HESI LPN
Nutrition Final Exam
1. What is the most effective therapy for maintaining remission of acute lymphoblastic leukemia?
- A. Surgery to remove enlarged lymph nodes
- B. Long-term chemotherapy
- C. Nutritional supplements to enhance blood cell production
- D. Blood transfusions to replace ineffective red cells
Correct answer: B
Rationale: The correct answer is B: Long-term chemotherapy. Long-term chemotherapy, specifically with methotrexate, is the most effective therapy for maintaining remission in acute lymphoblastic leukemia. Surgery to remove enlarged lymph nodes (Choice A) is not the primary treatment for leukemia. Nutritional supplements (Choice C) may support overall health but are not the mainstay therapy for maintaining leukemia remission. Blood transfusions (Choice D) are used to address anemia in some cases but are not the primary treatment for maintaining remission in acute lymphoblastic leukemia.
2. What is the primary role of dietary guidelines?
- A. To ensure that all food groups are consumed in appropriate proportions.
- B. To prevent chronic diseases and promote overall well-being.
- C. To help individuals meet their nutritional needs while reducing the risk of chronic disease.
- D. To offer specific recommendations for the intake of nutrients that support health.
Correct answer: C
Rationale: The correct answer is C: 'To help individuals meet their nutritional needs while reducing the risk of chronic disease.' Dietary guidelines are designed to provide guidance on the types and amounts of food that support good health and reduce the risk of chronic diseases. Choice A has been corrected to mention 'appropriate proportions' instead of 'equal amounts,' as dietary guidelines emphasize balance and variety. Choice B is partially correct, but the primary focus of dietary guidelines is on meeting nutritional needs. Choice D is incorrect because while dietary guidelines may include nutrient recommendations, their primary focus is on overall dietary patterns rather than specific nutrient intake.
3. What is a common early sign of RSV (respiratory syncytial virus) in infants?
- A. High fever
- B. Nasal congestion
- C. Rash
- D. Jaundice
Correct answer: B
Rationale: Nasal congestion is a common early sign of RSV in infants, often accompanied by cough and wheezing. High fever, rash, and jaundice are not typically associated with RSV. While RSV can lead to fever, it is usually not one of the earliest signs. Rash and jaundice are unrelated to RSV symptoms.
4. What does the term 'essential nutrient' refer to?
- A. A nutrient that can be synthesized by the body.
- B. A nutrient that is required for proper body functioning.
- C. A nutrient that must be obtained from the diet because the body cannot produce it.
- D. A nutrient that can be stored in the body for long periods.
Correct answer: C
Rationale: The correct answer is C. An essential nutrient is a substance that is necessary for normal body functioning but cannot be synthesized in adequate amounts by the body, therefore it must be obtained from the diet. Choices A, B, and D are incorrect because essential nutrients are not synthesized by the body, they are necessary for body functioning, and they are not typically stored in the body for long periods.
5. How should hydration status in a child with fever and vomiting be assessed?
- A. Monitor skin turgor and mucous membranes
- B. Measure blood glucose levels
- C. Check for signs of jaundice
- D. Assess respiratory rate
Correct answer: A
Rationale: To assess hydration status in a child with fever and vomiting, monitoring skin turgor and mucous membranes is essential. Skin turgor refers to the skin's ability to change shape and return to normal; poor skin turgor can indicate dehydration. Mucous membranes, such as the mouth and eyes, can also provide valuable information about hydration levels. Measuring blood glucose levels (Choice B) is not directly related to assessing hydration status. Checking for signs of jaundice (Choice C) is important for liver-related issues, not hydration assessment. Assessing respiratory rate (Choice D) is crucial for evaluating respiratory function, not hydration status.
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