HESI LPN
LPN Nutrition Practice Test
1. What is a common sign of developmental dysplasia of the hip (DDH) in infants?
- A. Dislocated patella
- B. Limited abduction of the hip
- C. Swelling of the knee
- D. Hyperextension of the leg
Correct answer: B
Rationale: Limited abduction of the hip is a common sign of developmental dysplasia of the hip in infants. It indicates possible hip dislocation or instability, making it a key clinical manifestation to assess for DDH. Dislocated patella (Choice A) is not typically associated with DDH. Swelling of the knee (Choice C) and hyperextension of the leg (Choice D) are not specific signs linked to DDH in infants, further supporting why they are incorrect choices.
2. How should a healthcare professional handle a child with a new diagnosis of type 2 diabetes?
- A. Focus on increasing physical activity and dietary management
- B. Initiate insulin therapy immediately
- C. Limit all carbohydrate intake
- D. Recommend frequent fasting
Correct answer: A
Rationale: In managing type 2 diabetes in a child, focusing on increasing physical activity and dietary management is crucial, especially in the initial treatment phase. This approach helps improve insulin sensitivity and overall glycemic control. Initiating insulin therapy immediately is not the first-line treatment for type 2 diabetes in children. Limiting all carbohydrate intake is not advisable as carbohydrates are essential for providing energy and nutrients. Recommending frequent fasting can be harmful and is not a recommended strategy for managing type 2 diabetes in children.
3. What is an essential aspect of managing a child with juvenile idiopathic arthritis (JIA)?
- A. Encouraging joint mobility and physical therapy
- B. Restricting all forms of exercise
- C. Increasing sugar intake
- D. Using only oral medications
Correct answer: A
Rationale: Encouraging joint mobility and physical therapy is crucial in managing juvenile idiopathic arthritis (JIA). This approach helps maintain joint function, reduce stiffness, and improve the overall quality of life for children with JIA. Restricting all forms of exercise (Choice B) is not recommended, as appropriate physical activity is beneficial for joint health and overall well-being. Increasing sugar intake (Choice C) is not a recommended practice for managing JIA, as a healthy diet is important for overall well-being and can help reduce inflammation. Using only oral medications (Choice D) may not be sufficient for managing JIA, as a comprehensive treatment plan often includes a combination of medications, physical therapy, and other interventions to effectively manage the condition.
4. A weight reduction regimen calls for a daily intake of 1400 kilocalories, which includes 30 grams of fat. What percentage of the total energy is contributed by fat?
- A. 8.50%
- B. 15.00%
- C. 19.00%
- D. 25.50%
Correct answer: C
Rationale: To calculate the percentage of total energy contributed by fat, first determine the energy from fat by multiplying the fat amount (30g) by the energy density of fat (9 kcal/g), which equals 270 kcal. Then, divide the energy from fat (270 kcal) by the total energy intake (1400 kcal) and multiply by 100 to find the percentage: (270 kcal / 1400 kcal) * 100 = 19.29% ≈ 19.00%. Therefore, fat contributes approximately 19% of the total energy in the diet. Choice A (8.50%) is too low, while choices B (15.00%) and D (25.50%) are incorrect calculations based on the given information.
5. What is the main purpose of Recommended Dietary Allowances (RDAs)?
- A. To provide guidelines for nutrient intakes that meet the needs of most healthy people.
- B. To specify the minimum amount of nutrients required for survival.
- C. To establish maximum safe levels of nutrient intakes.
- D. To recommend specific nutrient intake levels to prevent chronic diseases.
Correct answer: A
Rationale: The main purpose of Recommended Dietary Allowances (RDAs) is to provide guidelines for nutrient intakes that meet the needs of most healthy people. Choice B is incorrect because RDAs aim beyond just survival requirements. Choice C is incorrect because establishing maximum safe levels is the role of Tolerable Upper Intake Levels (ULs). Choice D is incorrect because preventing chronic diseases is more associated with Dietary Reference Intakes (DRIs) like Adequate Intakes (AIs) and Tolerable Upper Intake Levels (ULs). Therefore, the correct answer is A.
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