what dietary recommendation is essential for a child with phenylketonuria pku
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HESI PN Nutrition Practice Exam

1. What dietary recommendation is essential for a child with phenylketonuria (PKU)?

Correct answer: C

Rationale: The correct answer is C: 'Low-phenylalanine diet.' Children with phenylketonuria (PKU) need to follow a low-phenylalanine diet to manage the condition. Phenylalanine is an amino acid found in protein-containing foods, and individuals with PKU have difficulty metabolizing it, leading to neurological damage and other complications. Therefore, restricting phenylalanine intake is crucial. Choice A, 'High-protein diet,' is incorrect because high protein intake would increase phenylalanine levels, worsening the condition. Choice B, 'Low-fat diet,' and Choice D, 'High-fiber diet,' are not the primary focus for PKU patients. The key dietary intervention for PKU is controlling phenylalanine intake, which is best achieved through a low-phenylalanine diet.

2. What is a common symptom of an upper respiratory infection in children?

Correct answer: C

Rationale: Nasal congestion is a common symptom of an upper respiratory infection in children. It is typically accompanied by cough and sore throat. Constipation (choice A) and excessive vomiting (choice B) are not typical symptoms of upper respiratory infections. Abdominal pain (choice D) is more commonly associated with gastrointestinal issues rather than upper respiratory infections.

3. What is the primary reason influencing most people's food choices?

Correct answer: B

Rationale: The primary reason most people choose the foods they eat is taste. While cost, convenience, and nutritional value also play a role in food choices, taste often takes precedence as people are more likely to select foods that they find appealing in flavor. Therefore, options A, C, and D are incorrect as taste is the chief factor influencing food choices.

4. How should a healthcare professional handle a child with a new diagnosis of ADHD?

Correct answer: A

Rationale: When dealing with a child newly diagnosed with ADHD, providing behavioral therapy and support is crucial. This approach helps the child learn coping strategies, improve social skills, and manage their symptoms effectively. Choice B, increasing sugar intake, is incorrect as there is no evidence linking sugar consumption to ADHD. Choice C, restricting all forms of exercise, is inappropriate as regular physical activity can actually benefit children with ADHD by helping them release excess energy and improve focus. Choice D, avoiding medication use, may not be the best course of action as medication prescribed by a healthcare professional can sometimes be beneficial in managing ADHD symptoms when combined with other therapies.

5. When an increase in exercise is accompanied by a decrease in body weight, it is an example of what?

Correct answer: C

Rationale: When an increase in exercise is accompanied by a decrease in body weight, it demonstrates a negative correlation. This means that as one variable (exercise) increases, the other variable (body weight) decreases. Choice A, 'variable effect,' is vague and does not accurately describe the relationship between exercise and body weight. Choice B, 'positive correlation,' is incorrect because in a positive correlation, both variables would increase or decrease together. Choice D, 'randomization effect,' is unrelated to the scenario described.

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