the motive for a person who alters his diet due to religious convictions is most likely related to his
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HESI PN Nutrition Practice Exam

1. The motive for a person who alters their diet due to religious convictions is most likely related to their ___.

Correct answer: A

Rationale: The correct answer is A, 'values.' When individuals alter their diet due to religious convictions, it is primarily driven by their personal or cultural values associated with their faith. This choice reflects the strong influence that religious beliefs can have on dietary choices. Choice B, 'body image,' is incorrect because altering one's diet for religious reasons is more about spiritual beliefs than physical appearance. Choice C, 'ethnic heritage,' is incorrect as it pertains more to cultural background rather than religious convictions. Choice D, 'functional association,' is incorrect as it does not directly relate to the motivation behind altering one's diet for religious reasons.

2. How should a healthcare provider address the nutritional needs of a child with chronic kidney disease?

Correct answer: B

Rationale: Reducing sodium and phosphorus intake is crucial in managing chronic kidney disease in children because it helps prevent complications such as electrolyte imbalances and bone problems. High protein intake can actually be harmful to the kidneys in this condition as it can lead to increased waste production. A high-fat diet is not recommended as it can contribute to heart and blood vessel problems. Encouraging frequent sugary snacks can lead to further complications like obesity and diabetes, which are not beneficial for a child with chronic kidney disease.

3. Parents of a 6-month-old child, diagnosed with iron deficiency anemia, ask why it was not diagnosed earlier. What should the nurse say?

Correct answer: B

Rationale: The correct answer is B: 'Maternal stores of iron are depleted at about 6 months.' Iron deficiency anemia becomes apparent around 6 months of age when the infant's iron stores, primarily received from the mother during pregnancy, are depleted. This timing coincides with the introduction of solid foods, which may lack sufficient iron. Choices A, C, and D are incorrect because they do not address the specific reason why iron deficiency anemia is typically diagnosed around 6 months of age.

4. What is an important dietary consideration for a child with cystic fibrosis?

Correct answer: A

Rationale: For a child with cystic fibrosis, an important dietary consideration is a high-calorie, high-fat diet. This type of diet helps address malabsorption issues commonly seen in individuals with cystic fibrosis and supports adequate growth and development. High-calorie, high-fat foods are recommended to help meet the increased energy needs of these individuals. Choices B, C, and D are not the most appropriate dietary considerations for a child with cystic fibrosis. A low-sugar diet may not provide enough calories for optimal growth, increased dietary fiber may exacerbate issues related to malabsorption, and a high-sodium diet is generally not recommended due to the risk of dehydration and electrolyte imbalances in individuals with cystic fibrosis.

5. What should be monitored in a child with congenital adrenal hyperplasia (CAH)?

Correct answer: B

Rationale: In a child with congenital adrenal hyperplasia (CAH), monitoring electrolyte balance is crucial. CAH can lead to adrenal insufficiency, causing imbalances in electrolytes such as sodium and potassium. Monitoring electrolyte levels helps in preventing complications like dehydration, electrolyte disturbances, and adrenal crisis. While blood glucose levels may need monitoring in other conditions like diabetes, it is not the primary concern in CAH. Urine output is important in assessing kidney function but is not a direct monitoring parameter for CAH. Hemoglobin levels are more relevant in conditions such as anemia, not specifically in CAH.

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