HESI LPN
HESI PN Nutrition Practice Exam
1. In what position does the Pavlik harness hold a child's femurs for developmental hip dysplasia?
- A. Abduction
- B. Adduction
- C. Flexion
- D. Extension
Correct answer: A
Rationale: The Pavlik harness is designed to position a child's femurs in abduction for developmental hip dysplasia. Abduction helps align the hip joint correctly and promotes proper development in cases of hip dysplasia. Adduction (choice B) brings the legs closer to the midline, which is not the desired position in this condition. Flexion (choice C) refers to bending at a joint, while extension (choice D) is the opposite of flexion. However, in the case of developmental hip dysplasia, abduction is crucial for the Pavlik harness to work effectively.
2. An essential nutrient is one that ___
- A. must be made in large quantities by the body
- B. can only be synthesized by the body
- C. cannot be made in sufficient quantities by the body
- D. is used to synthesize other compounds in the body
Correct answer: C
Rationale: An essential nutrient is a substance that cannot be made in sufficient quantities by the body itself, so it must be obtained from the diet. Choice A is incorrect because essential nutrients are required in specific amounts, not necessarily large quantities. Choice B is incorrect as essential nutrients cannot be synthesized by the body at all. Choice D is incorrect because although essential nutrients may be used in the synthesis of other compounds, that is not the defining characteristic of an essential nutrient.
3. What is the primary treatment for a child with acute otitis media?
- A. Antihistamines
- B. Nasal decongestants
- C. Antibiotics
- D. Ear drops
Correct answer: C
Rationale: The correct answer is C: Antibiotics. Antibiotics are the primary treatment for acute otitis media because the condition is often caused by a bacterial infection. Antihistamines (choice A) and nasal decongestants (choice B) are not the primary treatments for acute otitis media as they do not target the bacterial infection. Ear drops (choice D) are not the primary treatment for acute otitis media; antibiotics are required to treat the underlying bacterial cause.
4. How should a healthcare provider assist in the management of a child with type 1 diabetes?
- A. Provide high-carbohydrate snacks
- B. Schedule frequent blood glucose tests
- C. Increase dietary fat intake
- D. Encourage a high-protein diet
Correct answer: B
Rationale: For the management of type 1 diabetes in a child, scheduling frequent blood glucose tests is essential. These tests help in monitoring blood sugar levels, adjusting insulin doses, and ensuring proper glucose control. Choices A, C, and D are incorrect. Providing high-carbohydrate snacks can lead to blood sugar spikes, increasing dietary fat intake is not recommended, and encouraging a high-protein diet is not a standard recommendation for managing type 1 diabetes in children.
5. What is a key intervention for a child with a new diagnosis of type 1 diabetes?
- A. Insulin administration
- B. Increased dietary fat intake
- C. Restricted fluid intake
- D. Routine physical examinations only
Correct answer: A
Rationale: The correct answer is A: Insulin administration. When a child is diagnosed with type 1 diabetes, insulin administration is a crucial intervention. Insulin helps regulate blood glucose levels by enabling cells to take in glucose from the bloodstream. Without sufficient insulin, blood glucose levels can become dangerously high, leading to various complications. Increased dietary fat intake (choice B) is not a recommended intervention for type 1 diabetes management, as it can contribute to weight gain and other health issues. Restricted fluid intake (choice C) is also not appropriate, as adequate hydration is essential for overall health. Routine physical examinations (choice D) are important but are not the primary intervention needed to manage type 1 diabetes.
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