HESI LPN
Nutrition Final Exam
1. What is a key intervention for a child with a new diagnosis of type 1 diabetes?
- A. Insulin administration
- B. Increased dietary fat intake
- C. Restricted fluid intake
- D. Routine physical examinations only
Correct answer: A
Rationale: The correct answer is A: Insulin administration. When a child is diagnosed with type 1 diabetes, insulin administration is a crucial intervention. Insulin helps regulate blood glucose levels by enabling cells to take in glucose from the bloodstream. Without sufficient insulin, blood glucose levels can become dangerously high, leading to various complications. Increased dietary fat intake (choice B) is not a recommended intervention for type 1 diabetes management, as it can contribute to weight gain and other health issues. Restricted fluid intake (choice C) is also not appropriate, as adequate hydration is essential for overall health. Routine physical examinations (choice D) are important but are not the primary intervention needed to manage type 1 diabetes.
2. How should a healthcare provider assist in the management of a child with type 1 diabetes?
- A. Provide high-carbohydrate snacks
- B. Schedule frequent blood glucose tests
- C. Increase dietary fat intake
- D. Encourage a high-protein diet
Correct answer: B
Rationale: For the management of type 1 diabetes in a child, scheduling frequent blood glucose tests is essential. These tests help in monitoring blood sugar levels, adjusting insulin doses, and ensuring proper glucose control. Choices A, C, and D are incorrect. Providing high-carbohydrate snacks can lead to blood sugar spikes, increasing dietary fat intake is not recommended, and encouraging a high-protein diet is not a standard recommendation for managing type 1 diabetes in children.
3. How should a healthcare professional manage a child with scabies?
- A. Use topical permethrin cream
- B. Administer oral antibiotics
- C. Apply topical antifungals
- D. Provide supportive care only
Correct answer: A
Rationale: Corrected Rationale: Topical permethrin cream is the appropriate treatment for scabies as it effectively kills the mites causing the infestation. Oral antibiotics are not indicated for scabies as it is not a bacterial infection. Topical antifungals are used to treat fungal infections, not scabies. Providing supportive care only would not address the underlying cause of scabies, which is the mite infestation.
4. How should a healthcare provider respond to a parent concerned about their child's recurrent ear infections?
- A. Suggest regular use of over-the-counter ear drops
- B. Recommend a thorough evaluation by an ENT specialist
- C. Advise on increased antibiotic use
- D. Encourage avoiding all physical activities
Correct answer: B
Rationale: When a parent expresses concerns about their child's recurrent ear infections, the best course of action is to recommend a thorough evaluation by an Ear, Nose, and Throat (ENT) specialist. This specialist can conduct a comprehensive assessment to identify the underlying cause of the ear infections and provide appropriate treatment options. Choice A is incorrect because suggesting over-the-counter ear drops without a proper evaluation may not address the root cause of the issue. Choice C is also incorrect as increasing antibiotic use without understanding the specific cause can lead to antibiotic resistance and may not be necessary. Choice D is incorrect as avoiding physical activities is unrelated to addressing recurrent ear infections and is not a recommended approach.
5. 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.
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