HESI LPN
HESI PN Nutrition Practice Exam
1. You have been asked to help a top nutrition researcher conduct human experiments on vitamin C. As the subjects walk into the laboratory, you distribute all the vitamin C pill bottles to the girls and all the placebo pill bottles to the boys. What should you have done?
- A. Giving all the boys the vitamin C and the girls the placebo, and telling them what they were getting.
- B. Distributing the bottles randomly, randomizing the subjects, and telling them what they were getting.
- C. Telling the subjects which group they were in, but preventing yourself from knowing the contents of the pill bottles.
- D. Preventing yourself from knowing what is in the pill bottles, and distributing the bottles randomly to the subjects.
Correct answer: D
Rationale: The correct approach in a scientific experiment is to prevent yourself from knowing the contents of the pill bottles and distribute them randomly to the subjects. This randomization helps to avoid bias and ensures that the results are not influenced by preconceived notions. Option A is incorrect because it introduces gender bias by assigning pills based on gender. Option B is incorrect as it mentions telling the subjects what they are getting, which could lead to placebo effects. Option C is incorrect as it suggests disclosing group information to the subjects, which can also introduce bias.
2. The parents of a child with sickle cell anemia ask why their child experiences pain. What is the most likely cause?
- A. Inflammation of the vessels
- B. Obstructed blood flow
- C. Overhydration
- D. Stress-related headaches
Correct answer: B
Rationale: In sickle cell anemia, pain is primarily caused by the obstruction of blood flow by sickle-shaped cells. This obstruction leads to inadequate oxygen supply to tissues, resulting in tissue damage and pain. Choice A, inflammation of the vessels, is incorrect as it is not the primary cause of pain in sickle cell anemia. Choice C, overhydration, is unrelated to the pathophysiology of sickle cell anemia and would not lead to the characteristic pain experienced. Choice D, stress-related headaches, is also unrelated to the underlying mechanisms of pain in sickle cell anemia.
3. How should a healthcare professional manage a child with scabies?
- A. Use topical permethrin cream
- B. Administer oral antibiotics
- C. Apply topical antifungals
- D. Provide supportive care only
Correct answer: A
Rationale: Corrected Rationale: Topical permethrin cream is the appropriate treatment for scabies as it effectively kills the mites causing the infestation. Oral antibiotics are not indicated for scabies as it is not a bacterial infection. Topical antifungals are used to treat fungal infections, not scabies. Providing supportive care only would not address the underlying cause of scabies, which is the mite infestation.
4. Which of the following statements about nutrition is true?
- A. Nutrition is the only factor that influences health.
- B. Nutrient needs are the same for everyone.
- C. Certain nutrients are more important than others.
- D. Nutrient recommendations are designed to meet the needs of most healthy people.
Correct answer: D
Rationale: The correct answer is D. Nutrient recommendations are designed to meet the needs of most healthy people, providing guidelines for a balanced diet. Choice A is incorrect because while nutrition plays a crucial role in health, it is not the only factor influencing it. Choice B is incorrect as nutrient needs vary based on factors like age, gender, activity level, and health status. Choice C is incorrect because all nutrients are essential for different bodily functions, and none can be deemed universally more important than others.
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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