HESI LPN
LPN Nutrition Practice Test
1. What is an important aspect of managing a child with ADHD?
- A. Increasing academic workload
- B. Consistent behavior management strategies
- C. Restricting all physical activity
- D. Encouraging solitary activities
Correct answer: B
Rationale: Consistent behavior management strategies are crucial when managing a child with ADHD. By implementing consistent strategies, such as clear rules, positive reinforcement, and structure, it helps the child improve focus, manage impulsivity, and regulate their behavior. Choice A, 'Increasing academic workload,' is incorrect as overwhelming a child with ADHD with more academic tasks can exacerbate their symptoms. Choice C, 'Restricting all physical activity,' is also incorrect as physical activity is beneficial for children with ADHD to release excess energy and improve focus. Choice D, 'Encouraging solitary activities,' is not ideal as social interaction and engagement with others are important for a child's development and well-being.
2. A 4-year-old child is scheduled for a myringotomy. What should the nurse include in the preoperative teaching?
- A. Explain the procedure in simple terms
- B. Encourage fluid intake
- C. Allow the child to play with medical equipment
- D. Use play therapy to prepare the child
Correct answer: A
Rationale: Explaining the procedure in simple terms is essential preoperative teaching for a 4-year-old child scheduled for a myringotomy. This approach helps the child understand what will happen during the procedure, reducing anxiety and fear. Encouraging fluid intake is a good general health practice but not directly related to preoperative teaching for this procedure. Allowing the child to play with medical equipment may not be safe or appropriate as it can lead to misunderstanding or fear. Using play therapy can be beneficial but explaining the procedure in simple terms is more direct and effective for preoperative teaching in this case.
3. When teaching a patient with diabetes about foot care, which of the following should the nurse emphasize?
- A. Avoid soaking feet daily to prevent dryness and skin breakdown
- B. Select well-fitting shoes to prevent injury
- C. Trim toenails straight across and file the edges
- D. Avoid using heating pads to prevent burns
Correct answer: C
Rationale: The correct answer is C. Trimming toenails straight across and filing the edges is crucial in diabetic foot care to prevent ingrown toenails and foot injuries. Soaking feet daily can lead to dryness and skin breakdown, increasing the risk of infection. Selecting well-fitting shoes is important to prevent pressure points and skin damage, not tight-fitting shoes. Using heating pads can result in burns or injuries due to decreased sensation in diabetic feet, so it's essential to avoid them.
4. A nurse is caring for a client who has cancer. The client’s adult child asks the nurse for information about the client’s treatment plan. Which of the following responses should the nurse make?
- A. I will ask your mother's primary care provider to speak with you
- B. What would you like to know about your mother's treatment?
- C. I cannot provide this information to you without your mother's consent
- D. You will have to speak directly to your mother about her treatment
Correct answer: C
Rationale: The nurse should not provide treatment information without the client's consent.
5. An infant is receiving penicillin G procaine 220,000 units IM. The drug is supplied as 600,000 units/ml. How many ml should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth)
- A. 0.4
- B.
- C.
- D.
Correct answer: A
Rationale: To calculate the volume to administer, use the formula: Desired dose (220,000 units) / Dose on hand (600,000 units) x Volume of the available dose (1 ml). This results in 0.4 ml to be administered. Choice A is correct. Choice B, C, and D are incorrect as they are not provided.