HESI LPN
Nutrition Final Exam
1. What is critical for preventing complications in an infant with hypothyroidism?
- A. Excessive growth
- B. Cognitive impairment
- C. Damage to the nervous system
- D. Damage to the urinary system
Correct answer: B
Rationale: The correct answer is B: Cognitive impairment. In infants with hypothyroidism, prompt administration of oral thyroid hormone replacement is crucial to prevent cognitive impairment and other serious complications. Excessive growth (choice A) is not a typical complication of hypothyroidism in infants. While hypothyroidism can affect the nervous system (choice C), cognitive impairment is more specific to untreated cases. Damage to the urinary system (choice D) is not a common complication of hypothyroidism in infants.
2. How should a healthcare provider address concerns about a child’s developmental milestones?
- A. Recommend delaying intervention until school age
- B. Provide resources for early intervention services
- C. Suggest dietary changes
- D. Avoid further assessment
Correct answer: B
Rationale: Correct Answer: Providing resources for early intervention services is crucial for addressing developmental concerns and supporting the child's growth and development. Early intervention is key to improving outcomes. Recommending delaying intervention until school age (Choice A) is not advised as addressing issues early leads to better results. Suggesting dietary changes (Choice C) is not the primary approach to addressing developmental milestones. Avoiding further assessment (Choice D) can impede the timely identification and management of developmental delays.
3. What is a key sign of meningitis in an infant?
- A. Increased appetite
- B. Bulging fontanel
- C. Decreased respiratory rate
- D. Elevated blood pressure
Correct answer: B
Rationale: A bulging fontanel is a key sign of meningitis in infants, indicating increased intracranial pressure due to inflammation of the meninges. This can lead to the fontanel bulging. Choices A, C, and D are incorrect. Increased appetite is not typically associated with meningitis in infants; instead, they may have poor feeding. A decreased respiratory rate is not a common sign of meningitis in infants. Elevated blood pressure is also not a typical finding in infants with meningitis.
4. When an increase in exercise is accompanied by a decrease in body weight, it is an example of what?
- A. variable effect
- B. positive correlation
- C. negative correlation
- D. randomization effect
Correct answer: C
Rationale: When an increase in exercise is accompanied by a decrease in body weight, it demonstrates a negative correlation. This means that as one variable (exercise) increases, the other variable (body weight) decreases. Choice A, 'variable effect,' is vague and does not accurately describe the relationship between exercise and body weight. Choice B, 'positive correlation,' is incorrect because in a positive correlation, both variables would increase or decrease together. Choice D, 'randomization effect,' is unrelated to the scenario described.
5. What dietary recommendation should be made to a child with iron-deficiency anemia?
- A. Increase intake of dairy products
- B. Include high-iron foods like spinach and meat
- C. Decrease protein intake
- D. Avoid all grains
Correct answer: B
Rationale: The correct recommendation for a child with iron-deficiency anemia is to include high-iron foods like spinach, red meat, and beans in their diet. These foods are rich sources of iron and can help address the deficiency. Choice A is incorrect as dairy products do not provide significant iron content. Choice C is incorrect because protein intake does not need to be decreased; in fact, lean meats are good sources of iron. Choice D is also incorrect as whole grains can be a part of a healthy diet and do not need to be avoided in this case.
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