patient who had a heart attack
2) The patient who's diabetic
3) The patient who has renal failure
4) The patient who's vegetarian
,ANS:<< 4) The patient who's vegetarian
The nurse is caring for multiple patients in the hospital. The nurse is assisting
with the delivery of meal trays. Which meal will the nurse question?
1) A regular meal delivered to a patient newly diagnosed with a lower extremity
infection
2) A diabetic diet delivered to a patient newly diagnosed with diabetes mellitus
3) A clear liquid meal delivered to a patient who's experiencing choking
4) A full liquid diet delivered to a postoperative patient who tolerated clear
liquids
ANS:<< 3) A clear liquid meal delivered to a patient who's experiencing choking
The nurse is providing care for a patient who's on intake and output. During an
8-hour shift, the patient drinks 360mL of water, has 240mL of broth, and
received 150mL of tube feeding. The patient also voided 400ml of urine and
vomited 300mL of fluid. Which conclusion can the nurse draw about the patient's
intake and output?
1) The patient is retaining fluid
2) The patient's intake and output is balanced
3) The patient's kidney function is compromised
4) The patient's condition is related to dehydration
ANS:<< 2) The patient's intake and output is balanced
The nurse works in an acute care facility. During meal time, which preparation is
most important for the nurse to make in order to promote nutritional intake for
the patient?
1) Remove noxious items from the immediate environment
2) Inquire if the patient prefers to eat in the bed or sitting a care
3) Describe the items on the patient's tray and ask if any substitutions are
desired
4) Offer to help feed or prepare the food for the patient's self-feeding
ANS:<< 1) Remove noxious items from the immediate environment
The nurse is caring for a patient under medical treatment for an eating disorder.
Which clinical finding supports the diagnosis?
1) The patient only eats certain foods at certain times
, 2) The patient refuses to be weighted without clothing
3) The patient's current BMI is 17.5
4) The patient has a long history of laxative abuse
ANS:<< 3) The patient's current BMI is 17.5
The nurse is reviewing the daily recommended intake of water with a patient.
The patient understand the need for 6-8 8oz glasses of water daily, but asks
when the amount should be increased. Which answer by the nurse is incorrect?
1) When the weather is hot or a person works in a hot environment
2) When experiencing an infection from a bacterial or viral source
3) When fluid is being retained due to cardiac function
4) When experiencing or participating in physical exertion
ANS:<< 3) When fluid is being retained due to cardiac function
The nurse is reviewing the medical record of a patient admitted for a severe
calcium deficiency. Which common symptom does the nurse expect to see when
assessing the patient?
1) Constipation, flatus, and a history of kidney stones
2) Muscle spasms, primarily of the hands and feet
3) A goiter, mental sluggishness, and weight gain
4) Pallor, shortness of breath, and anemia
ANS:<< 2) Muscle spasms, primarily in the hands and feet
The nurse is preparing to review dietary sources for a patient diagnosed with
vitamin B deficiency. Which foods will the nurse recommend the patient
increase?
1) Fish, meat, and enriched breads and cereals
2) Citrus fruits and dark, green leafy vegetables
3) Pumpkin, sweet potatoes, carrots, and cantaloupe
4) Fortified milk and cheese, eggs, and fatty fish
ANS:<< 1) Fish, meat, and enriched breads and cereals
The nurse is caring for a patient diagnosed with a vitamin B deficiency. Which
symptom is unlikely to be related to the patient's diagnosis?
1) A poor appetite
2) Skin irritations
Questions & Answers, Rationales & Study Guide
|Frequently Most Tested Questions |Graded A+
,Reviewed and Updated | High Yield Questions
and Answers | Latest Exam and Newest Version!!!
The nurse is caring for a patient who is receiving intermittent tube feedings. The
nurse is aware of the multiple reasons for complications. Which patient will the
nurse identify as being at the greatest risk for a complication related to tube
feeding/
1) The patient with impaired swallowing after a stroke
2) The patient who experienced diarrhea prior to a formula change
3) The patient who's receiving multiple medications through the tube
4) The patient who doesn't tolerate feeding formula at a cool temperature
ANS:<< 1) The patient with impaired swallowing after a stroke
The nurse is caring for a patient who's recovering from surgery. The health-care
provider's diet order is to advance as tolerated. Which reassessment finding
indicates to the nurse that the patient's diet should be advanced to full liquid?
1) Hypoactive bowel sounds with abdominal distention
2) Nausea and vomiting occurs throughout the shift
3) Flatus is passed and there's a report of hunger
4) Bowel movements have been frequent and watery
ANS:<< 3) Flatus is passed and there's a report of hunger
The nurse is providing care for a patient with a NG tube. The nurse is preparing
to administer medications through the NG tube. Which finding should the nurse
report before medication administration?
