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. What should be monitored closely in a child receiving chemotherapy?
- A. Blood glucose levels
- B. White blood cell count
- C. Blood pressure
- D. Heart rate
Correct answer: B
Rationale: The correct answer is B: White blood cell count. During chemotherapy, it is crucial to monitor the white blood cell count closely to detect potential neutropenia (low white blood cell count) and the associated risk of infections. Monitoring blood glucose levels (Choice A) is important for diabetic management and not directly related to chemotherapy. Blood pressure (Choice C) and heart rate (Choice D) are essential vital signs to monitor but are not the primary focus when monitoring a child receiving chemotherapy.
3. What is a key aspect of managing a child with eczema?
- A. Daily baths with soap
- B. Regular use of emollients and moisturizers
- C. High-protein diet
- D. Frequent exposure to sunlight
Correct answer: B
Rationale: Regular use of emollients and moisturizers is a key aspect of managing eczema in children. Emollients help maintain skin hydration and reduce irritation, which are crucial in managing eczema symptoms. Daily baths with soap can actually worsen eczema by drying out the skin further. A high-protein diet and frequent exposure to sunlight are not directly related to managing eczema and may not have a significant impact on the condition.
4. What is a primary goal in managing a child with asthma?
- A. Avoiding all physical activities
- B. Achieving and maintaining control of asthma symptoms
- C. Increasing daily sugar intake
- D. Restricting all forms of medication
Correct answer: B
Rationale: The primary goal in managing a child with asthma is to achieve and maintain control of asthma symptoms to ensure the child's well-being and quality of life. This involves using appropriate medications as prescribed, identifying and avoiding triggers, and developing an asthma action plan. Choices A, C, and D are incorrect because avoiding all physical activities can lead to deconditioning and is not recommended, increasing daily sugar intake is unrelated to managing asthma, and restricting all forms of medication can be harmful as medications are often necessary to control asthma symptoms.
5. Which nutrient is an example of a macronutrient?
- A. proteins
- B. minerals
- C. water-soluble vitamins
- D. fat-soluble vitamins
Correct answer: A
Rationale: Proteins are indeed macronutrients as they are required by the body in larger quantities for various functions such as growth, repair, and energy production. Choice B, minerals, are micronutrients needed in smaller amounts for various physiological processes. Choices C and D, water-soluble vitamins and fat-soluble vitamins, respectively, are also micronutrients that play essential roles in the body but are not classified as macronutrients.
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