HESI LPN
Nutrition Final Exam
1. 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.
2. What is a common sign of congenital hip dysplasia in infants?
- A. Symmetrical hip movement
- B. Limited range of motion in the hip
- C. Swelling of the knees
- D. Dislocated patella
Correct answer: B
Rationale: Limited range of motion in the hip, often noted as a limitation in abduction, is a common sign of congenital hip dysplasia. This limitation is due to the abnormal development of the hip joint, affecting its movement. Symmetrical hip movement (Choice A) is not a characteristic sign of congenital hip dysplasia. Swelling of the knees (Choice C) is not typically associated with this condition. Dislocated patella (Choice D) refers to a different anatomical structure and is not a common sign of congenital hip dysplasia.
3. What is one benefit of using controls in an experiment?
- A. The size of the groups does not matter.
- B. The subjects are unaware of the experiment's details.
- C. The subjects who are treated are balanced against the placebos.
- D. The subjects are similar in all respects except for the treatment being tested.
Correct answer: D
Rationale: The correct answer is D. Controls in an experiment ensure that the subjects are similar in all respects except for the treatment being tested. This allows for a fair comparison between the treatment group and the control group. Choice A is incorrect because the size of the groups is not the primary benefit of using controls. Choice B is incorrect as blinding, not controls, refers to subjects not knowing about the experiment. Choice C is incorrect as it pertains more to randomization than the use of controls.
4. What will the treatment for a newly admitted child with cystic fibrosis center on?
- A. Chest physiotherapy
- B. Mucus-drying agents
- C. Prevention of diarrhea
- D. Insulin therapy
Correct answer: A
Rationale: The correct answer is A: Chest physiotherapy. Treatment for cystic fibrosis focuses on chest physiotherapy and aerosol medications to manage and clear thick pulmonary secretions. Chest physiotherapy helps loosen and clear mucus from the lungs, aiding in breathing and reducing the risk of infections. Mucus-drying agents (choice B) are not typically used in the treatment of cystic fibrosis as the goal is to help clear mucus, not dry it. Prevention of diarrhea (choice C) is not a primary focus in the treatment of cystic fibrosis. Insulin therapy (choice D) is not relevant to cystic fibrosis, which primarily affects the respiratory and digestive systems.
5. How should a healthcare professional manage a child with a newly inserted central venous catheter?
- A. Monitor for signs of infection
- B. Restrict all physical activity
- C. Administer routine antibiotics
- D. Increase fluid intake only
Correct answer: A
Rationale: Monitoring for signs of infection is crucial in managing a central venous catheter to prevent complications. This involves observing for redness, swelling, warmth, or drainage at the catheter site, as these can indicate an infection. Restricting physical activity unnecessarily (choice B) can hinder the child's recovery and quality of life. Administering routine antibiotics (choice C) without a confirmed infection can lead to antibiotic resistance and unnecessary side effects. Increasing fluid intake only (choice D) is not the primary intervention for managing a central venous catheter.
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