HESI LPN
HESI PN Nutrition Practice Exam
1. What is a common treatment for a child with moderate to severe eczema?
- A. Topical corticosteroids
- B. Oral antibiotics
- C. Frequent saline irrigation
- D. High-calcium diet
Correct answer: A
Rationale: Topical corticosteroids are the correct answer for a child with moderate to severe eczema. These medications are commonly used to reduce inflammation and itching associated with eczema. Oral antibiotics (Choice B) are not typically used in eczema treatment unless there is a secondary bacterial infection. Frequent saline irrigation (Choice C) may aid in wound care but is not a primary treatment for eczema. A high-calcium diet (Choice D) is not a standard treatment for eczema and does not target the underlying inflammatory process that causes eczema symptoms.
2. What is the main objective of palliative care?
- A. To cure the disease
- B. To provide relief from symptoms and improve quality of life
- C. To extend hospital stays
- D. To focus solely on treatment
Correct answer: B
Rationale: The main objective of palliative care is to provide relief from symptoms and improve quality of life. Palliative care focuses on enhancing the quality of life for patients facing serious illnesses by providing relief from symptoms such as pain, stress, and other physical and emotional issues. Choice A is incorrect because palliative care does not aim to cure the disease but rather to manage symptoms. Choice C is incorrect as the goal of palliative care is not to extend hospital stays unnecessarily but to improve the patient's well-being. Choice D is incorrect as palliative care is not solely focused on treatment but takes a holistic approach to care that includes addressing physical, emotional, social, and spiritual needs.
3. During an admission assessment, a nurse is documenting a client's medication. Which of the following actions should the nurse take?
- A. Counsel the client on medication adherence.
- B. Assess the client for medication reactions.
- C. Compile a list of the client's current medications.
- D. Evaluate the client's understanding of medications.
Correct answer: C
Rationale: During an admission assessment, compiling a list of the client's current medications is crucial for accurate documentation and planning. This information helps prevent medication errors, identify potential interactions, and ensure continuity of care. While counseling the client on medication adherence (Choice A) is important, it is not the primary action when documenting medications. Assessing the client for medication reactions (Choice B) is relevant for monitoring side effects but not the immediate focus during documentation. Evaluating the client's understanding of medications (Choice D) is essential for education but does not address the immediate need for compiling a list of current medications.
4. A client who is diagnosed with amyotrophic lateral sclerosis (ALS) is having difficulty swallowing and articulating words. Which intervention is most important to include in this client’s plan of care?
- A. Encourage speaking slowly and articulating words
- B. Sit upright and flex chin forward while swallowing
- C. Position a communication board at the bedside
- D. Provide feeding utensils with large grip handles
Correct answer: B
Rationale: The correct intervention for a client with ALS experiencing difficulty swallowing and articulating words is to sit upright and flex the chin forward while swallowing. This position helps manage dysphagia associated with ALS by facilitating the swallowing process. Encouraging speaking slowly and articulating words (Choice A) may be helpful for speech clarity but does not address the swallowing issue. Positioning a communication board (Choice C) would not directly address the swallowing difficulty. Providing feeding utensils with large grip handles (Choice D) is not the priority intervention for managing dysphagia in ALS.
5. Which of the following pairs share 100% of their genes?
- A. Biovular twins
- B. Fraternal twins
- C. Dizygotic (DZ) twins
- D. Monozygotic (MZ) twins
Correct answer: D
Rationale: The correct answer is Monozygotic (MZ) twins. Monozygotic twins, also known as identical twins, share 100% of their genes because they originate from the same fertilized egg that splits into two. Fraternal twins (choice B), also known as dizygotic (DZ) twins (choice C), result from two separate fertilized eggs and share approximately 50% of their genes. Biovular twins (choice A) is not a term used in genetics and does not describe a type of twinning.