HESI LPN
LPN Nutrition Practice Test
1. What is a common sign of hypothyroidism in children?
- A. Weight loss
- B. Increased heart rate
- C. Dry skin and constipation
- D. Elevated blood pressure
Correct answer: C
Rationale: Dry skin and constipation are typical signs of hypothyroidism in children. Hypothyroidism results from an underactive thyroid gland, leading to symptoms such as dry skin and constipation. Weight loss (Choice A) is more commonly associated with hyperthyroidism, where the thyroid gland is overactive. Increased heart rate (Choice B) and elevated blood pressure (Choice D) are also more characteristic of hyperthyroidism rather than hypothyroidism. Therefore, the correct answer is dry skin and constipation (Choice C) when identifying signs of hypothyroidism in children.
2. What is the recommended first step in the management of a child with a suspected head injury?
- A. Administer pain medication
- B. Assess the child's level of consciousness
- C. Perform a CT scan
- D. Monitor for seizures
Correct answer: B
Rationale: The correct first step in managing a child with a suspected head injury is to assess the child's level of consciousness. This assessment is crucial as it helps determine the severity of the injury and guides further management. Administering pain medication (Choice A) should not be done before assessing the level of consciousness. Performing a CT scan (Choice C) may be necessary but is not the initial step. Monitoring for seizures (Choice D) is important but comes after assessing the child's level of consciousness.
3. What type of nutrient is needed by the body and must be supplied by foods?
- A. nutraceutical
- B. metabolic nutrient
- C. organic nutrient
- D. essential nutrient
Correct answer: D
Rationale: The correct answer is D, essential nutrient. Essential nutrients are substances that the body needs for normal functioning but cannot produce in sufficient amounts, so they must be obtained through the diet. Nutraceuticals (choice A) are products derived from food sources that are purported to provide extra health benefits beyond basic nutrition. Metabolic nutrients (choice B) and organic nutrients (choice C) are not standard terms used to describe nutrients needed by the body. Therefore, choices A, B, and C are incorrect.
4. What should be monitored in a child receiving chemotherapy?
- A. Blood glucose levels
- B. Blood cell counts
- C. Weight gain
- D. Skin elasticity
Correct answer: B
Rationale: The correct answer is monitoring blood cell counts. During chemotherapy, it is crucial to monitor blood cell counts to detect potential side effects such as neutropenia (low white blood cell count) and anemia (low red blood cell count). These conditions can increase the risk of infections and fatigue. Monitoring blood glucose levels (Choice A) is not typically a primary concern in children receiving chemotherapy unless they have pre-existing conditions like diabetes. Weight gain (Choice C) and skin elasticity (Choice D) are not directly related to monitoring the effects of chemotherapy in children. Therefore, the most important parameter to monitor in a child receiving chemotherapy is blood cell counts.
5. What is the first-line treatment for a child with a bacterial ear infection?
- A. Intravenous antibiotics
- B. Oral antibiotics
- C. Nasal decongestants
- D. Antihistamines
Correct answer: B
Rationale: The correct answer is B: Oral antibiotics. Oral antibiotics are the first-line treatment for bacterial ear infections in children as they effectively target the infection at the source and help alleviate symptoms. Intravenous antibiotics (Choice A) are typically reserved for severe cases where oral antibiotics are not sufficient. Nasal decongestants (Choice C) and antihistamines (Choice D) are not the primary treatments for bacterial ear infections. Nasal decongestants are used for nasal congestion, and antihistamines are used for allergies. However, these medications do not directly address the bacterial infection in the ear, unlike oral antibiotics.
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