HESI NUTRITION EXIT EXAM
HESI NUTRITION EXIT EXAM VERSION 1 AND 2 AND TESTBANK
WITH NGN NEWEST 2025 ACTUAL EXAM COMPLETE 250
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
The nurse is caring for a client with cirrhosis of the liver. To minimize the effects of
the disorder, the nurse teaches the client about foods that are high in thiamine.
The 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 - ANSWER-4
Rationale: The client with cirrhosis needs to consume foods high in thiamine.
Thiamine is present in a variety of foods of plant and animal origin. Legumes are
especially rich in this vitamin. Other good food sources include nuts, whole-grain
cereals, and pork. Milk contains vitamins A, D, and B2. Poultry contains niacin.
Broccoli contains vitamins C, E, and K and folic acid.
A client is being weaned from parenteral nutrition (PN) and is expected to begin
taking solid food today. The ongoing solution rate has been 100 mL/hour. The
nurse anticipates that which prescription regarding the PN solution will
accompany the diet prescription?
1. Discontinue the PN.
2. Decrease PN rate to 50 mL/hour.
3. Start 0.9% normal saline at 25 mL/hour.
1|Page
, HESI NUTRITION EXIT EXAM
4. Continue current infusion rate prescriptions for PN. - ANSWER-2
Rationale: When a client begins eating a regular diet after a period of receiving
PN, the PN is decreased gradually. PN that is discontinued abruptly can cause
hypoglycemia. Clients often have anorexia after being without food for some time,
and the digestive tract also is not used to producing the digestive enzymes that
will be needed. Gradually decreasing the infusion rate allows the client to remain
adequately nourished during the transition to a normal diet and prevents the
occurrence of hypoglycemia. Even before clients are started on a solid diet, they
are given clear liquids followed by full liquids to further ease the transition. A
solution of normal saline does not provide the glucose needed during the
transition of discontinuing the PN and could cause the client to experience
hypoglycemia.
The nurse is preparing to change the parenteral nutrition (PN) solution bag and
tubing. The client's central venous line is located in the right subclavian vein. The
nurse asks the client to take which essential action 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. - ANSWER-4
Rationale: The client should be asked to perform the Valsalva maneuver during
tubing changes. This helps avoid air embolism during tubing changes. The nurse
asks the client to take a deep breath, hold it, and bear down. If the intravenous
line is on the right, the client turns his or her head to the left. This position
increases intrathoracic pressure. Breathing normally and exhaling slowly and
evenly are inappropriate and could enhance the potential for an air embolism
during the tubing change.
2|Page
, HESI NUTRITION EXIT EXAM
A client with parenteral nutrition (PN) infusing has disconnected the tubing from
the central line catheter. The nurse assesses the client and suspects an air
embolism. The nurse should immediately place the client in which position?
1. On the left side, with the 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 - ANSWER-1
Rationale: Air embolism occurs when air enters the catheter system, such as when
the system is opened for intravenous (IV) tubing changes or when the IV tubing
disconnects. Air embolism is a critical situation; if it is suspected, the client should
be placed in a left side-lying position. The head should be lower than the feet. This
position is used to minimize the effect of the air traveling as a bolus to the lungs
by trapping it in the right side of the heart. The positions in the remaining options
are inappropriate if an air embolism is suspected.
Which nursing action is essential prior to initiating a new prescription for 500 mL
of fat emulsion (lipids) to infuse at 50 mL/hour?
1. Ensure that the client 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 fat
emulsion infusion. - ANSWER-2
Rationale: The client beginning infusions of fat emulsions must be first assessed
for known allergies to eggs to prevent anaphylaxis. Egg yolk is a component of the
solution and provides emulsification. The remaining options are unnecessary and
are not related specifically to the administration of fat emulsion.
3|Page
, HESI NUTRITION EXIT EXAM
The nurse monitors the client receiving parenteral nutrition (PN) for complications
of the therapy and should assess the client for which manifestations of
hyperglycemia?
1. Fever, weak pulse, and thirst
2. Nausea, vomiting, and oliguria
3. Sweating, chills, and abdominal pain
4. Weakness, thirst, and increased urine output - ANSWER-4
Rationale: The high glucose concentration in PN places the client at risk for
hyperglycemia. Signs of hyperglycemia include excessive thirst, fatigue,
restlessness, confusion, weakness, Kussmaul respirations, diuresis, and coma
when hyperglycemia is severe. If the client has these symptoms, the blood glucose
level should be checked immediately. The remaining options do not identify signs
specific to hyperglycemia.
The nurse is changing the central line dressing of a client receiving parenteral
nutrition (PN) and notes that the catheter insertion site appears reddened. The
nurse should next assess which item?
1. Client's temperature
2. Expiration date on the bag
3. Time of last dressing change
4. Tightness of tubing connections - ANSWER-1
Rationale: Redness at the catheter insertion site is a possible indication of
infection. The nurse would next assess for other signs of infection. Of the options
given, the temperature is the next item to assess. The tightness of tubing
connections should be assessed each time the PN is checked; loose connections
would result in leakage, not skin redness. The expiration date on the bag is a
viable option, but this also should be checked at the time the solution is hung and
4|Page
HESI NUTRITION EXIT EXAM VERSION 1 AND 2 AND TESTBANK
WITH NGN NEWEST 2025 ACTUAL EXAM COMPLETE 250
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
The nurse is caring for a client with cirrhosis of the liver. To minimize the effects of
the disorder, the nurse teaches the client about foods that are high in thiamine.
