HESI LPN
Nutrition Final Exam
1. What is an important dietary consideration for a child with renal failure?
- A. Low-protein, low-sodium diet
- B. High-protein, high-sodium diet
- C. Increased calcium intake
- D. High-fiber diet
Correct answer: A
Rationale: A low-protein, low-sodium diet is crucial for a child with renal failure because it helps reduce the workload on the kidneys and minimize complications. High-protein and high-sodium diets can place excessive strain on the kidneys and worsen the condition. Increased calcium intake is not typically a primary consideration for renal failure in children. While a high-fiber diet can be beneficial for overall health, it is not a specific priority for managing renal failure in children.
2. The motive for a person who alters their diet due to religious convictions is most likely related to their ___.
- A. values
- B. body image
- C. ethnic heritage
- D. functional association
Correct answer: A
Rationale: The correct answer is A, 'values.' When individuals alter their diet due to religious convictions, it is primarily driven by their personal or cultural values associated with their faith. This choice reflects the strong influence that religious beliefs can have on dietary choices. Choice B, 'body image,' is incorrect because altering one's diet for religious reasons is more about spiritual beliefs than physical appearance. Choice C, 'ethnic heritage,' is incorrect as it pertains more to cultural background rather than religious convictions. Choice D, 'functional association,' is incorrect as it does not directly relate to the motivation behind altering one's diet for religious reasons.
3. How should a healthcare provider respond to a parent concerned about their child's frequent ear infections?
- A. Recommend over-the-counter ear drops
- B. Suggest an ENT specialist evaluation
- C. Advise on increasing fluid intake
- D. Encourage more physical exercise
Correct answer: B
Rationale: When a parent expresses concerns about their child's frequent ear infections, suggesting an ENT specialist evaluation is the most appropriate response. This specialist can conduct a thorough examination to identify the underlying cause of the recurrent infections and recommend the most suitable treatment. Recommending over-the-counter ear drops (Choice A) may not address the root cause of the issue and could potentially lead to inappropriate treatment. Advising on increasing fluid intake (Choice C) and encouraging more physical exercise (Choice D) are unrelated to addressing the specific concern of frequent ear infections.
4. What is the recommended first step in the management of a child with a suspected head injury?
- A. Administer pain medication
- B. Assess the child's level of consciousness
- C. Perform a CT scan
- D. Monitor for seizures
Correct answer: B
Rationale: The correct first step in managing a child with a suspected head injury is to assess the child's level of consciousness. This assessment is crucial as it helps determine the severity of the injury and guides further management. Administering pain medication (Choice A) should not be done before assessing the level of consciousness. Performing a CT scan (Choice C) may be necessary but is not the initial step. Monitoring for seizures (Choice D) is important but comes after assessing the child's level of consciousness.
5. What is the primary goal in managing a child with asthma?
- A. Prevent triggering asthma attacks
- B. Avoid triggering asthma attacks
- C. Administer corticosteroids
- D. Increase physical activity
Correct answer: B
Rationale: The primary goal in managing a child with asthma is to avoid triggering asthma attacks. This involves managing allergens, ensuring proper medication use, and creating an asthma action plan. Choice A is incorrect because the goal is to avoid triggering asthma attacks, not necessarily to prevent recurrent infections. Choice C is incorrect as corticosteroids are a treatment option but not the primary goal of asthma management. Choice D is incorrect because although physical activity is important, the primary goal is to prevent asthma attacks and manage symptoms effectively.
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