2024 HESI Nutrition Proctored Exam 1 – 3 | Guaranteed A+ Actual Questions and Answers, Complete 100%
2024 HESI Nutrition Proctored Exam 2
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- The PN findings include right-sided weakness, slurred speech and dysphagia.
The PN recognizes that Mr.Ivy is at high risk for several problems. In
reviewing the previously established nursing plan of care, the PN determines
that which problem has the highest priority?:
Answer:
Aspiration
Aspiration or the entry of foreign substances such as food or fluids into the lungs,
may cause hypoxia or respiratory distress; this the highest - After reviewing priorities, what is the next action the PN should take when
adding to Mr. Ivy’s plan of care?:
Answer:
Reconsider Goals
The PN should first complete the subjective and objective physical findingd,
interpret the data to identify problems, and then reevaluate goals. After the goals
and expected outcomes are verified, the PN implements interventions, which are
then evaluated to determine if the expected outcomes and goals were accomplished - An interprofessional team meeting is scheduled in the afternoon to discuss
interventions addressing Mr. Ivy’s dysphagia. With which member of
the interprofessional team should the PN coordinate concerning Mr. Ivy’s
dysphagia?:
Answer:
Speech Therapist
Speech therapist have expertise in the evaluation and management of clients with
dysphagia. - The PN recognizes that Mr. Ivy’s right-sided weakness is also a factor that
contributes to his risk for altered nutrition. With which member of the
interprofessional
team should coordinate regarding this problem?:
Answer:
Occupational Therapists
OT have expertise in helping clients adapt fine motor movements for the provision
of self care. They can help with placement and manipulation of objects such as
eating utensils.
- The speech therapist schedules a home visit to reevaluate Mr.Ivy. The therapist
determines that dysphagia precautions are still needed. The PN and
unlicensed assistive personnel (UAP) arrive at the home shortly after the
therapist’s evaluation is completed. The UAP prepares to assist Mr.Ivy with
his noon meal and to attend to his personal hygiene by giving him a bed bath.
What instruction should the PN provide the UAP?:
Answer:
Bather the client first and then place him in high Fowler’s position during and after
the meal.
The head of the bed should be elevated to a high Fowler’s position while the client
with dysphagia is eating and should be kept elevated for at least 1 hour following
the meal to reduce the risk of aspiration. - Considering the need for dysphagia precautions , how should the PN intervene?:
Answer:
Instruct the UAP to add a thickening agent to all liquids.
because clients with dysphagia typically have swallowing liquids, a thickening
agent is added that changes the consistency and makes swallowing easier - Which data indicates the need for the PN to evaluate Mr,. Ivy further for
altered nutrition?:
Answer:
The conjunctival sac is pale in appearance when exposed.
the conjunctival sac should be dark pink. Pallor of any mucous membranes
mayindicate anemia. - The PN notes a change in Mr.Ivy’s weight. The PN coordinates with the
dietitian, who helps a 24hr calorie count. The dietitian reports to the PN
that Mr.Ivy, who weighs 125lbs and is 67inches tall, consumes 800 calories
per day. How should the PN monitor the client’s functional ability related to
nutrition?:
Answer:
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2024 HESI Nutrition Proctored Exam 3
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An adolescent is admitted to the psychiatric service in stable physical condition
with the diagnosis of anorexia nervosa. The adolescent has lost 20 lb (9.1 kg) in 6
weeks and is very thin but is excessively concerned about being overweight. What
is the most important initial nursing intervention?
1 Complimenting the physical appearance of the adolescent
2 Explaining the value of adequate nutrition to the adolescent
3 Exploring the reasons that the adolescent does not want to eat
4 Attempting to establish a trusting relationship with the adolescent
A 5-foot 5-inch (165 cm) 15-year-old girl who weighs 80 lb (36.3 kg) is admitted
to a mental health facility with a diagnosis of anorexia nervosa. The nurse
recognizes what factor as the most likely cause of her problem?
1 A desire to control her life
2 The wish to be accepted by her peers
3 The media’s emphasis on the beauty of thinness
4 A delusion in which she believes that she must be thin
A client with myasthenia gravis has increased difficulty swallowing. Which
action will the nurse take to prevent the aspiration of food?
1 Offer three large meals a day.
2 Assess the client’s respiratory status before and after meals.
3 Seek a change in the diet prescription from soft foods to clear liquids.
4 Schedule meals with the peak effect of an anticholinesterase muscle stimulant
During the administration of total parenteral nutrition (TPN), an assessment of
the client reveals a bounding pulse, distended jugular veins, dyspnea, and cough.
What is the priority nursing intervention?
