HESI LPN
HESI PN Nutrition Practice Exam
1. How should pain be assessed in a nonverbal child?
- A. Ask the parents about the child’s usual behavior
- B. Observe the child’s facial expressions and body movements
- C. Measure the child’s blood pressure
- D. Use a pain rating scale for older children
Correct answer: B
Rationale: Observing the nonverbal child's facial expressions and body movements is crucial in assessing pain. Nonverbal children may not be able to communicate their discomfort verbally, making it essential to rely on physical cues. Asking parents about the child's usual behavior (choice A) may provide some insight but observing the child directly is more direct and reliable. Measuring blood pressure (choice C) is not typically a direct method for assessing pain in nonverbal children. Using a pain rating scale designed for older children (choice D) is also inappropriate for nonverbal children who cannot participate in such self-reporting tools.
2. Gram for gram, which class of nutrient provides the most energy?
- A. fats
- B. alcohols
- C. proteins
- D. carbohydrates
Correct answer: A
Rationale: The correct answer is fats. Fats provide 9 kilocalories per gram, which is more energy-dense compared to proteins and carbohydrates. While proteins and carbohydrates provide 4 kilocalories per gram, fats provide more than twice the energy, making them the most energy-providing nutrient. Alcohols are not considered essential nutrients and do not provide energy for the body, unlike fats, proteins, and carbohydrates. Therefore, fats are the correct answer for the most energy-providing nutrient.
3. By chemical analysis, what nutrient is present in the highest amounts in most foods?
- A. fats
- B. water
- C. proteins
- D. carbohydrates
Correct answer: B
Rationale: The correct answer is B. Water is the most abundant nutrient in many foods. Water content varies across different foods, but in general, it is present in the highest amounts. Fats (Choice A) are essential but are not found in higher amounts compared to water. Proteins (Choice C) and carbohydrates (Choice D) are also important nutrients, but they are typically found in lower quantities in most foods compared to water.
4. What should be assessed first in a child with suspected head trauma?
- A. Response to verbal stimuli
- B. Pupillary reaction
- C. Skin color
- D. Heart rate
Correct answer: A
Rationale: The correct answer is to assess the response to verbal stimuli first in a child with suspected head trauma. This assessment helps in determining the child's level of consciousness and neurological status. Assessing the response to verbal stimuli allows healthcare providers to quickly evaluate if the child is alert, oriented, and able to communicate effectively. This initial assessment is crucial in identifying any immediate concerns related to the child's neurological function. Choices B, C, and D are not the primary assessments in cases of suspected head trauma. While pupillary reaction, skin color, and heart rate are important assessments in trauma situations, assessing the response to verbal stimuli takes precedence in evaluating the neurological status of a child with head trauma.
5. What is a causative factor of Hirschsprung disease?
- A. Frequent evacuation of solids, liquids, and gases
- B. Excessive peristaltic movement
- C. Absence of parasympathetic ganglion cells in a portion of the colon
- D. One portion of the bowel telescoping into another
Correct answer: C
Rationale: The correct answer is C: Absence of parasympathetic ganglion cells in a portion of the colon. Hirschsprung disease is a congenital condition characterized by the absence of nerve cells (ganglia) in parts of the colon. This absence leads to a lack of peristalsis in the affected segment, resulting in severe constipation and bowel obstruction. Choices A, B, and D are incorrect. Choice A describes symptoms of diarrhea rather than a causative factor of Hirschsprung disease. Excessive peristaltic movement (choice B) is not a causative factor but rather the opposite, as Hirschsprung disease is associated with reduced peristalsis. Choice D, which refers to intussusception, is a different condition unrelated to Hirschsprung disease.
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