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 a key aspect of managing a child with eczema?
- A. Daily baths with soap
- B. Regular use of emollients and moisturizers
- C. High-protein diet
- D. Frequent exposure to sunlight
Correct answer: B
Rationale: Regular use of emollients and moisturizers is a key aspect of managing eczema in children. Emollients help maintain skin hydration and reduce irritation, which are crucial in managing eczema symptoms. Daily baths with soap can actually worsen eczema by drying out the skin further. A high-protein diet and frequent exposure to sunlight are not directly related to managing eczema and may not have a significant impact on the condition.
3. How should a healthcare provider approach the care of a child with a suspected fracture?
- A. Immobilize the affected limb and seek medical evaluation
- B. Apply heat to the injury
- C. Allow the child to continue normal activity
- D. Administer over-the-counter pain relief only
Correct answer: A
Rationale: When a child is suspected to have a fracture, it is essential to immobilize the affected limb to prevent further injury. Seeking immediate medical evaluation is crucial for an accurate diagnosis and appropriate treatment. Applying heat to a suspected fracture can worsen the condition by increasing swelling and pain. Allowing the child to continue normal activity can lead to further damage. Administering only over-the-counter pain relief is insufficient and does not address the need for immobilization and professional evaluation.
4. If a group of people consumes an amount of protein equal to the estimated average requirement for their population group, what percentage of people will receive insufficient amounts?
- A. 10
- B. 25
- C. 33
- D. 50
Correct answer: D
Rationale: If a group consumes an amount of protein equal to the estimated average requirement, 50% of the people will receive insufficient amounts. The estimated average requirement is the amount of a nutrient that is estimated to meet the requirement of half the healthy individuals in a particular life stage and gender group. Therefore, 50% of the group will not be meeting their individual needs if they are consuming only the average requirement. Choices A, B, and C are incorrect because at the estimated average requirement level, a higher percentage than those values will receive insufficient amounts.
5. After surgical repair of a cleft palate, what should be used to prevent injury to the suture line?
- A. Straw
- B. Spoon
- C. Syringe
- D. Cup
Correct answer: C
Rationale: The correct answer is C: Syringe. Using a syringe helps in feeding without causing injury to the suture line after cleft palate repair because it avoids direct contact with the suture area. Straws and spoons can potentially put pressure on the suture line, leading to injury. Cups may not provide the necessary control to prevent contact with the suture line, unlike a syringe.
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