The 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 - ANSWER-4
Rationale: The client with cirrhosis needs to consume foods high in thiamine.
Thiamine is present in a variety of foods of plant and animal origin. Legumes are
especially rich in this vitamin. Other good food sources include nuts, whole-grain
cereals, and pork. Milk contains vitamins A, D, and B2. Poultry contains niacin.
Broccoli contains vitamins C, E, and K and folic acid.
A client is being weaned from parenteral nutrition (PN) and is expected to begin
taking solid food today. The ongoing solution rate has been 100 mL/hour. The
nurse anticipates that which prescription regarding the PN solution will
accompany the diet prescription?
1. Discontinue the PN.
2. Decrease PN rate to 50 mL/hour.
3. Start 0.9% normal saline at 25 mL/hour.
1|Page
, HESI NUTRITION EXIT EXAM
4. Continue current infusion rate prescriptions for PN. - ANSWER-2
Rationale: When a client begins eating a regular diet after a period of receiving
PN, the PN is decreased gradually. PN that is discontinued abruptly can cause
hypoglycemia. Clients often have anorexia after being without food for some time,
and the digestive tract also is not used to producing the digestive enzymes that
will be needed. Gradually decreasing the infusion rate allows the client to remain
adequately nourished during the transition to a normal diet and prevents the
occurrence of hypoglycemia. Even before clients are started on a solid diet, they
are given clear liquids followed by full liquids to further ease the transition. A
solution of normal saline does not provide the glucose needed during the
transition of discontinuing the PN and could cause the client to experience
hypoglycemia.
The nurse is preparing to change the parenteral nutrition (PN) solution bag and
tubing. The client's central venous line is located in the right subclavian vein. The
nurse asks the client to take which essential action 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. - ANSWER-4
Rationale: The client should be asked to perform the Valsalva maneuver during
tubing changes. This helps avoid air embolism during tubing changes. The nurse
asks the client to take a deep breath, hold it, and bear down. If the intravenous
line is on the right, the client turns his or her head to the left. This position
increases intrathoracic pressure. Breathing normally and exhaling slowly and
evenly are inappropriate and could enhance the potential for an air embolism
during the tubing change.
2|Page
, HESI NUTRITION EXIT EXAM
A client with parenteral nutrition (PN) infusing has disconnected the tubing from
the central line catheter. The nurse assesses the client and suspects an air
embolism. The nurse should immediately place the client in which position?
1. On the left side, with the 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 - ANSWER-1
Rationale: Air embolism occurs when air enters the catheter system, such as when
the system is opened for intravenous (IV) tubing changes or when the IV tubing
disconnects. Air embolism is a critical situation; if it is suspected, the client should
be placed in a left side-lying position. The head should be lower than the feet. This
position is used to minimize the effect of the air traveling as a bolus to the lungs
by trapping it in the right side of the heart. The positions in the remaining options
are inappropriate if an air embolism is suspected.
Which nursing action is essential prior to initiating a new prescription for 500 mL
of fat emulsion (lipids) to infuse at 50 mL/hour?
1. Ensure that the client 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 fat
emulsion infusion. - ANSWER-2
Rationale: The client beginning infusions of fat emulsions must be first assessed
for known allergies to eggs to prevent anaphylaxis. Egg yolk is a component of the
solution and provides emulsification. The remaining options are unnecessary and
are not related specifically to the administration of fat emulsion.
3|Page
, HESI NUTRITION EXIT EXAM
The nurse monitors the client receiving parenteral nutrition (PN) for complications
of the therapy and should assess the client for which manifestations of
hyperglycemia?
1. Fever, weak pulse, and thirst
2. Nausea, vomiting, and oliguria
3. Sweating, chills, and abdominal pain
4. Weakness, thirst, and increased urine output - ANSWER-4
Rationale: The high glucose concentration in PN places the client at risk for
hyperglycemia. Signs of hyperglycemia include excessive thirst, fatigue,
restlessness, confusion, weakness, Kussmaul respirations, diuresis, and coma
when hyperglycemia is severe. If the client has these symptoms, the blood glucose
level should be checked immediately. The remaining options do not identify signs
specific to hyperglycemia.
The nurse is changing the central line dressing of a client receiving parenteral
nutrition (PN) and notes that the catheter insertion site appears reddened. The
nurse should next assess which item?
1. Client's temperature
2. Expiration date on the bag
3. Time of last dressing change
4. Tightness of tubing connections - ANSWER-1
Rationale: Redness at the catheter insertion site is a possible indication of
infection. The nurse would next assess for other signs of infection. Of the options
given, the temperature is the next item to assess. The tightness of tubing
connections should be assessed each time the PN is checked; loose connections
would result in leakage, not skin redness. The expiration date on the bag is a
viable option, but this also should be checked at the time the solution is hung and
4|Page
