HESI LPN
Nutrition Final Exam
1. How should a healthcare provider address a child's nutritional needs with a lactose intolerance diagnosis?
- A. Recommend lactose-free dairy products
- B. Increase dairy intake
- C. Encourage high-fiber diet
- D. Use oral probiotics only
Correct answer: A
Rationale: In managing lactose intolerance in a child, recommending lactose-free dairy products is crucial. These products help address the child's nutritional needs without causing symptoms related to lactose consumption. Choice B is incorrect because increasing dairy intake would exacerbate symptoms in a lactose-intolerant individual as they cannot digest lactose properly. Choice C, encouraging a high-fiber diet, is not directly related to managing lactose intolerance and may not address the primary issue of lactose malabsorption. Choice D, using oral probiotics only, may not be sufficient to address the child's nutritional needs in case of lactose intolerance as the main concern is avoiding lactose-containing products.
2. What is the main purpose of the initial assessment of a child with a suspected fracture?
- A. To determine the type of fracture
- B. To check for potential complications
- C. To identify the cause of the injury
- D. To plan for long-term rehabilitation
Correct answer: B
Rationale: The main purpose of the initial assessment of a child with a suspected fracture is to check for potential complications, such as neurovascular impairment, and to ensure appropriate treatment. Choice A is incorrect because determining the type of fracture usually requires imaging studies like X-rays, which may not be part of the initial assessment. Choice C is incorrect because identifying the cause of the injury is important for the history-taking part but may not be the main purpose of the initial assessment. Choice D is incorrect because long-term rehabilitation planning typically occurs after the acute phase of fracture management.
3. What is a common side effect of the antibiotic tetracycline in children?
- A. Discoloration of teeth
- B. Increased appetite
- C. Elevated blood glucose levels
- D. Decreased bone density
Correct answer: A
Rationale: Discoloration of teeth is a well-known side effect of tetracycline, especially when administered to children below 8 years of age. Tetracycline can bind to calcium ions in developing teeth, causing them to become discolored and appear yellow or brown. Increased appetite, elevated blood glucose levels, and decreased bone density are not commonly associated with the use of tetracycline in children, making them incorrect choices.
4. Which characteristic is most typical of a chronic disease?
- A. It has a rapid onset.
- B. It rarely has noticeable symptoms.
- C. It produces sharp pains.
- D. It progresses gradually.
Correct answer: D
Rationale: The correct answer is D. Chronic diseases are characterized by a gradual progression over time, affecting individuals for an extended period. Option A is incorrect as chronic diseases do not have a rapid onset like acute conditions. Option B is incorrect as chronic diseases often manifest noticeable symptoms. Option C is incorrect as sharp pains are not a defining characteristic of chronic diseases. Chronic diseases can present a variety of symptoms depending on the specific condition, but gradual progression is a common feature distinguishing them from acute illnesses.
5. What dietary modification is important for a child with celiac disease?
- A. Increase dairy intake
- B. Avoid gluten-containing foods
- C. Decrease protein intake
- D. Increase fiber intake
Correct answer: B
Rationale: The correct answer is B: Avoid gluten-containing foods. For a child with celiac disease, it is crucial to eliminate gluten from their diet to manage the condition effectively. Gluten triggers an immune response in individuals with celiac disease, leading to symptoms and damage to the small intestine. Choices A, C, and D are incorrect because increasing dairy intake, decreasing protein intake, or increasing fiber intake are not specific dietary modifications for managing celiac disease.
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