HESI LPN
Nutrition Final Exam
1. What is an important dietary consideration for a child with cystic fibrosis?
- A. High-calorie, high-fat diet
- B. Low-sugar diet
- C. Increased dietary fiber
- D. High-sodium diet
Correct answer: A
Rationale: For a child with cystic fibrosis, an important dietary consideration is a high-calorie, high-fat diet. This type of diet helps address malabsorption issues commonly seen in individuals with cystic fibrosis and supports adequate growth and development. High-calorie, high-fat foods are recommended to help meet the increased energy needs of these individuals. Choices B, C, and D are not the most appropriate dietary considerations for a child with cystic fibrosis. A low-sugar diet may not provide enough calories for optimal growth, increased dietary fiber may exacerbate issues related to malabsorption, and a high-sodium diet is generally not recommended due to the risk of dehydration and electrolyte imbalances in individuals with cystic fibrosis.
2. What is an important aspect of managing a child with asthma in a school setting?
- A. Limiting physical activity
- B. Ensuring access to emergency medications
- C. Reducing the number of classes attended
- D. Avoiding interaction with other students
Correct answer: B
Rationale: The correct answer is B: Ensuring access to emergency medications. In a school setting, it is crucial to have emergency medications available for a child with asthma in case of an asthma attack. This helps in managing asthma effectively and promptly. Choices A, C, and D are incorrect because limiting physical activity, reducing the number of classes attended, and avoiding interaction with other students are not recommended strategies for managing asthma in a school setting. Encouraging physical activity, ensuring regular attendance, and promoting social interactions are important for the overall well-being of a child with asthma.
3. Which statement best describes the relationship between diet and chronic diseases?
- A. Diet has no impact on chronic diseases.
- B. A poor diet can increase the risk of developing chronic diseases.
- C. Diet is the sole cause of chronic diseases.
- D. A balanced diet can help prevent or manage chronic diseases.
Correct answer: B
Rationale: Choice B is the correct answer. A poor diet can increase the risk of developing chronic diseases due to the lack of essential nutrients or the presence of harmful components like excessive sugar, salt, or saturated fats. While diet plays a significant role in the development of chronic diseases, it is not the sole cause (choice C). Choice A is incorrect because diet does indeed have a significant impact on chronic diseases. Choice D is not the best answer as it does not acknowledge the negative impact of a poor diet on chronic diseases.
4. What is a causative factor of Hirschsprung disease?
- A. Frequent evacuation of solids, liquids, and gases
- B. Excessive peristaltic movement
- C. Absence of parasympathetic ganglion cells in a portion of the colon
- D. One portion of the bowel telescoping into another
Correct answer: C
Rationale: The correct answer is C: Absence of parasympathetic ganglion cells in a portion of the colon. Hirschsprung disease is a congenital condition characterized by the absence of nerve cells (ganglia) in parts of the colon. This absence leads to a lack of peristalsis in the affected segment, resulting in severe constipation and bowel obstruction. Choices A, B, and D are incorrect. Choice A describes symptoms of diarrhea rather than a causative factor of Hirschsprung disease. Excessive peristaltic movement (choice B) is not a causative factor but rather the opposite, as Hirschsprung disease is associated with reduced peristalsis. Choice D, which refers to intussusception, is a different condition unrelated to Hirschsprung disease.
5. What is a common sign of hypothyroidism in children?
- A. Weight loss
- B. Increased heart rate
- C. Dry skin and constipation
- D. Elevated blood pressure
Correct answer: C
Rationale: Dry skin and constipation are typical signs of hypothyroidism in children. Hypothyroidism results from an underactive thyroid gland, leading to symptoms such as dry skin and constipation. Weight loss (Choice A) is more commonly associated with hyperthyroidism, where the thyroid gland is overactive. Increased heart rate (Choice B) and elevated blood pressure (Choice D) are also more characteristic of hyperthyroidism rather than hypothyroidism. Therefore, the correct answer is dry skin and constipation (Choice C) when identifying signs of hypothyroidism in children.
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