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 an important dietary consideration for a child with renal failure?
- A. Low-protein, low-sodium diet
- B. High-protein, high-sodium diet
- C. Increased calcium intake
- D. High-fiber diet
Correct answer: A
Rationale: A low-protein, low-sodium diet is crucial for a child with renal failure because it helps reduce the workload on the kidneys and minimize complications. High-protein and high-sodium diets can place excessive strain on the kidneys and worsen the condition. Increased calcium intake is not typically a primary consideration for renal failure in children. While a high-fiber diet can be beneficial for overall health, it is not a specific priority for managing renal failure in children.
3. How should a healthcare provider address a child's concerns about a new medical diagnosis?
- A. Provide clear and age-appropriate information
- B. Avoid discussing the diagnosis
- C. Refer to a specialist immediately
- D. Suggest seeking alternative therapies
Correct answer: A
Rationale: Correct answer: Providing clear and age-appropriate information is crucial when addressing a child's concerns about a new medical diagnosis. Children often feel anxious and confused when faced with health issues, so offering them information in a way they can understand helps alleviate their fears and empowers them to cope better. Choice B is incorrect because avoiding discussing the diagnosis can lead to increased anxiety and uncertainty in the child. Choice C is incorrect as referring to a specialist immediately may not be necessary at the initial stage of addressing the child's concerns. Choice D is incorrect as suggesting alternative therapies without providing proper information about the medical diagnosis may not be suitable or effective.
4. What is a common treatment for a child with iron-deficiency anemia?
- A. Iron supplements
- B. High-protein diet
- C. Vitamin B12 injections
- D. Sodium chloride solution
Correct answer: A
Rationale: Iron supplements are the correct choice for treating iron-deficiency anemia in children. Iron supplements help replenish the low iron levels in the body, addressing the underlying cause of the anemia. High-protein diets may be beneficial for overall health but are not the primary treatment for iron-deficiency anemia. Vitamin B12 injections are used to treat B12 deficiency anemia, a different type of anemia. Sodium chloride solution is not a treatment for anemia and is typically used for hydration purposes.
5. How should a healthcare provider manage a child with newly diagnosed congenital hypothyroidism?
- A. Monitor for signs of hyperactivity
- B. Ensure regular thyroid hormone replacement therapy
- C. Encourage a high-calcium diet
- D. Increase physical exercise
Correct answer: B
Rationale: Correct Answer: Ensuring regular thyroid hormone replacement therapy is crucial for managing congenital hypothyroidism in children. This therapy supports normal growth and development by replacing the deficient thyroid hormones. Monitoring for signs of hyperactivity (Choice A) is not the primary management for congenital hypothyroidism; rather, the focus should be on addressing the hormone deficiency. Encouraging a high-calcium diet (Choice C) may not directly address the thyroid hormone deficiency characteristic of congenital hypothyroidism. Increasing physical exercise (Choice D) is not the mainstay treatment for this condition; hormone replacement therapy is the cornerstone of management.
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