1) Aspirated gastric contents indicate a pH level equal to the acidity of stomach
juices
2) The radioscopic verification was obtained at the time of tube placement
,3) The silk tape holding the tube in place has begun to peel away
4) The indelible ink mark on the tube is several inches from the nares
ANS:<< 4) The indelible ink mark on the tube is several inches from the nares
The nurse is providing care for a patient who has a NG tube in place. Which
nursing responsiblity is incorrect?
1) Reassess q2h for vomiting, cramping, or pain
2) Monitor for passage of rectal flatus indication the return of peristalsis
3) Clamp off the tube and auscultate bowel sounds every shift
4) Provide mouth care and apply lip moisturizer q2h
ANS:<< 3) Clamp off the tube and auscultate bowel sounds every shift
The nurse is providing care to a patient who's ordered a NG tube placement for
gastric decompression for gastric distention and vomiting. The nurse notes the
patient's vomitus is a greenish-yellow liquid. Which conclusion will the nurse
draw from the appearance of the vomitus?
1) The vomitus has the appearance of bright red blood
2) The vomitus is from the duodenum
3) The vomitus has a coffee-ground appearance
4) The vomitus appears to be darker red blood
ANS:<< 2) The vomitus is from the duodenum
The nurse works in a clinic with patients diagnosed as having an eating
disorder. Which sign of a bulimia nervosa will the nurse recognize?
1) Muscle wasting
2) Absence of dental decay
3) Increasing weight or obesity
4) Regurgitation of gastric juices
ANS:<< 4) Regurgitation of gastric juices
The nurse is caring for multiple patients. When delivering meal trays, which
patient does the nurse recognize as having a diet modified by preference?
1) The patient who had a heart attack
2) The patient who's diabetic
3) The patient who has renal failure
4) The patient who's vegetarian
,ANS:<< 4) The patient who's vegetarian
The nurse is caring for multiple patients in the hospital. The nurse is assisting
with the delivery of meal trays. Which meal will the nurse question?
1) A regular meal delivered to a patient newly diagnosed with a lower extremity
infection
2) A diabetic diet delivered to a patient newly diagnosed with diabetes mellitus
3) A clear liquid meal delivered to a patient who's experiencing choking
4) A full liquid diet delivered to a postoperative patient who tolerated clear
liquids
ANS:<< 3) A clear liquid meal delivered to a patient who's experiencing choking
The nurse is providing care for a patient who's on intake and output. During an
8-hour shift, the patient drinks 360mL of water, has 240mL of broth, and
received 150mL of tube feeding. The patient also voided 400ml of urine and
vomited 300mL of fluid. Which conclusion can the nurse draw about the patient's
intake and output?
1) The patient is retaining fluid
2) The patient's intake and output is balanced
3) The patient's kidney function is compromised
4) The patient's condition is related to dehydration
ANS:<< 2) The patient's intake and output is balanced
The nurse works in an acute care facility. During meal time, which preparation is
most important for the nurse to make in order to promote nutritional intake for
the patient?
1) Remove noxious items from the immediate environment
2) Inquire if the patient prefers to eat in the bed or sitting a care
3) Describe the items on the patient's tray and ask if any substitutions are
desired
4) Offer to help feed or prepare the food for the patient's self-feeding
ANS:<< 1) Remove noxious items from the immediate environment
The nurse is caring for a patient under medical treatment for an eating disorder.
Which clinical finding supports the diagnosis?
1) The patient only eats certain foods at certain times
, 2) The patient refuses to be weighted without clothing
3) The patient's current BMI is 17.5
4) The patient has a long history of laxative abuse
ANS:<< 3) The patient's current BMI is 17.5
The nurse is reviewing the daily recommended intake of water with a patient.
The patient understand the need for 6-8 8oz glasses of water daily, but asks
when the amount should be increased. Which answer by the nurse is incorrect?
1) When the weather is hot or a person works in a hot environment
2) When experiencing an infection from a bacterial or viral source
3) When fluid is being retained due to cardiac function
4) When experiencing or participating in physical exertion
ANS:<< 3) When fluid is being retained due to cardiac function
The nurse is reviewing the medical record of a patient admitted for a severe
calcium deficiency. Which common symptom does the nurse expect to see when
assessing the patient?
1) Constipation, flatus, and a history of kidney stones
2) Muscle spasms, primarily of the hands and feet
3) A goiter, mental sluggishness, and weight gain
4) Pallor, shortness of breath, and anemia
ANS:<< 2) Muscle spasms, primarily in the hands and feet
The nurse is preparing to review dietary sources for a patient diagnosed with
vitamin B deficiency. Which foods will the nurse recommend the patient
increase?
1) Fish, meat, and enriched breads and cereals
2) Citrus fruits and dark, green leafy vegetables
3) Pumpkin, sweet potatoes, carrots, and cantaloupe
4) Fortified milk and cheese, eggs, and fatty fish
ANS:<< 1) Fish, meat, and enriched breads and cereals
The nurse is caring for a patient diagnosed with a vitamin B deficiency. Which
symptom is unlikely to be related to the patient's diagnosis?
1) A poor appetite
2) Skin irritations
