HESI LPN
Nutrition Final Exam
1. What is a common symptom of a vitamin D deficiency in children?
- A. Frequent infections
- B. Bone pain and tenderness
- C. Excessive thirst
- D. Unexplained bruising
Correct answer: B
Rationale: Bone pain and tenderness are indeed common symptoms of vitamin D deficiency in children. Vitamin D plays a crucial role in bone health and growth. The deficiency can lead to weakened bones, causing pain and tenderness. Choices A, C, and D are incorrect. Frequent infections are not a typical symptom of vitamin D deficiency in children; excessive thirst is more commonly associated with conditions like diabetes, and unexplained bruising is not directly linked to vitamin D deficiency.
2. What is the study of how a person's genes interact with nutrients?
- A. genetic counseling
- B. nutritional genomics
- C. genetic metabolomics
- D. nutritional genetics
Correct answer: B
Rationale: Nutritional genomics, the correct answer, specifically focuses on how a person's genes interact with nutrients, affecting health and disease. Genetic counseling (choice A) refers to the process of helping people understand and adapt to the medical, psychological, and familial implications of genetic contributions to disease. Genetic metabolomics (choice C) combines genetic and metabolomic data to study metabolic pathways. Nutritional genetics (choice D) generally refers to the broader field of genetics as it relates to nutrition, while nutritional genomics, the most precise term, delves into the specific gene-nutrient interactions.
3. What is an important consideration when administering medications to a child with a history of chronic renal failure?
- A. Increased frequency of medication administration
- B. Adjustments in dosage due to altered drug metabolism
- C. Avoidance of all medications
- D. Use of only intravenous medications
Correct answer: B
Rationale: When administering medications to a child with chronic renal failure, it is crucial to consider adjustments in dosage due to altered drug metabolism. Children with chronic renal failure may have impaired drug excretion, leading to potential drug accumulation and toxicity. Increasing the frequency of medication administration (choice A) may not address the altered drug metabolism issue and could increase the risk of adverse effects. Avoiding all medications (choice C) is not practical or safe as some medications may be necessary for the child's health. Using only intravenous medications (choice D) is not always required and may not be the best route of administration for all medications needed.
4. What is the primary treatment for a child with an anaphylactic reaction?
- A. Oral antihistamines
- B. Intravenous fluids
- C. Epinephrine injection
- D. Antipyretics
Correct answer: C
Rationale: The correct answer is C: Epinephrine injection. An epinephrine injection is the primary treatment for an anaphylactic reaction in children. Epinephrine acts quickly to reverse severe symptoms such as difficulty breathing, low blood pressure, and hives. Oral antihistamines, although useful for milder allergic reactions, are not sufficient to manage the potentially life-threatening symptoms of anaphylaxis. Intravenous fluids may be necessary to support blood pressure in a child with anaphylaxis but are not the primary treatment. Antipyretics, on the other hand, are medications used to reduce fever and are not indicated as the primary treatment for an anaphylactic reaction.
5. What is the result of the metabolism of energy nutrients?
- A. Energy is released.
- B. Body fat increases.
- C. Energy is destroyed.
- D. Body water decreases.
Correct answer: A
Rationale: The correct answer is A. Energy is released during the metabolism of energy nutrients. This released energy is utilized by the body for various functions. Choice B is incorrect because the metabolism of energy nutrients does not directly result in an increase in body fat. Choice C is incorrect as energy is not destroyed but rather transformed and utilized by the body. Choice D is incorrect as the metabolism of energy nutrients does not lead to a decrease in body water.
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