HESI LPN
HESI PN Nutrition Practice Exam
1. What is a common sign of iron-deficiency anemia in children?
- A. Yellowing of the skin
- B. Pallor and fatigue
- C. Rapid weight gain
- D. Increased appetite
Correct answer: B
Rationale: Pallor and fatigue are common signs of iron-deficiency anemia in children. Iron-deficiency anemia is characterized by a decreased production of red blood cells, leading to a paler appearance (pallor) and increased fatigue due to reduced oxygen-carrying capacity. Yellowing of the skin (choice A) is more commonly associated with liver or bile duct issues. Rapid weight gain (choice C) and increased appetite (choice D) are not typical signs of iron-deficiency anemia.
2. What intervention is recommended for a child with severe dehydration?
- A. Oral rehydration therapy
- B. Intravenous fluid replacement
- C. High-protein diet
- D. Increased physical activity
Correct answer: B
Rationale: Intravenous fluid replacement is the recommended intervention for a child with severe dehydration because it allows for rapid restoration of fluid and electrolyte balance. In severe cases, oral rehydration therapy (Choice A) may not be tolerated due to the child's condition. A high-protein diet (Choice C) is not the primary intervention and does not address the immediate fluid and electrolyte imbalance. Increased physical activity (Choice D) is contraindicated in severe dehydration as it can exacerbate fluid loss, making intravenous fluid replacement the most suitable choice for prompt correction of the severe dehydration.
3. Before publication in a reputable journal, the findings of a research study must undergo scrutiny by experts in the field in a process known as what?
- A. peer review
- B. cohort review
- C. research intervention
- D. double-blind examination
Correct answer: A
Rationale: The correct answer is A: peer review. Before publication, research findings must undergo peer review, where experts in the field evaluate the validity and significance of the study. Choice B, cohort review, is incorrect as it does not involve the same level of evaluation by experts. Choice C, research intervention, is not a term used to describe the evaluation process before publication. Choice D, double-blind examination, refers to a study design where neither the participants nor the researchers know who is receiving a particular treatment, which is not the same as the peer review process.
4. After surgical repair of a cleft palate, what should be used to prevent injury to the suture line?
- A. Straw
- B. Spoon
- C. Syringe
- D. Cup
Correct answer: C
Rationale: The correct answer is C: Syringe. Using a syringe helps in feeding without causing injury to the suture line after cleft palate repair because it avoids direct contact with the suture area. Straws and spoons can potentially put pressure on the suture line, leading to injury. Cups may not provide the necessary control to prevent contact with the suture line, unlike a syringe.
5. What is the appropriate intervention for a child with an undescended testicle?
- A. Wait until puberty
- B. Perform an orchidopexy
- C. Administer hormone therapy
- D. Increase physical activity
Correct answer: B
Rationale: The appropriate intervention for a child with an undescended testicle is to perform an orchidopexy. This surgical procedure is recommended if the testicle has not descended naturally within the first year of life. Waiting until puberty is not advised as early intervention is crucial for optimal outcomes. Administering hormone therapy is not the first-line treatment for an undescended testicle and is typically not recommended. Increasing physical activity does not address the underlying issue of an undescended testicle and is not a suitable intervention.
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