1 Restart the client’s infusion at another site.
2 Slow the rate of the client’s infusion of the TPN.
3 Interrupt the client’s infusion and notify the healthcare provider.
4 Obtain the vital signs and continue monitoring the client’s status
A nurse is providing education about excellent food sources of vitamin A for
a client who is deficient in this vitamin. Which foods should the nurse include in
the teaching? Select all that apply
1 Carrots
2 Oranges
3 Tomatoes
4 Green leafy greens
5 Yellow/orange vegetables
A 9-year-old child who has successfully completed the emergency (resuscitative)
phase of treatment for a severe burn injury is started on a high-protein, high-calorie
diet. Which snacks should the nurse encourage between meals? Select
all that apply.
1 Crackers and cheese
2 White bread and honey
3 Orange juice and cookies
4 Banana pudding and whipped cream
5 Frozen yogurt and chocolate sprinkles
A nurse is teaching a community group about the basics of nutrition. A participant
questions why fluoride is added to drinking water. The nurse should respond
that it is a necessary element added to drinking water to promote what?
1 Dental health
2 Growth and development
3 Improved hearing
4 Night vision
A nurse interviews a young female client with anorexia nervosa to obtain
information for the nursing history. What will the client’s history most likely
reveal?
1 Strong desire to improve her body image
2 Close, supportive mother-daughter relationship
3 Satisfaction with and desire to maintain her current weight
4 Low level of achievement in school and little concern for grades
A nurse is caring for a client who had surgery for cancer of the pancreas.
Which nutrients will the nurse most closely observe after surgery?
1 Beef and chicken
2 Proteins and grains
3 Vitamins and minerals
4 Fats and carbohydrates
A nurse is caring for a client who had a subtotal gastrectomy. Which assessment
finding indicates the client is ready for postoperative oral feedings?
1 Presence of flatulence
2 Extent of incisional pain
3 Stabilization of hematocrit levels
4 Occurrence of dumping syndrome
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2024 HESI Nutrition Proctored Exam
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- What are BIOCHEMICAL substances that come from outside sources, normally
from FOOD?
A. Metabolism
B. Nutrients
C. Pharmacokinetics
D. Chemistry
E. Molecules:
Answer:
Nutrients - What are examples of nutrients?
A. Carbohydrates
B. Lipids
C. Vitamins
D. Minerals
E. Water
F. Proteins
G. All except E
H. All of above:
Answer:
All of above - T/F: A single food can contain ALL the essential nutrients in amounts
needed for optimal health.:
Answer:
False; there is NO single food that contains ALL - Which nutrient provides the MOST abundant energy?
A. Carbohydrates
B. Lipids
C. Vitamins
D. Minerals
E. Water
F. Proteins:
Answer:
Carbohydrates
- How many calories do carbohydrates provide?
A. 9 kcal/gram
B. 6 kcal/gram
C. 4 kcal/gram
D. 8 kcal/gram:
Answer:
4 kcal/gram - Which nutrient contains monosaccharides, disaccharides, and polysaccharides?
A. Carbohydrates
B. Lipids
C. Vitamins
D. Minerals
E. Water
F. Proteins:
Answer:
Carbohydrates - Which nutrient is considered the MOST economical form of energy?
A. Carbohydrates
B. Lipids
C. Vitamins
D. Minerals
E. Water
F. Proteins:
Answer:
Carbohydrates - Which types of carbohydrate contributes to the PALATABILITY (tastiness)
of food because of their sweetness? Select ALL that apply.
A. Disaccharide
B. Monosaccharide
C. Polysaccharide:
Answer:
monosaccharides and disaccharides - Which organic compounds make up carbohydrates? Select all that apply.
A. Nitrogen
B. Oxygen
C. Carbon
D. Hydrogen:
Answer:
Carbon, hydrogen, and oxygen - Which carbohydrate is considered a SIMPLE carbohydrate?
A. Disaccharide
B. Monosaccharide
C. Polysaccharide:
Answer:
Monosaccharides - What are the three different types of MONOsaccharides?
A. Sucrose
B. Glucose
C. Lactose
D. Fructose
E. Maltose
F. Galactose:
Answer:
Glucose, galactose, fructose - What is another name for dextrose and what is it chemically identical
to?:
Answer:
blood sugar; it is chemically identical to glucose - What is the MAIN fuel for the BRAIN and needed for RBC’s?
A. Glycogen
B. Galactose
C. Glucose
D. Maltose:
Answer:
Glucose
- Which sugar is the MAIN carbohydrate found in the BLOODSTREAM?
A. Glycogen
B. Galactose
C. Glucose
D. Maltose:
Answer:
Glucose; Glucose deals with blood and brain (BB) - Which sugar does the body use THE BEST?
A. Glycogen
B. Galactose
C. Glucose
D. Maltose:
Answer:
glucose - Which sugar is the sweetest?
A. Lactose
B. Fructose
C. Glycogen
D. Maltose:
Answer:
Fructose - Which sugar is naturally found in HONEY?
A. Lactose
B. Fructose
C. Glycogen
D. Maltose:
Answer:
fructose - T/F: Glucose is absorbed in the stomach. Then, it is transported to the liver
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