HESI LPN
HESI PN Nutrition Practice Exam
1. What is a common symptom of congenital heart disease in infants?
- A. Excessive weight gain
- B. Difficulty breathing
- C. High blood pressure
- D. Increased appetite
Correct answer: B
Rationale: Difficulty breathing is a common symptom of congenital heart disease in infants. Infants with congenital heart disease may experience difficulty breathing due to impaired cardiac function, which affects the heart's ability to pump blood effectively. This symptom is often due to issues like heart failure or fluid accumulation in the lungs. Excessive weight gain (Choice A) is not typically associated with congenital heart disease in infants. High blood pressure (Choice C) is less common in infants with congenital heart disease compared to adults. Increased appetite (Choice D) is not a typical symptom of congenital heart disease in infants.
2. Following diarrhea, which foods should be offered to the school-age child?
- A. Apricots and peaches
- B. Chocolate milk
- C. Applesauce and milk
- D. Bananas and rice
Correct answer: D
Rationale: After a bout of diarrhea, it is important to offer foods that are gentle on the stomach and help in recovery. Bananas and rice are commonly recommended as they are easily digestible and can help firm up stools. Apricots, peaches, and applesauce may be too acidic and fibrous, potentially aggravating the stomach. Chocolate milk is high in sugar and can worsen diarrhea due to its lactose content.
3. What is a key sign of meningitis in an infant?
- A. Increased appetite
- B. Bulging fontanel
- C. Decreased respiratory rate
- D. Elevated blood pressure
Correct answer: B
Rationale: A bulging fontanel is a key sign of meningitis in infants, indicating increased intracranial pressure due to inflammation of the meninges. This can lead to the fontanel bulging. Choices A, C, and D are incorrect. Increased appetite is not typically associated with meningitis in infants; instead, they may have poor feeding. A decreased respiratory rate is not a common sign of meningitis in infants. Elevated blood pressure is also not a typical finding in infants with meningitis.
4. Why is randomization important in a scientific experiment?
- A. To minimize the impact of confounding variables.
- B. To eliminate bias in the assignment of subjects to groups.
- C. To contribute to the accuracy and validity of the experiment's results.
- D. To prevent systematic differences between groups.
Correct answer: B
Rationale: Randomization is crucial in a scientific experiment to eliminate bias in the assignment of subjects to groups. By randomly assigning subjects, it helps ensure that any differences observed in the outcomes are due to the experimental treatment and not to preexisting differences between groups. Choice A is incorrect because randomization does not guarantee representativeness but rather minimizes the impact of confounding variables. Choice C is not entirely accurate; while randomization can contribute to accuracy and validity, its primary purpose is to reduce bias. Choice D is incorrect as the goal of randomization is not to balance the number of subjects but to prevent systematic differences between groups.
5. What should be monitored in a child with congenital adrenal hyperplasia (CAH)?
- A. Blood glucose levels
- B. Electrolyte balance
- C. Urine output
- D. Hemoglobin levels
Correct answer: B
Rationale: In a child with congenital adrenal hyperplasia (CAH), monitoring electrolyte balance is crucial. CAH can lead to adrenal insufficiency, causing imbalances in electrolytes such as sodium and potassium. Monitoring electrolyte levels helps in preventing complications like dehydration, electrolyte disturbances, and adrenal crisis. While blood glucose levels may need monitoring in other conditions like diabetes, it is not the primary concern in CAH. Urine output is important in assessing kidney function but is not a direct monitoring parameter for CAH. Hemoglobin levels are more relevant in conditions such as anemia, not specifically in CAH.
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